Advancing Emergency and Palliative Medicine

National Emergency and Palliative Medicine Initiative (NEPMI)

Transforming care for people with serious illness by promoting and enhancing the integration of palliative care in emergency settings

The Compassion & Choices National Emergency and Palliative Medicine Initiative (NEPMI) strives to transform care by advancing and promoting the integration of palliative care in emergency settings. 

Our NEPMI brings together clinicians from across the country to build awareness, collect best practices in the field and identify opportunities to build collaborations. The initiative focuses on improving patient-centered care for people with life-threatening and life-limiting illness. Ongoing efforts will focus on expanding research and data collection and promoting new and existing programs.

Adults aged 65 and older have the highest ED utilization compared to any other age group.

Calendar Icon

50% of older adults will visit the ED in the last month of their life.

Hospital Icon

10,000,000 adults aged 75 and older visit the ED yearly.

Dr. Satheesh Gunaga headshot

If the ED is to continue to be the primary portal of hospital entry for patients requiring emergent care for acute and chronic terminal illnesses, then it should also be equally prepared to provide the earliest access to palliative care and advance care planning resources for patients and families who may want and benefit from these services

Satheesh Gunaga, DO
Vice Chair of Emergency Medicine, ED Research Director Henry Ford Wyandotte Hospital

The Importance of Adoption and Replication
Although an increasing number of professional society guidelines recommend early palliative involvement, including the American Academy of Emergency Medicine, American College of Emergency Physicians 2013 Choosing Wisely Campaign, American Society of Clinical Oncology 2018 Guideline Updates, National Comprehensive Cancer Network 2009, American Thoracic Society 2008 Clinical Policy Statement, it remains an option not widely available throughout the United States. 

Compassion & Choices through the National Emergency and Palliative Medicine Initiative seeks to raise awareness of the current programs and benefits of the service on a national scale and help healthcare systems replicate and improve successful programs that integrate palliative support in the emergency care settings.

Compassion & Choices
8156 S Wadsworth Blvd #E-162
Littleton, CO 80128

Mail contributions directly to:
Compassion & Choices Gift Processing Center
PO Box 485
Etna, NH 03750