MOLST Statewide Implementation Team,

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1 Chair Patricia Bomba, MD, FACP Leader, Community-wide End-of-life/Palliative Care Initiative led by Excellus BlueCross BlueShield Executive Committee Bill Armbruster Sara Butterfield, RN, BSN, CPHQ, CCM Maria Carney, MD, FACP Stephen J. Evans, MD Jon Federman, Esq. Mary Beth Morrissey, Esq. Katie Orem, MPH Barbara Phair, BSN, RN, MPA, JD Donnaline Richman, Esq. Kathryn Santos, PT, MPA Mark Tornstrom, AEMT-P Associate State Director, AARP NY Senior Director, Health Care Quality Improvement, IPRO North Shore-LIJ Health System Medical Director, Catholic Health WNY Long Term Care and CMO of Family Choice of NY Partner, Hinman Straub Fordham University, Ravazzin Center on Aging & Chair, The Collaborative for Palliative Care Geriatrics & Palliative Care Program Manager, Excellus BlueCross BlueShield; emolst Administrator Partner at Abrams, Fensterman, Fensterman, Eisman, Greenberg, Formato & Einiger, LLP Counsel to MLMIC, Fager & Amsler, LLP Manager of Quality Improvement Initiatives, Continuing Care Leadership Coalition (CCLC) Executive Director EMS Division, Monroe Ambulance Team Members Theresa Ahrens Reverend Richard Augustyn Eileen Avery, MS, RN Fern Baudo, RN, MSN, ANP, BC APRN, CLNC, DBA, NYLNC Alice Beal Cynthia Bileschi, RN, BSN Paul Bishop, AEMT-P, MPA Patricia Brownell, PhD Michael Burgess Mark Buttiglieri, ACSW Nancy Caban Thomas Caprio, MD Reinaldo Cardona, MSSW, LCSW Karen Charles, CTRS Ben Cirlin, LCSW Education Coordinator, Hospice & Palliative Care Associates of Central NY Director, St. Jude Center for Pastoral Care & Wellness Associate Director, Policy, NYS Nurses Association (NYSNA) New York Legal Nurse Consultants, Inc. VA NY Harbor Healthcare System Director, Regulatory Affairs & Chief Privacy Officer, Rochester General Health System BLS Program Coordinator, Monroe Community College Past President, State Society on Aging Former Director, New York State Office for Aging (NYSOFA) Director, Department of Social Work, Upstate Medical University NY Association of Homes & Services for the Aging (NYAHSA) Senior Instructor Geriatrics & Palliative Care, University of Rochester Medical Center Executive Director, National Association of Social Workers - NYS Chapter Geriatric Program Administrator, Betances Health Center Social Work Manager, Visiting Nurse Service of NY

2 Rose Collins, APR Kimberly Connell, MSW Jeremy Cushman, MD, FACEP Tim Czapranski, AEMT-P Michael Dailey, MD, FACEP Janet Dauley Altwarg, JD, MHA Elaine David, LMSW Thomas DeLoughry Deirdre Downes, LCSW Donald Faeth, AEMT-P Conn Foley, MD Elliott Frost George Giokas, MD Ben Golden Seth Gordon Mary Gracey-White, RN, BSN Meg Greco, MPA Judith Grimaldi, Esq. Howard Guzik, MD John Hallowell, RPAC James Hayes, MD Hayla Hebert, MS, RN Sharon, Hoffman Doug Isaacs, MD Patricia Johnson, Esq. Christine Johnston Brian Justice, DC Simon Kassabian, MD, FACP Paul Kietzman, Esq. Eve Koopersmith, Esq. David Korones, MD Andrew Koski Facilitator, Coalition for Health Care Decision-Making Palliative Care Coordinator, Hospice & Palliative Care Association of NYS EMS Medical Director, Monroe & Livingston EMS Region EMS Coordinator/Administrator, Monroe County Emergency Medical Services Regional EMS Medical Director, Associate Professor Department of Emergency Medicine, NY Chapter American College of Emergency Physicians Director, Onondaga County Long Term Care Council Palliative Care Manager, Kaleida Health Executive Director, Center for Health Management Director, Social Work Department, Jewish Home Lifecare System Union Representative, The Uniformed EMTs Paramedics and Inspectors - Fire Department NY Senior VP of Medical Services, Chair, Dept. of Medicine, Parker Institute for Health Care & Rehab. Senior Policy Analyst, NY Association of Homes and Services for the Aging (NYAHSA) Regional Medical Director, The Community Hospice Associate Executive Director for Governmental Affairs, NYSARC, Inc. President & CEO, Nurse Practitioner Association of NYS (NPANYS) Greater New York Health Care Facilities Association Geriatrics & Palliative Care Coordinator, Excellus BlueCross BlueShield Partner, Grimaldi & Yeung, LLP Medical Director, North Shore University Hospital Center for Extended Care & Rehabilitation Vice President, NYS Society of Physicians Assistants (NYSSPA) Medical Director of Special Projects, United Health Services Hospitals Associate Director, Nursing Education & Practice, New York State Nurse's Association (NYSNA) NY State Disability Advocacy Association & Network Medical Director, NY City Fire Department Headquarters Fmr Asst. Counsel, NYS Commission on Quality of Care & Advocacy for Persons with Disabilities President, NY State Association of Healthcare Providers NYS Chiropractic Association Director of Palliative Care, Associate Medical Director, Jewish Home Lifecare System General Counsel, NYSARC, Inc. Attorney at Law, Garfunkel Wild, PC Director, University of Rochester Medical Center Pediatric Palliative Care Program Vice President for Advocacy & Public Policy, Home Care Association of NYS (HCANYS)

3 MaryRose Kott, RN Patricia Lamarche, RN MSN, CPNP Tammy Lawlor, Esq. Debbie LeBarron, RN, BS Beth Lenegan, MD David Leven Carole Levine Dana Lustbader, MD, FCCM, FCCP Beth Mahar Ellen Makofsky, Esq. Maureen Martin, MS,RN Kevin Mathews, MD Maureen McClusky Kathy McMahon David McNally Jacqueline Melecio Reverand Paul Metzler Carole Michelsen, MD Mary Jane Milano, MHSA Karen Morris, RN Lisa Newcomb Tom Nicotera, MHHA Amy Olshever, LCSW Daniel Olsson, DO, FACOEP-D Marie-Caroline Piche, MD Joel Potash, MD Ann Purchase, MS, RN Marcia Richman Karen Roach, MPH Michelle Roach, RN, MSN, CPNP Alan Roth, DO, FAAFP Lorraine Ryan, Esq. Clinical Nurse Specialist, St. Joseph Hospital Health Center Senior Clinical Nurse Specialist, University of Rochester Medical Center Neonatal Intensive Care Unit Partner, Miller & Milone, P.C. Senior Director, Continuing Care, Healthcare Association of NYS (HANYS) Director of Pastoral Care, Roswell Park Cancer Institute Executive Director, Compassion & Choices of NY Director, United Hospital Fund Families and Health Care Project Chief, Palliative Medicine, Intensivist, Critical Care Medicine, Program Director, Palliative Medicine Fellowship, Asst. Professor, Hofstra School of Medicine, North Shore University Hospital, Manhasset Director of Members Services, Hospice and Palliative Care Association of NYS (HPCANYS) Attorney at Law, Raskin & Makofsky VISN 2 Palliative Care Coordinator, Stratton, Veterans Affairs Medical Center (VAMC) Medical Director, Palliative Care Consultation Service, Regional Cancer Center Executive Dir, North Shore University Hospital, Stern Family Center for Extended Care & Rehabilitation President and CEO, Hospice & Palliative Care Association of NYS (HPCANYS) Manager of Government Affairs, AARP NY Assistant Executive Director, National Association of Social Workers - NYS Chapter Director, Community & Program Services, The Visiting Nurse Service of NY Hospice Care Medical Director, Evercare Director of Quality & Education, Nassau-Suffolk Hospical Council Director of Clinical & Quality Service, NYS Health Facilities Association Inc. (NYSFHA) Executive Director, Empire State Association of Assisted Living Director of Membership & Public Affairs, Nurse Practitioner Association of NYS (NPANYS) Manager, Social Work, Visiting Nurse Service of NY Regional Medical Director, Central NY Emergency Medical Services, Inc. Medical Director, Hospice of the North Country Member, MSSNY Ethics Committee Associate Director, Education, Practice & Research, NYS Nurses Association (NYSNA) Health Care Coordinator/DON, AHRC NYC Senior Director, Regulatory Affairs & Rural Health, Healthcare Association of NYS (HANYS) Senior Clinical Nurse Specialist, University of Rochester Medical Center Neonatal Intensive Care Unit Chairman, Dept. of Family Medicine, Ambulatory Care and Community Medicine, Chief, Palliative Care Medicine, Director, Palliative Care Fellowship Program, Jamaica Hospital Medical Center Special Counsel for Regulatory & Professional Affairs, Greater NY Hospital Association (GNYHA)

4 Jerry Salkowe, MD Cara Seekings, RN Donna Seminara, MD, FACP Judy Setla, MD Aleksander Shalshin, MD Edward Shaw Fredrick Sherman, MD Lexi Silver Lucille Sollazzo Ellen Sorce Sheree Starrett, MD Ruth Strodel Susie Surpernant, AEMT-P Roxanne Tena-Nelson Mary Therriault, RN, MS Suzanne Underhill Mitchell Wolfson, MD Cindy Young, RN Executive Director, Advocates for Quality Hospice of Chautauqua County Island Internists Medical Director, Hospice & Palliative Care Associates of Central NY North Shore-LIJ Health System Chair, NY Association on HIV over Fifty (NYAHOF) Chief Medical Officer, Community & Managed Care Services, ArchCare Vice President for Clinical Policy, Home Care Association of New York State Associate Director Nursing Education and Practice, NY State Nurses Association Administrative Assistant to Dr. Patricia Bomba, Excellus BlueCross BlueShield HIV/AIDS Palliative Care Specialist Advanced Illness Care Coordinator, Syracuse VA Medical Center Executive Director, Central NY EMS Regional Council, Inc. Executive Vice President Greater New York Hospital Association Senior Director, Quality & Research Initiatives, Healthcare Association of NYS (HANYS) Advanced Illness Care Coordinator, Canandaigua VA Medical Center Chief Medical Officer, Park Avenue Medical Associates, PC Staff Educator, St. Joseph Hospital Health Center Advisory Members Karen Lipson, Esq. Jonathan Karmel, Esq. Michele Petruzzelli, Esq. Eileen Zibell, Esq. John Tauriello, Esq. John Carroll, Esq. Mark Kissinger Jackie Pappalardi Mary Ann Anglin Carla Williams Nina Daratsos, Esq. Sheila Shea Dir., Div. of Policy, New York State Department of Health (NYSDOH), Ofc of Health Systems Management House Counsel, NYSDOH, Division of Legal Affairs Senior Attorney, NYSDOH, Division of Legal Affairs House Counsel, New York State Office of Mental Retardation & Developmental Disabilities (OMRDD) Deputy Commissioner & Chief Counsel, New York State Office of Mental Health (OMH) New York State Office of Mental Health (OMH) Deputy Commissioner, NYSDOH, Office of Long Term Care Director, NYSDOH, Division of Residential Services Director, NYSDOH, Division of Home & Community Based Care Services Deputy Director, NYSDOH, Office of Long Term Care Director, New York State Bureau of Managed Care Certification & Surveillance Director, Third Judicial Department, Mental Hygiene Legal Service

5 Shannon Stockwell Marcus Harazen Greg Olsen Jennifer Seehase, Esq. Laura Beck, Esq. Lee Burns, BS, EMT-P Gary L. Tuthill, LPN, AEMT-P Counsel, Third Judicial Department, Mental Hygiene Legal Service Deputy Director, New York State Office for Aging (NYSOFA) Acting Director, New York State Office for Aging (NYSOFA), Div of Policy, Research & Legislative Affairs Counsel, New York State Office for Aging (NYSOFA) Assistant Counsel, New York State Office for Aging (NYSOFA) Acting Director, Bureau of Emergency Medical Services, NYS Department of Health Senior EMS Rep., Bureau of Emergency Medical Services, NYS Department of Health

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