- End-of-Life Care. For nearly 15 years, SHD has played a leadership role in end-of-life care at
local, state, and national levels. Beginning in the mid-90s, SHD sponsored the ECHO Project,
a regional consumer-provider endeavor acclaimed nationally for its success in identifying critical elements that facilitate
patient/family decision-making and improve end-of-life care in hospitals.
Current SHD work includes activities in the Sacramento regional Compassionate
Care Alliance and statewide California Coalition for Compassionate Care.
- Health Care Costs. Since 2000, SHD has created projects, programs and
publications that explore the most difficult and controversial aspect of health care
reform: controlling the rising cost of health care. With particular emphasis on
capturing the public's voice on priority-setting and trade-offs, SHD is shining a
light on some of the difficult policy questions that society faces. Projects under this initiative include:
What Matters Most
Getting Good Value
Capitol Region CHAT
SHD 10th Year Report
Speaking Up: A decade of bringing the public's voice to healthcare
policy and practice provides a summary of the SHD's work from 1994-2004 to address two major
issues: improving care at the end of life and allocating finite healthcare resources.