Training the Next Generation of Hospice-Minded Doctors

My name is Dr. Lucia Jander. I am the medical director for Hospicare & Palliative Care Services. You may know that Hospicare provides hospice, palliative care, and grief support to people living in Cortland and Tompkins counties, but did you know that we also recently started a new program training medical residents?

Since May of 2021, Hospicare has been working with Dr. Janette Lee of Cayuga Medical Center (CMC) to train a new generation of doctors in the Internal Medicine Residency program. These young doctors are doing their Geriatric Rotation at Hospicare.

Dr. Lucia Jander speaks with Dr. Priyesh Thakurathi, a CMC resident participating in the Geriatric Rotation at Hospicare.

My own professional interest in hospice came from an elective rotation in my residency. There is no formal requirement to have a hospice experience, but clearly it is very helpful for future internists in the community to understand these issues.

Let me explain the difference between hospice and palliative care: Hospice is a subset of palliative care for people who are at the end of life, generally with a 6-month prognosis. Palliative care can be delivered for several years before patients qualify for hospice. It is a special care for people with severe and chronic illnesses and can be given concurrently with curative care. The goal of palliative care is to help with symptom management, allow for open communication, and improve a patient’s quality of life.

During this semester-long rotation, CMC residents spend time in a long-term care facility, perform home hospice visits, come to our hospice residence, and are introduced to working in an interdisciplinary health care team. The goal of the rotation is to develop knowledge, skills, and the interpersonal communication needed to provide effective and compassionate care to patients receiving our services. Residents gain a broader understanding of the difference between hospice and palliative care.

During the Geriatric Rotation, CMC residents learn ways to help patients stay at home, improve their quality of life, and help them understand their illness, which may result in decreased hospitalizations or trips to the emergency room. I think it is important to remind trainees that 99% of patients’ lives are spent outside of the hospital; this may seem an obvious statement, but when residents are in the middle of their training, they are seeing the worst 1% of people’s lives when they are in crisis-medical misery. My hope is that the outpatient geriatric rotation helps CMC resident’s understand what matters most to their geriatric patients and ways to improve their quality of life.

Dr. Priyesh Thakurathi, a CMC resident meets with a patient at the Hospicare residence.

My primary goals are to teach trainees to understand their patients’ priorities (which may be vastly different from the healthcare team’s priorities) and help them recognize how much social factors influence patients’ lives – much more than our medical interventions.

CMC residents become incorporated into the Hospicare team. They join our nurses and social workers on their workday. The more exposure they have to Hospicare, the higher likelihood they will appreciate the help hospice provides for their patients, give prompt referrals for those who will benefit from hospice and palliative services, and stay in the community as primary care practitioners starting next July.

We are very glad to be able to train the next generation of doctors!

How to Make Death Binder – A Gift to Your Loved Ones

What is a Death Binder?

A death binder is a place to gather necessary information and documents that detail how we want our wishes carried out, our belongings dispersed, our finances dealt with, etc.

A homemade Death Binder puts all your important documents in one place.

Why make a death binder?

Reasons include:

  • It’s a gift to our loved ones: reduces the stress for our families when confronted with difficult medical decisions or in the event of our death
  • Provides a concrete plan for our family to follow; no surprises
  • Provides the opportunity for  family and friends to provide a loving presence at your bedside and emotional support for one another
  • A gift to ourselves: a chance for us to review our lives and even make changes
  • Provides the opportunity for us to have  difficult conversation with our family, hopefully alleviating charged conversations later
  • Provides the opportunity for family to become closer

STEP ONE – Set your Intention

Set the intention and ask your self the hard questions about your life and your choices.

  • How do you imagine your end-of-life experience?
  • What medical or life-sustaining care do you want?
  • Who are the family and friends who will be most impacted by your death? 
  • What do you want your legacy to be?

STEP TWO – Gather your Documents

Gather important information and documents that we want to be readily available in case of natural disaster, medical emergency, or death.

Download our FINDING THE DOCUMENTS YOU NEED worksheet.

Here’s a start to your list:

  • Medical Documents
  • Bank account numbers, both checking and savings 
  • Insurance policies 
  • Investment account details 
  • Safe deposit box keys
  •  Social security card and other identification like birth certificates and passports
  • Utility and other monthly billing information
  • Mortgage, deed, or lease for your home or residence
  • Vehicle title
  • Internet account numbers and passwords, including subscriptions and email accounts
  • Important phone numbers for family members, your lawyer, doctor, and financial planner, pastor or priest, and your preferred funeral home. ??

A document like “5 Wishes” can help you think about medical, emotional and spiritual questions, providing a structure for you to reflect on these issues and start the conversation with your health care proxy, other medical providers, and your family. 

STEP THREE – Organize your Documents

Decide what would work best for you. You can put documents in a binder, file cabinet, or box. If you make your own so that you can customize it to be an expression of you and your values. Or you can purchase one on the internet or at a local book store.

Poke around and see what makes the most sense for you!

This homemade Death Binder includes handwritten tabs for organizing documents.
There are several premade options on the internet. Such as printables, fill as you go workbooks, and books.

STEP FOUR – Have the Conversations

The next step is to talk to your loved ones and let them know what you are doing and why it’s important.

Although end-of-life planning is critical for adults at every age, it can be difficult to find a way to introduce the topic of conversation to your loved ones.

Possible conversation starters:

  • There’s been something on my mind and now is a good time to bring it up
  • You can count on me to be there for you
  • I want to do the right things for you when you need them the most
  • I don’t know your wishes so please tell me them so I can honor them whether I agree with them or not
  • You matter to me and I care about you

Remember, a Death Binder is a living document and should be updated regularly. We live in a death phobic culture and it can be difficult to prioritize getting our affairs in order, it is a gift to yourself and your loved ones. 

Please don’t hesitate to reach out if you have any questions. Email us or call 607-272-0212.

Advance Care Planning Video

Please enjoy an excerpt from our webinar series.

The webinar series was a partnership between Hospicare & Palliative Care Services, the Bem Endowment at Hospicare, and the Ithaca College Gerontology Institute.

With additional support from the Community Foundation of Tompkins County, the Funeral Consumer Alliance of the Finger Lakes, the Cancer Resource Center, and the Cortland Free Library.

Hospicare uses an interdisciplinary team approach to providing care to patients, families and caregivers in Tompkins and Cortland counties. We provide emotional, medical and spiritual support, and patients have access to care from physicians, nurses, social workers, grief counselors, home health aides and volunteers. It’s never too early to ask questions.

If you have any questions about Advance Care Planning, don’t hesitate to reach out at info@hospicare.org or 607-272-0212.

In Gratitude…

This time of year we traditionally gather with friends and family. That may look a little different this year, but we can still cultivate gratitude in our hearts. 

November is also National Hospice and Palliative Care Month, a time to pay special recognition to the work done every day by these skilled individuals, whose dedication to Hospicare’s mission has withstood even a global pandemic.

The story of Norma Helsper (as told in the video below) highlights the continuous service our interdisciplinary team has provided to all those that need our care in our community. 

We also wish to honor those advocates, volunteers, referral partners, and donors whose support sustains the good work of Hospicare. We thank YOU for all the many ways you support Hospicare!

Grief During Covid-19

By Laura Ward

Grief is defined as a normal and natural response to loss.  At Hospicare, we provide bereavement support to those who are grieving the death of a loved one.  However, based on the current circumstances, we feel that it’s important to expand our discussion of grief to include the many different types of losses that people are experiencing right now as part of this pandemic

These could be major such as that of a job or financial means.  As a community, we are curtailing our social contacts due to the need for social distance.  This loss of physical connection with our loved ones is extremely difficult.  Gone are the simple social pleasures of meeting a friend or friends for dinner, coffee, a walk or at the dog park.  Social gatherings such as book club, game night, choir practice, group exercise classes and BBQ’s are off limits.  The theater, bowling alley and churches are all closed.  The wedding, trip, or family reunion we had planned has been cancelled.  Our children are grieving the loss of their social network, educational system, sports team, extracurricular activities and even that recital, performance, or big game that they had been working towards.  Our regular routine is disrupted, many of us are no longer able to head to work as usual and those who are working for essential businesses now must cope with added fear and risk.  The uncertainty of this time and the risk of illness brings its own anxiety and adds to our stress. 

Grief impacts us on many levels.  Physically, you might notice changes in sleep or appetite, fatigue, restlessness, headaches, body aches or episodes of crying or feeling numb.  Grief can be a roller coaster of emotions and these emotions can change quickly.  We might feel anxious, sad, angry, fearful, or more irritable.  Grief can feel like a heaviness we carry both physically and emotionally.  On a cognitive level, we might have difficulty concentrating (which can make working from home even more challenging), be indecisive, find ourselves preoccupied with worries, experience a sense of unreality or denial.  We might experience behavioral changes and find ourselves inpatient, forgetful, or looking for unhealthy ways to cope through overeating, too much screen time or numbing ourselves with drugs or alcohol.  Socially, we need more support when we are grieving, and these current circumstances can make it especially difficult to meet that need.  Some people isolate more during grief and lack the motivation and energy to make the extra effort needed to connect.   Spiritually, we might find ourselves searching for meaning or comfort during this time.  Some people find comfort in their faith or prayers, and others have spoken about the positive environmental impact.  For example, dolphins have been spotted for the first time in the canals of Venice and air quality has improved in China. It’s important to recognize how these grief reactions can impact our current functioning.  Our usual means of coping may also have changed whether it be our habits or reaching out socially, going to the gym or attending an art class.  We may need to explore how to recreate, expand and implement, new ways of coping during this pandemic to maintain our emotional and physical health. 

The experience of grief can also be both individual and unique.  It can be difficult when the people in your life are struggling with this current situation and the associated losses, but are expressing that struggle in very different ways.  One might assume that since we are all in this together, that we would be feeling similar ways.  Yet, our expressions of our grief may look so dissimilar that instead of feeling supported, we can be left feeling more alone.  Perhaps you are feeling sad and someone else is responding with complete denial or is minimizing the seriousness of the situation.  Or you might receive messages from other friends to “think positive” or “see the bigger picture” or laments about “silver linings.”  Neither one of you is wrong in how you are coping with the situation, but you may simply not be on the same page at the same time with the people in your life.  This can create tension, and leave people feeling more alone and without the comforting validation they would normally receive in these relationships.  Remember, that even though we might not understand another person’s emotional or mental response to this crisis, even if our own grief looks different, we are all grieving.  The greatest kindness we can offer is to support each other, and in order to do that we must suspend our judgements to allow for the range of emotions that those around us are experiencing.  More than ever, we need to take care of each other during this time and accept both our own and others experience with an open heart.  Check in frequently with the people in your life and with the people in your home.   

When we are overwhelmed with difficult emotions, it can be helpful to lean in, allowing yourself to move through the emotions that are rising.  Know that all emotions pass, change and evolve.  It’s important to make time to feel, and it can be helpful to set aside time just for this purpose.  Some people might find that journaling, meditating, or talking it through with a trusted friend to be a safe way to achieve this.  It’s important to allow our feelings to be expressed or we run the risk of the feelings building up which can negatively impact our health or overall functioning.  Sometimes we might realize that our worries or fears are dominating our mind.  If you feel like you’re in a rut with these thoughts rather than moving through, it can be helpful to disrupt this process by deep breathing, stepping outside or distracting ourselves.  Other ways to cope include creating a new routine, getting outside, trying something new, discovering joy in the moment, exploring new ways to connect, and getting in touch with gratitude.  Creating a new routine can be a source of comfort when we have lost our usual way of life.  A new routine can mean setting a regular time for waking, bedtime and healthy, balanced meals.  Getting dressed and ready for the day.  Introducing daily time to be outdoors, take a walk or even just sit on the porch.  If you are working from home, start and end at regular times and step away from screens for some portion of each day.  Connect with family by spending time together at home or through electronic means.  For instance, play games together online with a friend or set up a virtual coffee date.  Take time and space for yourself through a solitary walk, reading a book or putting together a puzzle.  Find joy in starting a new hobby or enjoying an old one.  Practice gratitude each day and when all else fails, extend kindness and compassion to yourself, this is a difficult time.   

New Year’s Letter from our Executive Director

By Kim De Rosa

Looking towards the next decade at Hospicare & Palliative Care Services.

New Year’s is a time to reflect on the year that’s passed as well as set intentions for the one that lies ahead. This year seems particularly meaningful to me as we embark on a new strategic plan that will guide Hospicare into this next decade and beyond.
Hospicare is honored to serve our neighbors throughout Cortland and Tompkins counties by providing palliative care, hospice and grief support to all who need us. While I am grateful to lead this incredible organization as Executive Director, Hospicare belongs to every one of us – our patients, families, volunteers, donors, supporters, and of course, our phenomenal staff.


Together, we are Hospicare. And together, we are going to make sure that every single person who can benefit from our care knows where to turn.


In 2020, we will embark on major initiatives to grow our palliative care program, which improves quality-of-life on a physical, emotional and spiritual level and is available to anyone facing serious illness. A major part of this initiative will be helping our community better comprehend palliative care, a term that still confuses many people. We’re hiring a nurse practitioner to lead our clinical efforts alongside the nurses, social workers, and other staff who are at the core of our care team. Simultaneously, a major gift from a grateful patient (read about the Tapan Mitra story) will allow us to jumpstart a multi-faceted educational campaign, spanning online, print, radio and in-person initiatives. As a valued part of the Hospicare family, you also are an important advocate! We want to ensure that you know and can describe palliative care to your friends and family, so we’ll be working on communication tools to help with that as well.


Another key priority for 2020 is to build awareness of hospice and how it can support families for months – not just weeks or days — before a death. Our hearts break every time we hear someone say, “I wish we had contacted Hospicare sooner.” Our goal is to help patients feel empowered to talk to their doctors about hospice, and to reach out directly to us at any time with questions.
These are just two of Hospicare’s initiatives, and I’m looking forward to working with you to make them reality.


This community is a special place to call home, and it’s the people who make it so. Thank you for all the ways in which you support Hospicare’s work, and my best wishes to you and yours for a bright start to 2020!
Kim De Rosa 

Hospicare is a Lifeline

By Mark Stevens

Ann and I met in 1987 when we were Graduate students in the Yale school of Drama.  Ann was in her first year of the 3-year program and I was in my second.  Because of the intensity of the program it is not hard to imagine that our paths would cross almost immediately.  I’m not sure what it was that attracted us to each other.  Our common ground and sense of humor I’m sure was a major part of it, but we became fast friends.  And  even in the most stressful of times we could find laughter in the situation or in the myriad of problems we encountered along the way.

There was one time that we worked together on the same production of Shakespeare’s “The Tempest”.  Ann was in charge of a particular set piece that can best be described as a windmill consisting of three steel pipes that extended below a raked show deck and attached to the floor  Ann and I spent about two hours alone under the deck drilling holes and attaching the legs to the floor.  Two hours that consisted of work, yelling, laughing and enjoying each other’s company.  Two hours that helped developed a bond that would last for the two decades.

After I graduated in 1989, I moved to Los Angeles, California to work as the Technical Director at the University of Southern California (USC).  Because of a change in positions after the first year, I moved up in the ranks and was able to hire a someone to work beside me to teach and design the technical aspects of the many productions.  Ann was an accomplished academic, with and undergraduate degree in theatre and history, and after 3 years decided to return to school to pursue her PHD in the History of Science and was accepted in the program at Princeton University.   Ann and I resigned our positions with USC and moved to New Jersey to begin the next act of our lives.  Over the next few years and in no particular order we got married, taught at two different Universities and finally moved to Columbia, South Carolina and to work at the University of South Carolina.  Over the next 11 years Ann worked as an Associate Professor in the History Dept and I worked for the Dean of the Honors College and then for the Dean of Arts and Sciences.

During those 11 years Ann’s scholarship, reputation, hard work and dedication led her to being offered her dream job as an Associate Professor in the Science and Technology Studies at Cornell.  While Ann was a respected researcher and writer, teaching students was her passion. At Cornell, she finally had the chance to focus on both with a support by the University and her fellow professors that she never found anywhere else.  I’d never seen her as happy professionally, and both faculty and students adored her, lining up to try to get into one of her classes.

When we lived in Columbia Ann had suffered from fibroids in her ovarian track, but surgery had taken care of them and regular scans had eased our minds that they would be caught quickly if they returned. Ann’s health was something we would watch, but we never obsessed. For the next few years before the offer to move to Ithaca Ann went for checkups twice a year and always got an “all clear”.   

July 2016 was our second summer in Ithaca.  I’m not sure what day it was now but Ann woke me one morning complaining about pain and asking me to take her to Emergency Room. If you knew Ann, and she said she was in pain, you knew this wasn’t something minor.  So, we got up got dressed and headed across the lake to the hospital.  We didn’t realize it then, but that morning began our longest journey together.

The trip to the emergency became a long day of scans and tests and the discovery that the fibroids were back, Ann was quickly scheduled for surgery at the center in Buffalo.  After the surgery, the surgeon pulled me into a private area and told me he’d successfully removed the fibroids but couldn’t remove a large mass that was involving a larger area. 

Ann and I had been married for 21 years and were best friends for even longer. We had experienced so many adventures together, both good and bad.  But this was a situation that you can’t really relate to unless you go thru it.

The type of cancer Ann had was known as – endometrial stromal sarcoma — a rare form, affecting a small number of women worldwide.   Ann had a lot of grit and was determined not to allow this disease to keep her from her commitment to her role at the university as a teacher and scholar.  So, while she continued to fulfill her duties in the office and in the classroom, she began on a daily regimen of oral chemotherapy.  Every day for the next 3 months, I drove her to campus so she could teach, and then pick her up and drove her back home an hour later.   Most often she would retire to the bedroom with her laptop and do work until she fell asleep

The drugs took a terrible toll on her and after a month and a half it was obvious the drugs weren’t working, and a car trip to a world-renowned cancer hospital NYC yielded no new possibilities for treatment.  A car trip that was extremely uncomfortable not to mention nauseating when we went thru the Lincoln tunnel.

Ann’s condition began to deteriorate at the beginning of December and when we went for a weekly appointment, Ann’s oncologist ordered a blood transfusion.  This was the second type of transfusion she went thru we were not that unduly alarmed at this happening again, but then when you are in the situation and going through this type of thing what is normal?   It was decided that she would be there overnight so since there was nothing I could do I went home to take care of the dogs and came back first thing the next day That morning as  Ann and I sat talking in her room, one of her doctors arrived to talk to us. “There’s not much else we can do,” And that she was going to go home.

Ann and I looked at each other.  And we had a long talk with the doctor. He was there for a long time making sure we both understood the whys and wherefores.  Much of it wet in one ear and out the other.  And suddenly we were alone in the room.  I remember I stood up and was staring out the window for a long time and we said nothing.  Then a memory came to me and I turned back to her as she laid in the bed is said. “you remember when we were under the deck putting in that stupid windmill or whatever it was”?  And she nodded.  “I thought of that the other day.  Not sure why.  But I remember how cool it was under the show deck.  I remember how quiet it was in the theatre except for us laughing.  Isn’t that funny?  I remember it, like it was yesterday.  And I after a while I turned back to her and said, “I wish it was yesterday”.

That was December 5. Six days later, Ann would be gone.

I had barely heard of Hospicare. You never think about something like hospice until you need it. Our doctor suggested Hospicare in Ithaca made some calls, and it was explained that Hospicare’s Residence was full.  Another option would be to bring Ann home, but that worried us. Our 16-year-old son Evan was in the throes of exams at school, and we worried about the long-term effect it would have on him, as well as other members of our family who began to arrive. But we learned that we could have the full hospice services delivered right to Ann’s hospital bed.

At the time, I felt I was standing at the edge of a cliff, leaning over a dark abyss, lost and unsure of what to do. Then someone grabbed my belt and held me steady. I turned around to see who it was, and there was Hospicare. Every nurse, aide, and volunteer we met felt like an angel.

The whole experience is set up to help make a difficult transition a little easier. It’s not easy at all, of course. It’s terrible. Hospicare was established for that purpose. The purpose of helping with care of your loved one but also in helping the immediate family members like us with the process of transition. A help that was tirelessly and patiently explained in every detail and with all manners of help along the way. 

Ann passed away on Dec 11, 2016 and it was devastating to Evan and myself.  After Ann’s death, Evan and I found it difficult to talk to each other. In fact, there were times we didn’t talk at all. I had no way to understand what was happening in his soul, and he had no way to understand what was happening in mine. We didn’t yet know that it was okay to be sad. Or angry. Or hurt. Or furious. Or lost.  Evan gave up playing sports, which was a passion he’d held since childhood. I spent every day feeling like I was walking around in a dense fog.  Wanting to find the right words to say but not knowing how to form the words

We felt very alone. After a while, people didn’t know what to say when they saw us. Evan said it best: “People want you to feel better because they want to feel better. They don’t want to deal with it anymore, and just want you to be okay.”  But we were not OK. We were stuck dealing with it all the time, 24 hours a day. 

But a lifeline was there.  We started meeting with Laura, one of Hospicare’s bereavement counselors. One of the very first things Laura said to us was that it’s okay to feel awful. Those emotions are the things that make us human.

From there, and in a beautifully subtle and compassionate way, Laura began giving us little tips to help us relate to one another. She brought positivity and light back into a world that felt so hopeless.  Eventually, Evan and I saw that we could find a way out of the darkness and together we could find our paths toward healing.  Similarly, I began to attend some of Hospicare’s group sessions.  In those conversations, I listened to other people’s struggles.  came to understand the depths of hurt.  And it may seem strange, but those groups sessions help you to see and feel that you are not alone.  You are not alone in a raft in the middle of a sea.

Every time I interacted with Hospicare it was like finding a little building block.  Over time all those little building blocks construct a new normal. Both of us began to climb out of the darkness and see the sun.  Evan returned to sports the next year.  He became a captain of the high school swimming team and traveled to the state championships in his last two years of high school.  And he was on the varsity Lacrosse team for 3 years.  Because of everything he experienced thru Hospicare, and how it took care of his mom in those last days, he dedicated himself to working in healthcare and is now studying to become a nurse at Utica College

Does all of this mean I’m done grieving Ann?  No. I think about her every day. There are still times when I would wonder and wish why she would walk in the room to share something with me. There are a thousand little things that remind me of her constantly. You never get over this kind of loss; you just make friends with the ghosts and be happy with the memories.

More people need to understand what Hospicare is doing in the community. It’s an incredible organization that provides a safety net for people like me. It’s part of what makes this area such a good place to call home. That’s why I tell my story here.  Evan and I have volunteered for the past two years now during “Women Swimming for Hospicare”, and we feel good about giving back to the organization that gave so much to us.

Even though you may not have known it, the support you give to Hospicare meant you were supporting myself and Evan and the many families during the most difficult time of our lives. Thank you.

Ann was recently honored at the University of South Carolina.

Hospicare & Palliative Care Services Receives Major Gift to Grow Palliative Care in Cortland and Tompkins Counties

Hospicare & Palliative Care Services Executive Director Kim De Rosa announced today the community’s access to palliative care services throughout Cortland and Tompkins Counties will increase substantially thanks to a major gift from the estate of a local resident. The $100,000 donation will be used by Hospicare to establish the Tapan Mitra Fund for Palliative Care and the Tapan Mitra Endowment for Palliative Care.

“Palliative care can make a world of difference for patients and their families, and the research backs that up,” said De Rosa. “Hospicare is launching a major effort to expand and grow our popular program, ensuring that all who can benefit from palliative care know where to turn. We are immensely grateful for this transformational gift and the opportunity to partner with an incredible family to make a significant difference in our community.”

Cornell University professor Tapan Mitra, a leading economic theorist, died of cancer in February. At the time of his passing, his care was coordinated by Hospicare. Dr. Mitra directed that a portion of his estate be used to support education, the environment and cancer services. This gift to Hospicare was administered by the Community Foundation of Tompkins County.

“Professor Mitra was grateful and impressed at the quality of care he received from Hospicare in his final days,” said Aveek Majumdar, his nephew. “He would have been heartened that part of his legacy will allow others in the community to benefit from the organization’s further expansion to palliative care services.”

“Dr. Mitra’s charitable gift to support strong partnerships and to publicize the benefits of palliative care will provide comfort and compassionate care to many people well into the future. “We are proud to offer this leadership opportunity for Hospicare, and are especially grateful to our donor who makes it possible for local quality of care programs to thrive,” said George Ferrari, Community Foundation CEO. “These planned gifts become a meaningful force in local philanthropy.”

Palliative care specializes in relieving the symptoms and stress of serious illness. Symptoms may be physical, emotional, or spiritual, and the goal is to improve quality of life for patients and their families. Palliative care may be appropriate at any point in an illness, from diagnosis on, and – unlike hospice– it can be provided at the same time as curative treatments. 

The Tapan Mitra Fund for Palliative Care will provide the financial resources to cultivate strong partnerships with the region’s medical communities, and to provide Hospicare’s service area (Tompkins and Cortland Counties) with education and information about the benefits of palliative care and its interdisciplinary approach. Interest earnings from the Tapan Mitra Endowment for Palliative Care will provide funds in perpetuity for outreach and marketing efforts.

Since 2017, Hospicare’s PATH (Palliative Approach To Health) program has served hundreds of patients and families. Each of its approximately 70 patients have access to a nurse who assists with symptom management, coordination of care, and finding community resources to help with individual needs. In 2020, PATH will expand in both staff and scope, providing patients even more hands-on, focused care.

Palliative care programs have proven an effective addition to the overall care for serious illness, reducing pain and other distressing symptoms. The programs also increase patient and family/caregiver satisfaction with their care and make transitions between hospitals and other care settings easier. Numerous studies have shown that palliative care improves patients’ quality of life, decreases depression and anxiety, saves patients from unnecessary hospitalizations and tests, and even prolongs life.

Dr. Mitra’s passion for the community and for education drove him to make significant philanthropic gifts, both during and after his life. In 2016, Dr. Mitra established endowments to offer prizes for economics students at Cornell and the University of Rochester.  This past summer, a gift to the Finger Lakes Land Trust administered by Community Foundation established the Tapan Mitra Preserve.

This donation is the second-largest single private gift in Hospicare’s 36-year history. 

Hospicare Announces New Executive Director

The Board of Directors of Hospicare & Palliative Care Services is pleased to announce the successful hiring of a new Executive Director.  Kimberly De Rosa will join the Hospicare team at the end of April.

“The Board and staff are unified in their support of Kim as the next leader for Hospicare & Palliative Care Services,” said Loren Gardner, president of the Board of Directors.  “Kim’s 15 years of experience in senior leadership positions in healthcare and hospice has prepared her to lead Hospicare and its incredible and dedicated staff and volunteers as we work to provide end-of-life care to members of our community.”

For the past five years, De Rosa has served as the Director of Operations for Hospice and Palliative Care at Mission Hospital in Asheville, NC.  In this role, De Rosa designed, led and implemented strategic initiatives and programs that increased productivity by 25% and patient satisfaction by 33%.  Prior to this position, she worked for a decade as the Director of Business Services for Hematology Oncology Associates of CNY.

De Rosa has a B.S. with a concentration in Business Administration from Capella University, and is slated to receive her Executive MBA from the Rochester Institute of Technology in May 2019.  She has been an active volunteer for the Big Brother, Big Sister Organization and Eblen Charities, and she is a current board member at Hospice of Western North Carolina.  Kim, her husband, and their two Labrador Retrievers look forward to relocating to the Finger Lakes, where they also can enjoy being closer to family.

De Rosa succeeds Dale Johnson, who served as Executive Director for Hospicare & Palliative Care Services for the past decade. Roger Sibley, former Executive Director of Franziska Racker Centers, has served as interim Executive Director since December.

Hospicare & Palliative Care Services serves residents of Cortland and Tompkins counties.  Our hospice team cares for patients’ medical, emotional and spiritual needs so they can more fully enjoy time with loved ones. Our palliative care team cares for people with life-limiting illnesses by relieving the burden of illness, enhancing the quality of life, and fulfilling the patient’s goals for comfort.  Finally, we provide bereavement support services to anyone in our service area who is grieving the death of a loved one, whether or not they died on hospice.

Anyone interested in learning more about our services and programs can call 607-272-0212 during our administrative business hours (M-F, 8:30am-4:30pm).

Warm greetings to Hospicare’s new board members

With the start of 2019, Hospicare & Palliative Care Services was thrilled to welcome three new members to its Board of Directors:

Rev. Tim Dean is the Director of Spiritual Care at Cayuga Medical Center, where he has worked since 2007. Tim is chair of the CMC Ethics Committee and serves on the Palliative Care Team. Tim’s faith, rooted in evangelical Christianity, has grown into an ecumenism that celebrates all people and welcomes all faiths. He describes himself as “a Baptist with some Buddhist leanings.” Tim’s personal interests include outdoor pursuits, especially on Cayuga Lake (paddling, fishing, sailing). Tim occasionally works as an instructor/facilitator for Cornell Outdoor Education to bring balance to his work at the hospital.

Michael Kilmer, a lifelong resident of Cortland county, is Executive Director of the Elizabeth Brewster House, a licensed adult care facility for up to 45 residents.  He holds an undergraduate degree in Therapeutic Recreation from SUNY Cortland, and a masters in social policy from SUNY Empire State University. Happily married with two children, Michael and prides himself on his work in the community, including serving on the Board of Education for Homer Central Schools, on the board of the Hospice Foundation of Cortland County, and with a variety of other committees and councils.

Dr. Kathryn Rooth completed her Internal Medicine-Pediatrics Residency at Baystate Medical Center in Springfield, Massachusetts.  After residency, she started working as a Hospitalist at Cayuga Medical Center and as an Urgent Care Pediatrician.  She has been involved with the Palliative Care team at CMC and is passionate about end of life care in the developmentally disabled. For the past several years, Kathryn has participated in Women Swimmin’ where her husband and 3 children cheer her on. 

Members of the Board of Directors are some of the many volunteers who choose to help Hospicare each year. Volunteers serve on committees, assist with office work, volunteer at special events and – of course – work directly with patients and families in their homes or in our residence. Each individual is critical to our work to broaden Hospicare’s community reach in Tompkins and Cortland County, helping to ensure all who desire and need our services have access to them.

Thank you!

For more information on volunteer opportunities, contact Volunteer Manager Wendy Yettru at 607.272.0212 or wyettru@hospicare.org.