Tess Shiras, Research Assistant
Tess Shiras joined NASHP in 2013. As a Research Assistant for the Health System Performance team, Tess works primarily on projects related to healthcare payment and delivery system reform. Prior to joining NASHP, she was an intern at Partners In Health, an organization that works globally to provide affordable health services to those living in extreme poverty. She has also interned in Jodhpur, India working for a women’s empowerment organization where she helped plan and facilitate a health education training for female community members. As an undergraduate, Tess completed her honors thesis work on prenatal care access among low-income women in North Carolina. Tess graduated from Duke University in 2013 with a BA in Public Policy, concentrating in Health Policy, and Global Health.
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































