Compassion and Support


Patients & Families

Contributor Showcase

The concrete outcomes of The Community-Wide End-of-life/Palliative Care Initiative are in large part due to the efforts of countless individuals. We aim to showcase these individuals for their contribution of time, talent and treasure.

We welcome your suggestions of individuals and groups to showcase. Contact us.

Dr. Patricia BombaPatricia A. Bomba MD, FACP

Vice President and Medical Director, Geriatrics
Excellus BlueCross BlueShield
165 Court Street
Rochester, New York 14647
Fax: 585-453-6365

The Community-wide End-of-life/Palliative Care Initiative is led by nationally-recognized expert, Dr. Patricia Bomba. Under her leadership, several projects were conceived and executed including an Advance Care Planning booklet; Community Conversations on Compassionate Care (CCCC), an interactive community workshop focused on an Advance Care Planning; the Medical Orders for Life Sustaining Treatments (MOLST) program, and a community website,  In addition, she chaired a Specialty Advisory Group that created the Community Principles of Pain Management, integrating assessment and management of acute, chronic and end-of-life pain. She is the program director for the Education for Physicians on End-of-Life Care (EPEC) program sponsored by Excellus BlueCross BlueShield and has served as visiting faculty for other EPEC programs.

Dr. Bomba’s collaborative work with NYSDOH on health policy and her legislative advocacy for the MOLST Program aims to facilitate establishment of MOLST as a statewide program. As a result of these efforts, the MOLST Pilot Project Legislation revised the Nonhospital DNR Law (Public Health Law § 2977(13) (L. 2005, Ch.734; L. 2006, Ch. 325). The revision permits the NYS Department of Health to authorize use of the MOLST form in lieu of Nonhospital DNR in Monroe and Onondaga Counties. Thus, the “standard form” does NOT need to be used in pilot counties. The 2006 Amendment permits authorization for EMS to honor DNI instructions prior to full cardiopulmonary arrest in pilot counties. This is a scope of practice change for EMS.

Currently, she chairs the Monroe and Onondaga Counties MOLST Community Implementation Team that oversees the MOLST Community Pilot Project, launched on May 1, 2006.  Under her direction, a Community Facility Survey was devised, implemented and results collated.  Collateral materials were designed including a MOLST Train-the-Trainers Manual, MOLST brochures and web flyers.  With support from a grant from the American Bar Association, she created a syllabus and directed a Medical-Legal Conference in both Monroe and Onondaga Counties. A Quality Improvement tool was developed and revised in collaboration with NYSDOH; community benchmarks were proposed and field testing began in late fall 2006.  

She acknowledges the success of the Community-wide End-of-life/Palliative Care Initiative is due to the collaborative partnerships with regional, state and national organizations, “As a leader of the Community-wide End-of-life/Palliative Care Initiative, I am privileged to guide committed professional and community volunteers throughout New York State in developing and implementing programs aimed at improving the quality of life at the end-of-life.”

When questioned on “Early in my career, an elderly woman challenged me to recognize death as inevitable rather than professional failure.  Facing death helped me to recognize the value of living in the present moment and to enhance the quality of each day by making a difference in the lives of others.”

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