Adjunct Professor of Health Services, Policy and Practice


Joan M. Teno, M.D., M.S. is a Adjunct Professor of Health Services, Policy, and Practice.  She is a health services researcher, former  hospice medical director, and board-certified internist with added qualification in Geriatrics and Palliative Medicine. Dr. Teno has served on numerous advisory panels including the Institute of Medicine, World Health Organization and American Bar Association and as grant peer reviewer for the National Institutes of Health. She has been the recipient of funding from the National Institute of Health (NIH) and the Robert Wood Johnson Foundation. Dr. Teno's focus has been on measuring and evaluating interventions to improve the quality of medical care for seriously ill and dying patients. Dr. Teno led the effort in the design of the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) intervention analysis and was lead author in twelve publications from that research effort, which ranged from the role of advance directives to describing the dying experience of seriously ill and older adults. Both as a researcher and clinician, Dr. Teno has devoted her career to understanding how to measure and improve the quality of end of life care for vulnerable populations. She was the lead investigator in a research effort to create a Toolkit of Instruments to Measure Care at the End of Life (TIME). In this grant effort, she created the Brown University Family Evaluation of Hospice Care, that is currently being used by hospice across the nation and internationally to examine the quality of hospice care. She has led a state wide effort to improve pain management in nursing homes, for which she has received an award from the American Cancer Society. Over 280 research articles have been published in leading medical journals focusing on examining medical care for dying persons and frail persons residing in nursing homes. Information about some of Dr. Teno's research efforts can be viewed by visiting her websites at:

Brown Affiliations

Research Areas