Shelli Feder, PhD, APRN, FNP-C, ACHPN, FPCN, FAHA

About

Dr. Feder is an Assistant Professor at the Yale School of Nursing, Associate Program Director for the Yale National Clinician Scholars Program, and an investigator at the PRIME Center of Excellence at the West Haven, VA. She has over a decade of clinical experience as an advanced practice nurse in hospice, palliative care, and cardiovascular settings. Dr. Feder’s research program aims to create innovative models of care delivery that improve access to high-quality, timely palliative care for people with cardiopulmonary conditions. Her research has been funded by the National Institutes of Health/National Heart, Lung, and Blood Institute (R56HL166523; R34HL174885; R01HL172840), the Hartford Centers for Gerontological Nursing Excellence, the Palliative Care Research Cooperative, and the Department of Veterans Affairs.

Research Interests/Clinical Practice

Research Interests

An organizational health services researcher, Dr. Feder’s research interests include palliative and end-of-life care delivery for people with non-cancer serious illness, health policy related to palliative and end-of-life care, medical informatics, and digital health interventions. She has expertise in qualitative and mixed methods and implementation science.

Dr. Feder is spearheading a four-year research study funded by the National Heart, Lung, and Blood Institute to uncover the systemic factors contributing to the wide disparities in palliative care uptake and the quality of end-of-life care for Veterans with heart failure. Additionally, she is leading a three-year study focused on developing and evaluating a clinical decision support tool aimed at promoting early palliative care for patients hospitalized with heart failure within the Yale New Haven Health System.

Clinical Practice

Dr. Feder started her nurse practitioner career in 2010 working with a hospitalist service. She has been practicing as a palliative care nurse practitioner since 2013.

Selected Publications/Presentations

Publications

Feder, S. L., Murphy, T. E., Abel, E. A., Akgün, K. M., Warraich, H. J., Ersek, M., Fried, T., & Redeker, N. S. (2022). Incidence and trends in the use of palliative care among patients with reduced, middle-range, and preserved ejection fraction heart failure. J Palliat Med. 10.1089/jpm.2022.0093. Advance online publication. https://doi.org/10.1089/jpm.2022.0093.

Soliman, A. A., Akgün, K. M., Coffee, J., Kapo, J., Morrison, L. J., #Hopkinson, E., Schulman-Green, D., & Feder, S. L. (2022). Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic. J Pain and Sympt Manage. S0885-3924(22)00911-3. Advance online publication. https://doi.org/10.1016/j.jpainsymman.2022.09.

Latif, Z., Makuvire, T., Feder, S. L., Wadhera, R. K., Garan, A. R., Pinzon, P. Q., & Warraich, H. J. (2022). Challenges Facing Heart Failure Patients with Limited English Proficiency: A Qualitative Analysis Leveraging Interpreters’ Perspectives. JACC Heart Failure, S2213-1779(22)00183-4.

Feder, S.L., Smith, D., Griffin, H., Shreve, S. T., Kinder, D., Kutney-Lee, A., & Ersek, M. (2021). “Why Couldn’t I Go in To See Him?” Bereaved Families’ Perceptions of End-of-Life Communication During COVID-19. . J Am Geriatric Soc, 69(3), 587–592

Feder, S.L., Tate, J., Ersek, M., Krishnan, S., Chaudhry, S. I., Bastian, L. A., Rolnick, J., Kutney-Lee, A., & Akgün, K. M. (2020). The association between hospital end-of-life care quality and the care received among patients with heart failure. J Pain and Sympt Manage, S0885-3924(20)30732-6.

Feder, S.L., Canavan, M.E., Wang, S., Kent, E.E., Kapo, J., Presley, C.J., Ross, J., Davidoff, A.J. (2020). Patterns of opioid prescribing among Medicare Advantage beneficiaries with pain and cardiopulmonary conditions. J Palliat Med. 10.1089/jpm.2020.0193.

Feder, S.L., Jean, R.A., Bastian, L., Akgün, K.M. (2020). National trends in palliative care use among older adults with cardiopulmonary and malignant conditions. Heart Lung, 3(2). doi: 10.1016/j.hrtlng.2020.02.004. [Epub ahead of print] PubMed PMID: 32115242; PubMed Central PMCID: PMC7128096.

Feder, S.L., Kiwak, E., Costello, D., Dindo, L., Hernandez-Bigos, K., Vo, L., Geda, M., Blaum, C., Tinetti, M.E., Naik, A.D. (2019). Perspective of patients in identifying their values-based priorities. J Am Geriatric Soc, 7(7), 1379-1385. doi: 10.1111/jgs.15850. Epub 2019 Mar 7. PubMed PMID: 30844080; PubMed Central PMCID: PMC6612577.

Feder, S.L., Tate, J.P., Akgün, K.M., Womack, J.A., Jeon, S., Funk, M., Bedimo, R.J., Budoff, M.J., Butt, A.A., Crothers, K., Redeker, N.S. (2018). The association between HIV infection and the use of palliative care in patients hospitalized with heart failure. Am J Hosp Palliat Care, 10(10). doi: 10.1177/1049909118804465.

Feder, S.L., Redeker, N.S., Jeon, S., Schulman-Green, D., Womack, J., Tate, J.P., Bedimo, R.J., Budoff, M.J., Butt, A.A., Crothers, K., Akgün, K.M. (2018). Validation of the ICD-9 diagnostic code for palliative care in patients hospitalized with heart failure within the Veterans Health Administration. Am J Hosp Palliat Care, 35(7), 959-65.

Presentations

Feder, S. L., Iannone, L., #Wischik, D., #Zhan, Y., Akgun, K. M., Ersek, M., … & Kavalieratos, D. (2023). How To Design And Implement Outpatient Palliative Care Among Persons With Advanced Heart Failure: A Positive Deviance Analysis. J Cardiac Fail, 29(4), 619.

Feder, S. L., Han, L., Abel, E. A., #Zhan, Y., Akgun, K., Fried, T., … & Redeker, N. (2023). Delivery Characteristics for Facilities with High-Reach Specialist Palliative Care for Persons with Advanced Heart Failure: What Matters?(Sci222). J Pain and Sympt Manage, 65(5), e651-e652.

Zhan Y., Akgun K.A, Han L., Abel E., Feder S.L. Associations Between Medical Facility-level Characteristics and Disparities in Specialist Palliative Care Delivery Among People with Advanced Heart Failure. Eastern Nursing Research Society 35th Annual Scientific Sessions. March 2023.

Feder, S.L., Murphy, T.E., Akgün, K.A, Ersek, M., Fried, T., Redeker, N. (2022) Longitudinal patterns of palliative care delivery among patients with heart failure in the HEART-PAL cohort. Poster presented at the American Academy of Hospice and Palliative Medicine’s State of the Science. Virtual.

Soliman, A., Akgün, K.A., Feder, S.L. (2022). Quality and outcomes of tele-palliative care during the COVID-19 pandemic. Poster presented at the American Academy of Hospice and Palliative Medicine Annual Assembly. Virtual.

Feder, S.L., Ersek M., Kutney-Lee A., Redeker N., Bastian L., Akgün K.M. (2020, March 26). Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers. Podium presentation. 2020 Eastern Nursing Research Society Scientific Sessions, Boston, MA. (In-person Conference Canceled)