• Consulting Services
    • Consulting Services

      Gain a career-changing mentorship experience that is suited specifically to your educational and clinical practice needs. Learn via hands-on experience in various settings, with access to expertise in building a sustainable palliative care program. Visit our Consulting page to learn more.

      • Billing/Coding
      • Mentoring
      • MIPS
      • Billing/Coding Audits
      • Grant Writing
      • Palliative Care for Healthcare Systems
      • Population Health Solutions
      • Design Telehealth Programs
      • Quality Planning
      • Advanced Illness Management
  • Palliative Care Education
    • Palliative Care Immersion Courses

      Register for our Palliative Care Immersion Course for a comprehensive educational experience geared toward expanding clinical knowledge, learning best business practices, and mastering complex case management. Courses are held in the Spring, Summer, and Fall.

      An Exceptional Virtual Experience...

      All Palliative Immersion Course offerings are held virtually. The cost for participation is $2750.00 per person. Contact us for more information about available group discounts.

      Register Now

About Us

  • John Morris John Morris

    • John Morris, MD FAAHPM, Chief Medical Officer Palliative Care | Principal Four Seasons Consulting Group, (FSCG) | Teleios Collaborative Network

      John Morris is passionate about helping people and organizations develop excellent palliative care programs. His role is to teach, mentor and develop great palliative care clinicians and leaders as well as develop palliative care organizations that succeed. John’s expertise in building strong foundations for new programs, creating dynamic teams and his thoughtful mentoring have been key for success.

      As a pulmonologist and critical care doctor, John witnessed just how stressful serious illness can be for patients and families. He started working for Four Seasons part time in 2003 to help start palliative care programs in the hospitals. He left pulmonary practice to work full time for Four Seasons as Medical Director of Palliative Care in 2005. He has worked with 5 hospital systems to develop palliative care in the hospitals and in the community. Four Seasons now serves palliative care patients in 11 counties in WNC. Four Seasons has 2 palliative care clinics and a strong home and NH palliative care program.

      John has worked with several organizations to develop and improve palliative care services including Four Seasons, Pardee Hospital, Park Ridge Hospital, Transylvania Regional Hospital, Mission Health System, Greenville Health System, Palliative Care of SC, Catawba Regional Hospice and UNC Health System.

      John is co-director of the Palliative Care Immersion Course. This experiential learning experience for clinicians uses innovative techniques and role play to teach clinical palliative care skills to a national audience several times yearly. John also teaches palliative care program development in Four Seasons Center of Excellence. Over 30 organizations have attended these programs since inception in 2010.  John received the Sharon O. Dixon Award for Clinical Excellence presented by Carolina Center for Hospice and Palliative Care in 2011.

      In 2016 John helped co-found Four Seasons Consulting Group (FSCG), a coaching and consulting company enabling health systems, palliative care programs, post-acute providers, and hospice programs to learn best practices and the systems necessary to produce those best practices in their own organizations.

      John is a founding member of Teleios Collaborative Network as Chief Medical Officer for Palliative Care.

      John has a Masters in Leadership from the Thayer Institute.

      John is married to Peggy Noel MD founder of MemoryCare, a non profit established to help people caring for a loved one with dementia. They moved to Asheville and have raised 3 children here. John enjoys running, hiking the NC mountains, fly fishing, gardening and bee-keeping.    This activity allows him to enjoy dining out with Peggy in all the great Asheville restaurants.

  • Janet Bull fave Janet Bull

    • Chief Innovations Officer, Chief Medical Officer Emerita

      Janet Bull, MD, MBA, FAAHPM was the Chief Medical Officer Emerita at Four Seasons and holds a consultant assistant professorship at Duke University Medical Center. She is a Fellow of the AAHPM, board certified in hospice and palliative medicine and holds a hospice medical director certification.  Janet has authored or coauthored several papers on palliative care and quality data reporting. She helped develop the QDACT (Quality Data Assessment Collection Tool), co-directed the Global Palliative Care Quality Alliance, and was a founding member of the Palliative Care Research Cooperative. She is Program Director of the Palliative Care Immersion Course and a principal of Four Seasons Consulting Group, which offers consulting services in hospice, palliative care, and research.  Janet was the recipient of the Sharon O. Dixon Award in 2007, the Cuniff-Dixon Hastings Award in 2012, and the Josephino Magno Distinguished Physician Award in 2013. In 2014, she was recognized as one of the Top 30 Visionaries in the Field award by the American Academy of Hospice and Palliative Medicine (AAHPM) and served as Principal Investigator on the 2014-17 Center of Medicare Innovations Grant demonstrating the value of palliative care.  She was President of the American Academy of Hospice and Palliative Medicine (AAHPM) in 2017 and sits as a core team member on the development of the Alternative Payment Model for Serious Illness Care for AAHPM.

  • Chris Jones Christopher Jones

    • Christopher A. Jones, MD, MBA, HMDC, FAAHPM is an Associate Professor and the Clinical Vice Chief for Palliative Care for Duke Health in Durham, North Carolina. After finishing medical school at Jefferson Medical College in Philadelphia, he trained in General Internal Medicine at Brown University and completed fellowships in Geriatric Medicine and Hospice and Palliative Medicine (HPM) at Duke University.

      His interest in the business of medicine, specifically within HPM, led him to complete a Master’s of Business Administration degree at East Carolina University. Dr. Jones is the Editor-in-Chief of the Journal of Palliative Medicine and has co-authored more than 60 academic papers. He consults nationally, making billing and coding accessible and hopefully interesting for providers in all of medicine’s specialties

  • PFogelman Patricia Fogelman

    • Dr. Patricia Fogelman DNP, FAAHPM is a pioneering leader in innovative palliative care, known for transforming healthcare systems. As System Director of Palliative Medicine at Guthrie Clinic, she spearheaded initiatives that resulted in a 117% increase in consult volumes and tripled revenue within nine months. She developed the Fogelman Palliative Care Acuity Report to streamline early palliative care integration and led system-wide programs that improved care coordination and reduced hospital length of stay. Dr. Fogelman also pioneered telehealth access across multiple campuses, expanding care to rural and underserved populations. During the COVID-19 pandemic, she created the system’s Crisis Standards of Care, led palliative care efforts in the ICU, and established telemedicine platforms to support affected communities.

      One of only four non-physician department heads of Palliative Medicine in the U.S., Dr. Fogelman is shaping the future of medical leadership. She holds a Doctor of Nursing Practice (DNP) from Columbia University, along with a BS/MS in Nursing and a BA in Psychology.

      Currently, as Clinical Director of Palliative Medicine at Mount Nittany Medical Group, Dr. Fogelman drives innovation, leading both inpatient and outpatient services and launching a cutting-edge embedded Supportive Oncology program. She has also developed an integrated curriculum for resident and nursing education, shaping the next generation of providers. Dr. Fogelman co-authored the American Thoracic Society’s policy on “Palliative Care Early in the Care Continuum among Patients with Respiratory Disease” and co-hosts the “Breathe Easy Podcast,” where she explores the intersection of pulmonary and palliative care.

      A Vice Co-Chair for the Society for Critical Care Medicine’s Clinical Policy Task Force on End of Life Care, Dr. Fogelman has received numerous accolades, including the 2023 DNP of the Year award from the Pennsylvania Nightingale Society. A Fellow of the American Academy of Hospice and Palliative Medicine, she holds board certifications in family, hospice, and palliative medicine. Her clinical interests include the integration of Palliative Medicine with advanced cancer, lung disease, and dementia.