
Transforming conversations to bring quality living to our patients and families.
Our Mission
Our mission is to provide empowering education and exceptional personalized care to our patients, families, and community. We are committed to enhancing comfort, dignity, and choice throughout the end-of-life journey.
Our Vision
Our vision is to transform the end-of-life experience, ensuring that every patient and family affected by a life-limiting illness receives meaningful, personalized, and compassionate care. We envision a world where everyone has the opportunity to experience dignity, comfort, and choice in their final moments.
Our Story
Jamie Hunt, RN, CEO, brings a decade of experience from working in the Intensive Care Unit. There, she saw firsthand the critical need for conversations and education about chronic disease, aging, and end-of-life care. While medical advancements have extended life beyond previous possibilities, they also place families and patients in the challenging position of making difficult decisions. Without these essential conversations, the experiences of chronic disease, aging, and end-of-life can be deeply traumatic. At Topkare, our mission is to reduce trauma, manage symptoms, promote comfort, and enhance quality of life through comprehensive, holistic in-home support for our patients and their families.
Our Values
Make a Difference
We believe that "the way we do anything is the way we do everything." We constantly push ourselves to be our best, focusing on solutions and arriving each day inspired to make a meaningful impact through our talents, passion, and hard work. Our goal is to leave everything a little better than we found it.
Mindful Compassion
We find meaning in every day, approaching life with gratitude, positivity, and hospitality. We take time to notice and listen, making others feel valued. We prioritize self-care and the care of others, embracing the present by being, not just doing. Gratitude guides our actions—we show it, feel it, and live it. We cherish the opportunity to do meaningful work alongside bright, dedicated teammates, with presence, care, and concern leading our behavior.
Integrity
We are honest, transparent, and committed to doing what’s best for our patients, families, partners, and our company. We follow through on our promises and collaborate openly in the pursuit of truth. We adhere to ethical standards and always strive to do what is right.
Patient and Family Choice
We respect the autonomy of our patients and their families, recognizing that their beliefs and experiences guide their decisions. Our role is to provide education and support, allowing them to make informed choices that are right for them, without judgment or coercion.
Creativity
We embrace change and continuously seek ways to improve our business and add value to the people we serve, while also inspiring our employees. We approach challenges with curiosity and vulnerability, fostering a culture of innovation and continuous improvement.
Curiosity
We live our value of curiosity by welcoming challenging conversations and avoiding assumptions. We ask and answer questions, relying on one another and our partners to find the best solutions. Our team is our toughest critic, biggest challenger, and loudest supporter, all in pursuit of excellence.
Meet our team
CHIEF EXECUTIVE OFFICER
Jamie Hunt, RN, MN
An innovative entrepreneur and seasoned Registered Nurse, Jamie Hunt is dedicated to advancing Topkare’s vision and transforming conversations around end-of-life care within the community.
With a Master’s degree from the University of Minnesota and a decade of experience in the ICU, Jamie has witnessed the remarkable progress of modern medicine. Yet, she also saw many families overwhelmed, confused, and isolated as they navigated the healthcare system and watched their loved ones suffer.
While modern medicine extends life, Jamie observed that what people truly seek are meaning, purpose, connection, and gratitude. At Topkare, she is committed to providing patients and families with the resources, education, and personalized support necessary to enhance quality of life based on individual values and preferences.
A Midwest native at heart, Jamie and her family have been enjoying the sunny climate of San Diego since 2016. In her free time, Jamie loves going on adventures with her family, practicing yoga, dancing, hiking, singing, reading historical fiction, and engaging in open, meaningful conversations.
HOSPICE MEDICAL DIRECTOR
Brian H. Graham MD
Dr. Graham brings over fifteen years of experience as a Hospice Medical Director to Topkare. His career began as a family care practitioner, where he encountered patients at every stage of life and recognized the urgent need for improved end-of-life care.
His journey into hospice care began as a house doctor, where he connected with various hospice organizations. In 2005, he embraced the role of Medical Director, a decision he describes as profoundly rewarding and pivotal to his career.
Dr. Graham is dedicated to enhancing the quality of in-home care for those in their final season of life. He excels in listening to the unique needs of patients and their families, and he is thrilled to contribute his expertise to a new, hands-on company that supports both patients and staff.
Living in his favorite city, San Diego, Dr. Graham often spends his free time walking along its stunning beaches.