Meet the Challenge

The First John A. Hartford Foundation Tipping Point Challenge is Now Closed. The Second Challenge To Be Announced Soon.

Tipping point: The critical point in a situation, process, or system beyond which a significant and often unstoppable effect or change takes place. 

While the last twenty years have seen the emergence of thousands of palliative care programs across the nation, gaps in care remain. So for forward-looking organizations actively trying to improve quality of care for their most complex patients, it is simply not enough to have a palliative care program in place.

What is needed? All palliative care specialists must maintain the highest level of specialist palliative care skills. All other specialties and disciplines must enhance their skills in communication, pain management, and symptom management geared to this patient population.

What will result? Clinicians will improve skills that transform practice and greatly improve the quality of patient care. Patients and families will experience improved interactions with better-trained healthcare providers, leading to better quality of life and improved disease and care management. Organizations will expand their abilities to effectively care for seriously ill patients, strengthen their missions, improve their bottom lines, and make significant positive impacts on the communities they serve.


Over 1500 organizations met the first John A. Hartford Tipping Point Challenge. A remarkable 15,000+ clinicians enhanced their training by completing 149,000 courses!

Meet the winners and honor roll recipients of the first John A. Hartford Tipping Point Challenge. Visit the CAPC YouTube channel to hear their stories.

How It Works

The second Challenge will focus on innovation. The first Challenge (now closed) focused on enhancing skills as measured by:

  1. Course Completions
  2. CAPC Designation

We were pleased to invite all CAPC member organizations and staff to actively participate in the Challenge. No application was required—all CAPC member organizations are automatic participants. This was an open call to lead the charge for change!

Advisory Team

Diane Meier, MD

Center to Advance Palliative Care

Carol Sieger, JD

Center to Advance Palliative Care

Anthony Back, MD

UW Medicine

Brynn Bowman, MPA

Center to Advance Palliative Care

Amy Berman, RN, LHD, FAAN

The John A. Hartford Foundation

Marie Cleary-Fishman, BSN, MS, MBA, CPHQ

Health Research and Educational Trust

Maria Gatto, MA, APRN, ACHPN

Trinity Health

Nathan Goldstein, MD

Mount Sinai School of Medicine


The Center to Advance Palliative Care (CAPC) is a national, nonprofit organization dedicated to increasing the availability of quality health care for people living with a serious illness. As the nation’s leading resource in its field, CAPC provides health care professionals and organizations with the training, tools, technical assistance, and metrics necessary to redesign care systems that effectively meet this need.

CAPC is funded through membership and the generous support of foundations and private philanthropy. It is part of the Icahn School of Medicine at Mount Sinai, in New York City.


The John A. Hartford Foundation, based in New York City, is a private, nonpartisan, national philanthropy dedicated to improving the care of older adults. The leader in the field of aging and health, the Foundation has three priority areas: creating age-friendly health systems, supporting family caregivers, and improving serious illness and end-of-life care. For more information, visit and follow @johnahartford.

The Challenge

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