About the Challenge

The John A. Hartford Foundation Tipping Point Challenge is a national competition to catalyze the spread of skills, ideas, and solutions that will improve health care delivery for all people living with a serious illness.  

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 teams across the nation, gaps in care remain for people living with serious illness. 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 team 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.

We must ensure that all specialties and disciplines provide effective communication and pain and symptom management to those who may not need palliative care specialists. And, we must be able to reach the people in need.

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 health care 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.

Advisory Team

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

Andrew Esch, MD

Center to Advance Palliative Care

Diane Meier, MD

Center to Advance Palliative Care


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. www.capc.org


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 johnahartford.org and follow @johnahartford.

Meet the Challenge

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