Meet the Challenge

The John A. Hartford Foundation Tipping Point Challenge kicks off CAPC’s 20th Anniversary and its five-year Project Tipping Point campaign.

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.

How It Works

Because of the volume and wide array of CAPC member organizations, we will be holding the first Tipping Point Challenge by CAPC membership type in the following areas:

  1. Course Completions
  2. CAPC Designation

We are pleased to invite all CAPC member organizations and staff to actively participate in the Challenge. No application is required—all CAPC member organizations are automatic participants. So consider this 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. Established in 1929 by John and George Hartford, the founders of the Great Atlantic & Pacific Tea Company (also known as the A&P grocery stores), our Foundation is the nation’s leading philanthropy with a sustained interest in aging. Since 1982, The John A. Hartford Foundation has awarded more than $500 million in grants to enhance the health and well-being of older people.

The Challenge

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