Reaching the
Tipping Point

The goal of the second John A. Hartford Foundation Tipping Point Challenge is to catalyze innovation that will make positive, breakthrough change in the care of serious illness.

We need this change to take place within every organization and throughout the nation.

Three Categories of Innovation

The Tipping Point Challenge is open to all health care organizations and collaborations, in any setting, discipline, or specialty, anywhere in the US. You do not have to be a CAPC member organization. The competition is focused on innovation and takes place in stages over a 10-month period. View the guidelines.

Specifically, we are looking for initiatives that address any of three categories of innovation.

Building Skills Among Nonpalliative Care Specialties and Disciplines


Improving communication skills and/or pain and symptom management skills among all specialists treating CHF, COPD, and cancer

Access to Palliative Care


Improving systematic access to specialty palliative care

Reaching the Patients in Need


Implementing a population health approach to identify and address patients with serious illness and unmet needs

Please note:  COVID-19, Health Equity, and upstream palliative care initiatives are welcome and fit within all three categories of innovation.




Sign Up: June 2020-March 2021

Any organization may participate. You do not have to be a CAPC member. Multiple organizations may collaborate on a single initiative. You may also sign up in two or all three areas of innovation. Sign up is encouraged, but not required; organizations may submit their initiative when project submissions open, regardless of sign up status.


Full Project Submission: April 1-30, 2021

Describe the initiative, the innovation, the bold solutions and the outcomes. The full submission must address the following: impact, evidence-base, feasibility, scalability, and sustainability.


Top 25: Announced July 2021

Using a common rubric, the Advisory Team will assess the criteria outlined above. Based on the scores, the Top 25 will be announced at the end of July 2021.


Winners: Announced in October 2021

In each area of innovation, three winners – Gold, Silver, and Bronze – will be announced in October 2021.


Whatever point you’re at in enhancing skills and creating change, CAPC has put together useful resources to help guide you. Following are select resources for the second Tipping Point Challenge.

A Message from Diane Meier


Video Stories from the First Challenge


CAPC Video Library


Past Challenge

More than 1,500 organizations met the first John A. Hartford Tipping Point Challenge. Meet the 24 winners and 70 honor roll recipients. Visit the CAPC YouTube channel to hear their stories, or read their stories.


CAPC hosts member and open-to-all events throughout the year. We encourage you take full advantage, as these events provide technical assistance, build clinical and operational skill, share information and best practices, convene the field, improve access and awareness, and promote the ideas that grow out of the competition.

CAPC Events

Help us fuel the acceleration of
better patient care.

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