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About Us

Our Purpose

The Conversation Project® is a public engagement initiative of the Institute for Healthcare Improvement (IHI). Our goal is both simple and transformative: to help everyone talk about their wishes for care through the end of life, so those wishes can be understood and respected.

It’s time to share the way we want to live through the end of our lives. And it’s time to communicate about the kind of care we want and don’t want for ourselves.

We believe that the place for this to begin is at the kitchen table—not in the intensive care unit—with the people who matter most to us, before it’s too late.

Together we can make these difficult conversations easier. We can make sure that our own wishes, and those of the people who matter most to us (our loved ones, friends, chosen family), are both understood and respected. The Conversation Project offers free tools, guidance, and resources to begin talking with those who matter most about your and their wishes.

Our History

The Conversation Project began 2010, when Pulitzer Prize-winning writer Ellen Goodman and a group of colleagues and concerned media, clergy, and medical professionals gathered to share stories of “good deaths” and “hard deaths” within their own circle of loved ones.

By the Numbers

While 92% of Americans say it’s important to discuss their wishes for end-of-life care, only 32% have had such a conversation. 95% of Americans say they would be willing to talk about their wishes, and 53% even say they’d be relieved to discuss it (The Conversation Project National Survey, 2018).

More than 700,000 people, from all 50 states and 160+ countries, have downloaded our Conversation Starter Guide, which is available in English, Spanish, and Chinese.

More than 2,100,000 people have visited The Conversation Project website since its 2012 launch.

Research
For research related to TCP and end-of-life care conversations, please visit our health care resources page.

Frequently Asked Questions

How can I get involved?

Start by having conversations with those who matter most to you about your and their wishes for health care through the end of life; The Conversation Starter Guide is a free resource to help guide you through the process.

If you’d like to get more involved, we encourage you to first check out our Community Getting Started Guide. This is a great way to begin planning for how you can engage community residents in health care conversations through the end of life and how to partner with other organizations in your region to promote this work.

You can also join our webinars for community leaders, join our Conversation Champions Discussion Group, and connect with others doing similar work by checking out our Conversation Champions mapSign up for our Community Engagement Newsletter and check out our Get Involved Page for more information. Additional resources are available on our Community Resources Page.

How do I get copies of your materials?

All of our materials, including the Conversation Starter Guide, are available to download and print for free. Professionally printed copies are also available for purchase through our online, Mimeo Marketplace.

 

Contact Us

We want to hear from you! E-mail or send us snail mail using the information below.

By Mail:

The Conversation Project
53 State St, 18th Floor
Boston, MA 02109
 
By Email: conversationproject@IHI.org
 

Press inquiries: Please email us, and we will return your message within one business day. If you need a quicker response, please call Shubhi at 617-391-9939.

Our Stories

Ellen Goodman
Co-Founder

“We talked about everything except one thing: how she wanted to live at the end of her life.”

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Kate DeBartolo
Senior Director

“This topic has taken over my work and personal life in the best way possible”

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Rev. Rosemary Lloyd
Advisor to Faith Communities

“Dad, Grandpa is 94. He has had a good, long life. He told me he is not afraid to die.”

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Jane Roessner, PhD
Writer

“My parents died four years ago, at ages 86 and 88 — within a week of one another.”

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Patty Webster, MPH
Improvement Advisor

“Life is about living and dying well. I thank my mom for not waiting until it was too late to give us the gift of telling us how she wanted to live until the very end.”

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Kristin Cronin
Project Manager

As Project Manager, Kristin responsible for managing budgets and using analytics to evaluate TCP’s public engagement work, community partnerships, and digital resources.

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Laura Rodríguez
Associate Project Manager

Conversations surrounding end-of-life care and wishes become relevant at some point in every person’s life. They became prevalent in my own life as my family and I began to navigate my grandmother’s pancreatic cancer diagnosis. Being part of an initiative that strives to provide free resources for people of any faith, culture, and background has been a great source of hope and ease through the conversations with my own family.

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Maureen Bisognano
Advisor to The Conversation Project

“Looking back, I wonder what might have come from asking that question.”

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Donald M. Berwick, MD, MPP
Advisor to The Conversation Project

“I ended my speech by asking the audience to join me in a pledge, on behalf of my father, to do everything we could to make sure that others would not suffer as he had”

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Susan Block, MD
Advisor to The Conversation Project

“As a doctor-daughter, I wanted to make sure that he wasn’t depressed, to understand his reasons for this change in his goals, and to make sure that he did not suffer.”

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Ira Byock, MD
Advisor to The Conversation Project

“I want to be of some value if and to the extent I can.”

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Len Fishman
Co-Founder and Advisor

“At that point I decided not only to honor my mother’s wishes, but also to give her the best possible death.”

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Lachlan Forrow, MD
Advisor to The Conversation Project

“What if something serious happened, and we didn’t know what you would want the doctors to do?”

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Gail Freeman
Advisor to The Conversation Project

“When my brother was diagnosed with colon cancer at 39 years old, I never thought he would die from the disease.”

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Harvey Freishtat, Esq.
Advisor to The Conversation Project

“I will never want to leave my wife, children or other loved ones in a similar position of uncertainty and guilt.”

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Atul Gawande, MD
Advisor to The Conversation Project

“The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.””

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Mark B. Ganz
Advisor to The Conversation Project

“She needed her doctors to listen to her, to understand her personal definition of quality and to respect her end-of-life wishes…”

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Paula Johnson, MD
Advisor to The Conversation Project

“I view “the conversation” as conversations about how we wish to lead our lives, both in health and when faced with illness.”

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Jessica McCannon, MD
Advisor to The Conversation Project

“If I had to make decisions for any of them I feel like I would have a solid starting point, and all it took was that one conversation.”

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Otile McManus
Advisor to The Conversation Project

“I was 21 when my 19-year-old sister was struck and killed by a drunk driver. That was more than 40 years ago.”

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Phyllis Segal
Advisor to The Conversation Project

“Each experience was horrific in its own unique way, but despite the differences each left me better prepared for the next.”

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Liz Walker
Advisor to The Conversation Project

“She looked me straight in the eye and said, ‘All I want is to stay in my house.’ I knew then I would do everything I could to honor her request.”

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Harriet Warshaw
Advisor/Faculty

“It was a time of serenity and pure joy sharing such private and intimate moments.”

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Ruth Wooden
Advisor to The Conversation Project

“My siblings and I shared the time together with her and each other — it was her last gift to us.”

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Charlotte S. Yeh, MD
Advisor to The Conversation Project

“So, I did the unthinkable….I let the husband and father go on his own, and not get in his way.”

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