capc ipal logo

capc ipal logo

The IPAL Project

Full access to IPAL-ICU and IPAL-EM, as well as all CAPC tools and technical assistance, is reserved for members. Log in now if you're from a member institution. Or to learn more about membership, please call Member Services at 212-201-2674.


Palliative care principles should be integrated into all facets of the health care delivery system. Integration is easily achievable now that we can build on the work of specialist palliative teams in place at the majority of U.S. hospitals.

IPAL (Improving Palliative Care) is an initiative of the Center to Advance Palliative Care, designed to facilitate both improvement and integration of palliative care in various settings. We provide a central venue for sharing expertise, evidence, tools, and resources essential to the integration and improvement of palliative care in specific health care settings.

Our first project was IPAL-ICU (Improving Palliative Care in the ICU), launched in June 2010, led by Judith Nelson, MD, JD with support from the National Institutes of Health. Our second project was IPAL-EM (Improving Palliative Care in Emergency Medicine), launched in November 2011, led by Tammie E. Quest, MD, with support from the Olive Branch Foundation. 

Each IPAL project has been developed using a similar process:

  • Convene an oversight board of nationally recognized interdisciplinary leaders
  • Develop a catalog of most-needed tools and resources to help spur systems-change work that would integrate principles of palliative care into daily practice
  • Seek out existing tools and resources from established and emerging teams across the country
  • Develop new peer-reviewed tools representing best practice
  • Continually update our site as new tools become available

CAPC members have access to all IPAL-ICU and IPAL-EM tools and expert resources. Log in to CAPC Central, or learn more about becoming a member organization.

If you need assistance, please use the customer support form.