IMPACT-ICU: A Relevant Sustainable Program for Military Institutions.

The IMPACT-ICU program provides staff with tools that make difficult palliative conversations easier; introduces the "3 conversations," incorporates role-play activities, and provides for continued coaching. This program is highly relevant to the military health system, which typically lacks a specialized palliative care service. It is easily transferable to any environment to include austere locations as well as other disparate health care institutions. Although titled IMPACT-ICU, it uses communication skills that are appropriate for any difficult conversation in any situation, which makes it appropriate for empowering all multidisciplinary team members in any work area.