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About Us

Start the Conversation is a public education initiative created by your local, non-profit Visiting Nurse Associations and Home Health and Hospice agencies, to encourage you to know your end-of-life care choices, talk about your wishes with loved ones and doctors, and put your plans in writing. We have learned through recent surveys in our communities that there is confusion and questions about end-of-life care choices.

Our goal is to improve the understanding of end-of-life care choices and encourage people to talk about these choices with their families and their doctors. We have partnered with the Vermont Ethics Network to provide additional support and guidance on advance care planning, which includes completing an advance directive, the plan that describes your end-of-life care wishes.

This website provides the communities we care for with:

  • information about palliative and hospice care,
  • tools to help start the conversation with your loved ones,
  • resources and support for advance care planning, and
  • links to local providers who can support your end-of-life care needs.

Take the next step. Start the Conversation. It's a gift.

Additional background

During our planning process, it became apparent that the goals and mission of the Vermont Palliative and End-of-Life Care Resource Connections website ( were closely aligned to Start the Conversation and that a collaborative approach would help achieve our objectives. The sponsors of Start the Conversation worked with the Madison-Deane Initiative and the Palliative Care Collaborative to use the existing on-line resources in the creation of this website.

Using the former Vermont Palliative and End-of-Life Care Resource Connections website ( as a foundation, we updated the design and expanded the information and resources to meet our shared goals of assisting Vermont patients, caregivers and professionals facing life-limiting illnesses to more easily identify and access community services, programs and resources.


Vermont website design, graphic design, and web hosting provided by Vermont Design Works