The following institutions have demonstrated an institution-wide commitment to improving palliative and end-of-life care through extensive implementation of EPEC training. As part of an overall effort to improve the quality of palliative care at Northwestern Memorial Hospital (NMH), in November 2002 EPEC collaborated with NMH to present selected components of the EPEC and ELNEC (End-of-life Nursing Education Consortium) curricula to a total of 65 physicians, nurses, and social workers who were selected for training by hospital leaders. The educational program concluded with a small group activity designed to facilitate ongoing educational training of staff members in four areas of medical and surgical care. Consistent with the hospital's mission of anticipating and responding to new developments in the health care system, Danbury Hospital has demonstrated a strong commitment to educating hospital clinicians in the growing field of palliative and end-of-life care. In September 2008, EPEC teamed with Danbury in a hospital-hosted conference to provide training in the core competencies of palliative and end-of-life care to 74 health care professionals. Strategies to implement improved palliative care practices at the institution were also discussed. EPEC has supported Odyssey HealthCare’s mission through educational efforts in palliative and end-of-life care. The EPEC team partnered with Odyssey Healthcare at an on-site train-the-trainer conference to disseminate up-to-date core proficiencies in palliative and end-of-life care to Odyssey medical directors. This conference took place in May 2007 in Dallas, TX and 34 Odyssey medical directors from across the country participated in the session.

Through a grant funded by the Retirement Research Foundation, Sinai Health System established a continuing education program specifically tailored to their identified goal of improving palliative and end-of-life care. With input and support from the EPEC core faculty, Sinai Health System instituted a series of short courses, seminars, and grand rounds presentations based on a curriculum developed from EPEC. From 2005 to 2006, a total of 96 attending physicians and medical residents were trained through two short courses and five grand rounds presentations. Florida Hospital has been instrumental in encouraging and supporting the participation of professionals from their institution at EPEC ‘Become an EPEC Trainer’ conferences. Twenty-two physicians, nurses, pharmacists, and other health care professionals participated in the November 2004 ‘Become an EPEC Trainer’ Conference in Orlando, Florida.