This is a PPT presentation given to the NJ Hospital Association's Council on End-of-life and Palliative Care. This presentation looks at the tools needed to start a Palliative Care Program in various settings. From this presentation, the reader will learn how to make an inventory of their own needs as well as those of the facility where they are intending to begin the program. There is a step-by-step approach delineated as to how to assess your stakeholders and address their needs. Once the program has been considered, the reader will learn how to make the appropriate "pitch" to the administrators and stakeholders of the facility to appeal to the monetary as well as humanitarian aspects of care. The reader will also learn about sources of funding and how to make a program that is sustainable and will become a staple in the institution.