The Initiative to Improve Palliative Care for African-Americans (IIPCA) seeks to define and promote a research, education, and policy agenda for the improvement of care for African American patients facing serious illness. The goal is the creation of a society where African-American patients facing serious and potentially fatal illnessesalong with their families, the communities in which they live, and the providers who serve themhave knowledge of and access to state of the art palliative and hospice care. That vision includes the elimination of racial and socioeconomic disparities that limit that knowledge and access.