Applying and improving ICU communication outside of trials requires local innovation to translate interventions from controlled protocols. Curtis and White6 succeed in doing what a “Topics in Practice Management” review should do: they propose adaptable strategies for implementation and quality-of-care enhancement, and introduce two novel tools to achieve these aims. One tool outlined is the VALUE mnemonic (Value family statements, Acknowledge family emotions, Listen to the family, Understand the patient as a person, Elicit family questions) that combines evidence-based approaches for quality family communication in the ICU (see Fig 2 in the article by Curtis and White6), which emphasizes the opportunity to listen and respond when talking with family members. In a randomized-controlled trial11 across 22 French ICUs, which was designed in part to address earlier data from that same consortium showing that only half of families understood even the most basic of information about their loved one's illness, researchers attained significant improvements in the process of communication about care and in family outcomes. Using an informational brochure and a simple communication enhancement strategy grounded by VALUE, the investigators demonstrated reductions in anxiety, depression, and posttraumatic stress disorder-related symptoms for the surviving family members of patients who died in the ICU.11 The VALUE mnemonic may be useful for education, as a clinical reminder or point-of-care tool, or in more complex practice enhancement efforts. For example, we recently employed VALUE in our ICU in a rapid cycle quality improvement effort, achieving gains in the processes of care and family satisfaction (unpublished data).