The concept that “everybody counts” would serve well as an axiom describing the multiple activities comprising the CCFAP. ICUs are a complex part of an even more complex institution, the hospital. Staffing the ICU in any hospital are men and women who are trained to perform very specialized and critical functions in an environment that has very high morbidity and mortality. Historically, critical care practitioners have their primary focus on the patient. Their orientation is to deliver outstanding care, expedite recovery, and shorten the length of stay in the ICU environment. However, on a daily basis, caregivers deal with patients who are either incommunicative or have limited ability to communicate because of the severity of their illness. This means that, frequently, family members or close friends who are emotionally invested in the patient become the surrogate decision makers. In the past, caregivers, in their efforts to address the patient’s needs, might have found themselves in an organizational structure in which, despite their best intentions, they had neither the time nor the opportunity to address the family’s needs. As a result, patient care was potentially impacted because caregivers were repeatedly dealing with the family about matters that could have been dealt with more efficiently at an earlier stage through more systematic communication. The CCFAP attempts to address multiple family needs, including communication, in such a way that it enhances trust between caregivers and family, and reduces some of the stress felt by caregivers and family.