We are clinical ethics and healthcare ethics coaches, mentors, educators, and mediators. Our clients are healthcare institutions - hospitals and hospital systems - and their ethics committees. We work with institutional ethics committees toward the goal of making them more effective in providing staff education, developing and reviewing institutional policies and procedures which involve patient rights and good decision making, and offering clinical ethics consultation services to patients, surrogates, families, and staff. We also have expertise in providing mediation or conflict resolution services to healthcare institutions and ethics committees, and in teaching others mediation and conflict resolution skills for use at the bedside and in the committee room. Together the tools of clinical ethics and consensus building provide health care professionals with needed skills in addressing difficult relationships, designing systems to improve the relationships, and training providers of clinical services to maximize medical outcomes and minimize disruption to the effective delivery of health care.