Lessons learned from the project have been developed into a comprehensive curriculum that has become known as Gundersen Health System's Respecting Choices Organization & Community Advance Care Planning Course. Today, it uses an evidence-based model to communicate patient's wishes for care, treatment, or services before and at the end of life. Respecting Choices is internationally recognized and provides training and consultation to organizations and communities around the world. In 2014, it was announced the European Union was funding an $8.5 million study, which will take place over five years using Gundersen Health's "Respecting Choices" program as its model. Other nations including Australia, Singapore, Canada, and states across America have adopted similar programs.