A 25-year old patient was nearing the end of her life after a battle with cancer when she presented to the ED at St. Joseph's Regional Medical Center in Paterson, New Jersey with unmet palliative care needs. Her request of the doctors was simple: keep me out of the hospital. So the St. Joseph's team had an idea—they would set up shop in the ED to streamline operations. Like 76% of hospital palliative care programs, the St. Joseph's team already provided services to ED patients in a consult capacity, why not base their operations there?