In 1998, only 15% of US hospitals with 50 beds or more had a formal palliative care program; by 2013, the proportion had increased to 67%.1 Among larger hospitals (>300 beds), 90% now have palliative care programs.1 This expansion coincides with a growing body of high-quality evidence that supports the early involvement of palliative care specialists, even from the time a serious illness is initially diagnosed.2