PATIENT: They are already receiving PC or hospice services Patient is currently enrolled in hospice Currently receiving palliative or hospice care They are already receiving PC or hospice services Currently receiving hospice care (patients who enroll in hospice during the trial will have the option of continuing trial participation) Have a life expectancy of < months or are receiving hospice services Patients will be excluded if they are enrolled in hospice at time of enrollment; however, they will be allowed to continue in the study if they enroll in hospice after beginning the study Parents will be excluded if they are enrolled in hospice at time of enrollment; (however, they will be allowed to continue in the study if they enroll in hospice after beginning the study) Patients with disposition to be transitioned to inpatient hospice or inpatient palliative care unit PATIENTS: In hospice care Patients discharged to another inpatient facility (hospice, skilled nursing facility, long term acute care hospital [LTACH], or acute rehab) or patients discharged home with hospice will be excluded Have already made a decision to not undergo any cancer treatment (e.g., being followed in best supportive care or hospice) They are already receiving PC or hospice services PATIENT: Currently receiving hospice care Histologically or cytologically confirmed cancer (hematologic or solid) who are not currently on hospice care Currently on hospice care Patient is receiving hospice care Note: Patients who enroll in hospice during the trial will have the option of continuing trial participation Receiving hospice care Life expectancy < month or current hospice care Patients who were already seeing PC, or whose oncologists thought they needed to see PC or enroll in hospice Hospice care at enrollment Hospice/Nursing Home Subjects enrolled in hospice or whose life expectancy is less than months Currently in hospice care Patients will be excluded if physicians/staff determine they will not be eligible for a trial during the study period (e.g., entering hospice; moving away) Enrolled in hospice Patient must have ongoing oncologic needs and plan to receive all care at the study institution and not already be in hospice or home-care PATIENTS: Already enrolled on hospice, or enrolling on hospice upon discharge from the hospital admission