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Hepatology providers reported lack of training to deliver PC along with no clear prognostic criteria on when to initiate PC. A well informed model with key structures and processes for nonhospice PC integration would allow hepatology providers to improve clinical outcomes, ESLD patients' quality of life, as well as reduce healthcare costs. Educating the hepatology providers about PC principles and developing clear prognostic criteria for when and how to integrate PC based on individual patient needs are the initial steps to inform the in