“The future of palliative care must have the patient-family voice embedded within program and service development. ED-palliative care must go beyond understanding experiences or encouraging palliative care referrals, to implementing systems-wide change focused on patient-centered models. I believe these systems changes and focus on patient-centered and co-designed outcomes will inform the safest and strongest future of palliative care provision in the ED. Throughout my career trajectory I will work in service to support this approach, demonstrating on increasingly larger scales how and where patients, families and providers can collaborate in service co-design that results in high quality, patient-centered palliative care in the ED.”