The purpose of this study is to test the hypothesis that the addition of home-based hospice and palliative care (HBHPC) will provide a reduction in health care utilization, improve quality of life, and facilitate goal-concordant care that is superior to inpatient and clinic pediatric palliative care (PPC) alone.
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Hospital Utilization Differences
Timeframe: At enrollment and every three months for a two year period for a maximum of 24 months