RT Journal Article SR Electronic T1 Advance care planning imperative: High-quality patient-centred goals of care JF BMJ Supportive & Palliative Care JO BMJ Support Palliat Care FD British Medical Journal Publishing Group SP bmjspcare-2022-003677 DO 10.1136/bmjspcare-2022-003677 A1 Case, Amy Allen A1 Epstein, Andrew S A1 Gustin, Jillian L. YR 2022 UL http://spcare.bmj.com/content/early/2022/04/26/bmjspcare-2022-003677.abstract AB Advance care planning (ACP) discussions aim to ensure goal-concordant care for patients with serious illness, throughout treatment and especially at the end of life. But recent literature has forced the field of palliative care to wrestle with the definition and impact of ACP. Are ACP discussions worthwhile? Is there a difference between ACP discussions early in a patient’s illness versus discussions occurring later when a concrete medical care decision must be made? Here, we identify elements needed to answer these questions and describe how a multisite initiative will elucidate the value of discussing and documenting what matters most to patients.