Inclusion Criteria:

• Patients ≥ 18 years of age.
• Admitted to Mayo Clinic St. Mary’s Hospital and Methodist Hospital during the August 19, 2019 – August 19, 2020.
• Once a day, Monday through Friday, the CT operator selects 12 patients from all of the nursing units that are participating in the trial (whether or not they are currently in the intervention group) with palliative scores of at least 7 (out of 100); i.e., those that are high risk and displayed as red in the CT GUI (unless they are already being seen by palliative care).
• CT operator chooses the selected patients by looking at the patients in sorted order starting with the highest score and proceeding down the list, evaluating each patient for exclusion criteria.
• Once the CT operator identifies 12 appropriate patients or once they reaches the end of the high-risk patients (score of 7 or higher) they stop.

Exclusion Criteria: 

• All patients who do not provide research authorization to review their medical records for general research studies in accordance with Minnesota Statute 144.335.
• Patients under the age of 18 years of age.
• Patients previously seen by Palliative care during this hospital visit; i.e., green icon within CT user interface regardless of score.
• Patient no longer has an active encounter (patients who have died or patients who have transferred to another facility are excluded).
• Patient is currently enrolled with Hospice.
• Patient is enrolled in the Palliative Homebound program.
• Patients who are about to be discharged in the next 24 hours through indication of note.