1. Participants will be able to evaluate the feasibility and acceptability of a hospice telehealth home-based intervention for pediatric and young adult patients with cancer at the end of life using data obtained from the Technology Acceptable Model 2 survey. 2. Participants will be able to assess the self-reported partnership, collaboration, and care coordination between the patient's hospice and hospital providers using the Assessment of Interprofessional Team Collaboration Scale II survey. This study piloted a novel, cost-effective method of improving home-based pediatric palliative oncology (PPO) care, improving hospice satisfaction among patients and families and providing high-quality end-of-life care that family's desire for their children. This is the first use of telehealth for PPO and hospice care in the state of Georgia. Telehealth presents a unique opportunity to improve care for patients with progressive cancer enrolling in hospice. Coordinated telehealth visits (patient/family, hospital, and hospice teams) may improve communication, satisfaction, and interdisciplinary collaboration. This study pilots three coordinated telehealth visits during the first month of hospice enrollment. This is a single-arm prospective pilot study of 0-29 year-old patients with cancer initiating hospice care between 2021-2023. Patients, caregivers, oncology and palliative care providers, hospice nurses and administrators were enrolled and surveyed about feasibility, acceptability, and satisfaction with telehealth (Technology Acceptance Model 2) after the first and third telehealth visits. Healthcare professionals also completed the Assessment of Interprofessional Team Collaboration Scale II. Data were abstracted from the electronic health record and cancer registry. Participant survey responses were summarized and differences in scores were analyzed. Twenty-three patients enrolled (56% male, 48% Non-Hispanic, 43% solid tumor, 43% brain tumor, median age at diagnosis 9.5 years (IQR 3.5-14.7)). Median days between enrollment and death was 35.3 days. Nineteen and 13 patients completed visit 1 and 3, respectively. Fourteen caregivers and two adult patients completed visit 1 surveys. Nine caregivers and two adult patients completed visit 3 surveys. Thirty-seven healthcare professionals enrolled (13 hospital providers, 15 hospice nurses, 8 hospice administrators); twenty-nine and 22 completed visit 1 and 3 surveys, respectively. Hospital providers and hospice clinicians reported excellent interprofessional collaboration (Median: 99/115 points, 111/115 points, respectively). Using a 5-point Likert scale, most participants highly rated the acceptability and feasibility of telehealth after visit 1 (Mean 4.4, range 3-5) and 3 (4.3, range: 1-5). Patients and caregivers are receptive to telehealth services during the typically stressful first month of hospice. Preliminary findings suggest that telehealth may be utilized as an acceptable alternative to in-person services and fosters hospital-hospice collaboration. Models of Palliative Care Delivery / Loss, Grief, Bereavement [ABSTRACT FROM AUTHOR]