1. Participants will self-report the ability to define concurrent care in Veterans admitted to hospice with a diagnosis of heart failure. 2. Participants will better understand the prevalence of advanced heart failure therapies utilized by Veterans admitted to hospice with heart failure. We aim to explore the utilization and prevalence of concurrent hospice care in VA patients with heart failure to create a standardized definition of concurrent care in this hospice population. Concurrent hospice care may one day become an option for all Medicare-eligible citizens, however it has been available to VA patients since 2009. Prior studies in the VA population have shown that concurrent care in hospice patients with cancer has allowed for Veterans to continue active, disease-modifying cancer treatment (radiation, chemotherapy) and have also shown a reduction in aggressive medical treatments, ICU stays, and costs. Limited data exist regarding the use of concurrent care in heart failure patients. Using a national VA data set, we will identify Veteran patients admitted to the hospital with complications of severe heart failure between 2010 and 2020. Patients will be excluded if they were previously on hospice prior to the index hospital admission. For the purposes of this study, concurrent care will be defined as a patient who was enrolled in hospice (VA or Medicare) following a random hospital admission and later received advanced heart failure therapies. Receipt of concurrent care will be determined by confirmation of receipt of advanced heart failure therapies via specific CPT codes following enrollment in hospice. Additionally we plan to collect data regarding burdensome transitions to analyze whether there are differences between hospice patients who did and did not receive concurrent care. 1) Define concurrent care in Veterans admitted to hospice with a diagnosis of heart failure. 2) Determine the prevalence of advanced heart failure therapies in Veterans admitted to hospice with heart failure. 3) Explore whether heart failure patients receiving concurrent hospice care experience fewer burdensome transitions. Disease specific management; Patient Outcomes [ABSTRACT FROM AUTHOR]