Abstract
Like the generation before them, an ever-increasing proportion of baby boomers in the United States have a chronic illness and often multiple chronic illnesses, using ever-increasing national healthcare resources. With the Triple Aim, Don Berwick's overarching goals to help guide positive transformation to the healthcare system, palliative care can be seen as a valuable ally in the growing arsenal of models of care aimed at addressing the nation's needs. The SPARK Program, the palliative care management program of a large home care agency in a metropolitan area, was created to address the needs of patients with chronic serious illness and palliative care needs.