Heart failure (HF) is associated with high morbidity, mortality, and substantial cost. Despite treatment advancements, the quality of care and quality of life (QoL) remains suboptimal. Interventions to improve QoL, like palliative care (PC), are lacking. Aligning clinical management and patient goals of care is critical to improving outcomes and highlights patient-centeredness. Strategies to promote patient-centered care, such as utilizing patient-reported outcome measures (PROM), should be standard of care. Purpose/Aims: To improve QoL and quality of care for HF patients by integrating the Kansas City Cardiomyopathy Questionnaire (KCCQ-12) as standard clinical practice. The aims were to use the KCCQ-12 as the new standard of care, evaluate the impact on patients’ QoL and evaluate the impact on quality of care.