The current project has developed a primary palliative care intervention for CF care teams through an innovative and sustained collaboration among MGH, the MJHS Institute, and a consortium of four different CF Centers. Through this collaboration, CF care teams have created and have access to effective screening and care provision workflows, best practice guides for common problems among individuals with CF, a multifaceted educational program focused on best practices in palliative care, and a quality improvement toolkit. These efforts have established the infrastructure and support necessary for multiple CF Centers to implement a primary palliative care model to serve individuals with CF and their family caregivers. Currently, implementation of the model is occurring in the five CF Centers and preliminary outcomes are being evaluated to determine the model’s uptake in the sites and impact on illness burden in people living with CF and their caregivers.