Heart failure (HF) is a leading cause of morbidity and mortality in the United States. In recent decades there have been few advancements in disease management. Advanced heart failure treatment (AHFT) centers provide state of the art care for patients with HF including use of left-ventricular assist devices (LVAD), heart transplants, and integrated palliative care. Rural dwelling HF patients have worse health outcomes and have difficulty accessing AHFT centers which tend to be located in urban areas. Shared care treatment models have been shown to improve access to specialty care, but have not been widely studied in advanced HF patients. This quality improvement project assessed the experience of patients participating in a new AHFT shared care program.