The National Cancer Institute (NCI) awarded Emory University a $708,091 Project Grant under the Cancer Cause and Prevention Research program (CFDA 93.393) to develop and test Algorithm-enabled Patients Activated in Cancer Care through Teams (A-PACT), an intervention to improve goals of care communication for cancer patients. The A-PACT program uses machine learning algorithms to automatically identify high-risk cancer patients who would benefit from structured education and engagement in goals of care conversations by lay health workers. This hybrid effectiveness-implementation study aims to evaluate A-PACT's impact on reducing hospitalizations, intensive end-of-life care, and improving patient-reported outcomes like anxiety and depression. The project will also assess factors that shape A-PACT's effectiveness across community oncology settings to guide future scale and reach of the intervention.