To continuously improve care delivery for our nation’s Veterans, the Department of Veterans Affairs (VA) developed the Diffusion of Excellence Initiative to identify and spread best practices that can be implemented nationwide. One such practice is Advance Care Planning via Group Visits (ACP-GV), which uses an interactive and patient-centered group session to engage Veterans in thinking about and planning for health-related decisions. In these sessions, social workers or other health professionals facilitate group discussions for Veterans and their trusted others. Facilitators emphasize that while completing an advance directive is voluntary, it increases the chance that the Veteran’s care aligns with their wishes and values and relieves trusted others of having to make decisions with little or no guidance. In addition, ACP-GV increases the effectiveness of advance care planning through allowing Veterans to glean insights from one another while increasing the efficiency by having these discussions in a group session. Participation in the group discussions often leads to enhanced quality communication with trusted others and provides a better experience for Veterans and their trusted others when a Veteran is unable to voice his or her preferences. To date, 34 VA Medical Centers (VAMCs) have adopted the ACP-GV practice and more than 4,400 Veterans have attended ACP-GV sessions. Of those participants, approximately 18% developed a new advance care directive within one month of the session, and 86% set a smart goal to take additional steps toward advance care planning. Continued rollout of this innovative practice to VAMCs across the nation is ongoing.