The objective of this study is to determine what influences the patient and caregiver perception of care, and if this perception associates with the percentage of and what quality metrics are being met and outcomes. The investigators also plan to capture the cost of providing quality metrics and the cost of monitoring adherence to quality metrics.

This study will be conducted using mixed-methods. The qualitative part will consist of in person, 1:1, open ended in depth interviews using a standard interview guide with probes. The quantitative part will document subjects meeting or not meeting the quality metrics supported by strong evidence, clinical outcomes, and medical bills.

Inclusion Criteria:

• primary liver cirrhosis
• receiving care at the study cite
• no evidence of hepatic encephalopathy if the subject is providing consent

Exclusion Criteria:

• no documentation of cirrhosis
• unable to confirm diagnosis of cirrhosis by imaging or pathology

Cirrhosis, aged 18-80.