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Patients are the experts in what they want to achieve from their health care. Clinicians are the experts in how to get them there.

We offer evidence-based tools and resources to help patients, care partners, and clinicians focus decision-making and health care on what Matters Most: patients’ own health priorities.

Patient Priorities Care is suitable for any patient, but especially for older adults managing multiple chronic conditions.

The health priorities of older adults anchor the 4 Ms of Age-Friendly Care by 1) focusing decision-making around what Matters; 2) guiding Medication management to maximize Mobility and Mentation to achieve individuals’ health and life goals while being consistent with care preferences; and 3) determining the Mentation (mood and cognition) and Mobility (physical function) required to achieve individuals’ realistic health goals, thus guiding their assessment and management.

How It Works

Patient Priorities Care follows two core steps:

Identify health priorities


Align care with health priorities
Patient Priorities-Aligned Care. The graphic has two boxes: Identify Health Priorities and Align Care with Health Priorities. A circular arrow runs through both boxes, labeled, "Update as needed." In the Identify Health Priorities box: Value-based (What Matters Most to the patient); Specific, actionable and realistic outcome goals; The One Thing (Top Priority): Health problem patient most wants to address to achieve their outcome goal. The second box, Align Care with Health Priorities, says: Consider all factors (e.g., clinical, social) interfering with patient's health priorities; Consider interventions to start, stop, or continue based on these factors; Use patient's priorities as focus of communication and decision-making with patients, care partners and other health professionals. At the bottom of the graphic is the Patient Priorities Care logo and a copyright: Tinetti, Naik, Dindo 2024.

Our Focus

Help older adults identify their unique health priorities and align care with those priorities.
Expand the number of health professionals trained in, and practicing, patient priorities aligned decision-making and care.
Embed Patient Priorities Care into health professional training programs.

Our History

Patient Priorities Care grew from the observations of health professionals who saw that traditional, disease-based health care wasn’t giving older adults with multiple chronic conditions the outcomes they truly wanted. Dr. Mary Tinetti, a geriatrician and researcher with decades of experience, was one of those health professionals.

Leading Our Team


Mary Tinetti, MD

Mary Tinetti, MD, is the Gladys Phillips Crofoot Professor of Medicine and Public Health and Chief of Geriatrics at Yale School of Medicine.

Full Bio


Aanand Naik, MD

Aanand D. Naik, MD is professor of public health and medicine (geriatrics) at the University of Texas Health Science Center at Houston (UTHealth).

Full Bio

PPC In Action

Patient Priorities Care is happening nationwide. See the sites and institutions doing PPC.

Our Funders

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