Strategies Introduction Why Use Decisional Guidance Decision-making with multiple chronic conditions is complex Aligning decisions with patients’ health priorities improves decision-making Definitions Patient Case General Case Health Priorities Template Getting Started Invite and Explain Frame clinic visits Strategies Health priorities as focus Serial trials Reconcile differing recommendations Troubleshooting Not Achievable with interventions Not Achievable with health status Accepting patient’s decision Strategies For Making Patient Priorities Aligned Decisions Strategy: Use patients’ health priorities as focus of communication and decision-making Strategy: Use serial trials to start, stop or continue healthcare interventions based on achieving health outcome goals Strategy: Reconcile differing recommendations