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Registration Open for Patient Priorities Care Tele Education Course!

Date posted: January 3, 2023

This virtual course outlines the Patient Priorities Care (PPC) decision-making framework over 6 sessions, with an optional seventh session geared towards those with or without formal roles in education who wish to teach this framework to other health professionals or trainees. Sessions start March 21st and registrants will be accepted on a rolling basis.

Conversation Guide

My Health Priorities: A Printable Guide for Older Adults and Caregivers

Date posted: October 3, 2022

New resource available! The My Health Priorities guide provides a PDF or print alternative to the self-directed patient priorities identification website. This can also be used by facilitators or clinicians who are guiding a patient through this process. An accompanying facilitator guide will be coming soon.

Better care for older Hispanics: Identifying priorities and harmonizing care

Date posted: March 27, 2022

Publication from Drs. Naik, Samper-Ternent, Tinetti and team reflects on the importance of knowing and understanding the individual goals, values and care preferences of older Hispanics and their caregivers, and using the PPC approach in this population.

New Project

Patient Priorities Care Train-the-Trainer Educational Course- Register!

Date posted: January 10, 2022

A new 7 session virtual course is coming, aimed at directors and educators who provide training in the care of older adults to health professional trainees (e.g. medical and nursing students; residents; geriatric, psychiatric APRN and doctoral nursing trainees; etc.). As leaders in education in caring for older adults, this course will provide you with the knowledge and skills to teach Patient Priorities Care to your health professional trainees.

J Ouellet profile

PPC Publication: Education outcomes of a multisite, virtual, interprofessional training in patient priorities aligned care

Date posted: November 12, 2021

New publication from Dr. Jen Ouellet and the Patient Priorities Care team looks at the outcomes of a PPC virtual training session pilot with an interprofessional group of health professional trainees. They conclude that the PPC framework operationalizes the concept of asking and acting on What Matters, and that virtual interprofessional training in PPC is associated with increased confidence in skills related to priorities-aligned decision-making in older adults with multiple chronic conditions.

Publication on Patient Priorities!

Date posted: October 30, 2021

New article from Drs. Davenport, Ouellet and Tinetti in JAMA Network Open discusses how people’s most important health priority can address challenges while facilitating decision-making that aligns with those priorities. They conclude that linking health-related problems to actionable outcome goals provides a platform for cross-condition decision-making for those with multimorbidity.

Incorporating What Matters Most to Patients into Care Delivery

Date posted: October 21, 2021

Measurement of person-driven outcomes can provide real value for states, health plans, clinical delivery systems, clinicians, and patients. With funding from The John A. Hartford Foundation and The SCAN Foundation, Patient Priorities Care is excited to partner with NCQA in evolving this important work and advancing the voice of patients and their families in the service of better care. Appropriate quality measures that drive care that matters to the individual and that can promote accountability for such care will facilitate widespread adoption of goal-aligned care for people with complex needs.


Outcome Goals and Health Care Preferences of Older Adults With Multiple Chronic Conditions

Date posted: April 15, 2021

A recent study from Dr. Mary Tinetti and the PPC team shows that patients who participate in Patient Priorities Care were able to identify realistic and doable goals and health care preferences, which can inform decision-making.

New! Self-Directed PPC Website

Date posted: March 25, 2021

This website walks patients (and/or a caregiver) through the PPC health priorities identification process, and at the end they will have a template/summary to bring to their clinicians that outline their Health Priorities (the life and health goals and activities you want your health care to help you given what you are willing and able to do) and the One Thing that they want to start with.

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Clinician Perspectives on Incorporating Patients' Values‐Based Health Priorities in Decision‐Making

Date posted: Feb 4, 2021

Qualitative Study lead by Dr. Gregory Ouellet assesses the perspectives of clinicians who participated in the PPC demonstration study about benefits of the approach and challenges to its implementation. The benefits and challenges identified will be critical to developing individualized implementation strategies.

New resource available: Patient Priorities Care Decisional Guidance

Date posted: Sept 18, 2020

A new tool is now available for clinicians who are implementing Patient Priorities Care (PPC). These strategies and troubleshooting options give clinicians tips and scripts to guide them once they know a person’s health priorities and as they integrate PPC into their patient care.


Feasibility of Clinicians Aligning Health Care with Patient Priorities in Geriatrics Ambulatory Care

Date posted: July 20, 2020

New Study from Dr. Freytag and the Patient Priorities Care team looks at the feasibility of implementing Patient Priorities Care at the VA in Houston TX.

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Patient Priorities Care Telehealth Guidance for COVID-19 Communications now available

Date posted: April 25, 2020

In response to COVID-19 and the increased need for social distancing and Tele-Medicine, our partners at Baylor have developed a conversation guide for conducting effective telehealth clinic visits based on the principles of Patient Priorities Care. A special thanks to all the Healthcare workers continuing to provide much needed care to complex older adults.


Patient Priorities Care: Podcast with Mary Tinetti

Date posted: November 27, 2019

GeriPal Podcast hosts Eric Widera and Alex Smith talk with Mary Tinetti about what exactly Patient Priorities Care is, how it differs from geriatrics and palliative care (or does it?), and how to disseminate this program widely (hint: start at our website under “Tools”).

Article in Health Affairs discusses Age-Friendly Care in the ED, The 4Ms, and Patient Priorities Care

Date posted: November 19, 2019

Mary Tinetti quoted in a new article in Health Affairs about Age-Friendly care  in the Emergency Department and Patient Priorities Care helping to focus on what matters most to the individual patient.

ProHealth building

Association of Patient Priorities–Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions – Results of the Patient Priorities Care Pilot Study

Date posted: October 16, 2019

Dr. Mary Tinetti and the Patient Priorities Care Team have a new publication out in JAMA Internal Medicine that discusses the results of the Patient Priorities Care pilot study. The article concludes that patient priorities-based care may be associated with reduced treatment burden and less unwanted health care, but also recognizes the need for further study and duplication of results.

Yale School of Medicine

Gerontology Dept. Retreat

Publication from Drs. Tinetti, Naik and Team: Challenges and strategies in patients’ health priorities-aligned decision-making

Date posted: June 21, 2019

In a new article published in PLOS ONE, the Patient Priorities Care team discusses the challenges of caring for older adults with multiple chronic conditions using health priorities-aligned decision-making, and the strategies identified to overcome those challenges. These finding come from an analysis of the Patient Priorities Care pilot.

Jon and Sue

When the Care Is as Burdensome as the Condition – Article on Patient Priorities Care from Next Avenue

Date posted: May 24, 2019

In a new article from Next Avenue, Dr. Tinetti describes the treatment burden faced by patients with multiple chronic conditions, and how the Patient Priorities Care approach can address this important issue.


New! Patient Priorities Care Online Curriculum provides clinicians with the tools and support for identifying and incorporating what matters most to individual patients into clinical decision making

Date posted: May 15, 2019

We’re excited to launch a free, online training to help clinicians participate in this approach to care. This training prepares members of the healthcare team to identify patient’s health priorities and address strategies and challenges of implementing the Patient Priorities Care approach. Clinicians who treat older adults with multiple chronic conditions will find the training useful for their practice, and we encourage all healthcare team members to take the training and implement Patient Priorities Care strategies.


New Publication: Perspectives of Patients in Identifying Their Values‐Based Health Priorities

Date posted: March 7, 2019

This manuscript from Dr. Shelli Feder and the Patient Priorities Care team discusses the Patient Health Priorities Identification (PHPI) process, and reveals that patients found the PHPI process valuable in identifying actionable health priorities and healthcare goals leading to enhanced knowledge, activation, and communication regarding their healthcare.

Yale School of Medicine

Yale Medicine

Drs Leo Cooney & Mary Tinetti, The Adler Center

In a new opinion piece published in Annals of Internal Medicine, Mary Tinetti and Co-authors discuss Caring for Patients with Multiple Chronic Conditions.

Date posted: Feb 6, 2018

In the last 15 years there has been an increase in people with multimorbidity and the medications used to treat them. Although there has been some progress, many limitations still exist in the care of older adults with multiple chronic conditions. Clinicians should take into consideration the burden of patients’ medication regimen and align care with patients’ priorities.

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New Publication: Framework for Decision-making for Older Adults with Multiple Chronic Conditions: Executive Summary of Action Steps for the AGS Guiding Principles on the Care of Older Adults with Multimorbidity

Date posted: Feb 6, 2018

Recently published Action Steps from Drs. Boyd, Tinetti and team outline a framework for decision-making for older adults with multiple chronic conditions that ofers a process for decision-making that is tailored to a patient’s outcome goals, health trajectory, and healthcare preferences.

Identifying what patients care about the most: A Podcast with Aanand Naik

Date posted: December 10, 2018

Hear from Dr. Naik a key piece of the Patient Priorities Care approach:  how do we identify what patients care about the most (i.e their values), and what their healthcare should be about (their health outcome goals).

Photo of elderly woman with the young doctor

Two new Patient Priorities Care manuscripts published in the Journal of the American Geriatrics Society

Date posted: October 4, 2018

In two publications in JAGS, lead authors Dr. Naik and Dr. Blaum show how Patient Priorities Care helps patients and clinicians identify patients’ health priorities and align care with patients’ priorities in a clinically feasibly approach to health care.

Older couple cuddling together

Gordon and Betty Moore Foundation working to improve the experience and outcomes of patient care

Date posted: May 9, 2018

The Gordon and Betty Moore Foundation promotes resources, including Patient Priorities Care, to help clinicians, patients and family caregivers focus on what matters most.

Senior Couple Meeting With Nurse In Hospital Discussing Patients Records

Offering care that improves patients' and clinicians' experiences

Date posted: April 13, 2018

In a guest commentary in Modern Healthcare,  Dr. Mary Tinetti shares how the Patient Priorities Care approach helps older patients with multiple chronic conditions achieve the health outcomes they most desire, while reducing fragmentation and frustration among their clinicians.

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Patient Priorities Care Research Agenda White Paper: Results of Multi-stakeholder Engagement

Date posted: April 3, 2018

A White Paper describing the results of a Patient Priorities Care Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington PCORI Engagement Award to translate disease specific care to patient priorities-directed care for people with multiple chronic conditions

PP - Kizzy Speaking to patient

Patient Priorities Care in Practice

Date posted: March 6, 2018

A new video shows how Patient Priorities Care works in a real clinical setting by documenting the experience of Sue R., a patient participating in the pilot project at the ProHealth primary care clinic in Connecticut.


Precision Medicine and Aging Have This in Common

Date posted: September 1, 2017

In an interview with Nautilus, Dr. Mary Tinetti explains why Patient Priorities Care matters: “When [patients] have multiple issues in their lives that are important, what the clinician or specialist focuses in on may not be what’s important to that individual. You could help one health problem, but make others worse.”


How to Find a Great Doctor

Date posted: September 1, 2017

In an article for AARP Bulletin, Dr. Mary Tinetti shares advice for achieving a patient-doctor relationship that prioritizes “what matters most to the patient.”


Cardiologist Confessions: My Journey to Patient Priorities Care

Date posted: May 16, 2017

In a post for AgingHearts, an informational site for the emerging discipline of Geriatric Cardiology, Dr. Fred Masoudi observes: “When listening to older people talk about their experiences, it was clear that cardiovascular disease wasn’t always the most important issue.”

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