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Getting Started In Patient Priorities Aligned Decision-Making

Invite and Explain patient priorities

SCRIPT

“Knowing what is most important to you helps our medical team to recommend the best care and treatments for you. We would like to start by helping you identify what is most important to you about your health, what you think is working well about your health care, and what you find difficult or unhelpful. Then we can use this information as we need to make decisions about your care. Any questions?”

Scenario

Mrs. B replies: “This sounds really helpful. I don’t have any questions at this time.”

TIPS
For clinicians with access to a team member who can elicit health priorities: “I would like you to meet with (XX) who will help you to identify what is most important and what matters most to you. Here is a brief description of what will happen and why it can help you get the best care possible. Any questions?” Click here for more information

Concluding Script

For all patients: At your next visit we will get started making sure your healthcare best meets your health priorities. Any questions?”

TIPS
Invitation and identification can be completed in a separate visit (e.g. Medicare Annual Wellness visit) or during one or more visits during which other issues are addressed.
The patient priorities identification process can be done by the primary clinician or any trained health professional (See patient health priorities identification training).
When other members of the team carry out any of these steps, the key clinician should acknowledge and reinforce the information with the patient and caregivers.

Click Here to see the “Health Priorities Template”