The details of the PPC study, which was conducted from February 1, 2017 to August 31, 2018, have been described previously. 1,3,4 This study comprised patients of 10 primary care clinicians in Connecticut. Patients were invited to participate if they were aged 65 years or older and had 3 or more chronic health conditions. An advanced practice registered nurse or case manager guided patients in identifying their health priorities, creating health priorities templates that included the following: (1) patients' values; (2) up to 3 specific, actionable, and realistic health outcome goals; (3) up to 3 health care tasks that patients thought were doable and could help achieve their goals; and(4) up to 3 health care tasks that patients found burdensome or unhelpful. The Yale University Institutional Review Board approved this study. Oral informed consent was obtained from all participants. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline.The primary care clinicians were trained in aligning decisions with patients' health priorities.After training, the clinicians and the PPC team participated in 21 case-based discussions. 3 The group discussed how best to align care with patients' health priorities, reported challenges, and suggested solutions to these challenges. One of the challenges identified was where to start aligning care. The proposed solution was to ask patients to identify the top health priority that they most wanted to focus on to achieve their goals. 1,3 To create this patient-identified top health priority, patients were asked, "What 1 [health-related problem] do you most want to focus on so that you can achieve [health outcome goal] more easily or often?" Their responses were included in the template for clinicians to use in communication and decision-making. All patient responses are listed in the eAppendix in the Supplement.One author (M.E.T.) reviewed patients' responses, quantifying the health-related problems and suggesting how the patient-identified top health priority could address challenges and guide decision-making. Based on their review of the participants' self-identified priorities and health outcome goals and informed by their experience in caring for older adults with multiple chronic conditions, the authors identified, discussed, and agreed on clinical challenges and decisional guidance. All authors reviewed and edited these documents iteratively until consensus was reached.