Serious Illness Conversation Helps Patients Choose What Matters in a way that focuses on the whole patient. They design population health management strategies, programs , and tools. To identify and test meaningful interventions, Partners Population Health collaborates closely with frontline clinicians. A central team works with staff across the Partners system to develop, implement , and manage a systemwide value-based care strategy for all patient populations. UNDERSTANDING THEIR OPTIONS Partners recognized that less than one-third of patients with an advanced, serious illness discussed their goals and preferences with their clinicians. When the conversations did occur, they often took place late in the course of illness when there was little time to take mean

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