In the context of fiscal scarcity and abundant consumer health technologies, robust choices must be made. In this article, the authors assert that technologies that will yield the greatest return on investment for patients, providers and health system payers should be prioritized. They present three technology solutions that enable high-needs patients and their advocates to actively participate in their care: an audiovisual record of patient-education that can be accessed and shared post-consultation to improve retention; patient-friendly care plans that enable more active participation in shared decision-making; and personal health coaching to foster sustainable behaviour change.