Best Practices for Effective Shared Decision-Making


The purpose of this course is to provide the participant with overview of the importance and benefits of incorporating a shared decision-making process into patient care delivery. It will also discuss key components or the best practices of a shared decision-making process and review tools that may facilitate this process.

The recording in this course is designed to support participants to increase their knowledge on how a shared decision-making process can improve cardiovascular clinical outcomes.

Estimated Time of Completion

This course is approximately 60 minutes in length and completed in one video session

Lesson #



Session 1

Shared Decision-Making

50 min


Questions and Answers

10 min

Due to technical difficulties, the beginning of the live webinar was not captured; the below recording begins approximately four minutes into the webinar.

Target Audience

This webinar is intended for:

  • Physicians/providers and cardiovascular clinical staff.
  • NCDR Registry site managers (RSM) and data coordinators who are establishing an NCDR registry program at their facility and for those who are new to the NCDR.
  • Nurses, physicians/providers and managers who oversee operational and/or administrative processes involved with utilizing NCDR data for performance monitoring and improvement.
  • Quality improvement professionals who lead organizational performance improvement efforts.
  • Hospital administrators who want to learn how the NCDR can support their strategic goals.

Learning Objectives

After completing this course, the participant will be able to:

  • Appreciate the difference between informed consent and shared decision-making.
  • Describe the importance and benefits of a shared decision-making process.
  • Understand and explain the value of the CMS National Coverage Decision for ICD/CRT-D implantation.
  • Incorporate key components and best practices of the shared-decision making process into patient care delivery.

Disclosure / Conflict of Interest
As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC), the American College of Cardiology Foundation (ACCF) must ensure balance, independence, objectivity and scientific rigor in all of its directly provided or jointly provided/co-provided educational activities. Planners, presenters, and other contributors, in a position to control the content, are required to disclose to the audience all relevant financial relationships he/she and/or his/her spouse or domestic partner may have, occurring within the past 12 months, with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. When an unlabeled use of a commercial product or an investigational use not yet approved for any purpose is discussed during an educational activity, the contributor should disclose that the product is not labeled for the use under discussion or that the product is still investigational.

ACCF is committed to providing its learners with high-quality activities and materials that promote improvements and quality in health care and not a specific proprietary business or commercial interest. The intent of this disclosure is not to prevent participation in certified educational activities by persons with a financial or other relationship, but rather to provide learners with information on which they can make their own determination whether financial interests or relationships may influence the certified activity.

ACCF assesses conflict of interest (COI) with its faculty, planners, managers, staff and other individuals who are in a position to control the content of CME/CNE-certified activities. All relevant potential conflicts of interest that are identified are thoroughly vetted by course directors, ACCF education staff, and members of the Accreditation Compliance Workgroup (ACWG) through a process that includes appropriate peer review for fair balance, scientific objectivity and validity, and patient care and safety recommendations.

Please note ACCF staff and the ACWG members involved with this activity have nothing to disclose.

Michelle Hare, MS, BSN, RN
Director of NCDR EP Registry Suite
American College of Cardiology, Washington, DC
Disclosures: nothing to disclose

Nurse Planner (subject to change):
Kim Marshall, BSN, RN, CPHQ, AACC 
Clinical Quality Specialist
University of Colorado Hospital, Aurora, Colorado
Disclosures: nothing to disclose 

For successful completion, review all the course learning activities and successfully complete the post-test/evaluation.

Accreditation Statement
In support of improving patient care, the American College of Cardiology Foundation (ACCF) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

The ACCF designates this enduring material for a maximum of up to 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American College of Cardiology Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation (ANCC Provider number 0019).

ACCF designates this educational activity for a maximum of 1. continuing nursing education contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

While offering credits noted above, the course is not intended to provide extensive training or certification in the field.

Date of Release
November 24, 2020

Term of Approval/Date of CME/CE Expiration: March 1, 2021

ACC Learner Bill of Rights

The American College of Cardiology Foundation (ACCF) recognizes that you are a lifelong learner who has chosen to engage in continuing medical education to identify or fill a gap in knowledge or skill; and to attain or enhance a desired competency. As a participant in an ACCF activity, you have the right to expect that your continuing medical education experience with ACCF includes:

Content that:

  • promotes improvements or quality in healthcare,
  • is current, valid, reliable, accurate and evidence-based,
  • addresses the stated objectives or purpose,
  • is driven and based on independent survey and analysis of learner needs, not commercial interests,
  • has been reviewed for bias and scientific rigor,
  • offers balanced presentations that are free of commercial bias,
  • is vetted through a process that resolves any conflicts of interest of planners and faculty,
  • is evaluated for its effectiveness in meeting the identified educational need; and

A learning environment that:

  • is based on adult learning principles that support the use of various modalities,
  • supports learners' abilities to meet their individual needs,
  • respects and attends to any special needs of the learners,
  • respects the diversity of groups of learners,
  • is free of promotional, commercial and/or sales activities; and

Disclosure of:

  • relevant financial relationships that planners, teachers and authors have with commercial interests related to the content of the activity, and
  • commercial support (funding or in-kind resources) of this activity.

The American College of Cardiology Foundation is committed to the ongoing evaluation of its educational activities. As a participant in this activity, you will be required to provide feedback on the course itself prior to receiving educational credit.

To claim your educational credits, you must first watch the live webinar. After the completion of the live webinar you will be emailed the Feedback Survey. Complete all questions in the Feedback Survey, choose the number of credits you have earned, and Submit the survey to receive your certificate.

If you have not received your survey link within 24 hours after the webinar or do not receive your certificate within 24 hours after submitting the survey, please contact ACC at

Course Feedback Survey