These elements are central to the data that should be captured as the indication for most revascularization procedures. Therefore, the initial goal of measure 1 (compre- hensive documentation of indications for PCI) and measure 2 (appropriate indication for elective PCI) is to ensure that adequate information for assessing the indication for revascu- larization procedures is captured and reported, so that contin- ued evaluation and feedback to improve both the AUC ratings and clinical care can occur. 4.1.2. Patient Education/Shared Decision-Making Measures Although the aforementioned factors highlight the difficulty of determining when PCI is clinically indicated, reaching a high- quality decision goes beyond meeting the AUC. In an area in which decision making is so complex, performance measure- ment ideally also would address how the decision was made. This is necessary because patient preferences can play an impor- tant role in many cases, especially with regard to elective PCI. For example, some patients whose medical history and diag- nostic testing results suggest PCI is indicated might still want to consider other options. Conversely, there will be patients for whom it is equivocal whether PCI is indicated, but the patient nonetheless expresses a strong preference to undergo PCI. The ideal approach to decision making is to involve the patient to the extent he or she wishes to be involved. Performance measurement should reflect this process as much as possible. Many patients will want to be involved in these crucial decisions, and physicians performance with these patients ideally would be assessed in part by surveying patients about whether their input was solicited and their pref- erences drove or at least influenced the decision. Alternatively, some patients will prefer that their physician make their deci- sions for them, and physicians who do so in such instances should be regarded as giving patient-centered care. 