Patients should be engaged in the selection of antihypertensive drug therapy and lifestyle modification strategies, with consideration of individual values, preferences, and associated conditions and comorbidities (2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease14 ). Measuring SDM in clinical settings One of the following, supplemented with a process for systematic analysis and feedback to practitioners: Patient-reported measures of SDM The 3-item CollaboRATE Scale173 The 9-item Shared Decision-Making Questionnaire (SDM-Q-9 Patient Version)174 The 4-item SURE Scale175 Provider-reported measures of SDM The 9-item Shared Decision-Making Questionnaire (SDM-Q-Doc)176 Clinical Recommendations 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease14 Recommendations for Shared Decision Making (Section 2.1, 2019 Prevention Guideline) Shared decision making should guide discussions regarding the best strategies to reduce ASCVD risk.166 169 (Class 1, Level of Evidence: B-R) ACC indicates American College of Cardiology; AHA, American Heart Association; ASCVD, atherosclerotic cardiovascular disease; BP, blood pressure; CDU, care delivery unit; EHR, electronic health record; GDMT, guideline-directed medical therapy/treatment; HBP, high blood pressure; IPDAS, International Patient Decision Aid Standards; and SDM, shared decision making. 38 Appendix A. Continued SM-6: Demonstration of Infrastructure and Personnel That Assess and Address Social Determinants of Health of Patients With HBP Measure Components The CDU uses a standard process/protocol for addressing SDoH in clinical settings for patients with HBP, including: Utilization of a standardized tool, such as the Accountable Health Communities Screening Tool,177 to screen health-related social needs in clinical settings. Integration of social and behavioral domains (Table A) into EHRs to monitor efforts to address SDoH. Documentation of patient assessments of SDoH and referrals to social services in medical records. Integration of clinical staff members (eg, social workers, case managers, registered dietitians) to link patients with appropriate community resources. 