This document summarizes a presentation about improving patient experience with advanced cardiac care options and how patient satisfaction scores relate to quality of care. It discusses how patient satisfaction is assessed using surveys like HCAHPS and tied to hospitals' Medicare reimbursement. While patient satisfaction often correlates with better communication, it is a complex issue and may not fully capture the quality of medical care. When discussing advanced care options, truly informed consent requires addressing patients' values, prognosis, fears and ensuring they understand their medical condition and choices.