When it comes to cardiac implantable electronic devices (CIEDs) like pacemakers and implantable defibrillators, information currently flows in only one direction – from the device to the doctor.  But this paradigm leaves out two very important stakeholders: patients and the FDA.  Patients need a better way to participate in their device care and providers need a better way to incorporate important safety data from the FDA and device manufacturers.  We will address these gaps by improving the accuracy and standardization of device implant data in the medical record and by making these data accessible to physicians to manage patient care and execute device advisories and recalls.  In addition, we will close the patient safety loop by enhancing and standardizing the process of patient education before and after device implantation.   The demand for CIED implants continues to rise nationally and globally, and this project will arm Duke with the necessary tools to meet that demand in a technologically savvy and patient-centered way.