ACC ICD/CRT Appropriate Use Criteria Survey

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ACC ICD/CRT Appropriate Use Criteria Survey

This is the survey for collecting user feedback on ACC's tool: ICD/CRT Appropriate Use Criteria.

Responses to this survey are anonymous. No personal information is collected. We use responses to these surveys to continually improve ACC's web and mobile tool offerings.

1. In which of the following ways have you used the ICD/CRT Appropriate Use Criteria App? (Select all that apply)
*

As a tool to support my own clinical decision making

To facilitate a discussion with a patient during a visit

To consult the likelihood of CMS coverage of a treatment option for a patient

To facilitate the documentation process (i.e. have a record of the appropriateness rating of a treatment for a given patient)

To facilitate treatment discussions across specialties

To guide or teach others at my practice/institution

As an informational reference

As a patient, to review my risk and treatment options

Other:

Required

2. What other tools have you used to help make decisions about ICD and CRT therapy for your patients?

2013 ACC/HRS ICD/CRT Appropriate Use Criteria document

2012 ACC/AHA Device-Based Therapy Guideline document

ACC ICD Clinical Data Registry reports

CMS. NCD guidelines

Other:

3. Which information or function within the app is most useful to you? (Select all that apply)

Appropriate use score (I.e., Appropriate, May Be Appropriate, Rarely Appropriate)

CMS Advice (i.e., Coverage can be expected/Coverage cannot be expected)

Ability to email results

3, continued. Please provide comments on your answer to question 3, if applicable.

4. Overall, how useful is the ICD/CRT AUC App to you?

Very Useful

Useful

Somewhat useful

Not very useful

Not at all useful

Clear selection

4, continued. Please provide comments on your answer to question 4, if applicable.

5. Would you recommend the ICD/CRT AUC App to a colleague?

Yes

Clear selection

6. Which best describes your clinical designation?

General Cardiologist

Electrophysiologist

Cardiac Surgeon

Primary Care Physician

Physician Assistant

Nurse Practitioner

Registered Nurse

Pharmacist

Medical Trainee or Student

Patient

Other:

Clear selection

7. Which best describes your current practice environment?

Private Practice

Hospital

Anticoagulation Clinic

Other:

Clear selection

8. Do you practice primarily in the US or internationally?

I practice primarily in the U.S.

I practice primarily internationally

Clear selection

8, continued. If international, please specify which country (or countries).

9. Which best describe how often you use other clinical decision support apps?

Daily

Weekly

Monthly

Yearly

Never

Clear selection

9, continued. If you use other clinical decision support apps, what are they?

10. What suggestions do you have for improving the ICD/CRT Appropriate Use Criteria App?

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