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HFSA National Heart Clinic Survey

1.Clinic Information(Required.)
2.Clinic Location(Required.)
3.Type of Hospital(Required.)
4.EHR Vendor(Required.)
5.What is the volume of patients in clinic and the volume of CHF patient hospital discharges per year?(Required.)
6.What is the designation of your clinical director?(Required.)
7.Is there a Heart Failure Cardiologist in your program?(Required.)
8.How many heart failure cardiologists are in your program?(Required.)
9.If there is a Heart Failure Cardiologist in your program, are they board certified?(Required.)
10.Other Staff (please provide the number of corresponding staff members)(Required.)
11.GDMT titration protocol(Required.)
12.Palliative Care Services (Required.)
13.Ability to do same day IV diuretic infusions(Required.)
14.Standard functional status evaluation
15.Coronary Angiography on site(Required.)
16.Are you able to perform myocardial biopsy in your institution?(Required.)
17.Do you offer remote patient visits?(Required.)
18.Do you have a remote patient monitoring platform?
19.Do you routinely follow implantable cardiac diagnostics?
20.Research(Required.)
21.Research funding sources
22.Do you use patient-reported outcomes?(Required.)
23.Does your clinic have a standard mechanism to evaluate patients for advanced HF therapies?(Required.)
24.Transplantation (Required.)
25.VAD(Required.)
26.Specialty cardiomyopathy center (select all that apply)
27.Genetic testing (Required.)