Cardiology ROI Assessment
Evaluate the impact and return on investment of cardiology services, programs, or technologies.
Participant Information
Please provide your contact and role details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Organization/Institution Name
*
Role/Position
*
Assessment Context
Tell us about the cardiology service, program, or technology being assessed.
Type of Cardiology Program/Technology
*
Please Select
Diagnostic Service
Interventional Procedure
Rehabilitation Program
Telemedicine Solution
Medical Device/Equipment
Other
Implementation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Primary Goals of the Program/Technology
*
Quantitative ROI Metrics
*
Rows
Pre-Implementation Value
Post-Implementation Value
Unit (e.g., USD, % or number)
Annual Cost
Annual Revenue
Number of Patients Served
Readmission Rate
Average Length of Stay
Please rate the overall effectiveness of the program/technology in achieving its intended outcomes.
*
1
2
3
4
5
How would you rate the satisfaction of patients with this cardiology service/program?
*
Very Dissatisfied
1
2
3
4
Very Satisfied
5
1 is Very Dissatisfied, 5 is Very Satisfied
Please indicate your agreement with the following statements about the program/technology.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program/technology improved patient outcomes.
1
2
3
4
5
The program/technology reduced costs.
6
7
8
9
10
The program/technology improved workflow efficiency.
11
12
13
14
15
The program/technology is sustainable long-term.
16
17
18
19
20
Please provide any additional comments or qualitative feedback regarding the ROI of this cardiology program/technology.
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