Get Scaicap Form

This guide provides a clear and structured approach for filling out the Scaicap Form online. Designed to support users at all levels of experience, this resource will walk you through each section and field, ensuring a comprehensive understanding of the requirements.

Follow the steps to complete the Scaicap Form.

1. Press the ‘Get Form’ button to access the Scaicap Form and open it in your preferred online platform.
2. In the 'Facility Identification and Program Contacts' section, enter the name of your hospital, FEIN number, and the CEO or equivalent's name and title. Fill in the contact person's name, title, address, email, telephone, and fax number as applicable.
3. Provide information about the sites or disciplines within the institution that perform carotid artery stenting, including the names and titles of personnel involved.
4. Move on to the 'General Hospital Information' section. Include details about the hospital's accreditation status and classification, selecting the appropriate options from the given categories.
5. In the 'Specific Hospital Information' section, document the annual volume of carotid artery procedures performed for the past two years, including the total numbers of carotid stents and carotid endarterectomies (CEAs).
6. List all credentialed physicians who perform these procedures, including their board certifications and the number of primary operator procedures they have completed.
7. Complete the 'Standard Checklist' for each site where carotid artery stenting is conducted. Indicate the presence of high-quality imaging equipment, monitoring systems, and staffing requirements.
8. Proceed to summarize the facility's carotid stent experience during the reporting period by providing statistics on procedures performed and patient demographics as outlined.
9. Fill out individual data elements on each patient, ensuring to include their medical records, demographic data, complications, and any relevant procedure details.
10. Finalize the form by reviewing all entries for accuracy. Save any changes made, and ensure to download, print, or share the completed form as required.

Complete the Scaicap Form online today to ensure your facility meets the accreditation standards.