Submission Details First Name: Last Name: Email: Profession: Administration/Management/Decision MakerHealthcare Professional (Non-Physician)Healthcare Professional (Physician)General Public/Person living with a lung disease, family members & caregiversResearcher/ScientistStudent/Resident/FellowOther Healthcare Provider (Physician) options *—Please choose an option—Family PhysicianHospitalistIntensivistInternistOncologist (Medical)Oncologist (Radiology)PsychiatristRadiologistRespirologistSurgeonPaediatriciansAllergistOther Other Profession: Healthcare Provider (Non-Physician) options *—Please choose an option—DieticianNurse (RN)Nurse (RPN or LPN)Nurse PractitionerOccupational TherapistPharmacistPhysiotherapistPsychologistRespiratory TherapistSocial WorkerTechnicianKinesiologistOther General Public options—Please choose an option—Person living with lung conditionParent/Guardian of a person living with a lung conditionFamily member of a person living with a lung conditionCaregiver who is also a healthcare professionalCaregiver who is not a healthcare professionalGeneral PublicPrefer not to say Other Physician: Other Non-Physician: Organization (if applicable): Postal Code/Zip: Tool InformationPlease provide the following information to assist us in our indexing and reviewing of the Tool: Full title of the Tool, and the acronym, if appropriate: Link to the Tool: Provide a short description of the Tool (i.e., 1-2 sentences): Indicate the owner or author of the Tool (i.e., organization or individual): Publication year of the Tool: Identify the intended patient population for the Tool: If there is any peer-reviewed evidence for the Tool, please include the article link(s) here: Indicate the format of the Tool (i.e., PDF, Fillable PDF, Website, EMR integrated software tool, or other):PDFFillable PDFWebsiteEMR integrated software toolOther Other Tool Format: Identify the Asthma Quality Statement most relevant to the Tool:DiagnosisAsthma ControlAsthma MedicationSelf-Management Education and Asthma Action PlanReferral to Specialized Asthma CareFollow-Up After DischargeQuality Improvement Resources Please provide key words for the Tool (that a user could use to search for the tool): Decision Support GuidanceOne bullet point per answer will suffice. Who might use this tool? (e.g., list different healthcare professionals): When might they use this tool? (e.g., list examples of instances): Why might they use this tool? (e.g., list benefits or reasons to use the tool): What are important considerations for using this tool? (e.g., list usage specifications or instructions):
