Table 3.

Clinician Use of the KCCQ-12 Data in Clinical Practice

Major Uses of KCCQ-12	Exemplar Quotes
Improve the consistency of patient history taking	“I think i’ts very helpful! … my history-taking can be a little bit variable from how the APP does it, from how someone else does it. But I think the nice thing about the PRO is, it standardizes that to a larger extent.” (Clinician 2)
Focus patient-clinician conversations	“I can tell you that it definitely facilitates the interaction process and the conversation we have as clinician and patient…for now i’ts just something I use to help guide me and speed up the process of figuring out where the patient is and what I want to do to help them.” (Clinician 14)
Collect a more accurate account of patient health status	“Yeah. I mean, I sometimes just ask patients about it. “It doesn’t seem like all much has changed, but yet the way you answered the questionnaire, it seems like you’re pretty limited. Is this the way you’ve always been, or is this something new?”….They answer that a little bit more honestly than to you… people just don’t want to complain, but when you ask them on a piece of paper, maybe they’re a little bit more honest.” (Clinician 7) “And the score will give me a little bit more insight into maybe where they really are as opposed to where they try to convey to me that they are. So again, that helps to minimize the time I have to spend digging with questions to come up with what I think is the right answer as far as what the patient feels.” (Clinician 14)
Track trends in patient wellbeing over time	“…if i’ts trended over time where they’ve done it now one or two times, I find that interesting to see for sure. I’ve used it in those cases, especially with recent hospitalizations where we’ve made medical changes to their… Changes to their medication. I’ts been helpful to see the subjective report and then try to compare it to the clinical evidence.” (Clinician 10)
Gather data for clinical decision making	“I don’t think it necessarily changed my care. I wouldn’t say it changed my management… But, I think it helped me acquire the data that helps me change my management a little bit differently. But ultimately, I don’t think it sort of changed, ultimately, what I ended up do[ing].” (Clinician 2)

KCCQ- Kansas City Cardiomyopathy Questionnaire 12, APP-Advanced Practice Providers, PRO-Patient Reported Outcomes