Consultation Survey on MSAC Application 1518 Endoscopic – non-contact (side firing) visual laser ablation of the prostate (VLAP) for benign prostatic hyperplasia (BPH) (Version 0.1) This feedback survey relates to the application form and Population, Intervention, Comparator and Outcome (PICO) Confirmation for new and amended requests for public funding (including but not limited to the Medicare Benefits Schedule (MBS)). Please use this template, to prepare your feedback on the application form and/or the PICO Confirmation. You are welcome to provide feedback from either a personal or group perspective for consideration by the Department of Health when the application is being reviewed. The data collected will be used to inform the Medical Services Advisory Committee (MSAC) process to ensure that when proposed healthcare interventions are assessed for public funding in Australia, they are patient focused and seek to achieve best value. This feedback survey should take approximately 15 minutes to complete. You may also wish to supplement your responses with further documentation or diagrams or other information to assist the Department in considering your feedback. Thank you for taking the time to provide valuable feedback. Responses may be provided to the MSAC, its subcommittees, a health technology assessment and the applicant. Should you require de-identification please contact the HTA team (details below). While stakeholder feedback is used to inform the application process, you should be aware that your feedback may be used more broadly by the applicant. Please reply to the HTA Team: HTA@health.gov.au Postal: MDP 959 GPO 9848 ACT 2601 Phone: 02 6289 7550 PART 1 PERSONAL AND ORGANISATIONAL INFORMATION – Respondent details Name:
Consultation Survey on MSAC Application 1518 – Endoscopic non-contact (side firing) visual laser ablation of the prostate (VLAP) for benign prostatic hyperplasia (BPH) (Version 0.1) This feedback survey relates to the application form and Population, Intervention, Comparator and Outcome (PICO) Confirmation for new and amended requests for public funding (including but not limited to the Medicare Benefits Schedule (MBS)). Please use this template, to prepare your feedback on the application form and/or the PICO Confirmation. You are welcome to provide feedback from either a personal or group perspective for consideration by the Department of Health when the application is being reviewed. The data collected will be used to inform the Medical Services Advisory Committee (MSAC) process to ensure that when proposed healthcare interventions are assessed for public funding in Australia, they are patient focused and seek to achieve best value. This feedback survey should take approximately 15 minutes to complete. You may also wish to supplement your responses with further documentation or diagrams or other information to assist the Department in considering your feedback. Thank you for taking the time to provide valuable feedback. Responses may be provided to the MSAC, its subcommittees, a health technology assessment and the applicant. Should you require de-identification please contact the HTA team (details below). While stakeholder feedback is used to inform the application process, you should be aware that your feedback may be used more broadly by the applicant. Please reply to the HTA Team: HTA@health.gov.au Postal: MDP 959 GPO 9848 ACT 2601 Phone: 02 6289 7550 PART 1 – PERSONAL AND ORGANISATIONAL INFORMATION Respondent details Name: