INITIAL APPLICATION FOR APPROVAL TO DEVELOP AN
ISHLT Standards, Guidelines, Consensus, or Policy Document
Submit this completed Application to amanda.rowe@ishlt.org at least 4 weeks prior to the date by which
approval is required. If approved, additional information will be requested and a list of next steps will be
provided.
IMPORTANT NOTE: All proposals must be submitted to ISHLT HQ office by the Standards and
Guidelines Workforce Leader of the sponsoring Council.
1. Date:
2. Official Title of the Document (please be as clear and specific as possible):
3. Submitter Name:
4. Project Leader Name(s) (All Project Leaders must be current active ISHLT members):
5. Sponsoring Council:
6. Has this proposal been formally submitted to and formally approved by the Sponsoring Council’s
Operating Board: _____ Yes _____ No
7. If yes, which Council(s):
8. Would it be useful/appropriate to develop this document in collaboration with one or more other
Councils?
___ Yes
___ No
9. If yes, which Council(s):
10. If no, why?
11. Type of Document (please select one; please refer to the ISHLT Guidelines Development Protocol and
the list of Guidelines on the ISHLT web site to determine the best category for your document):
___ Professional Practice Guidelines
___ Consensus Statement
___ Standards Statement
___ Policy Statement
___ Other (please describe):
12. Scope of Project:
___ International
___ North American
___ Other (please specify):
13. Rationale for Scope of Project if other than International:
14. Target Audiences (please indicate below ALL specialties that may be able to provide useful input into
the document or who may find the information in the document useful in their professional practice):
___ Cardiology
___ Cardiothoracic Surgery
___ Infectious Diseases
___ Mechanical Circulatory Support
___ Nursing, Social Sciences, Allied Health
___ Pathology
___
___
___
___
___
___
Pediatrics
Pharmacy
Pulmonology
Pulmonary Hypertension
Thoracic Surgery
Other (please list):
15. Purpose and Goals of Document:
16. Please list all other documents that have been published by any organizations in the last 10 years
addressing this or a similar topic and the organizations that have developed them:
17. Please describe the current need for the proposed Document, including a brief review of the
general areas covered by prior documents (including those from other organizations) and the reason
why a new or updated document is needed:
18. Would it be appropriate/useful to develop this document in collaboration with one or more other
organizations? ___ Yes
___ No
19. If no, why?
20. If yes, please list the organizations:
21. Would it be appropriate/useful to obtain endorsement of this document in collaboration from one
or more other organizations? ___ Yes
___ No
22. If no, why?
23. If yes, please list the organizations:
24. Desired Format of Output (check all that apply; please refer to Guidelines Development Protocol
document section V for all publication options)
___ Full Guidelines in JHLT
___ Executive Summary only in JHLT
___ Full Guidelines in printed Monograph
___ Full Guidelines in e-only Monograph
___ Presentation at ISHLT Annual Meeting
___ Publication in another organization’s journal (please describe):
___ Other (please describe):
25. Proposed document writing start date (at least 4 months after the date of submission of this
application):
26. Will face to face meetings be required, or can the writing process take place electronically?
___ Face to Face Meetings will be required
___ The writing process can take place electronically
27. If face to face meetings will be required, please explain how many will be needed, whether they
can be conducted in conjunction with the ISHLT Annual Meeting or another meeting, and provide a
justification for why the work cannot be conducted electronically.
Please submit this completed application to Amanda.Rowe@ishlt.org.
Thank you!