SCAI has worked to address the challenges involved with utilizing appropriate use criteria in clinical practice through its SCAI Quality Improvement Toolkit and the Accreditation for Cardiovascular Excellence, according to this article. SCAI Trustee Dr. Tony Farah, chief medical officer at West Penn Allegheny Health System, says there is a considerable gray area when determining a course of action, and multiple considerations including consultation with patients need to be part of the decision-making process. Farah suggests revised terminology could improve such discussions with patients.