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Optimizing Medical Therapy for Chronic Heart Failure

Curriculum

THE PROBLEM
Intractable. Success in treating 6 million patients in America with heart failure (HF) is limited, as the medical community has not yet embraced new guidelines and best practices on optimal medical therapy (OMT) for chronic HF.
THE GOAL
Simple. To reduce the performance variation by clinicians when prescribing OMT for chronic HF, reduce hospitalizations and readmissions, and forge a partnership with patients and caregivers to enhance self-care strategies.
OUR EDUCATION
Comprehensive. Three steps comprise the curriculum: Learn. Online videos review foundational precepts. Practice. Live meetings sharpen your skills. Perform. Activities and after-education coaching reinforce the lessons learned.

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Expert Perspectives (Online Videos)
0.50 CME/CNE CREDITS EACH
OVERVIEW +

Chronic Heart Failure: Stretching Care
Beyond Its Limits

Akshay Desai, MD, MPH
Show Description
0.50 / AMA PRA Category 1 CreditTM
0.50 / CNE Contact Hour

Despite great progress in improving outcomes in other cardiovascular diseases (eg, acute coronary syndrome/myocardial infarction), we have seen limited success in heart failure prevention and management for a variety of reasons that include inadequate or inappropriate optimal medical therapy. While other variables such as initial hospitalization rates are declining in the United States, post-discharge mortality and readmission rates remain stable and may be trending upward, despite a multifaceted approach to after-hospitalization management.

Reduced versus Preserved:
The Heart Classification that Matters

Biykem Bozkurt, MD, PhD
Lee Goldberg, MD, MPH
Show Description
0.50 / AMA PRA Category 1 CreditTM
0.50 / CNE Contact Hour

Classifying patients with heart failure (HF) according to type of cardiac dysfunction—reduced (r) or preserved (p) ejection fraction (EF)—provides a well-defined patient population. HFrEF and HFpEF have different pathophysiologiesthat require different treatment approaches. Approximately 60% of all HF cases are thought to be systolic or HFrEF, and the remainder are classified as HFpEF. In HFrEF, reduced left ventricular systolic function leads to a decreased EF and cardiac output, resulting in decreased systemic perfusion.

Guideline-Directed Pharmacologic Treatment of Chronic HF: The First Step to Improved Care

Lee Goldberg, MD, MPH
Show Description
Studies show that for patients with heart failure (HF) there is inadequate use of guideline-recommended optimal medical therapy (OMT)—such as angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs) in appropriate HF patients—coupled with inadequate patient education on disease self-management. Beta-blockers (BBs) and aldosterone antagonists are especially underused, as are implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy (CRT) ICDs. Education is also needed on uptitration recommendations.

Guideline-Driven Game Changers:
Integrating Sacubitril/Valsartan into Practice

Biykem Bozkurt, MD, PhD
Lee Goldberg, MD, MPH
Coming Soon

Guideline-Driven Game Changers:
Integrating Ivarbadine into Practice

Biykem Bozkurt, MD, PhD
Lee Goldberg, MD, MPH
Coming Soon

Chronic HF Hospitalization and
Reducing Readmission

Akshay Desai, MD, MPH
Coming Soon

Understanding Heart Failure
Core Measures: Got Data?

Cathleen Biga, RN, MSN
Coming Soon
Special Considerations for Women and Communities of Color: Monologues to Dialogues​​ (Online Videos)
1.00 CME/CNE CREDIT EACH
OVERVIEW +

Case: A 63-Year-Old Female HF Patient Recently Diagnosed With HFpEF

Biykem Bozkurt, MD, PhD
Akshay Desai, MD, MPH
Lee Goldberg, MD, MPH
Coming Soon

Case: A 42-Year-Old African American Man
With HF Recently Discharged From the Hospital

Michelle Johnson, MD
Eldrin Foster Lewis, MD, MPH
Coming Soon

Case: A 52-Year-Old Native American Woman With HFrEF

Carlos J. Rodriguez-Reyes, MD, MPH, FACC, FAHA
Dena Wilson, MD, FACC
Coming Soon

Case: A 59-Year-Old Hispanic Man with HF and Multiple Comorbidities: A Caregiver's Perspective

Carlos J. Rodriguez-Reyes, MD, MPH, FACC, FAHA
Dena Wilson, MD, FACC
Coming Soon
Viewpoints in Heart Failure (E-Articles)
0.50 CME/CNE CREDITS EACH
OVERVIEW +

More information coming soon.
Live Meetings
2.00 CME/CNE credits each
OVERVIEW +

Lessons for the Front Line: How to Reduce Performance Variation in Chronic HF Management—
Regional Community Hospitals

Cathleen Biga, RN, MSN
Akshay Desai, MD, MPH
A 2-hour interactive live session that puts into practice the lessons learned from other activities in the curriculum. These hands-on sessions will take place in regional community hospitals--full details on dates and locations coming soon. Give us your email and we will notify you as soon as dates and locations are set.


Lessons for the Front Line: How to Reduce Performance Variation in Chronic HF Management—
Veterans Administration Hospitals

Cathleen Biga, RN, MSN
Akshay Desai, MD, MPH
A 2-hour interactive live session that puts into practice the lessons learned from all previous curricula. These sessions will take place in VA hospitals. Concurrent, 90-minute sessions for the patient and caregiver will cover issues such as nutritional coaching and self-care. Full details on dates and locations coming soon. Give us your email and we will notify you as soon as dates and locations are set.

Reinforcing Activities (Online Video/Article/After-Education Program)
1.00 CME/CNE credit each
OVERVIEW +

Lessons for the Front Line: How to Reduce Performance Variation in Chronic HF Management


This online video will capture one of the live meetings described above.
Coming Soon

Concerns and Controversies over New Treatments in Chronic HF


A provocative point-counterpoint discussion article on key chronic HF issues available in both print and online.
Coming Soon

Coaching for Performance Improvement (CoPI)
(A Clinical Performance Improvement Online Activity)
Partner with the American College of Cardiology for the Coaching for Performance Improvement (CoPI) after-education program, an asynchronous online learning experience where we will challenge you to “Complete the Circuit” by strengthening your prescribing practices with our Heart Failure Performance Improvement (HFPI) coaches.
Coaching
Chalk Talk
Listen as HFPI coaches review strategies that add to your prescribing practices playbook.
Virtual Office Hours
Cultivate conversation with HFPI coaches by posting questions and receiving same-day feedback.
The Studio
Group Workout
Limber up by connecting with peers to network, catch up on current news, and connect on shared goals.
The Brain Gym
Pocket Partner
Track your progression using a step-wise guide and additional resources to improve OMT.
Coffee and Cases
Evaluate case-based scenarios to flex your mental muscles and test your fitness.