Updates on Heart Failure Management
Innovations in Left Ventricular Assist Devices (LVADs) for End-stage Heart Failure
The number of individuals with end-stage heart failure continues to increase, but there has been little change in the availability of organs for cardiac transplantation. Therefore, the demand for LVADs as a bridge to transplantation, destination therapy or bridge to recovery has increased. This session will discuss how LVAD technology has evolved, resulting in improvements in outcomes. It will also review the importance of appropriate patient selection and implementation of a multidisciplinary team approach as keys to improved clinical outcomes.
New Allocation Policy for Heart Transplant
In October 2018, the United Network for Organ Sharing (UNOS) implemented extensive changes to its adult-heart-allocation policy. The modifications are aimed at better stratifying the most medically urgent heart transplant candidates and addressing geographic disparities that impact access to donor organs. It also takes into account the increasing effectiveness and growing use of mechanical circulatory support devices (MCSDs) used to treat heart disease. This session will describe the principles guiding geographic organ distribution, including the paradigm shift for individuals with MCSDs.
This activity is provided by OptumHealth Education.
No commercial support was received for this activity.
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This activity is designed to meet the educational needs of case managers, nurses, pharmacists, pharmacy technicians, physicians and other health care professionals (HCPs) who are interested in heart failure.
At the end of this educational activity, participants should be able to:
- Review recent changes in technology, patient selection, management and implant decision making in left-ventricular-assist-device (LVAD) therapy.
- State the importance of a multidisciplinary team approach in the management of LVAD patients to improve morbidity and mortality.
- Describe the principles guiding geographic organ distribution.
- Discuss the paradigm shift for individuals with mechanical circulatory support devices (MCSDs) awaiting heart transplantation.
- Outline changes designed to decrease mortality rates for heart transplant-eligible patients on the waitlist.
Jerry Estep, MD
Michael Abecassis, MD, MBA
J. Roscoe Miller Distinguished Professor
Departments of Surgery and Microbiology/Immunology
Feinberg School of Medicine, Northwestern University;
Chief, Division of Organ Transplantation
Northwestern Memorial Hospital;
Founding Director, Comprehensive Transplant Center
Sarah Chart, RN
Eden Prairie, MN
Rebecca Gleason, RN, CCM
Eden Prairie, MN
C. Fred LeMaistre, MD
Senior Vice President
Sarah Cannon Market Operations
Physician in Chief of Blood Cancers
Tina Rydland, PharmD
Crystal Clear Rx
Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education requires all those in the control of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services relate to the activity content.
OptumHealth Education ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.
Dr. Estep has reported the following relationship:
- Abbott: Consultant and Speakers Bureau
- Medtronic, Inc.: Advisory Board
The remaining activity planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
Credit designation statements
This activity was planned by and for the health care team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credits for learning and change.
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
This activity is approved for 1.00 contact hour ([0.10] CEU) in states that recognize ACPE.
Attending the full program will earn 1.00 contact hour.
Unique Activity Number(s):JA0007123-0000-19-188-H01-P/T
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
The Commission for Case Manager Certification has approved this program for a maximum of 1.00 clock hours for Certified Case Managers (CCM).
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.
- 1.00 ACPE - Pharmacists
- 1.00 ACPE - Pharmacy Technicians
- 1.00 AMA - Physicians
- 1.00 ANCC - Nurses
- 1.00 Attendance - General Attendance
- 1.00 CCMC - General - Case Managers
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