<strong>Outpatient</strong> <strong>Management</strong> <strong>of</strong> <strong>Heart</strong> <strong>Failure</strong> Program Development and Experience in Clinical Practice Release date: November 2004 Expiration date: November 2005 Estimated time to complete activity: 1.5 hours Sponsored by the Postgraduate Institute for Medicine This activity is supported by an educational grant from the following: This activity has been planned and produced in accordance with the ACCME Essential Areas and Policies. ©2004 by the Center for Healthcare Education and Research
Target Audience This activity has been designed to meet the educational needs <strong>of</strong> cardiologists, registered nurses, and other healthcare pr<strong>of</strong>essionals involved in the management <strong>of</strong> patients with heart failure (HF). Statement <strong>of</strong> Need/Program Overview HF is responsible for approximately 900,000 hospitalizations every year, utilizing extraordinary amounts <strong>of</strong> healthcare resources. There are significant benefits to treating patients with HF in an outpatient setting. This publication provides an overview <strong>of</strong> the structure and treatment approaches used at the Advocate <strong>Heart</strong> <strong>Failure</strong> Institute and presents the lessons learned in developing and implementing a comprehensive outpatient HF management program. Purpose Provide an overview <strong>of</strong> the structure and treatment approaches used at the Advocate <strong>Heart</strong> <strong>Failure</strong> Institute and present the lessons learned in developing and implementing a comprehensive outpatient HF management program. Educational Objectives On completion <strong>of</strong> this activity, participants should be better able to • Describe the core components <strong>of</strong> a HF disease management program. • Explain the transition process <strong>of</strong> a patient from inpatient to outpatient management. • Discuss drug treatment protocols used in HF. Faculty Marc A. Silver, MD Director, <strong>Heart</strong> <strong>Failure</strong> Institute Advocate Christ Hospital and Medical Center Oak Lawn, IL Pamela Cianci, RN, MSN, APN, BC Advocate Christ Hospital and Medical Center Oak Lawn, IL Carol L. Pisano, RN, BSN, CCRN Manager, Congestive <strong>Heart</strong> <strong>Failure</strong> Clinic Advocate Christ Hospital and Medical Center Oak Lawn, IL Disclosure Statements The Postgraduate Institute for Medicine (PIM) has a conflict <strong>of</strong> interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content <strong>of</strong> their presentations and materials. It is not assumed that these financial interests or affiliations will have an adverse impact on faculty presentations; they are simply noted here to fully inform participants. Marc Silver, MD Consultant: Abbott Laboratories, Medtronic, Cardiodynamics, Paracor, GlaxoSmithKline Speakers’ Bureau: Scios, Inc.; Aventis Pharmaceuticals; Biosite Visiting Faculty for Vascular Biology Working Group: Medcon Pamela Cianci, RN, MSN, APN, BC Speakers’ Bureau: GlaxoSmithKline; Scios, Inc. Carol L. Pisano, RN, BSN, CCRN Speakers’ Bureau: Medtronic; Scios, Inc. Physician Continuing Medical Education Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies <strong>of</strong> the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship <strong>of</strong> the Postgraduate Institute for Medicine and the Center for Healthcare Education and Research. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation The Postgraduate Institute for Medicine designates this educational activity for a maximum <strong>of</strong> 1.5 category 1 credits toward the AMA Physician’s Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity. Nursing Continuing Education CNA/ANCC This educational activity for 1.8 contact hours is provided by Postgraduate Institute for Medicine. Postgraduate Institute for Medicine is an approved provider <strong>of</strong> continuing education by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. California Board <strong>of</strong> Registered Nursing The Postgraduate Institute for Medicine is approved by the California Board <strong>of</strong> Registered Nursing, Provider Number 13485 for 1.8 contact hours. Method <strong>of</strong> Participation There are no fees for participating and receiving CME credit for this activity. During the period November 2004 through November 30, 2005, participants must (1) read the learning objectives and faculty disclosures; (2) study the educational activity; (3) complete the posttest by recording the best answer to each question in the answer key on the evaluation form on page 31; (4) complete the evaluation form; and (5) mail or fax the evaluation form with answer key to the Postgraduate Institute for Medicine. A statement <strong>of</strong> credit will be issued only upon receipt <strong>of</strong> a completed activity evaluation form and a completed posttest with a score <strong>of</strong> 70% or better. Your statement <strong>of</strong> credit will be mailed to you within three weeks. Disclosure <strong>of</strong> Unlabeled Use This educational activity may contain discussion <strong>of</strong> published and/or investigational uses <strong>of</strong> agents that are not indicated by the FDA. PIM; the Center for Healthcare Education and Research; Scios, Inc.; Cardiodynamics; and Biosite do not recommend the use <strong>of</strong> any agent outside <strong>of</strong> its labeled indications. The opinions expressed in the educational activity are those <strong>of</strong> the faculty and do not necessarily represent the views <strong>of</strong> PIM; the Center for Healthcare Education and Research; Scios, Inc.; Cardiodynamics; and Biosite. Please refer to the full Prescribing Information for each product for discussion <strong>of</strong> approved indications, contraindications, and warnings. Disclaimer Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes as well as their own pr<strong>of</strong>essional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses <strong>of</strong> diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation <strong>of</strong> their patients’ conditions and possible contraindications or dangers in use, review <strong>of</strong> any applicable manufacturer’s product information, and comparison with recommendations <strong>of</strong> other authorities.
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