Improving Guideline-Based Cholesterol Management in Your Patients
The goal of this activity is to provide physicians and nurses an opportunity to improve in managing their patients with CVD risk to LDL-cholesterol goals according to the 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Disease (ASCVD) Risk in Adults. Using your clinical practice data on current rates of statin therapy for patients in each of three high ASCVD risk benefit groups, care teams will work to design and implement a minimum of two Plan-Do-Study-Act cycles to improve their rates of managing these ASCVD risk patients. Tools and resources for improvement will be provided throughout the process.
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Improving Guideline-Based Cholesterol Management in Your Patients 


Participation and Successful Completion

Successful completion of this Maintenance of Certification Part IV (MOC) and CME/CE activity includes the following activities captured in two PDSA cycles:

  1. Register and view the course online.
  2. View the content in its entirety.
  3. Enter your baseline data; numerator and denominator.
  4. Enter your project AIM.
  5. Implement your first improvement effort.
  6. Enter your cycle 1 data results; numerator and denominator.
  7. Assess your progress.
  8. Implement improvement effort.
  9. Enter your cycle 2 data results; numerator and denominator.
  10. Complete and Improvement Reflection Assessment.
  11. Complete a survey of your learning experience.
  12. Print your CME/CE Certificate from your own printer.

Following completion of this activity, American Heart Association/American Stroke Association will submit each physician’s information to the American Board of Medical Specialties (ABMS). ABMS will submit completion information to the appropriate member board. Physicians seeking MOC credit may follow up with their member board if they have any questions.

There is no fee for MOC or CME/CE credits for this activity. Physician diplomats are responsible for any relevant fees to their member board. The link to the CME/CE “Professional Education Center” website is 
learn.heart.org.

For those seeking MOC Part IV credit, participants must complete this activity by December 1st to allow time for processing to physician boards. 

Hardware/Software Requirements
Internet Explorer 7 or greater
Firefox (Latest Version)
Google Chrome
Windows 7 or above
Safari (Latest Version)
Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh.
Mac OS 10.4

Target Audience
Physicians 
Primary Care
Nurses


Description
The goal of this activity is to provide physicians and nurses an opportunity to improve in managing their patients with CVD risk to LDL-cholesterol goals according to the 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Disease (ASCVD) risk in Adults.  Using data on current rates of statin therapy for patients in each of three high ASCVD risk groups, care teams will design a minimum of two Plan-Do-Study-Act cycles to improve their rates of managing ASCVD risk patients.  Tools and resources for improvement will be provided throughout the process.


Learning Objectives
Learners participating in this activity will:

  1. Examine current processes for identifying patients within their practice who are high risk for ASCVD based on the PQRS #438 risk groups and the ASCVD risk calculator
  2. Identify opportunities to improve clinical care processes
  3. Apply appropriate interventions for those patients identified as ASCVD high risk
  4. Execute revised strategies to improve clinical care processes


Recommended Schedule

Estimated Time to Complete the Educational Activity:
Participants will complete this effort in 4 to 6 months.

Expected Timeframe

Activity

Week 1-2

Complete current process map, begin ideal process and start the PDSA planning

Week 3-6

Begin implementing improvement intervention; review and refine ideal process and PDSA

Week 7-8

Identify opportunities and review successes weekly

Week 8-10

Begin 2nd intervention cycle and continue to identify opportunities

Week 11-12

Continue to identify opportunities, review progress and recap with peers

Week 13-16

Complete reflection



Faculty
Lewis Foxhall, MD

Chair, The Guideline Advantage Continuous Quality Improvement Subcommittee 
Vice President for Health Policy & Professor, Clinical Cancer Prevention
The University of Texas
MD Anderson Cancer Center
Mailing Address: 1515 Holcombe Blvd. Unit 1487
Houston, TX 77030

Amber Hoover, RN, MSN
Guideline Transformation and Optimization Senior Program Manager
American Heart Association/American Stroke Association
Mailing Address: 4380 SW Macadam Ave, Suite 480
Portland, OR 97239

Katherine Kuban, BS
Manager, Outpatient Quality Improvement
American Heart Association/American Stroke Association
Mailing Address: 7272 Greenville Ave
Dallas, TX 75231



Accreditation Statements
 
In support of improving patient care, the American Heart Association 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 healthcare team.

AMA Credit Designation Statement - Physicians  

The American Heart Association designates this PI CME activity for a maximum of 20.00 AMA PRA Category 1 Credits™. Completion of the full PI CME cycle is a prerequisite for claiming credit. Physicians completing, in sequence, all three stages (A – C) of this structured PI CME activity will be awarded 20.00 AMA PRA Category 1 Credits™. 

AAPA Credit Acceptance Statement – Physician Assistants 

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 20.00 hours of Category I credit for completing this program. 

AANP Credit Acceptance Statement – Nurse Practitioners 

American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credit TM from organizations accredited by the ACCME. 

**AMA credit must be claimed within 6 months of completion. CME credit will no longer be available to claim after the 6-month claiming period has elapsed. 

ANCC Credit Designation Statement - Nurses

The maximum number of hours awarded for this CE activity is 20.00 contact hours. 

**ANCC Credit must be claimed within 6 months of attendance. CME/CE will no longer be available to claim after the 6 months claiming period.

AHA TGA MOC Statement

This QI Effort meets MOC Part IV Standards and Guidelines for the ABMS Multi-Specialty Portfolio Approval Program Organization and is eligible for MOC Part IV through participating ABMS Member Boards.  

As an Approved Portfolio Sponsor, American Heart Association has been approved by the ABMS Multi-Specialty Portfolio Approval Program Organization to approve QI Efforts for MOC Part IV through 3/1/2018.


 

Estimated Time to Complete the Educational Activity
4 to 6 months


Disclosures
All persons who develop and/or control educational content in CME/CE activities provided by the American Heart Association will disclose to the audience all financial relationships with any commercial supporters of this activity as well as with other commercial interests whose lines of business are related to the CME/CE-certified content of this activity.  In addition, presenters will disclose unlabeled/unapproved uses of drugs or devices discussed in their presentations.  Such disclosures will be made in writing in course presentation materials. 

 

Faculty Member

Employment

Research Grant

Consultant/

Advisory Board

Stock Shareholder (directly purchased)

Honoraria

Other Speaker’s Bureau

Lewis Foxhall, MD

The University of Texas; MD Anderson Cancer Center

None

None

None

None

None

Vera Bittner, MD MSPH

University of Alabama at Birmingham

*Listed below

 

None

None

None

None

Mary Ann Bauman, MD

Board Certified Internal Medicine Physician

None

None

None

None

None

Steven Minnick, MD, MBA

St John Hospital and Medical Center

None

None

None

None

None

Byron Marquez, DO

Whittier Clinic

None

None

None

None

None

Katherine Kuban

AHA/ASA

None

None

None

None

None

Amber Hoover, RN

AHA/ASA

None

None

None

None

None

 * Dr. Bittner has disclosed the following potential conflicts. Each conflict was resolved during her participation.
  1. Sanofi/Regeneron: Contract between the company and University of Alabama Birmingham (UAB) to allow me to serve on the Steering Committee of the Odyssey Outcomes trial.
  2. Astra Zeneca: Contract between the company and UAB to allow me to serve as a National Coordinator of the STRENGTH trial.
  3. Astra Zeneca: Contract between the company and UAB to allow me to serve as site PI of the ARTEMIS trial.
  4. Dalcor: Contract between the company and UAB to allow me to serve as National Coordinator for the DALGENE trial.
  5. Eli Lilly: Contract between the company and UAB to allow me to serve on the Steering Committee for a PCSK9 inhibitor trial. The trial does not have an acronym at this time.
  6. Bayer: Contract between the company and UAB to allow me to serve as site PI for the COMPASS trial.
  7. Amgen: Contract between the company and UAB School of Public Health to allow me to serve as an investigator on pharmacoepidemiological analyses of the Medicare database and other databases (PI: Dr. Paul Muntner).

This table represents the relationships of this educational activity’s faculty members that may be perceived as actual or reasonable perceived conflicts of interest as reported on the Disclosure Questionnaire which all AHA volunteers are required to complete and submit. The focus is on relevant financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content.


Medium
This activity is a quality improvement activity that will be completed in your practice. Your progress will be recorded through this internet application.

Contact Information

To contact the American Heart Association for any questions, please call our customer support center at 888-242-2453Questions related to the MOC activity, please contact Katherine Kuban at 
Katherine.Kuban@heart.org.         

Policy on Privacy and Confidentiality

Please see the privacy link at the bottom of the Professional Education Center.

Copyright Information
Please see the link at the bottom of the Professional Education Center.

Commercial Support
Sanofi-Regeneron has provided support for the technical hosting of the "Improving Guideline-Based Cholesterol Management in Your Patients" Maintenance of Certification activity. No support has been received for the development of the content.

Type:  PI CME Activity
FREE
Activity Price
106 Registered Users
Credits
20 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit

0 Credits> American Heart Association> AHA

20 Hours> American Nurses Credentialing Center> ANCC