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Optimizing Guideline-Recommended Heart Failure Treatment at Transitions of Care


Experts review the importance of optimizing guideline-recommended treatment in patients with heart failure at transitions of care.

Physician Assistants/Physician Associates: 1.00 AAPA Category 1 CME credit

Physicians: maximum of 1.00 AMA PRA Category 1 Credit

Released: March 13, 2023

Expiration: March 12, 2024



Javed Butler

Javed Butler, MD, MPH, MBA

Baylor Scott and White Research Institute
Dallas, Texas
Distinguished Professor of Medicine
Department of Medicine
University of Mississippi Medical Center
Jackson, Mississippi

Michelle Kittleson

Michelle Kittleson, MD, PhD

Professor of Medicine
Department of Cardiology
Smidt Heart Institute
Cedars-Sinai Medical Center
Los Angeles, California

Provided by

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This educational activity is supported by education grants from

Boehringer Ingelheim Pharmaceuticals, Inc.

Novartis Pharmaceuticals Corporation

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Compare the risks and benefits of optimizing guideline-directed medical therapy during a hospitalization for HF 

  • Evaluate recent clinical trial efficacy and safety data for HF treatment initiation in patients currently or recently hospitalized for HF

  • Incorporate best practices for the management of patients with HF during transitions of care


Clinical Care Options, LLC (CCO) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose all financial conflicts of interest (COI) they may have with ineligible companies. All relevant COI are thoroughly vetted and mitigated according to CCO policy. CCO is committed to providing its learners with high-quality CME/CE activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education and the University of Cincinnati policy, all faculty, planning committee members, and other individuals, who are in a position to control content, are required to disclose all relationships with ineligible companies* (commercial interests) within the last 24 months. All educational materials are reviewed for fair balance, scientific objectivity, and levels of evidence. The ACCME requires us to disqualify from involvement in the planning and implementation of accredited continuing education any individuals (1) who refuse to provide this information or (2) whose conflicts of interests cannot be mitigated. *Companies that are ineligible to be accredited in the ACCME System (ineligible companies) are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

All relevant relationships have been mitigated.  The following disclosures were made:

Javed Butler, MD, MPH, MBA: consultant: Abbott, Adrenomed, Amgen, Array, AstraZeneca, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, CVRx, G3 Pharmaceutical, Impulse Dynamics, Innolife, Janssen, LivaNova, Luitpold, Medtronic, Merck, Novartis, Novo Nordisk, Roche, Vifor; speaker: AstraZeneca, Boehringer Ingelheim, Impulse Dynamics, Merck, Novartis, Vifor.

Michelle Kittleson, MD, PhD, has no relevant financial relationships to disclose.

The planners and content peer reviewers from the University of Cincinnati and Clinical Care Options, LLC do not have any relevant financial relationships to disclose, except Daniel Thibodeau, as noted below.

Daniel Thibodeau, DHSc, MHP, PA-C: consultant/advisor/speaker: Arbor Pharmaceuticals.

Instructions for Credit

Participation in this self-study activity should be completed in approximately 1.00 hours. To successfully complete this activity and receive credit, learners must follow these steps during the period from March 13, 2023, through March 12, 2024:  

  1. Create an account or Login at
  2. Read the target audience, learning objectives, and faculty disclosures.
  3. View and study the content in its entirety
  4. Submit answers to the post-test questions and evaluation questions online.

You must receive a test score of at least 65 and respond to all evaluation questions to receive a certificate. After submitting the evaluation, you may access your online certificate by clicking the certificate link on the confirmation page. Records of all CME/CE activities completed can be found on the "My Certificates" page. There are no costs/fees for this activity.


The program has been made available online.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Learners have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by healthcare professionals without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.


The University of Cincinnati is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Cincinnati designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Joint Accreditation Statement
Joint AccreditationIn support of improving patient care, Clinical Care Options, LLC (CCO) 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.


Nursing Continuing Professional Development
The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 1.0 contact hour.

Physician Associate/ Physician Assistant Continuing Medical Education

Clinical Care Options, LLC has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credit. Approval is valid until March 12, 2024. PAs should only claim credit commensurate with the extent of their participation.