Episódios
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Hear from the Director of Federal Advocacy for the American Association of Nurse Practitioners (AANP) about the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023.
Jessica walks listeners through the importance of this bill, how it expands upon the previously approved Cardiac Rehab Bill (in 2018), and why it is important for our patients.
CDC Million Hearts: https://millionhearts.hhs.gov/index.html
Nurse Practitioners: A Solution to America’s Primary Care Crisis Study: https://www.aei.org/research-products/report/nurse-practitioners-a-solution-to-americas-primary-care-crisis/c
MedPAC Health Care Spending and the Mediare Program Study: https://www.medpac.gov/wp-content/uploads/2024/07/July2024_MedPAC_DataBook_SEC.pdf
AANP Action Center for Cardiac Rehab: https://www.votervoice.net/AANP/1/Campaigns/104006/Respond
PCNA Advocacy Training Course: https://pcna.net/online-course/from-care-to-action-basics-of-nurse-advocacy/
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You may know of the Inflation Reduction Act (IRA), but are you familiar with the fact that it is one of the largest pieces of healthcare legislation in the past few decades?!
Join Ryan Gough, Executive Director of the Partnership to Advance Cardiovascular Health (PACH) as he walks us through the benefits and unintended consequences of the IRA for our patients.
Could the Inflation Reduction Act Maximum Fair Price Hurt Patients? Popovian Study: https://www.medrxiv.org/content/10.1101/2024.06.26.24309544v1
IRA Drug Price Negotiation Impact on Cardiovascular Drugs, Avalere Study: https://avalere.com/insights/ira-drug-price-negotiation-impact-on-cardiovascular-drugs
Medicare Opt-In: https://www.cms.gov/inflation-reduction-act-and-medicare/part-d-improvements/medicare-prescription-payment-plan
PCNA Advocacy Training Course: https://pcna.net/online-course/from-care-to-action-basics-of-nurse-advocacy/
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Treatment for obesity has been all over the news recently, and as cardiovascular healthcare professionals, we know the negative effects obesity can have on cardiovascular outcomes.
But are these groundbreaking treatments accessible for our patients? Join Kathryn Schubert, CEO of the Society for Women's Health Research and learn about the Treat and Reduce Obesity Act and its benefits to the cardiovascular community.
SWHR Women’s Health Perspectives: https://swhr.org/womens-health-perspectives/
Congress.gov
Empowering Women Living with Obesity: A Review of the Insurance Landscape, Resources, and Helpful Information Webinar: https://swhr.org/resources/empowering-women-living-with-obesity-a-review-of-the-insurance-landscape-resources-and-helpful-information/
Spotlighting the VA MOVE! Program’s Approach to Weight Management Webinar: https://swhr.org/resources/spotlighting-the-va-move-programs-approach-to-weight-management/
Exploring Obesity’s Impact on Women and Policy’s Role in Improving Outcomes Webinar: https://swhr.org/resources/exploring-obesitys-impact-on-women-and-policys-role-in-improving-outcomes/
Obesity Disparities in Women and Factors Impacting Health Outcomes Fact Sheet: https://swhr.org/resources/obesity-disparities-in-women-and-factors-impacting-health-outcomes/
PCNA Obesity Patient Education Tool: https://pcna.net/clinical-resources/patient-handouts/obesity-patient-tools/
PCNA Advocacy Training Course: https://pcna.net/online-course/from-care-to-action-basics-of-nurse-advocacy /
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There are a multitude of ways for nurses to engage in advocacy. Guest Elizabeth Aquino, PhD, RN, encourages involvement in the workplace, sharing stories with legislators, and even running for public office.
PCNA Advocacy: https://pcna.net/about/advocacy/
American Nurses Association Illinois Training Academy for Nurses Running for Public Office: https://www.ana-illinois.org/nurses-running-for-elected-office-training-academy/
PCNA Advocacy Training Course: https://pcna.net/online-course/from-care-to-action-basics-of-nurse-advocacy/
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While you can't change your genetics, what you do can impact your risk for cardiovascular disease. Guest Mary Nejedly, RN, MS, NP-BC, discusses employee health programs, community presentations, and engagement strategies to help patients understand and improve their health.
PCNA resource: CVD Screening Toolkit: https://pcna.net/clinical-resources/provider-tools/cvd-screening-toolkit/
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Hormones affect metabolism and heart health, and the changes throughout a woman's lifetime have long standing effects on cardiovascular disease. Guest Priya Vellanki, MD, MS discusses the importance of understanding reproductive history of patients including PCOS and gestational diabetes.
PCNA article: Cardiovascular Health in Women: Beyond the Basics: https://pcna.net/cardiovascular-health-in-women-beyond-the-basics/
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In any health care setting, addressing social determinants of health requires moving beyond awareness to acknowlegement and action. Guests Bailey DeBlasis, MPH, MSW, LISW-S, and Emily Jones, PhD, RNC-OB, FAHA, FPCNA, describe how nurses are on the front lines of ensuring equitable and efficient care for all patients.
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What are some effective strategies for transitions of care for patients in acute-care settings? Guests Jessica Bell, BSN, RN, CCRN, and Kimberly Martinez, DNP, RN, CCRN, discuss starting education early, working as a team to layer information, and engaging family members and others in the process.
PCNA Patient Tools:
After a Heart Attack: What You Need to Know https://pcna.net/clinical-resources/patient-handouts/acute-coronary-syndrome-tools-and-handouts/
Heart Failure: What You Need to Know: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/
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Elevated LDL-C is directly associated with the development of ASCVD. Learn about current treatments, barriers in applying guideline-directed therapies, strategies for prioritizing LDL-C in clinical practice, combatting misinformation, and utilizing shared decision-making from guests Kim Prado, DNP, AGPCNP-BC, and Binu Koirala, PhD, MGS, RN, FAAN, FPCNA.
2018 Guideline for the Management of Blood Cholesterol: https://www.ahajournals.org/doi/10.1161/cir.0000000000000625
2022 ACC Expert Consensus Decision Pathway on Role of Nonstatin Therapies for LDL-C Lowering in the Management of ASCVD Risk: https://www.jacc.org/doi/10.1016/j.jacc.2022.07.006
Evolving Management of LDL-C: https://www.ahajournals.org/doi/10.1161/JAHA.122.028892
Shared Decision-Making and Cardiovascular Health: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001162
JUPITER Trial: https://www.ahajournals.org/doi/full/10.1161/CIRCOUTCOMES.109.868299
ASTEROID Trial: https://jamanetwork.com/journals/jama/fullarticle/202629
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Terry Thomas, RN, MSN, FNLA, FPCNA, describes how nurses improve cardiovascular care with their implementation efforts. Whether new to your career, or more tenured in CVD prevention and management, you'll be inspired by Terry to continue to make a difference each day.
PCNA Resources
Chapters: https://pcna.net/chapters/
Membership: https://pcna.net/member-center/
Clinical Resources & Tools: https://pcna.net/clinical-resources/
Professional Development: https://pcna.net/professional-development/
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Team-based care models are crucial in managing complex disease states such as cardio kidney metabolic disease. Learn from guests Melissa Magwire, RN, MSN, CDCES, the Program Director of the Cardiometabolic Center Alliance and Christine Memering, MSN, RN, CDCES, BC-ADM, FADCES, on strategies to overcome barriers and improve patient's health outcomes.
Cardiometabolic Center Alliance Homepage https://cardiometabolicalliance.org/
Artice: ADA: Screen All With Type 2 Diabetes for Fatty Liver Disease
https://www.medscape.com/viewarticle/993715
Video: A Patient's introduction Fibroscan from Ohio State Medical Center
https://www.youtube.com/watch?v=TXxI4bB_CQY
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Join National Kidney Foundation team members to take a deeper dive into the impact of elevated blood glucose and hypertension on kidney function. Dr. Andrew Bzowyckyj PharmD, BCPS, CDCES, and Elizabeth Montgomery to learn tips on identification, screening and management of cardiorenal conditions.
Article: Chronic Kidney Disease Testing Among At-Risk Adults in the U.S. Remains Low: Real-World Evidence From a National Laboratory Database
https://pubmed.ncbi.nlm.nih.gov/34353883/
PREVENT Online Calculator
https://professional.heart.org/en/guidelines-and-statements/prevent-calculator
Aticle: Estimated Prevalence and Testing for Albuminuria in US Adults at Risk for Chronic Kidney Disease
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807656
NKF: Chronic Kidney Disease Change Package 2023
https://www.kidney.org/professionals/ckd-intercept/ckd-change-package
NKF: Stages of Chronic Kidney Disease
https://www.kidney.org/atoz/content/stages-chronic-kidney-disease-ckd
Article: A Retrospective Multi-site Examination of Chronic Kidney Disease Using Longitudinal Laboratory Results and Metadata to Identify Clinical and Financial Risk
https://www.researchgate.net/publication/379590146_A_Retrospective_Multi-site_Examination_of_Chronic_Kidney_Disease_Using_Longitudinal_Laboratory_Results_and_Metadata_to_Identify_Clinical_and_Financial_Risk
NKF: Tool to assess undiagnosed CKD at your institution
https://www.kidney.org/sites/default/files/6.22.2023_ckdintercept-practice-assessment_v.2.pdf
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Cardio kidney metabolic disease is a complex disease with many interconnected and intertwining components. Join podcast guest Melissa Magwire, RN, MSN, CDCES, the Program Director of the Cardiometabolic Center Alliance as she lays the foundation for understanding the disease.
Cardiometabolic Center Alliance Homepage https://cardiometabolicalliance.org/
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Chronic coronary disease is common--and becoming more so. Learn what's new in the latest 2023 guidelines about testing and treatment from guest Kristin Newby, MD, MHS, FACC, FAHA, FESC. Dr Newby also discusses the importance of team-based, patient-centered care.
2023 Guidelines for Chronic Coronary Disease: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001168
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The umbrella term 'digital health' encompasses eHealth, mHealth, telehealth and more. How do we leverage the power of digital health for all patients and ensure that the collected data is utilized? Guest: Linda Park, PhD, MS, FNP-BC, FAAN, FAHA, FPCNA
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Learn about the latest in remote monitoring strategies--including managing the additional data streams--for patients with heart failure and other diseases. Guest Kim Newlin, RN, CNS, ANP-C.
BMAD trial: https://www.acc.org/Latest-in-Cardiology/Articles/2023/03/01/22/45/mon-830am-bmad-acc-2023
Heart failure risk score: https://www.jacc.org/doi/10.1016/j.jchf.2023.09.014
PCNA heart failure patient education: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/
PCNA heart failure resources for HCPs: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/
PCNA professional development (search 'heart failure'): https://pcna.net/professional-development/online-learning/
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AI and machine learning are already impacting healthcare. What are the benefits and cautionary considerations of their use, and how can patients benefit from nurses involvement right now? Listen to pro and con perspectives from guests Osama Dasa, MD, MPH, PhD; Eileen Handberg, PhD, ANP-BC, FACC, Yvonne Commodore-Mensah, PHD, MHS, RN, FAAN, FAHA, FPCNA, and Heidi Salisbury, RN, MSN, CNS-BC, ACGN.
Related resources:
AHA scientific statement on the use of AI in improving heart disease outcomes: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001201
ACC State-of-the-Art Review: Transforming Cardiovascular Care with AI: https://www.jacc.org/doi/10.1016/j.jacc.2024.05.003
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Guests Cindy Lamendola, MSN, NP, and Patient Champion Sheila Allen discuss prescription treatments for patients with overweight/obesity. Overcoming challenges to treatment, the importance of lifestyle as well as medications for success, and shared decision-making are discussed.
PCNA Patient Education Tools on Obesity: https://pcna.net/clinical-resources/patient-handouts/obesity-patient-tools/
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It is an exciting time in cardiovascular prevention and management, where we can work together to make a significant difference for our patients. New pharmacotherapies are changing the disease burden and leading to improved outcomes for our patients, regardless of circumstance. Guest Clyde Yancy, MD, MSc, MACC, MACP, FAH, FHFSA, FRCP, FASPC (Hon.), FPCNA (Hon.), provides data and inspiration for our actions every day.
SELECT Trial
: https://www.acc.org/Latest-in-Cardiology/Clinical-Trials/2023/11/09/15/04/select
Health Equity Self-Assessment Tool: Take 10 minutes, identify your strengths, and get links to related resources. https://pcna.net/clinical-resources/provider-tools/health-equity-provider-tools/
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Advocacy every day makes a difference from the bedside to the halls of Congress. Nurse voices and stories are critical to ensuring that healthcare policies reflect the needs of health care professionals and their patients. Guest Ryan Gough discusses current Congressional bills and the importance of engagement in advocacy actions.
Safe Step Act: https://www.congress.gov/bill/118th-congress/senate-bill/652
MINI Act: https://healthpolicytoday.org/2024/04/24/a-mini-act-could-be-big-for-patients/
Axios: Trust in Health Decisions [Edelman Trust Barometer] April 29, 2024: https://www.axios.com/2024/04/18/public-trust-medical-pharmaceutical-industry-institutions
PCNA Advocacy Toolkit: https://pcna.net/about/advocacy/advocacy-toolkit/
PACH: advancecardiohealth.org
Maintaining Investment in New Innovation Act: https://www.congress.gov/bill/118th-congress/house-bill/5547
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