A Multi-disciplinary Approach to Pulmonary Arterial Hypertension Diagnosis and Treatment. Outcomes Report

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A Multi-disciplinary Approach to Pulmonary Arterial Hypertension Diagnosis and Treatment Outcomes Report Summer 2010 Table of Contents Executive Summary.1 Background Target Audience Method CME Credits Main Findings Conclusions Design of Activity.2 Program Design Learning Objectives Educational Outcomes and Strategy Participant Numbers Outcome Results.3-5 CME Activity: A Multi-disciplinary Approach to Pulmonary Arterial Hypertension Diagnosis and Treatment Executive Summary Developed through an independent educational grant from Actelion and Gilead Background: With the goal of improving patient care National Jewish Health identified performance gaps among primary care physicians, cardiologists, pulmonologists and rheumatologists in the diagnosis, treatment and management of patients with pulmonary arterial hypertension (PAH). Target Audience: Primary care physicians, internal medicine, cardiologists, pulmonologists, rheumatologists and all other healthcare professionals who help care for patients with PAH. Method: Live interactive symposium featuring case studies. August 23, 2012 Certification: National Jewish Health designates this Live activity for a maximum of 2.5 AMA PRA Category 1 Credits ; The conference was approved for a total of 2.8 Nursing Contact Hours; National Jewish Health designates this live activity for 2.5 Contact Hours (0.25 CEUs) of the Accreditation Council for Pharmacy Education. Main Findings: The attendees responses to post-test and 45-day follow-up survey questions demonstrated the following: 88% of participants rated the material to be very good or excellent in helping them improve their skills. 95% of participants stated that the activity provided new ideas or information that they expect to use. 64% of participants stated that they are very likely to extremely likely to make a change to their practice based on the information presented. 94% of participants stated that they are somewhat likely to extremely likely to make a change to their practice based on the information presented. 96% of participants stated that learning objectives were met. 96% of participants indicated that the materials were presented objectively and free of commercial bias. 35% of participants who completed a 45-day follow-up survey indicated that they have made changes to their practice as a result of the program. 62% of participants who completed a 45-day follow-up survey indicated that they are in the process of making changes in their practice as a result of the program. Conclusions: Participants who treat patients with PAH showed that they gained knowledge, competence, and improved their performance in practice by participating in this live activity. The participants showed a large commitment to making a change in their own practice. They also showed a substantial increase in knowledge on diagnosis, treatment and management of PAH. In addition, gaps and barriers still exist, and more education is needed for providers. Impressive and speakers were brilliant! Excellent presentation and topics!

Learning Objectives Upon completion of this activity, participants will be able to: 1 2 3 List the classification scheme of pulmonary hypertension. Recognize the importance of distinguishing pulmonary arterial hypertension (PAH) from other forms of pulmonary hypertension. Identify the symptoms and physical exam findings of PAH. Program Design The Office of Professional Education at National Jewish Health developed the CME activity with expert faculty members from National Jewish Health and the University of Colorado Hospital in Denver, Drs. Aryeh Fischer, Todd Bull, and Brett Fenster. Educational Outcomes Strategy National Jewish Health aimed at measuring knowledge, competence and performance for this activity. The success of the program was measured by the following: 1. Pre-test, Post-test and Evaluation 2. A follow-up survey sent to participants 45 days after the live activity. 4 5 Explain the importance of early diagnosis of PAH and the need for routine screening for PAH in select populations. Differentiate the three distinct pathophysiologic pathways targeted by novel PAH-specific therapies. Participation Numbers for Symposium Total: 71 participants page 2

Our outcomes show that participants gained knowledge, competence and improved performance. EDUCATION RESULT: The graph below indicates that the program was very effective at improving skills and judgment needed for caring for participants patients with PAH. In addition, the program was designed to give participants new information or ideas that they could easily use while treating patients with PAH. Question 1: How effective will the information you learned during this activity be in helping you improve your skills or judgment? Question 2: Did today's activity provide new ideas or information you expect to use?

Question 3: How likely are you to make changes in your practice based on the information presented during today's educational activity? EDUCATION RESULT: The majority of participants stated that they were likely to make changes to their practice following the program. When asked to specify their intended changes, several indicated they would either change their screening practice and/or incorporate different diagnostic strategies into patient evaluation. To see the complete list of changes that participants stated they would make, please see the graph for question 4. Question 4: The changes I intend to make in my practice include:

Question 5: Of the patients you will see in the next week, how many will benefit from the information you learned today? EDUCATION RESULT: Participants indicated that the information received at the conference will benefit their patients. Two providers said that more than ten patients would benefit within the next week by information that they learned during the symposium. The greatest barrier identified by participants was insurance and financial issues. 21% of participants indicated that lack of time is a barrier to providing care to patients. Question 6 : What are the barriers you face in your current practice setting that may impact patient outcomes?