Obesity and Diabetes Care in Women

Executive summary

Obesity and diabetes care in women must connect metabolic treatment with cardiovascular risk reduction and continuity across reproductive transitions. In a 2026 analysis of 21,559 postpartum-care attendees with gestational diabetes, 55.8% reported diabetes screening. This documents an implementation gap while leaving test type and our future audience’s performance unmeasured. A guideline summary alone cannot close the next missed test, misapplied trial result or incomplete handoff.

HEART RESERVE proposes one 60-minute enduring activity for primary care and endocrine teams. Maya’s postpartum assessment, Elena’s established cardiovascular disease and Nora’s pregnancy planning become progressive decisions with feedback and a worked follow-up plan. The distinctive contribution is a PA-led, women-centered connection between reproductive history, evidence-based metabolic care, cardiovascular prevention and daily function. Original cases and equivalent text/audio teaching already exist as contributed development; independent faculty validate the clinical conclusions.

The $75,650 request supports eligible future review, delivery and measurement, including $13,200 of defined educator work. Outcomes separate matched first-response learning, proposed transfer-case competence and self-reported application. The educational target is a 15-percentage-point matched gain, not a promised result. Lilly Endocrine is a candidate route pending its current portal priorities. A separate host quote, named faculty and provider agreement are required.

Why HEART RESERVE

HEART RESERVE connects a woman’s history with current evidence, the next clinical action and the person responsible for follow-through. Its contributed original curriculum, consistent case structure and equivalent text/audio options provide a concrete starting point for faculty review. Lisa Zahakos, RPA-C supplies the clinical educator perspective; independent specialty faculty, the accredited provider and a contracted delivery organization supply distinct review and delivery functions. No unverified organizational reach, accreditation or prior grant outcomes are claimed.

Funding fit

This activity primarily addresses obesity and diabetes care, with cardiovascular risk reduction integrated into treatment and follow-up decisions. Lilly publicly lists Endocrine; its detailed priorities are supplied within the portal and must be checked for this application. Use the single-activity scope and $75,650 estimate, not the historical example or a presumed series award.

Educational design

Three original cases use an initial decision, a changed circumstance, evidence-based feedback and an accountable follow-up plan. A separate review exhibit supplies three proposed transfer vignettes mapped to existing baseline concepts. The accredited provider validates case content, timing, assessment and media equivalence before release.

Outcomes and limits

The current baseline and first posttest share three items. Report paired n, absolute percentage-point change, item-level results and uncertainty, with retries separate. The 15-percentage-point gain is a planning target; high baseline scores may create a ceiling. Repeated items measure immediate learning with recall limitations. The proposed transfer form changes the clinical surface while preserving the mapped concept. Before using it for a Moore level 4 claim, independent clinical and assessment reviewers must approve the key, equivalence, difficulty and analysis, then pilot it with representative learners. Use it to replace matched posttest slots only after approval, preserving six final questions and the time target. It is not an additional required test in the present activity. Report unpaired data and nonresponse; do not infer causality, observed clinical performance or patient benefit.

Budget and value

The prospective request is $75,650, including $13,200 in proposed educator work (17.45%). Completed development and application preparation are contributed. Final contracts must aggregate every payment to Lisa and keep it below 20% of the final funded total. Independent review, hosting and outcomes have separate payees. Reconcile shared content, included host services and audience overlap once.

Delivery and partner roles

All costs are planning estimates. Mike’s pregnancy-activity quote does not cover this course. The accredited provider controls credit, disclosures, educational independence and commercial-support arrangements. ReachMD is an alternative delivery discussion requiring its own agreed formats and quote; it is not an additional confirmed partner or a service included in myCME’s offer.

Evidence still required

Portal topic eligibility, audience evidence, faculty commitments and a separate activity-specific host quote.

Decision-to-outcome plan

Maya: the postpartum visit is not the completed test: Connect the correct test to scheduling help, result ownership and the next surveillance decision; do not count an order as completed screening. The current baseline concept is Q1; proposed transfer item TR1 remains a separate review exhibit until clinical/assessment approval and pilot.

Elena: cardiovascular benefit beyond an A1C target: Separate glucose and weight outcomes from cardiovascular evidence, then incorporate nutrition, function, safety, cost and preference. The current baseline concept is Q3; proposed transfer item TR2 remains a separate review exhibit until clinical/assessment approval and pilot.

Nora: a reproductive plan changes the care plan: Verify the exact product and indication, agree a product-specific timeline and preserve necessary care; do not treat discontinuation as the full handoff. The current baseline concept is Q9; proposed transfer item TR3 remains a separate review exhibit until clinical/assessment approval and pilot.

The active activity contains three baseline items, six formative decisions and six final items. The three repeated baseline/post items measure immediate learning with recall limitations. Link each result to its objective, retain first attempts and report retries separately. Proposed transfer cases must replace mapped final slots only after approval; they are not additional current completion requirements. Report later self-reported actions and access barriers separately from case scores.

Independence and acceptance

Independent clinical faculty and the accredited provider determine content, evidence balance, assessment keys and release. Commercial supporters do not select recommendations or products. Each funded line requires an eligible future deliverable, documented hours/rate or units, and accepted work. Existing development and grant preparation are contributed. Andrea’s October 9 guidance concerns management fees above 20%; the separate user-directed ceiling aggregates all compensation to Lisa below 20% of the final funded amount. Mike’s written quote applies only to Pregnancy Is Heart History. Other courses require their own agreed scopes and quotes.

Needs evidence

Boege et al., 2026; self-reported postpartum screening

Apply the population, setting and study limitations stated in the needs assessment; this source does not establish the same gap in every proposed learner.