Pregnancy Is Heart History

Executive summary

Pregnancy history is an underused entry point to cardiovascular prevention. A published single-system chart review found low documentation of relevant pregnancy complications at well-woman visits; this is evidence of a care-process gap, not a national rate or a measured deficit in our future learners. Pregnancy Is Heart History translates that gap into three decisions: bring the history forward, interpret current lipid and risk evidence, and complete an accountable prevention handoff.

HEART RESERVE proposes one 60-minute enduring activity for primary care, cardiovascular and related clinical teams. Nina, Maria and Elena connect postpartum transition, midlife prevention and secondary prevention. Learners commit to a decision, examine the evidence and work through the next visit. Lisa Zahakos, RPA-C brings a PA-led clinical teaching perspective; the contributed original curriculum, accessible text/audio options and case-to-handoff structure make the approach concrete. Independent specialist and provider review remain required.

The $73,550 prospective request includes the one-activity myCME quote and $13,200 in proposed educator work. The primary learning measure is paired first-response change; a proposed transfer-case form adds an explicit competence-development plan, subject to review and pilot. Follow-up reports actions and barriers, not cardiovascular-event reduction. Cardiovascular/dyslipidemia IME is the appropriate funding direction; current eligibility, faculty and contracts must be confirmed.

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

Amgen’s public cardiovascular/obesity priorities include ASCVD, dyslipidemia and cardiometabolic risk. Pregnancy history provides the entry point to the activity’s current-risk and prevention decisions; it is not itself confirmation of a dedicated funding call. Confirm the current submission window, eligible accredited applicant and prospective work scope.

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 $73,550, including $13,200 in proposed educator work (17.95%). 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

$20,000 myCME quote received October 14 for this activity only; final statement of work pending. 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

Current funding fit, legal applicant, accredited-provider agreement, named faculty and accepted myCME statement of work.

Decision-to-outcome plan

Nina: postpartum transition: Ask the learner to reconcile the pregnancy complication with current risk and retain responsibility until the receiving team accepts the plan. The current baseline concept is Q1; proposed transfer item TR1 remains a separate review exhibit until clinical/assessment approval and pilot.

Maria: midlife prevention: Require an explanation of what the test adds and why it does not replace the complete risk assessment. The current baseline concept is Q4; proposed transfer item TR2 remains a separate review exhibit until clinical/assessment approval and pilot.

Elena: secondary prevention: Have the learner identify the actual endpoint, evidence maturity and limits before communicating a treatment implication. The current baseline concept is Q8; 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

Medvescek et al., 2023; chart documentation, single system

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