The Optimal Medical Therapy in Heart Failure Certificate Program (OMT-HF) is an assessment-based certificate program that recognizes the critical role that non-heart failure specialists play in optimal medical therapy (OMT) for patients with heart failure, and seeks to help them develop the skills needed to assess the condition of patients with heart failure and apply practical aspects of optimal medical management, specifically focused on heart failure medications, from initiation to titration to target doses to optimal management overtime.
OMT-HF was developed by the Heart Failure Society of America (HFSA) to close the gap in guideline-directed medical therapy (GDMT) and implementation.
The full program is available for only $149 for all learners.
Visit the HFSA Learning Center to purchase the program and earn your certificate today!
Healthcare providers who prescribe and routinely manage heart failure medications. This includes healthcare providers* (with prescribing privileges eg physicians, APP, PharmD) who manage patients with heart failure:
*ABIM certified heart failure cardiologists will already have mastery of this content.
- Physicians (general cardiologists, hospitalists, and family practice physicians/internists who treat patients with heart failure but were not heart failure specialists)
- Nurse practitioners (NPs) who manage patients with HF
- Physician assistants (PAs) who manage patients with HF
- It also includes non-prescribing health care professionals who are involved in medical management of heart failure, such as clinical pharmacists, nurses, or case managers.
Although several classes of medication have been shown in randomized clinical trials to improve outcomes in HF, many patients do not receive these medications, or receive them at lower than optimal doses. This program focuses on optimized medical therapy (OMT) for HF, which can be understood as optimal utilization and dosing of these evidence-based treatments. Our focus in this program is HF with reduced ejection fraction (HFrEF); however, HF with preserved ejection fraction (HFpEF) is also discussed.
To build your knowledge of OMT for HF, this self-guided, online program includes the following components:
- Introduction to the Program and OMT
- Module 1: Available Medical Therapy for Heart Failure
- Module 2: Managing OMT to Target Doses
- Module 3: Management Across the Care Continuum
After completing this program, you will have a current understanding of evidence-based therapies for HF, limitations and challenges in their utilization, and principles for uptitration to target or best-tolerated doses.
After fully reviewing the self-study introduction and modules, you will be able to access and take the certificate test on HFSA’s Learning Center. Upon successful completion of the test, you will receive a certificate confirmation.
This program uses the term optimized medical therapy (OMT) to describe optimal utilization and dosing of evidence-based therapies for heart failure (HF). In this context, OMT includes therapies recommended in key US treatment guidelines (often referred to as guideline-directed management and therapy or GDMT), as well as newer evidence-based therapies not yet reflected in major US guidelines for HF.
Current treatment guidelines jointly published by the American College of Cardiology (ACC), the American Heart Association (AHA), and the Heart Failure Society of America (HFSA) recommend that appropriate patients with heart failure with reduced ejection fraction (HFrEF) [defined as left ventricular ejection fraction <40%] receive the following medications:
- An agent that inhibits the renin-angiotensin-aldosterone system (RAS) inhibitor:
- Angiotensin receptor-neprilysin inhibitor (ARNI), OR
- Angiotensin-converting enzyme inhibitor (ACEI), OR
- Angiotensin receptor blocker (ARB)
- An evidence-based beta-blocker
- A mineralocorticoid receptor antagonist (MRA)
- A sodium-glucose co-transporter 2 inhibitor (SGLT2I)
These therapies are typically administered in addition to a diuretic in patients with signs and/or symptoms of congestion.
For some patients, the addition of ivabradine, digoxin, and/or an isosorbide dinitrate + hydralazine combination may also be appropriate.
Whenever possible, these therapies should be administered at target doses for HF. Target doses are determined from clinical trials; however, we acknowledge that the maximal dose tolerated for each patient is individualized.
In the program's introduction, we will present the context and rationale for this program, and focus on OMT for heart failure.
The Optimal Medical Therapy in Heart Failure Certificate Program (OMT-HF) ensures that guideline-directed medical therapy (GDMT) is part of the patient’s treatment experience from beginning to end.
Healthcare providers who utilize OMT for their heart failure patients see numerous benefits, including:
- Improved quality of life for patients
- Reduced heart failure hospitalizations
- Increased knowledge of new and emerging therapies
- Improved patient outcomes