The Association of HFSA Optimal Medical Therapy Certification Completion With Sodium Glucose Cotransporter-2 Inhibitor Prescribing - Takeaways - MDSpire
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The Relationship Between Completion of HFSA Optimal Medical Therapy Certification and the Prescription of Sodium-Glucose Cotransporter-2 Inhibitors

  • By

  • Brittany Chapman

  • Harsh Patolia

  • Delaney Ryan

  • Alex Milinovich

  • Eva Steinel

  • Chris Babiuch

  • Jerry D. Estep

  • Richard Rothman

  • Amanda R. Vest

  • Nancy M. Albert

  • Lars G. Svensson

  • Samir Kapadia

  • Randall C. Starling

  • Trejeeve Martyn

  • July 15, 2026

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  • 1

    SGLT2 inhibitors are a core component of guideline-directed heart failure therapy, but their use remains low in routine ambulatory practice.

  • 2

    HFSA OMT-Cert is a brief asynchronous educational program covering guideline-directed therapy indications, dosing, contraindications, monitoring, and adverse effects.

  • 3

    Previous survey evidence associated OMT-Cert completion with greater clinician-reported comfort initiating and optimizing guideline-directed therapy, including SGLT2 inhibitors.

  • 4

    New SGLT2i prescribing increased from 5.9% of eligible encounters before certification to 9.6% afterward; the adjusted association was modest and of borderline statistical significance.

  • 5

    In an exploratory analysis, postcertification encounters with LVEF ≤40% had greater odds of a new SGLT2i prescription, but this finding was hypothesis-generating.

Original Source(s)

The Association of HFSA Optimal Medical Therapy Certification Completion With Sodium Glucose Cotransporter-2 Inhibitor Prescribing

  • by Brittany Chapman, Harsh Patolia, Delaney Ryan, Alex Milinovich, Eva Steinel, Chris Babiuch, Jerry D. Estep, Richard Rothman, Amanda R. Vest, Nancy M. Albert, Lars G. Svensson, Samir Kapadia, Randall C. Starling, Trejeeve Martyn

  • July 15, 2026

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