Optimal medical therapy first is the new standard of care by American College of Cardiology guideline. There are data points that define optimal medical therapy (OMT) for arterial disease. These are the most powerful quality measures. The percentage OMT that we achieve using our protocol will determine how well we do with our clinical and financial outcomes. Here are the defining variables. Minnesota reports on the concurrent achievement of these goals for almost 500 medical clinics. The best clinics achieve OMT in 80% of their patients. The latest national data shows only 16% of patients with heart artery disease met all 3 goals for aspirin, blood pressure, and LDL-C. A focused effort to produce OMT reduces mortality by up to 90% over 5 years while lowering per patient per year costs by $21,900. Women in Minnesota have fewer heart attacks and less medical debt. Even in Minnesota there are six clinics that achieve OMT in less than 30% of their patients. Many more people are dying because they are cared for in those clinics.
Data Points that Define OMT for Arterial Disease
1. Blood pressure
2. LDL cholesterol
3. Aspirin or other anticoagulant therapy
4. Not smoking
Accepted Goals for Comparison with Other Clinics
Vascular Disease (V4)
1. Blood pressure 140/90 or less
2. LDL cholesterol of 70 or less or on statin
3. On aspirin
4. Not smoking.
Goals for Maximum Benefit on Clinical and Financial Outcomes
Vascular Disease (V4)
1. Blood pressure 130/80 or less
2. LDL cholesterol of 70 or less or on statin
3. On aspirin
4. Not smoking.
Using ACE or ARB, thiazide diuretic, amlodipine, and/or spironolactone or eplerenone for hypertension
Using statin for cholesterol or high-risk status (all of our high-risk conditions)
Using metformin for prediabetes.
If you are not measuring your clinics OMT production, you will never improve it. If you want to get started we can help.
Please add the need of an objective physiological measurements tool, MCG to the endpoint reporting, Bill. We both know it is time! Thank you! I have added you to join a Webinar presentation by our HeartCare Corp team. I hope you will jump on!