Cardi-OH

Listen to Mladen Golubic, MD, from the University of Cincinnati, discuss the impact of the Mediterranean diet on cardiovascular health. He will review the main components of the Mediterranean diet pyramid and provide practical strategies to incorporate this diet into their busy lifestyles. Finally, Dr. Golubic will compare the cardiovascular effects of the Mediterranean diet to the DASH diet, another evidence-based approach to improving cardiovascular health. Moderated by Orson Austin, MD, from the University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Alan J. Lerner, MD, from Case Western Reserve University, discuss the impact of cardiovascular health on brain function, cognitive resilience, and overall neurological health. He will highlight the shared risk factors between cardiovascular and cerebrovascular health and provide practical strategies for prevention and lifestyle management to support neurological health across the lifespan. Moderated by Danette Conklin, PhD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Marilee Clemons, PharmD, BCACP, from the University of Toledo, discuss the emerging role of lipid biomarkers in the assessment of cardiovascular risk beyond the traditional lipid panel. She will describe the clinical utility of using apolipoprotein B and lipoprotein(a) in decision-making for specific patient-populations and review pharmacotherapy options aimed at targeting these lipid biomarkers to reduce cardiovascular risk. Moderated by Jennifer Gilmore, BSN, RN, University of Toledo Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Kathleen Dungan, MD, MPH, from The Ohio State University, discuss the recent changes in pharmacologic management of type 2 diabetes, including the role of metformin given the rise of newer therapeutics. She will review the American Diabetes Association guidelines for patients with or without major comorbidities and differentiate between treatment strategies based on achieving and maintaining both glucose-lowering and weight management goals. Moderated by Craig Nunemaker, PhD, Ohio University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Karen Komondor, RN, from the U.S. Health Literacy Association, and Sarah Aldrich Renner, PharmD, from the University of Toledo, discuss common barriers that patients face when interpreting prescription labels. They will describe best practice strategies for prescribers and pharmacists to improve patients’ health literacy, promote adherence, and reduce medication errors. Moderated by Colin Crowe, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Sean Kelly, MD, from The Ohio State University, review the current nomenclature and risk factors associated with MASLD. He discusses recommended screening and evaluation approaches and evidence-based therapies for management of metabolic liver disease in patients. Moderated by Deborah Gordish, MD, The Ohio State University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Tom Herrmann, MHA, from The Ohio State University Wexner Medical Center, and Jennifer Lorenz, DNP, MHA, MA, RN, CPXP, CNE, from University Hospitals, explain the differences between patient experience and patient satisfaction and why improving patient experience matters. They will review the factors that influence patient experience and outline strategies for improvement. Moderated by Ashley Sneed, NP, The Ohio State University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Yi-Chu Wu, DDS, MS, from The Ohio State University, discuss the importance of oral health and its bidirectional relationship with overall health, including cardiovascular conditions such as heart disease and diabetes. She will review lifestyle measures to promote both oral and overall health, and provide easy tips to promote oral health during primary care visits. Moderated by Lauri Nandyal, MD, University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Wesley Milks, MD, from The Ohio State University, discuss current approaches to lipid management. He will review low-density lipoprotein (LDL) target goals across risk groups, describe the benefits and indications of statin add-on therapies, and outline practical steps for prescribing cholesterol lowering medications, with a focus on the role of PCSK9 inhibitors. Moderated by T.M. Ayodele Adesanya, MD, PhD, The Ohio State University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Kristen Mikelbank, MA, and Eric Pecherkiewicz, RDN, LD, from the Greater Cleveland Food Bank, discuss the impact of food insecurity on patients with diabetes. They will describe how to screen for food insecurity as a part of the primary care visit and review community food and nutrition resources available in Ohio. Moderated by L. Austin Fredrickson, MD, Northeast Ohio Medical University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Ryan Farrell, MD, from Case Western Reserve University, review the risk factors, diagnosis, and treatment approaches for hypertension in the pediatric population. Moderated by Colin Crowe, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Jerrold Leiken, MD, from the University of Illinois at Chicago, and Leah Sera, PharmD, MA, BCPS, from the University of Maryland, review the current landscape of cannabis use and its impact on physical health as related to the heart. They will discuss risk factors for recreational use and substance use disorder and address screening and treatment for problematic cannabis use. Finally, they will provide practical guidance on effective patient communication including potential drug interactions and harm reduction strategies for both recreational and medical cannabis users. Moderated by Trygve Dolber, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Sonal Patil, MD, MPH, and Esther Thatcher, PhD, RN, both from Case Western Reserve University, discuss the benefits of the teach-back method to overcome low health literacy and improve disease self-management, health outcomes, and patient satisfaction. They will review the steps of the teach-back method and demonstrate how to use this effective communication method in the primary-care setting. Moderated by Colin Crowe, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Karen Bailey, MS, RDN, LD, CDCES, from Ohio University, discuss the prevalence of low nutrition literacy and its impact on health outcomes. She will share screening tools for primary care providers and, along with Jennifer Gilmore, RN, BSN, CRCC, from the University of Toledo, demonstrate effective communication strategies to help patients make healthier food choices through a brief role-play. Additionally, resources for food access will be provided to support patients facing food insecurity. Moderated by Colin Crowe, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Patricia Ryan, MD, from The Ohio State University, provide an overview of the technology available to help patients adopt healthy lifestyles behaviors. These technologies range from well-known options, like text messaging and email, to newer options, such as mobile apps and wearables. Dr. Ryan will discuss the evidence for these tools and explain how primary care physicians can incorporate technology into patient care. Moderated by Robert Bales, MD, of Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Kathleen Dungan, MD, MPH, from The Ohio State University, describe forms of diabetes that are challenging to diagnose. These include the overlap between type 1 and type 2 diabetes and atypical forms, including monogenic diabetes, LADA, MODY, syndromic diabetes, and type 3c diabetes. She will review the diagnostic testing procedures in persons with diabetes diagnosed in youth or young adults to avoid misclassification and describe treatment strategies for atypical diabetes. Moderated by Craig Nunemaker, PhD, Ohio University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Sarah Tyler Plummer, MD, from Case Western Reserve University, discuss cardiovascular risk factors for children and adolescents. She will explore how hypertension and hyperlipidemia contribute to cardiometabolic disease, share strategies for diagnosis and management including in-office and ambulatory blood pressure monitoring, and discuss the importance of family-centered lifestyle interventions. Moderated by Shanail Berry Lampkin, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Abdul Wase, MD, from Wright State University, describe the most common causes of sudden cardiac death in athletes. He also provides information for primary care providers on available screening tools to identify athletes at risk and diagnostic options and treatments for those affected. Moderated by Colin Crowe, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Glen Solomon, MD, from Wright State University, discuss the role of headache disorders, particularly migraine, as a risk factor for cardiovascular events. He will also discuss treatment options and risks associated with medications. Moderated by Colin Crowe, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Ronald Magliola, MD, and Eileen Seeholzer, MD, MS, from Case Western Reserve University, discuss common barriers to nutrition and diet quality and the impact on patient health. They will provide tools and resources that clinicians can use to address and mitigate these barriers during a primary care visit. Moderated by Shanail Berry Lampkin, MD, Case Western Reserve University Resources on this and other topics are available at https://www.Cardi-OH.org.

Listen to Kathleen Dungan, MD, MPH, from The Ohio State University, discuss the use of continuous glucose monitoring (CGM) in patients with type 2 diabetes. She will explore the latest evidence supporting the use of CGM, address disparities in uptake, and share approaches to overcome barriers and implement CGM in clinical practice. Hear from Sylvia Quinones, a patient with type 2 diabetes, who will share her experience using a continuous glucose monitor. Moderated by Ryan Farrell, MD, Case Western Reserve University Resources on this and other topics are available at https://www.Cardi-OH.org.

Listen to Joan Thoman, PhD, RN, CNS, from Cleveland State University, and Milu Nguyen, RN, BA, BS, from the Delaware Public Health District and The Ohio State University, discuss the important role community health workers (CHWs) play in improving health outcomes including cardiovascular disease. They will explain the training and scope of a CHW, provide examples of how to integrate these professionals into clinical settings, and share case studies. Moderated by Melissa K. Thomas, PhD, MSPH, MSA, MCHES®, C-CHW, Ohio University Resources on this and other topics are available at https://www.Cardi-OH.org.

Listen to Abdul Wase, MD, from Wright State University, describe the substantial burden of atrial fibrillation on cardiovascular health. He will present the rising prevalence and incidence of atrial fibrillation, discuss the latest treatment guidelines, and highlight key management strategies. Moderated by Kathleen Dungan, MD, MPH, The Ohio State University Resources on this and other topics are available at https://www.Cardi-OH.org.

Listen to Ryan Farrell, MD, from Case Western Reserve University, and Michael Holliday, MD, from the University of Cincinnati, discuss surgical procedures to lower weight and improve metabolic outcomes. They will discuss the benefits and risks of bariatric surgery in adult and adolescent populations and share strategies for primary care to support patients pre- and post-surgery. The podcast is the second of a two-part series. Be sure to listen to Podcast 43 - Obesity and Weight Loss Management: Pharmacotherapy, Part 1 (https://www.Cardi-OH.org/resources/podcast-43--obesity-and-weight-loss-management-pharmacotherapy-part-1). Moderated by Chris Bernheisel, MD, University of Cincinnati Resources on this and other topics are available at https://www.Cardi-OH.org.

Listen to Ryan Farrell, MD, from Case Western Reserve University, and Michael Holliday, MD, from the University of Cincinnati, discuss obesity treatment in primary care to lower weight and improve metabolic outcomes. They will review important factors in taking the history of a patient with rapid weight gain and obesity, discuss the comorbid conditions of obesity, and give a comprehensive overview of medication therapy for weight loss, focused on both adult and pediatric populations. The podcast is the first of a two-part series. Be sure to listen to Podcast 44 - Obesity and Weight Loss Management: Surgical Interventions, Part 2 (https://www.cardi-oh.org/resources/podcast-44--obesity-and-weight-loss-management-surgical-interventions-part-2). Moderated by: Chris Bernheisel, MD, University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Ayo Adesanya, MD, PhD, from The Ohio State University, and Barbara Walker, PhD, from the University of Cincinnati, discuss the intersection of holistic wellness, mental health, and cardiometabolic health outcomes. They will review the current evidence for mindfulness and meditation and share practical interventions that can be used in primary care. Moderated by Trygve Dolber, MD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Ian Neeland, MD, from Case Western Reserve University, address the prevention and management of heart failure for patients with hypertension and diabetes. He will share tools to predict heart failure risk and discuss treatment targets for hypertension to reduce the risk of heart failure. He will also discuss medication classes with evidence for positive outcomes in patients with diabetes and heart failure. Moderated by Deborah Gordish, MD, The Ohio State University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Bree Meinzer, PharmD, BCACP, from the University of Toledo, and Shalina Nair, MD, MBA, from The Ohio State University, discuss the importance of statins in lowering cholesterol and preventing heart attacks and strokes in high risk patients. They will review the proven benefits of statins, discuss guidelines related to statin therapy, and share strategies to overcome common barriers such as side effects and intolerance. An example of a patient-provider interaction is included. Moderated by Susan Davis, DO, University of Cincinnati Resources on this and other topics are available at https://www.Cardi-OH.org. Episode-specific resources are available at https://www.Cardi-OH.org/podcasts/40-overcoming-barriers-to-statin-use-with-your-patients.

Listen to Shari Bolen, MD, MPH, from Case Western Reserve University, discuss how outreach can improve health outcomes for patients with cardiovascular disease and associated risk factors. She will share demonstrated best practices for implementing outreach and care coordination in primary care as a part of population health management. Moderated by Susan Davis, DO, University of Cincinnati Resources on this and other topics are available at https://www.cardi-oh.org. Episode-specific resources are available at https://www.cardi-oh.org/podcasts/39-reaching-out-to-close-the-care-gap-in-cardiovascular-health

Listen to Susan Flocke, PhD, from Oregon Health & Science University, review a series of steps primary care practices can incorporate into their clinical workflow in order to systematically screen and counsel patients on quitting tobacco. The discussion will include a description of the services provided by the Ohio Quitline and the importance of nicotine replacement therapy to maximize patients’ success in quitting. Moderated by Susan Davis, DO, University of Cincinnati Resource mentioned in the podcast: Ohio Quitline - Make a Referral (https://ohio.quitlogix.org/en-US/Health-Professionals/Make-a-Referral ) Additional resources on this and other topics are available at www.Cardi-OH.org.

Listen to patients, John Greiner and Ethan Young, talk with Laura Mintz, MD, PhD, from Case Western Reserve University, about their unique perspectives as disabled persons. They will share their insights about how primary care teams can better support disabled persons, both within and outside of the clinical setting. The conversation will touch on language use, the impact of disability on cardiometabolic health, and the challenges of navigating the health care system. Moderated by Laura Mintz, MD, PhD, Case Western Reserve University Resources mentioned in the podcast: Models of Disability: Types and Definitions (https://www.disabled-world.com/definitions/disability-models.php) Increasing Physical Activity and Exercise in Adults with Disabilities (https://www.cardi-oh.org/best-practices/increasing-physical-activity-and-exercise-in-adults-with-disabilities) Social Determinants of Health (https://www.cardi-oh.org/best-practices/social-determinants-of-health) Additional resources on this and other topics are available at www.Cardi-OH.org.

Listen to Shari Bolen, MD, MPH, from Case Western Reserve University, discuss timely follow-up as a key driver of blood pressure control outcomes for patients with elevated cardiovascular risk. Dr. Bolen will describe a best practice for timely follow-up in team-based care and review strategies to overcome common barriers to implementation. Moderated by Susan Davis, DO, University of Cincinnati Resources mentioned in the podcast: Medicaid Technical Assistance and Policy Program Hypertension Quality Improvement Project (https://www.cardi-oh.org/qip/hypertension ) Resources on this and other topics are available at www.Cardi-OH.org.

Listen to J. Daryl Thornton, MD, MPH, from Case Western Reserve University, discuss sleep and its effect on the cardiovascular system. He will explore how sleep time deficiency and sleep disorders, including obstructive sleep apnea and insomnia, increase cardiovascular risk. Finally, he will provide guidance for supporting patients with these conditions. Moderated by Deborah Gordish, MD, The Ohio State University Resources mentioned in the podcast: Diagnostic Accuracy of the Berlin Questionnaire, STOP-BANG, STOP, and Epworth Sleepiness Scale in Detecting Obstructive Sleep Apnea: A Bivariate Meta-Analysis (https://www.sciencedirect.com/science/article/abs/pii/S1087079216301277) U.S. Department of Veterans Affairs, SleepEZ Digital Cognitive Behavioral Therapy for Insomnia (d-CBT-I) Course (https://www.veterantraining.va.gov/apps/insomnia/index.html) Resources on this and other topics are available at www.Cardi-OH.org.

Featuring Robin Ortiz, MD, MSHP, and Lisa Ramirez, PhD, ABPP Listen to Robin Ortiz, MD, MSHP, from New York University, and Lisa Ramirez, PhD, ABPP, from the MetroHealth System and Case Western Reserve University, discuss the importance of understanding, addressing, and mitigating the risks of adverse childhood experiences (ACEs). They will talk about the strong association between ACEs and cardiovascular disease, review current evidence on screening, and provide clinical resources to assist with trauma-informed care approaches. Moderated by Joshua Joseph, MD, MPH, The Ohio State University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Amber Healy, DO, from Ohio University, and Bree Meinzer, PharmD, BCACP, CACP, from the University of Toledo, discuss dietary supplement use, including in the treatment of diabetes. They will review complications of commonly used supplements, share tips on finding safety and efficacy information on these products, and provide guidance on how to talk to your patients about supplement use. Moderated by Susan Davis, DO, University of Cincinnati. Resources mentioned in this podcast: National Institutes of Health Herbs at a Glance (https://www.nccih.nih.gov/health/herbsataglance ) Office of Dietary Supplements (https://ods.od.nih.gov/ ) American Diabetes Association Complementary Health & Diabetes: A Focus on Dietary Supplements (https://shopdiabetes.org/products/complementary-health-diabetes-a-focus-on-dietary-supplements-2nd-edition ) Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Robert Bales, MD, and Trygve Dolber, MD, both from Case Western Reserve University School of Medicine, talk about the risks of increased alcohol use and the impact on heart health. They will discuss screening tools and give advice on how to talk with patients about alcohol use, including primary care interventions. Moderated by Rosellen Roche, MD, PhD, Ohio University Heritage College of Osteopathic Medicine. Resources mentioned in the podcast include a reference guide on the AUDIT framework ( https://qioprogram.org/sites/default/files/2021-06/NCC_Audit_Pocketcard_20170601_FNL_508.pdf ) from the Quality Innovation Network with the Centers for Medicare & Medicaid Services (CMS) and the National Institute on Alcohol Abuse and Alcoholism’s website on common alcohol-medication interactions (https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-medication-interactions-potentially-dangerous-mixes#pub-toc2 ). Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Jennifer Molano, MD, from the University of Cincinnati, discuss the importance of sleep for overall health, including cardiometabolic health. The interview will define sleep health, discuss who is at risk for poor sleep, review sleep habit screening tools for use in primary care, and share tips for sleep enhancement. Moderated by: Lauri Nandyal, MD, University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Sanjay Rajagopalan, MD, from University Hospitals and Case Western Reserve University, discuss the relationship between air pollution and cardiovascular events, identify its direct impact on cardiovascular risk factors, and share patient-centered and societal interventions to mitigate the risk of adverse health effects. Moderated by: Michael Holliday, MD, University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Sarah Aldrich Renner, PharmD, BCACP, and Marilee Clemons, PharmD, BCACP, both from the University of Toledo, discuss opportunities for pharmacists to contribute to patient care in the outpatient clinical setting. They will explain how to build a collaborative team that includes pharmacists, review how pharmacists contribute to improved health outcomes, and share tips for practices looking to add pharmacists to their team. Moderated by: Chris Bernheisel, MD, University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Peter J. Pronovost, MD, PhD, from University Hospitals and Case Western Reserve University, share his experience using adaptive leadership to improve quality in health care. The interview will differentiate between technical and adaptive problems, discuss characteristics of adaptive leaders, and outline strategies to engage clinical teams to drive change in health care. Moderated by: Aleece Caron, PhD, Case Western Reserve University Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Jackson T. Wright, Jr., MD, PhD, from Case Western Reserve University, explain the evidence surrounding blood pressure guidelines, discuss common misconceptions about pharmacological treatment of hypertension, and share tips for accurate in-office blood pressure measurement. Moderated by: Chris Bernheisel, MD, University of Cincinnati Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Glen Solomon, MD, Wright State University, and Cynthia Sheppard Solomon, BSPharm, RPh, FASCP, CTTS, NCTTP, Wright State University, give practical tips for successful tobacco treatment. They discuss the impact of tobacco use disorder on patient health and explain evidence-based techniques to help patients quit smoking. View a detailed list of resources: https://www.cardi-oh.org/files/assets/cardi-oh-tobacco-use-disorder-and-smoking-cessation-resources.pdf.

Clinicians Laura Mintz, MD, PhD, Case Western Reserve University, and Roger Harty, MD, The Ohio State University, discuss gender-affirming hormonal therapy and cardiometabolic health. Hear from a transgender patient about how gender-affirming therapy has affected his diabetes self-management. This podcast also reviews the impact social determinants of health have on transgender populations and gives practical strategies to help providers care for their gender-diverse patients. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Amy Sheon, PhD, and Autumn Glover, MCRP, MPA, discuss the importance of digital inclusion and equity for health outcomes. The interviewees will give an overview of the importance of digital inclusion in health care technology access, outline efforts across the state of Ohio to address the digital divide, and discuss a systems-level approach to improve digital access and literacy. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Aleece Caron, PhD, and Joe Daprano, MD, talk about the power of storytelling in quality improvement. The interview will outline the key elements of a performance story including tips on how to maximize impact across audiences. A real-life example highlighting the MEDTAPP Diabetes Quality Improvement Project will demonstrate a performance story in action in a primary care practice. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Randy Wexler, MD, MPH, and Elizabeth Beverly, PhD, talk about diabetes distress and its impact on clinical outcomes and patient self-care. The interview will cover differentiating diabetes distress from psychological and other psychosocial issues, the use of screening tools to identify diabetes distress, and evidence-based strategies to help patients better manage this condition. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Karen Bailey, MS, RD, LD, CDE, and Sarah Aldrich, PharmD, BCACP, talk about common barriers to insulin initiation and administration in the primary care office. The interview includes a patient education example and tips for ordering diabetes and insulin supplies. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Trygve Dolber, MD, explore the connection between mental health, diabetes, and cardiovascular disease. The interview will discuss mental health stigma, ways to recognize common mental health diagnoses and talk with patients about their mental health, and provide evidence-based interventions to improve patient outcomes. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to James Campbell, MD, discuss the importance of involving patients in quality improvement projects. The interview will provide insight on how to get started, ways to approach patients to participate, and strategies to keep them engaged. Resources on this and other topics are available at www.Cardi-OH.org.

Listen to Kathleen Dungan, MD, MPH, Noha Elnagar, MD, MSBS, PA-C, and Mohammad Shalabe, MD, MSBS, PA-C, discuss how telehealth can be optimized to obtain glucose monitoring data for patients with type 2 diabetes who require insulin. The interview will focus on patients who are insulin-requiring due to broader availability and coverage of testing supplies and greater evidence for efficacy in terms of A1C reduction, time in target glucose range, and time in hypoglycemia. Resources on this and other topics are available at www.Cardi-OH.org.