Multi-Center Project: Building Electronic Tools To Enhance and Reinforce CArdiovascular REcommendations - Heart Failure
Purpose
This study will test an automated, electronic health record (EHR-)embedded alert to improve prescribing of guideline-directed medical therapy for patients with heart failure and reduced ejection fraction (HFrEF). The investigators have previously tested and implemented this alert at NYU Langone Health (NYULH), and will now test and implement this alert across three other health systems.
Condition
- Heart Failure
Eligibility
- Eligible Ages
- Between 18 Years and 90 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Patient with an encounter visit at participating cardiology practice during the study period - Patient with EF of less than or equal to 40% on most recent echocardiogram at the time of visit - Patient ages 18-90
Exclusion Criteria
- Pregnancy - Ventricular assist device - Hospice - Cardiac amyloid - Medication-specific exclusion for MRA: most recent systolic blood pressure less than 105 mm Hg, most recent potassium < 5.1, any potassium > 5.5, most recent glomerular filtration rate < 30 (using MDRD equation), or a documented MRA allergy.
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Intervention |
Participants who are randomized to receive the intervention (i.e., displaying the automated EHR-embedded alert). |
|
|
No Intervention Standard of Care |
Participants who are randomized to the control group (i.e., not displaying the automated EHR-embedded alert). |
|
Recruiting Locations
OhioHealth
Columbus, Ohio 43228
Columbus, Ohio 43228
More Details
- NCT ID
- NCT06457152
- Status
- Recruiting
- Sponsor
- NYU Langone Health