Multi-Center Project: Building Electronic Tools To Enhance and Reinforce CArdiovascular REcommendations - Heart Failure (BETTER CARE-HF)

NYU Langone Health

Status: Active, not recruiting

Conditions: Heart Failure

Treatments: Other: EHR-Emedded Alert

Study type: Interventional

Funder types: Other

Identifiers

NCT06457152

24-00179

Details and patient eligibility

About

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.

Enrollment: 3,000 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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3,000 participants in 2 patient groups

Intervention

Experimental group

Description:

Participants who are randomized to receive the intervention (i.e., displaying the automated EHR-embedded alert).

Treatment:

Other: EHR-Emedded Alert

Standard of Care

No Intervention group

Description:

Participants who are randomized to the control group (i.e., not displaying the automated EHR-embedded alert).