PRagmatic Trial Of Messaging to Providers About Treatment of Heart Failure at Inova (PROMPTHF-Inova)

Inova Health Care Services

Status: Enrolling

Conditions: Heart Failure

Treatments: Other: Best Practice Advisory using Electronic Health Record

Study type: Interventional

Funder types: Other

Identifiers

NCT05433220

U22-04-4736

Details and patient eligibility

About

A randomized, single-blind intervention trial to test the comparative effectiveness of an electronic health record best practice advisory system that informs clinicians of guideline-indicated and FDA-approved heart failure medications currently not prescribed to their patients with heart failure versus usual care (no alert and how things are done currently). The purpose of the alert is to stimulate appropriate medication prescription for patients with heart failure and a reduced ejection fraction. This will be done across outpatient Inova clinics and at the five Inova hospitals.

Enrollment: 5,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age>18 Years
• Seen by a Cardiologist in an Inova clinic or Inova hospital setting
• Left Ventricular Ejection Fraction ≤40%

Exclusion criteria

• Opted out of EHR-based research
• Hospice care
• Already receiving maximally titrated doses of each of the four classes of evidence- based HFrEF medical therapy
• Prior heart transplant

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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5,000 participants in 2 patient groups

Alert when provider is entering orders

Experimental group

Treatment:

Other: Best Practice Advisory using Electronic Health Record

No alert, usual care

No Intervention group