Subspecialty Ambulatory Quality Cardiology Program

NYU Langone Health

Status: Invitation-only

Conditions: Atrial Fibrillation; Heart Failure With Reduced Ejection Fraction

Study type: Observational

Funder types: Other

Identifiers

NCT07283666

QI-Specialty Ambulatory

Details and patient eligibility

About

Investigators will evaluate the effectiveness of an audit and feedback performance improvement strategy in which cardiology providers receive quarterly emails on ambulatory quality improvement goals.

Enrollment: 7,000 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for atrial fibrillation quality metric:

• Active diagnosis of atrial fibrillation
• CHADS2VASC of at least 2 in males and at least 3 in females
• Outpatient cardiology visit in past 3 months

Inclusion Criteria for HFrEF quality metric:

• Most recent EF ≤40
• Age 18-90
• Outpatient cardiology visit in past 3 months

Exclusion Criteria for atrial fibrillation quality metric:

• LAAO device
• Hemorrhagic Stroke

Exclusion Criteria for HFrEF quality metric:

• SBP<90
• eGFR<30
• Potassium>5
• Active allergy to MRA
• Acknowledge reason on heart failure alert
• Mechanical circulatory device
• Cardiac amyloid diagnosis

Trial design

7,000 participants in 2 patient groups

Quarterly Emails

Description:

Quarterly emails on performance will be sent.

Control

Description:

Usual Care (no emails on performance).