Health Information Technology in Heart Failure Care

Not Applicable

Completed

• Conditions: Heart Failure
• Interventions: Other: Pop Up Interruption Alert; Other: Side Bar Non Interruptive Provider Checklist

• Registration Number: NCT02858674
• Lead Sponsor: NYU Langone Health

Brief Summary

The objective of this proposal is to develop, implement, and test the effectiveness of a computerized clinical decision support system for hospitalized patients with heart failure.

Aim 1: Develop an electronic health record (EHR) based search method that uses both structured data and natural language processing of unstructured text to identify hospitalized patients with heart failure while they are still in the hospital.

Aim 2: Develop and test the usability of an electronic health record (EHR) based clinical decision support system (CDSS) to support delivery of evidence-based care to hospitalized heart failure patients using human computer interaction methods.

Aim 3: Assess the effect of an electronic health record (EHR) based clinical decision support system (CDSS) on processes of care for heart failure patients who are hospitalized for other causes. As part of the evaluation, we will test two implementation strategies, one of which will introduce the CDSS as an interruptive alert to providers, the second of which will introduce the CDSS as part of a provider checklist that exists on the side of the screen for each patient.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-08-03
• Study First Submitted QC: 2016-08-03
• Study First Posted: 2016-08-08
• Study Start: 2017-04-01
• Primary Completion: 2018-03-31
• Study Completion: 2018-03-31
• Status Verified: 2019-11
• Last Update Submitted: 2019-11-07
• Last Update Posted: 2019-11-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 958

Inclusion Criteria

• Patients hospitalized 2 years prior and 18 months after the time of implementation of the Computerized clinical decision support systems (CDSS) in the (Electronic Health Record (EHR).

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Exclusion Criteria

• Patients on the obstetrical service, who died during hospitalization, or on hospice care.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active Alerting Mechanism	Pop Up Interruption Alert	Traditional Pop Up Alert used in Epic
Passive Alerting Mechanism	Side Bar Non Interruptive Provider Checklist	Noninterruptive alert that sits in the checklist

Primary Outcome Measures

Name	Time	Method
Percent of Patients with a Secondary Diagnoses of Heart Failure	90 Days	These patients will also have had of left ventricular function (LV) Assessment either prior to or during the hospitalization or planned for post discharge
Percentage of patients with a secondary diagnosis of heart failure and LV systolic dysfunction who have been prescribed an Angiotensin-converting enzyme (ACE) inhibitor or Angiotensin II receptor blockers (ARB)	90 Days

Trial Locations

Locations (1)

New York University School of Medicine; 🇺🇸 New York, New York, United States