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IHVI Explores Electronic Alerts for Heart Failure Therapy


Study design

When clinicians access a heart failure patient’s electronic medical record, they receive notification with recommendations for medical therapy based on the patient's characteristics. According to IHVI informaticist and Inova Cardiovascular Information System Medical Director Tina Slottow, MD, the practice of medical informatics "allows clinicians to work smarter, not harder. The PROMPT-HF study provides clinicians timely information and tools to best care for their patients by promoting seamless care through well-designed technology."

The medical record alerts are triggered by the presence of heart failure and the patient’s left ventricular ejection fraction and gives the provider information and ordering options for:

  • Recommended evidence-based medications that could improve the patient's care
  • Monitoring and follow-up requirements for prescribing these medications

The accompanying order set was designed to simplify implementing the recommendations and maximize utilization of the best available guideline directed therapy for heart failure.

The primary outcome for the trial is the proportion of identified patients with heart failure who have an increase in the number of prescribed evidence-based therapies for HFrEF (beta-blockers, ACE-I/ARB/ARNI, MRA, SGLT2i) 30 days after randomization. Secondary outcome measures are all-cause hospitalization and all-cause mortality at 30, 90, 180 and 365 days, determined by a review of medical, hospital and billing records.

About clinical informatics at Inova

IHVI graghThe clinical informatics team at Inova draws on a deep clinical understanding of how technology can improve patient outcomes. The team generates solutions via technology based on clinical indicators providers already use by triggering digital alerts intended to prompt earlier use of interventions and treatments for improved patient outcomes. In essence, the group uses existing computer systems to prompt clinical decision support at the point of care.