Tailored Electronic Intervention to Improve Therapy in a Diverse Cohort of Patients With Heart Failure

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Recent medical guidelines for the management of heart failure (HF) have established a combination of specific classes of medications as the best treatment for patients with heart failure with reduced ejection fraction (HFrEF). However, studies have shown that these medications, known together as guideline-directed medical therapy (GDMT), are not being used in clinical practice less often than they could be. Several tools to promote broader use of these treatments (including patient checklists) have shown promise for increasing use of GDMT. However, these tools have not been broadly implemented within large health systems. The goal of this study is to see if using these tools broadly within cardiology clinics will increase the use of GDMT. This study is important because it could help improve the use of GDMT, which may lead to improved patient care and outcomes.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Ejection fraction (EF) less than or equal to 40% by echocardiogram performed in the prior 18 months

• Diagnosis of heart failure

Locations
United States
Georgia
Emory Saint Joseph's Hospital
RECRUITING
Atlanta
Emory University Hospital
RECRUITING
Atlanta
Emory University Hospital Midtown
RECRUITING
Atlanta
Emory Johns Creek Hospital
RECRUITING
Johns Creek
Contact Information
Primary
Neal W Dickert, MD, PhD
njr@emory.edu
404-712-6834
Time Frame
Start Date: 2025-03-24
Estimated Completion Date: 2026-06
Participants
Target number of participants: 4000
Treatments
Other: Optimized version of the EPIC-HF Checklist
Patients of clinics that are randomized to implement the checklist will be sent the checklist in advance of their visit via their electronic medical record (EMR) portal.
Other: EPIC-HF Checklist for Patients and Clinician-facing Decision Support
Patients of clinics that are randomized to implement the checklist will be sent the checklist in advance of their visit via their electronic medical record (EMR) portal. During this period of the study, clinicians in intervention clinics will also have access to analogous decision-support via EMR.
Active_comparator: Standard of Care
Patients of clinics that are randomized to the standard of care will not have the EPIC-HF checklist available for viewing in their electronic medical record (EMR).
Related Therapeutic Areas
Sponsors
Collaborators: Merck Sharp & Dohme LLC
Leads: Emory University

This content was sourced from clinicaltrials.gov

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