Abstract 255: Implementation Of An Electronic Health Record (ehr) Tool To Improve Care Delivery In The Management Of Heart Failure

Background: The usage of guideline-directed medical therapy (GDMT) in the treatment of heart failure (HF) has shown to reduce mortality and hospitalization. However, majority of the HF patients do not receive GDMT or do not achieve the target dose despite the abondance of positive evidence. We conducted a quality improvement project at our hospital with the aim to evaluate the impact of utilization of an Epic-based EHR tool that allows adherence with evidence-based guidelines and improve efficiency in coordination of care.

Methods: Our cohorts included adult patients admitted with Acute Decompensated Heart Failure. We implemented within our documentation using structured EHR notes to pre-populate clinical data on patient including their current GMDT, also justifying the reasons why they aren’t on certain medications (GDMT).

Results: When comparing our pre (2020) and post (2021) intervention data, we observed an increase from 50% to 97% in compliance with beta-blockers, angiotensin-converting enzyme inhibitors (ACEi), angiotensin receptor blockers (ARBs) or Angiotensin receptor-neprilysin inhibitors (ARNIs) on discharge(Figure 1). 7-day follow up scheduled before discharge went from 58% pre-intervention to 91% post-intervention (Figure 1).

Conclusion: This retrospective, single-center observation study found that an integrated EHR disease specific template can help improve adherence to GDMT in turn improving survival and reducing hospitalization. We observed a 100% compliance with BB, ACEi/ARBs or ARNIs. There was also an improvement in 7-day discharge follow up.