Cardiologist perceptions on automated alerts and messages to improve heart failure care - 02/12/24

Doi : 10.1016/j.ahj.2024.10.007

Samuel D. Maidman, MD ^a, Saul Blecker, MD ^b,^e, Harmony R. Reynolds, MD ^a, Lawrence M. Phillips, MD ^a, Margaret M. Paul, PhD ^b, Arielle R. Nagler, MD ^c, Adam Szerencsy, DO ^d,^e, Archana Saxena, MD ^a,^d, Leora I. Horwitz, MD ^b,^e, Stuart D. Katz, MD ^a, Amrita Mukhopadhyay, MD ^a,^b,^⁎
^a Leon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY
^b Department of Population Health, New York University Grossman School of Medicine, New York, NY
^c The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY
^d Medical Center Information Technology, New York University Langone Health, New York, NY
^e Department of Medicine, New York University Grossman School of Medicine, New York, NY

^⁎Reprint requests: Amrita Mukhopadhyay, MD, Division of Cardiology, Department of Medicine, NYU School of Medicine, NYU Langone Health, 227 East 30th Street, 8th Floor, New York, NY 10016.Division of Cardiology, Department of MedicineNYU School of MedicineNYU Langone Health227 East 30th Street, 8th FloorNew YorkNY10016

Abstract

Introduction

Electronic health record (EHR)-embedded tools are known to improve prescribing of guideline-directed medical therapy (GDMT) for patients with heart failure. However, physicians may perceive EHR tools to be unhelpful and be hesitant to implement these in their practice.

Methods

The BETTER CARE-HF trial (NCT05275920) ran from April 28, 2022 to October 26, 2022 at NYU Langone Health outpatient clinics being seen by 180 cardiologists. The trial compared the effectiveness of an Alert during visits, Messages between visits, or usual care with the primary outcome of MRA prescribing. In this study, we sent surveys via electronic mail to cardiologists who either received an Alert or a Message during BETTER CARE-HF (60 cardiologists per survey).

Results

Of the 120 cardiologists who were sent the survey, response rate was 27% in the Alert group and 33% in the Message group. A majority of respondents in both the alert and message groups agreed that EHR tools were easy to use (Alert 79%; Message 69%), served as a reminder to prescribe therapy (Alert 77%; Message 77%;), and that the underlying evidence (Alert 86%; Message 62%) and clinical information (Alert 86%; Message 69%) were trustworthy. Overall, 54% agreed with continued use of the Alert, while 31% agreed with continued use of the Message.

Conclusion

Cardiologists perceived the EHR tools to be easy to use, helpful, and improve the overall management of their patients with heart failure.

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CRediT authorship contribution statement

Andreas P. Kalogeropoulos, MD, PhD served as Guest Editor for this manuscript.

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Vol 279

P. 59-65 - janvier 2025 Retour au numéro

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Cardiologist perceptions on automated alerts and messages to improve heart failure care - 02/12/24

Abstract

Introduction

Methods

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