Veterans Affairs Pharmacist Heart Failure Medication Titration Project 1
Heart Failure
About this trial
This is an interventional health services research trial for Heart Failure focused on measuring Pharmacist, Medication therapy
Eligibility Criteria
Inclusion Criteria: Clinical pharmacists in the Veterans Health Administration that provide Patient Aligned Care Team (PACT) care in VA Sierra Pacific Network (VISN 21) Exclusion Criteria: Excluded per pharmacist supervisor decision
Sites / Locations
- Palo Alto Veteran's Affairs Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Audit and Feedback (AF)
Audit and Feedback with Patient Specific Targets (AF+)
Usual Care
Pharmacists randomized to audit and feedback will receive a monthly email containing information including their total medication titration encounters over a 3 month period, as well as the site and VISN level for comparison. The audit and feedback email will also contain rates of medical therapy and percentage of patients on >50% of the target dose of medical therapy stratified by site, VISN and national. This data will be obtained from VHA national HF dashboard. Pharmacists in AF will also receive invitations to monthly educational sessions and access to shared resources on HF medication management.
Pharmacists randomized to the AF+ group will receive the audit and feedback intervention described above with the addition of a list of 5-7 HF patients who are potentially eligible for pharmacist HF medication titration. These patients will be identified using the VHA national HF dashboard.
Pharmacists randomized to the usual care arm will have access to monthly educational sessions and to shared resources on HF medication management. They will receive no additional feedback.