Pragmatic Trial of Messaging to Providers About Treatment of Heart Failure (PROMPT-HF)
Heart Failure With Reduced Ejection Fraction

About this trial
This is an interventional supportive care trial for Heart Failure With Reduced Ejection Fraction
Eligibility Criteria
Patient Inclusion Criteria:
- Age 18 or over
- Seen in eligible internal medicine or cardiology clinic
- Left ventricular ejection fraction less than or equal to 40%
- Registered in the Yale Heart Failure Registry
Patient Exclusion Criteria:
- Opted out of EHR-based research
- Under hospice care
- Already receiving each targeted class of evidence-based HFrEF medical therapy
Selection of Providers:
- Practicing at an eligible internal medicine or cardiology clinic
- High frequency of visits by eligible patients based on retrospective chart review
Sites / Locations
- Yale New Haven Health System selected outpatient clinics
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
EHR-based alert
Usual Care
Providers will receive a best practice alert for each of their eligible patients upon opening of the order entry screen in the patient's medical record. The alert will inform the provider to the presence of HFrEF and of the patient's current left ventricular ejection fraction and current evidence-based medications for HFrEF. It will also provide access to an order set with recommended evidence-based HFrEF therapies as well as a link to the best available guideline-recommended information regarding the treatment of heart failure.
Providers will not receive an alert and will proceed with usual care.