Exploring Which EHR Interventions Improve Heart Failure Hospitalization Outcomes Across 10 Hospitals.
Publication/Presentation Date
9-16-2026
Abstract
BACKGROUND: Heart failure (HF) remains a major cause of mortality and hospitalization despite advances in guideline-directed medical therapy (GDMT). Electronic health record (EHR)-based clinical decision support tools may improve care delivery, but their impact on outcomes remains ill-defined.
PROJECT RATIONALE: As part of a system-wide HF quality improvement initiative, we evaluated 2 EHR interventions: an evidence-based HF admission order set promoting early diuresis and GDMT optimization, and a templated HF documentation tool (HFNOTE) designed to capture clinical complexity.
PROJECT SUMMARY: We analyzed 4,865 HF hospitalizations across 10 hospitals between December 2024 and June 2025. Overall risk-adjusted mortality index was 0.83 and 30-day readmission index was 1.07. Both admission order set and HFNOTE use were associated with lower mortality index compared to nonuse. Readmission indices were similar across groups.
TAKE-HOME MESSAGE: Targeted EHR interventions were associated with lower risk-adjusted inpatient mortality with a limited impact on 30-day readmissions, warranting further analyses to determine causal effects.
Volume
31
Issue
37
First Page
109816
Last Page
109816
ISSN
2666-0849
Published In/Presented At
Qamar, S., Alvarado, A., Buckwalter, T., Henwood, P., Jordan, D., Martino, C., Riggio, J., Sacksteder, C., Vanderzell, J., & Kubey, A. (2026). Exploring Which EHR Interventions Improve Heart Failure Hospitalization Outcomes Across 10 Hospitals. JACC. Case reports, 31(37), 109816. https://doi.org/10.1016/j.jaccas.2026.109816
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
42752023
Department(s)
Administration and Leadership
Document Type
Article