{
  "abstract": "Background: Heart failure (HF) is a leading cause of hospitalization, morbidity, and mortality. Despite evidence supporting guideline-directed medical therapy (GDMT), prescribing remains suboptimal, particularly at hospital discharge.\n\nProject Rationale: Hospitalization provides an opportunity to initiate or optimize GDMT, but workflow barriers and practice variation limit implementation. To address this gap, our system implemented a system-wide HF quality improvement initiative featuring evidence-based order sets and an electronic health record smart phrase (“HFNOTE”) to centralize and standardize documentation and encourage GDMT use.\n\nProject Summary: We analyzed 2,859 HF hospitalizations across 10 hospitals between December 1, 2024 and June 30, 2025. Use of HFNOTE and admission order sets was significantly associated with higher rates of 4-pillar GDMT prescribing in heart failure with reduced ejection fraction/heart failure with improved ejection fraction and sodium-glucose cotransporter-2 inhibitor prescribing in heart failure with preserved ejection fraction/heart failure with mildly reduced ejection fraction, with relative improvements ranging from 31% to 58%.\n\nTake-Home Messages: Scalable electronic health record–based tools, including standardized order sets and documentation, may meaningfully improve adherence to evidence-based HF therapy.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA",
    "Jefferson Health, Philadelphia, Pennsylvania, USA",
    "Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sheraz Qamar"
    },
    {
      "affs": [
        0
      ],
      "name": "Trisha Sindhu"
    },
    {
      "affs": [
        0
      ],
      "name": "Charlotte Pirquet"
    },
    {
      "affs": [
        0
      ],
      "name": "Benjamin Richter"
    },
    {
      "affs": [
        1
      ],
      "name": "Charlotte Sacksteder"
    },
    {
      "affs": [
        0
      ],
      "name": "Tatianna Branch"
    },
    {
      "affs": [
        0
      ],
      "name": "Jeffrey Riggio"
    },
    {
      "affs": [
        1
      ],
      "name": "Cara Martino"
    },
    {
      "affs": [
        1
      ],
      "name": "Patricia Henwood"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Alan Kubey"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8cehzwhsd67x5.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109815",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728409/",
  "id": "8cehzwhsd67x5",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109815",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Heart Failure and Cardiomyopathies"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Heart Failure Treatment and Management"
    ]
  ],
  "openalex": "W7213426108",
  "pdf_url": null,
  "pmcid": "PMC13728409",
  "pmid": "42752010",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/8cehzwhsd67x5.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:25Z",
      "native_id": "PMC13728409",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109815"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Heart Failure Treatment and Management",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Evaluating Electronic Health Record Intervention Efficacy in Enhancing Inpatient Initiation of Guideline-Directed Medical Therapy",
  "title_text": "Evaluating Electronic Health Record Intervention Efficacy in Enhancing Inpatient Initiation of Guideline-Directed Medical Therapy",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:25Z",
  "url": "https://research.draconitic.com/paper/8cehzwhsd67x5",
  "venue": "JACC Case Reports",
  "versions": []
}