{
  "abstract": "Background: Institutional barriers are associated with suboptimal guideline-directed medical therapy (GDMT) prescribing at heart failure discharge.\n\nProject Rationale: Practice variations between academic medical centers (defined as “teaching” hospitals with residents) and community hospitals are poorly understood. Evaluating how diverse settings respond to quality improvement strategies is vital.\n\nProject Summary: A multicenter study across 10 electronic health record–unified hospitals evaluated 3,535 heart failure encounters. Phase 1 implemented educational work groups and financial incentives; phase 2 introduced clinical decision support systems. Community hospitals responded significantly to phase 1 education/incentives, with mean discharge of GDMT agents rising from 2.19 to 2.44 (P = 0.0028). Academic medical centers improved significantly only after the implementation of phase 2 clinical decision support systems, rising from 2.27 to 2.48 GDMT agents (P = 0.0009).\n\nTake-Home Messages: Community settings respond to education and financial incentives, whereas academic settings require hardwired digital workflows. Enterprise quality improvement initiatives must match deployment strategies to institutional context.",
  "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": "Trisha Sindhu"
    },
    {
      "affs": [
        0
      ],
      "name": "Charlotte Pirquet"
    },
    {
      "affs": [
        0
      ],
      "name": "Sheraz Qamar"
    },
    {
      "affs": [
        0
      ],
      "name": "Tanay-Veer Gandhi"
    },
    {
      "affs": [
        1
      ],
      "name": "Patricia Henwood"
    },
    {
      "affs": [
        1
      ],
      "name": "Cara Martino"
    },
    {
      "affs": [
        0
      ],
      "name": "Jeffrey Riggio"
    },
    {
      "affs": [
        1
      ],
      "name": "Jared Vanderzell"
    },
    {
      "affs": [
        1
      ],
      "name": "Charlotte Sacksteder"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Alan Kubey"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/95sgjzcr8ehdv.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109888",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728376/",
  "id": "95sgjzcr8ehdv",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109888",
  "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",
      "3605|Electronic Health Records Systems"
    ]
  ],
  "openalex": "W7213420298",
  "pdf_url": null,
  "pmcid": "PMC13728376",
  "pmid": "42752008",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/95sgjzcr8ehdv.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:22Z",
      "native_id": "PMC13728376",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109888"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "EHR-Based Quality Interventions Associated With Differential GDMT Prescribing in Community Versus Academic Hospitals",
  "title_text": "EHR-Based Quality Interventions Associated With Differential GDMT Prescribing in Community Versus Academic Hospitals",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:22Z",
  "url": "https://research.draconitic.com/paper/95sgjzcr8ehdv",
  "venue": "JACC Case Reports",
  "versions": []
}