{
  "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.\n\nProject 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.\n\nProject 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.\n\nTake-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.",
  "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": [
        1
      ],
      "name": "Andres Alvarado"
    },
    {
      "affs": [
        1
      ],
      "name": "Thomas Buckwalter"
    },
    {
      "affs": [
        1
      ],
      "name": "Patricia Henwood"
    },
    {
      "affs": [
        1
      ],
      "name": "Dana Jordan"
    },
    {
      "affs": [
        1
      ],
      "name": "Cara Martino"
    },
    {
      "affs": [
        0
      ],
      "name": "Jeffrey Riggio"
    },
    {
      "affs": [
        1
      ],
      "name": "Charlotte Sacksteder"
    },
    {
      "affs": [
        1
      ],
      "name": "Jared Vanderzell"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Alan Kubey"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cntnvq32whw2c.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109816",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728410/",
  "id": "cntnvq32whw2c",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109816",
  "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",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Heart Failure Treatment and Management"
    ]
  ],
  "openalex": "W7213438859",
  "pdf_url": null,
  "pmcid": "PMC13728410",
  "pmid": "42752023",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/cntnvq32whw2c.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:25Z",
      "native_id": "PMC13728410",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109816"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Heart Failure Treatment and Management",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Exploring Which EHR Interventions Improve Heart Failure Hospitalization Outcomes Across 10 Hospitals",
  "title_text": "Exploring Which EHR Interventions Improve Heart Failure Hospitalization Outcomes Across 10 Hospitals",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:25Z",
  "url": "https://research.draconitic.com/paper/cntnvq32whw2c",
  "venue": "JACC Case Reports",
  "versions": []
}