An Implementation Model for Clinical Decision Support for Heart Failure Prescribing

Development and Validation of an Integrated Implementation Model for Clinical Decision Support for Heart Failure Prescribing

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04028557

Enrollment

118

Registered

2019-07-22

Start date

2019-06-24

Completion date

2019-09-23

Last updated

2022-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Decision Support Systems, Clinical, Heart Failure

Brief summary

The objective of this proposal is to compare clinical outcomes, implementation metrics (i.e., patient reach and clinician adoption), and clinician preferences of two designs (customized vs. commercial) of a clinical decision support (CDS). Beta blocker prescribing for patients with heart failure will be used as a test case. The best practices in CDS design, including the user-centered design will be incorporated into the customized CDS and compared to a commercially-available CDS in the electronic health record using a cluster randomized trial.

Interventions

OTHERDecision Support Systems, Clinical

Active computerized clinical decision support alert within the electronic health record that recommends initiation of an evidence-based beta blocker for heart failure and reduced ejection fraction.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE (Caregiver)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

Study subjects are providers Inclusion Criteria: * Prescribing primary care clinicians at University of Colorado Health (UCHealth) who provide care for patients with heart failure and reduced ejection fraction

Exclusion criteria

* None

Design outcomes

Primary

Measure	Time frame	Description
Change in prescription of Beta blocker (BB)	6 months post CDS implementation	Number of prescriptions of an evidence based BB during a primary care office visit.

Secondary

Measure	Time frame	Description
Patient Reach	6 months post CDS implementation	The proportion of unique patients with heart failure who were seen by primary care and not taking an evidence based BB who the CDS fired for.
Clinician Adoption	6 months post CDS implementation	The proportion of CDS who were not outright dismissed by the clinician.
Factors Influencing Clinician Adoption of the CDS per Qualitative Interviews	6 months post CDS implementation	Clinician-reported factors that influence adoption of the CDS.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 15, 2026