Promoting Palliative Care for People With Heart Failure

Summary

This project will develop and test a novel clinical decision support tool (CDS) that encourages timely referral to palliative care for people hospitalized with heart failure. This intervention will incorporate an existing, validated 1-year mortality risk model into a CDS to deliver prognostic information and evidence-based decision support at the point of care. Thus, this research may lead to improved care-concordant and goal-directed care for people with heart failure.

Eligibility

Inclusion Criteria:

Healthcare providers must meet the following criteria:

* Are an attending physician, fellow, or resident, advanced practice nurse, or physician associate
* Has ordering privileges
* Are members of one of the hospitals' admitting teams (e.g., hospitalist service, cardiology service)
* Anticipate employment at one of the two study sites for the 15-month trial period.

Or

* Palliative care team member
* Hospital administrator/quality and safety personnel

Patients of providers enrolled in the study must meet the following criteria for heart failure during hospitalization:

* Age 18 years of age or older
* N-terminal pro-B-type natriuretic peptide values of \>500 pg/ml
* Received intravenous diuretics within 24 hours of admission.

Exclusion Criteria:

* Pregnant at the time of admission.

Conditions3

Locations2 sites

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