Key result
EHR interventions linked to lower inpatient mortality with limited impact on 30-day readmissions.
Why the study?
Do EHR interventions (HF admission order set and HFNOTE) reduce mortality and readmissions in heart failure hospitalizations?
Observational (n=4,865)
Yes
Do EHR interventions (HF admission order set and HFNOTE) reduce mortality and readmissions in heart failure hospitalizations?
Implementation of EHR-based HF admission order sets and documentation tools is associated with reduced risk-adjusted inpatient mortality, though it does not significantly impact 30-day readmissions.
EHR tools may lower HF mortality risk; leaves open causality and readmission effects pending randomized confirmation.
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. PROJECT 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. PROJECT 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. TAKE-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.
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Qamar et al. (2026) conducted an observational in Heart failure (n=4,865). EHR interventions (HF admission order set and HFNOTE) vs. Nonuse was evaluated on Risk-adjusted mortality index and 30-day readmission index. EHR interventions (admission order set and HFNOTE) were associated with lower risk-adjusted inpatient mortality compared to nonuse, with limited impact on 30-day readmissions.
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