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Research note
Kelly Bosak
University of Kansas Medical Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4568-7040
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Objective
Heart failure (HF) is a chronic condition affecting millions of people worldwide. Exercise is safe and effective for preventing or slowing HF progression. Despite the benefits, implementation of guideline-directed exercise recommendations for adults with HF is lacking. The objective of this investigation was to assess the feasibility of an established integrated digital network to support a future larger implementation study to improve uptake of guideline-directed exercise recommendations for HF patients.
Results
A distributive query in REDCap was sent from the lead institution, completed, and returned by the information managers at each health system in the network. Descriptive analysis found ten (83%) of 12 sites responded to the initial query. Findings included adults, age ≥18 years with HF (ICD10: I50) since January 1, 2019 n=171,715 (range 4,279-36,856). Two sites (17%) reported PROMIS measures accessible in the electronic health record (EHR). Six (50%) reported PROMIS measures accessible outside the EHR. Four (33%) sites participated in the GWTG-HF registry. This pre-implementation investigation indicated that a future larger study is feasible with this digital network with a large population of HF patients. Feasibility of including patient reported outcomes in a future study may be improved with access to these measures in the EHR.
Keywords
Implementation Science, Feasibility, Guideline-Directed Evaluation and Management (GDEM), exercise, heart failure, Greater Plains Collaborative
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CURRENT STATUS: Under Review
Version 1
Posted 13 May, 2021
No community comments so far
Editor assigned
On 10 May, 2021
Submission checks complete
On 07 May, 2021
Editor invited
On 06 May, 2021
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On 26 Apr, 2021
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Subject Areas
Nursing
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A new preprint design is coming!
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This preprint is under consideration at BMC Research Notes. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research note
Kelly Bosak
University of Kansas Medical Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4568-7040
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 13 May, 2021
No community comments so far
Editor assigned
On 10 May, 2021
Submission checks complete
On 07 May, 2021
Editor invited
On 06 May, 2021
First submitted
On 26 Apr, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Nursing
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Objective
Heart failure (HF) is a chronic condition affecting millions of people worldwide. Exercise is safe and effective for preventing or slowing HF progression. Despite the benefits, implementation of guideline-directed exercise recommendations for adults with HF is lacking. The objective of this investigation was to assess the feasibility of an established integrated digital network to support a future larger implementation study to improve uptake of guideline-directed exercise recommendations for HF patients.
Results
A distributive query in REDCap was sent from the lead institution, completed, and returned by the information managers at each health system in the network. Descriptive analysis found ten (83%) of 12 sites responded to the initial query. Findings included adults, age ≥18 years with HF (ICD10: I50) since January 1, 2019 n=171,715 (range 4,279-36,856). Two sites (17%) reported PROMIS measures accessible in the electronic health record (EHR). Six (50%) reported PROMIS measures accessible outside the EHR. Four (33%) sites participated in the GWTG-HF registry. This pre-implementation investigation indicated that a future larger study is feasible with this digital network with a large population of HF patients. Feasibility of including patient reported outcomes in a future study may be improved with access to these measures in the EHR.
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