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Care Optimization through Patient and Hospital Engagement Clinical Trial for Heart Failure
The primary objective of this trial is to assess the effect of a customized, multifaceted, health system-level QI program compared with usual care on HF outcomes (ie., composite of HF readmissions or all-cause mortality) and HF quality metrics (ie., as assessed by an opportunity-based composite score) in the year following discharge for participants with acute on chronic HF and reduced left ventricular ejection fraction.
- Acute HF as a primary cause of hospitalization and a previous clinical diagnosis of HF
- LVEF ≤ 40% based on last local measurement using echocardiography, multigated acquisition scan, computed tomography (CT) scanning, magnetic resonance imaging, or ventricular angiography
- Planned discharge to home or other supported care facility where patients are individually responsible for medication management