UCLA Health Patient Cardiology Care Gaps

Project Lead: Amber Tang 

Nudge Unit Team: Jose Arellano, Hengchen Dai, Jana Gallus, Richard Leuchter, Silvia Saccardo, Sitaram Vangala

Collaborating Department/Division: Cardiology, DOM Quality

Project description: Despite substantial evidence that supports the use of specific guideline-directed therapies in cardiovascular disease, real-world use of these medications remains low across the U.S. We designed a prospective randomized clinical trial evaluating two behaviorally-informed interventions that seek to close persistent care gaps in outpatient cardiology clinics.

• Monthly report card intervention to elevate physicians' intentions to close patient care gaps.
• EHR storyboard redesign to prompt action by increasing salience of patient care gaps. 

The primary outcome is care gap closure for cardiology-specific metrics (e.g., proportion of patients with heart failure with reduced ejection fraction on beta blockers). The trial investigates the separate and joint impacts of the proposed behaviorally-informed interventions through a 2x2 factorial randomization scheme.