SHM Converge Scientific Abstract ePoster Gallery-Using Information Technology to Reassess Diuretic Therapy in Real Time

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Northwell Health describes itself as New York State’s largest health care provider and private employer, committed to improving community health through high-quality clinical care, education, research, and care regardless of ability to pay. It operates 23 hospitals, more than 700 outpatient facilities, and includes thousands of affiliated physicians.<br /><br />The document then presents a hospital medicine project from Long Island Jewish Medical Center on using information technology to reassess diuretic therapy in real time for heart failure patients. Heart failure affects millions of Americans and leads to frequent hospital admissions, longer lengths of stay, higher mortality, and increased costs. To address this, the team created a Microsoft Teams–based tool called “myNora” with a heart failure information card. The card tracks daily standing weights, weight changes, fluid intake, and urine output to help guide intravenous diuretic management.<br /><br />During interdisciplinary rounds, the heart failure card is reviewed daily. Nurses and physicians confirm that weights are entered, assess volume status, and adjust diuretic therapy immediately if needed. For patients unable to stand, intake and output data are used instead. The project also plans to expand the card to support better discharge guideline-directed medical therapy, including beta blockers, ACEi/ARB/ARNI, MRA, and SGLT2 inhibitors.<br /><br />Early results showed a decrease in length of stay, with reported improvements over two measured periods. The project aims to improve outcomes, reduce readmissions, and optimize heart failure care through real-time data use.

Asset Subtitle

Yashvi Patel

Meta Tag

Author List Semie Kang, Yashvi Patel

Category Innovations

Concept Heart Failure

Concept Diuretic Therapy

Concept Volume Status

Concept Heart Failure Information Card

Concept Guideline-Directed Medical Therapy

Distinguished Non-Finalist

Presenter Organization Long Island Jewish Medical Center

Presenting Author Yashvi Patel

Track Technology in Hospital Medicine

Keywords

Northwell Health

heart failure

diuretic therapy

real-time data

hospital medicine

Long Island Jewish Medical Center

Microsoft Teams

myNora

length of stay

guideline-directed medical therapy

Heart Failure

Diuretic Therapy

Volume Status

Heart Failure Information Card

Guideline-Directed Medical Therapy