Byline: Beth Oliver, Center for Nursing Research and Innovation (Dr Cohen), Mount Sinai Health System (Dr Oliver and Ms Hughes), New York City, New York; and The Mount Sinai Hospital, New York City, New York (Drs Travis and Cartwright and Mss Condrat and Ullman).; Arlene Travis; Ellen Hughes; Lindsay Condrat; Jennifer Ullman; Bevin Cohen; Frances Cartwright Abstract BACKGROUND: Heart failure readmissions are common, though some are preventable through evidence-based management. LOCAL PROBLEM: Despite outperforming national benchmarks for 30-day readmissions, compliance with an evidence-based institutional heart failure management pathway was inconsistent. The purpose of this project was to reduce 30-day heart failure readmission rates through an educational intervention and an electronic health record (EHR) redesign. METHODS: The cardiac services nursing leadership team conducted an education and documentation needs assessment to identify knowledge gaps and practical barriers to effective utilization of evidence-based interventions for heart failure management. INTERVENTIONS: This intervention included an Advanced Cardiovascular Education (ACE) Academy and an EHR workflow redesign for clinical and supportive nursing staff. RESULTS: The 30-day heart failure readmission rates reduced immediately following the intervention, and rates continued to decrease over a 3-year follow-up. CONCLUSIONS: Even among hospitals outperforming national benchmarks, 30-day heart failure readmissions can be reduced and sustained with enhanced education and EHR redesign.