INS and congestive heart failure: Mondays through Thursdays from approximately 11 AM to 8 PM. Inclusion criteria were: ≥10 active chronic prescription medications in the electronic health record (EHR), history of acute myocardial infarction or congestive heart failure in the EHR problem list, admission from a skilled nursing facility (SNF), history of transplant, or active anticoagulant, insulin, or narrow therapeutic index medications.