In the Community

Outpatient Disease Management

The goal of our disease management program is to improve the health and quality of life for people with heart failure by connecting them to additional resources, by educating them about managing their disease, and by reducing unnecessary hospitalizations. Using best practices and clinical guidelines, our disease manager coordinates the care of our patients through the course of their disease, providing information and tools to help patients effectively manage their condition.

Patient Services
CHF Class Flier July-Dec. 2012 

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  • Medication management.
  • Ongoing assessment and tools to increase compliance with your plan of care.
  • Education on many topics to help you better manage your disease and to improve your quality of life.
  • Contact with additional services, such as home care, nutrition, social services, cardiac rehab and palliative care, when needed.

Family Education 

  • What is heart failure
  • Dietary counseling and compliance
  • Exercise and lifestyle management
  • Medication management
  • Symptoms of worsening heart failure
  • When to notify your healthcare provider

Case Management

Registered nurses and social workers provide:

  • Emotional support and counseling
  • Assistance with home care referrals and therapies

Home Management

  • Home assessment and evaluation
  • Monitoring your plan of care and treatment
  • Delivery of IV medications, when needed
  • Education and encouragement
  • Regular patient updates to your referring physician

 Cardiac Rehabilitation 

The goal of the Cardiac Rehab program is to improve skeletal muscle strength and endurance for patients with heart failure. Patients admitted into the program will receive a prescribed regimen of exercise which includes both home exercise and a formal class. Learn more...