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Updated: Sep 10, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

872

Advancing Heart Failure Care Through Disease Management Programs: A Comprehensive Framework to Improve Outcomes

Maha Inam1, Robert M Sangrigoli1, Linda Ruppert1

  • 1Department of Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19147, USA.

Journal of Cardiovascular Development and Disease
|August 27, 2025
PubMed

Insights

Heart Failure Disease Management Programs (HF-DMPs) offer a structured approach to improve patient outcomes and reduce costs. These programs integrate medical therapy, education, and support systems for better heart failure care.

Area of Science:

  • Cardiology
  • Public Health
  • Healthcare Management

Background:

  • Heart failure (HF) presents a significant global health burden with high morbidity, mortality, and hospital readmissions.
  • Current guideline-directed medical therapies (GDMTs) alone are insufficient to manage the growing prevalence of HF.
  • A comprehensive, multidisciplinary approach is essential for effective heart failure management.

Purpose of the Study:

  • To review the essential components of Heart Failure Disease Management Programs (HF-DMPs).
  • To highlight strategies for optimizing HF care delivery and reducing healthcare costs.
  • To emphasize the role of integrated care models in addressing the challenges of heart failure.

Main Methods:

  • This review synthesizes information on the structure and components of successful HF-DMPs.
  • Key elements discussed include patient identification, risk stratification, and pharmacologic optimization.
  • The review also covers team-based care, transitional follow-up, remote monitoring, and social support systems.

Main Results:

  • HF-DMPs integrate evidence-based therapies, patient education, and telemonitoring.
  • These programs leverage tools like artificial intelligence and community health worker support for scalability.
  • Successful HF-DMPs focus on tailored interventions, interdisciplinary collaboration, and health equity.

Conclusions:

  • HF-DMPs provide a scalable framework to enhance heart failure care delivery.
  • Optimizing outcomes and reducing costs requires comprehensive, multidisciplinary, and equity-driven strategies.
  • The integration of various support systems and technologies is crucial for effective disease management.

Keywords:
disease management programguideline-directed medical therapyhealth equityheart failureheart failure readmissionmultidisciplinary carepatient educationremote monitoring

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