Management of chronic heart failure in the outpatient

Current management of chronic heart failure involves reducing the personal and economic burden through controlling symptoms, reducing hospital admissions, and slowing the progression of ventricular dysfunction. As healthcare providers struggle to control the rising costs of health and illness care while reducing morbidity and mortality rates associated with chronic illness, alternative practice models must be evaluated. This article describes a collaborative practice model designed to improve care of older adults with chronic heart failure. Strengths of the model include the use of evidence-based guidelines for heart failure management and for organization of the practice.