Heart failure (HF) remains a leading cause of mortality and morbidity and a primary driver of health care resource use in the United States. As such, there continues to be much interest in the development and refinement of HF clinics that manage patients with HF in a guideline-directed, technology-enabled, and coordinated approach. Optimization of resource use and maintenance of collaboration with other providers are also important themes when considering implementation of HF clinics. Through this document, the Heart Failure Society of America aims to provide a contemporary, practical guide to creating and sustaining a HF clinic. The guide discusses (1) patient care considerations for delivering guideline-directed and patient-centered care, and (2) operational considerations including development of a HF clinic business plan, setting goals, leadership support, triggers for patient referral and patient follow-up, patient population served, optimal clinic staffing models, relationships with subspecialists, and continuous quality improvement. This document was developed to empower providers and clinicians who wish to build and sustain community-based, successful HF clinics.
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Hauptman PJ, Rich MW, Heidenreich PA, Chin J, Cummings N, Dunlap ME, Edwards ML, Gregory D, O'connor CM, Pezzella SM, Philbin E; Heart Failure Society of America. Hauptman PJ, et al. J Card Fail. 2008 Dec;14(10):801-15. doi: 10.1016/j.cardfail.2008.10.005. J Card Fail. 2008. PMID: 19041043 Review.
Luttik ML, Jaarsma T, van Geel PP, Brons M, Hillege HL, Hoes AW, de Jong R, Linssen G, Lok DJ, Berge M, van Veldhuisen DJ. Luttik ML, et al. Eur J Heart Fail. 2014 Nov;16(11):1241-8. doi: 10.1002/ejhf.173. Epub 2014 Oct 10. Eur J Heart Fail. 2014. PMID: 25302753 Clinical Trial.
Jessup M, Albert NM, Lanfear DE, Lindenfeld J, Massie BM, Walsh MN, Zucker MJ. Jessup M, et al. Circ Heart Fail. 2011 May;4(3):378-87. doi: 10.1161/HHF.0b013e3182186210. Epub 2011 Apr 4. Circ Heart Fail. 2011. PMID: 21464151
Buonocore D, Wallace E. Buonocore D, et al. AACN Adv Crit Care. 2014 Apr-Jun;25(2):151-62. doi: 10.1097/NCI.0000000000000018. AACN Adv Crit Care. 2014. PMID: 24752028
Aspromonte N, Gulizia MM, Di Lenarda A, Mortara A, Battistoni I, De Maria R, Gabriele M, Iacoviello M, Navazio A, Pini D, Di Tano G, Marini M, Ricci RP, Alunni G, Radini D, Metra M, Romeo F. Aspromonte N, et al. G Ital Cardiol (Rome). 2016 Jul-Aug;17(7-8):570-93. doi: 10.1714/2330.25052. G Ital Cardiol (Rome). 2016. PMID: 27571334 Italian.
Ali A, Siddiqui AA, Shahid I, Van Spall HGC, Greene SJ, Fudim M, Khan MS. Ali A, et al. Egypt Heart J. 2024 Aug 5;76(1):97. doi: 10.1186/s43044-024-00532-z. Egypt Heart J. 2024. PMID: 39101961 Free PMC article. Review.
Mamataz T, Virani SA, McDonald M, Edgell H, Grace SL. Mamataz T, et al. BMJ Open. 2024 Mar 14;14(3):e076664. doi: 10.1136/bmjopen-2023-076664. BMJ Open. 2024. PMID: 38485484 Free PMC article.
Chung MK, Patton KK, Lau CP, Dal Forno ARJ, Al-Khatib SM, Arora V, Birgersdotter-Green UM, Cha YM, Chung EH, Cronin EM, Curtis AB, Cygankiewicz I, Dandamudi G, Dubin AM, Ensch DP, Glotzer TV, Gold MR, Goldberger ZD, Gopinathannair R, Gorodeski EZ, Gutierrez A, Guzman JC, Huang W, Imrey PB, Indik JH, Karim S, Karpawich PP, Khaykin Y, Kiehl EL, Kron J, Kutyifa V, Link MS, Marine JE, Mullens W, Park SJ, Parkash R, Patete MF, Pathak RK, Perona CA, Rickard J, Schoenfeld MH, Seow SC, Shen WK, Shoda M, Singh JP, Slotwiner DJ, Sridhar ARM, Srivatsa UN, Stecker EC, Tanawuttiwat T, Tang WHW, Tapias CA, Tracy CM, Upadhyay GA, Varma N, Vernooy K, Vijayaraman P, Worsnick SA, Zareba W, Zeitler EP; Document Reviewers; Lopez-Cabanillas N, Ellenbogen KA, Hua W, Ikeda T, Mackall JA, Mason PK, McLeod CJ, Mela T, Moore JP, Racenet LK. Chung MK, et al. J Arrhythm. 2023 Aug 2;39(5):681-756. doi: 10.1002/joa3.12872. eCollection 2023 Oct. J Arrhythm. 2023. PMID: 37799799 Free PMC article.
Hassanein M, Tageldien A, Badran H, Samir H, Elshafey WE, Hassan M, Magdy M, Louis O, Abdel-Hameed T, Abdelhamid M. Hassanein M, et al. ESC Heart Fail. 2023 Oct;10(5):2788-2796. doi: 10.1002/ehf2.14485. Epub 2023 Aug 9. ESC Heart Fail. 2023. PMID: 37559352 Free PMC article. Review.
Chung MK, Patton KK, Lau CP, Dal Forno ARJ, Al-Khatib SM, Arora V, Birgersdotter-Green UM, Cha YM, Chung EH, Cronin EM, Curtis AB, Cygankiewicz I, Dandamudi G, Dubin AM, Ensch DP, Glotzer TV, Gold MR, Goldberger ZD, Gopinathannair R, Gorodeski EZ, Gutierrez A, Guzman JC, Huang W, Imrey PB, Indik JH, Karim S, Karpawich PP, Khaykin Y, Kiehl EL, Kron J, Kutyifa V, Link MS, Marine JE, Mullens W, Park SJ, Parkash R, Patete MF, Pathak RK, Perona CA, Rickard J, Schoenfeld MH, Seow SC, Shen WK, Shoda M, Singh JP, Slotwiner DJ, Sridhar ARM, Srivatsa UN, Stecker EC, Tanawuttiwat T, Tang WHW, Tapias CA, Tracy CM, Upadhyay GA, Varma N, Vernooy K, Vijayaraman P, Worsnick SA, Zareba W, Zeitler EP. Chung MK, et al. Heart Rhythm. 2023 Sep;20(9):e17-e91. doi: 10.1016/j.hrthm.2023.03.1538. Epub 2023 May 20. Heart Rhythm. 2023. PMID: 37283271 Free PMC article.