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Each week, ����ֱ�� is highlighting how our platform supports patients and care teams for specific surgical procedures or health conditions.

Our solution uses a patient’s own smartphone, tablet, or desktop computer to guide them with health system-specific, step-by-step guidance via reminders, education and symptom monitoring.

This week’s spotlight: Congestive Heart Failure (CHF). This care plan is flexible to provide both immediate post-discharge support (e.g. to prevent CHF readmissions) and longitudinal, chronic care management for population health initiatives.

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Highlights from the Congestive Heart Failure (CHF) journey demo

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Tailored Education & Daily Learning

• Daily, heart failure-specific education that evolves over time
• Personalized content based on patient demographics and medical history (e.g., ICD, pacemaker, smoking status)
• Searchable, evidence-based education library
• Education topics include: heart failure basics, medications, nutrition, lifestyle management, and more

Daily To-Do Lists with Built-in Support

• Daily checklists for key self-care tasks like:
  
  • Checking for swelling
  • Measuring blood pressure
  • Tracking weight
  • Taking medications
• Tasks adapt over time to reflect post-discharge recovery and/or chronic care progression

Evidence-Based Symptom Monitoring

• Daily “Heart Failure Zone Check” guides patients in identifying signs of exacerbation 
• Tracks health status data such as weight gain, swelling, breathing difficulty, fatigue, and more
• Automated feedback on how to self-manage low-risk issues and escalate to a provider for high-risk issues

Progress Tracking Over Time

• Visual progress charts help patients stay engaged and informed for metrics such as:
  
  • Weight
  • Blood pressure
  • Sleep quality
  • Mood and energy levels
  • Daily exercise

Support for Whole-Person Care

• Tools to assess and address social determinants of health such as:
  
  • Food insecurity
  • Transportation barriers
• Flags unmet needs and refers patients to resources or notifies the care team
• Optional patient-reported outcome measurement (PROMs) tools (e.g., KCCQ, PROMIS-10) and mental health screeners

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Why It Matters

Congestive Heart failure (CHF) requires daily attention and patients can feel overwhelmed managing symptoms, medications, and lifestyle changes on their own. ����ֱ��’s Congestive Heart Failure care plan makes it easier by guiding patients day-by-day with the right education, symptom tracking, and tasks for patients to follow. By empowering patients with digital tools and connecting them to their care team, we help reduce avoidable readmissions, improve outcomes, and support patients on their journey to better heart health.

Want to learn more?

Click here to learn more about how we support Congestive Heart Failure programs.