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Congestive Heart Failure - In Home Monitoring

Heart Failure

If you have heart failure, you are not alone.  Nearly 5.0 million Americans, according to the American Heart Association, are living with it today.  It is the leading cause of hospitalization in people 65 and older.

CARE BEYOND WALLS AND WIRES: An Innovative Mobile Broadband Approach to Heart Failure Care

Flagstaff Medical Center is pleased to announce a new telemedicine-enabled program entitled Care Beyond Walls and Wires.

Care Beyond Walls and Wires, is a program designed to improve the quality of life for people with heart failure through improved care coordination, using remote monitoring tools. The purpose of this program is to find out how people who have heart failure can take better care of themselves at home. Daily access to information such as weight, blood pressure, and patient symptoms enables care teams and patients to co-manage heart failure so that early deteriorations in patients’ health status can be detected, timely interventions made, and unnecessary travel and hospital care avoided.

The program Care Beyond Walls and Wires, will integrate smart phones and wireless peripheral devices into the care of heart failure patients following hospitalization. The project will use remote monitoring tools, bi-directional messaging, and secure cellular voice communications in an enhanced model of transitional care coordination for patients recently hospitalized with heart failure. This approach will enable a comprehensive cardiovascular care program in Northern Arizona to enhance outreach and care management of heart failure across the region.

This program is a collaborative effort of many organizations: FMC, North Country HealthCare Clinics, NIH Heart Lung and Blood Institute, the Indian Health Service Native American Cardiology Program, the NIH office of Public-Private Partnership, and Qualcomm Inc. 

Patients appropriate for admission into the program include those who:

  • Would benefit from frequent monitoring, health assessment and education
  • Have been discharged after an inpatient, observation or ED admission with a diagnosis of CHF
  • Have a primary care provider who agrees to participate in the program and receive regular updates on patient progression toward individualized treatment plan goals
  • Struggle with compliance in the following areas:  medication, follow-up appointments and challenging social situations
  • Have the desire to participate
  • Are able to learn, use and be responsible for the equipment

We believe this program will have many benefits:

  • Decrease cost in healthcare
  • Increased patient and provider satisfaction
  • Engage patients in their healthcare