Consistently Assess Signs and Symptom of Heart Failure

Participant Inclusion Criteria:

• A documented confirmed diagnosis of Heart Failure (HF)
• Under the care of a Cardiologist and/or Advanced Practice Provider working inCardiology
• 18 years of age or older and less than 90 years of age
• Alert and oriented to person, place, and time
• Ability to walk without assistance
• Able to read and speak English

Participant Exclusion Criteria:

• Diagnosed with myocardial infarction, coronary artery bypass graft (CABG), angioplastyor stent in the previous 30-days
• Unstable angina in the previous 30 days
• Active endocarditis
• Acute myocarditis or pericarditis
• Symptomatic severe aortic stenosis
• Uncontrolled hypertension with systolic blood pressure readings > 180 mmHg ordiastolic pressure readings > 100 mmHg
• Uncontrolled atrial dysrhythmia or 3rd degree heart block
• Active ventricular arrhythmias resulting in 1 or more shocks in the past month
• Acute pulmonary embolus or pulmonary infection
• Thrombosis of the lower extremities
• Suspected dissecting aneurysm
• Uncontrolled asthma
• Pulmonary edema
• Room air oxygen saturation (SPO2) at rest less than 90%
• Acute respiratory failure
• Acute noncardiopulmonary disorder that may affect exercise performance or beaggravated by exercise such as, infection, thyrotoxicosis
• Left ventricular assist device
• Mental impairment leading to inability to cooperate Provider Inclusion Criteria:

• Licensed healthcare providers (Physicians and Advance Practice Providers) in HFambulatory clinical sites who care for adult patients with HF. Providers Exclusion Criteria:

• Providers who do not actively manage adult patients with HF.