Heart Failure Solutions
For health system leaders

Move acute heart failure care from the inpatient bed to the outpatient clinic.

A physician-designed program that uses hemodynamic monitoring, rescue diuretics, and a 7-day transitional care workflow to reduce index heart failure admissions, 30-day readmissions, and length of stay.

What the program targets
Fewer index HF admissions
Decompensation caught and treated before the ED visit
Lower 30-day readmissions
Reducing exposure to Medicare HRRP penalties
Shorter length of stay
Safe, earlier discharge into a structured follow-up path

Heart failure readmissions are a clinical problem and a financial one.

Heart failure is one of the conditions Medicare tracks under the Hospital Readmissions Reduction Program, and excess readmissions can cost a hospital up to 3% of its base Medicare inpatient payments.

Most programs still manage congestion reactively: patients decompensate at home, return through the ED, and are readmitted for IV diuresis. Follow-up visits slip past the first week, and the transitional care that would pay for that visit often goes unbilled.

HFS replaces that cycle with a structured outpatient pathway your existing teams can run.

The program

Three pillars, one integrated workflow

The Integrated Heart Failure Management System (IHFMS) is a patent-pending methodology developed by practicing cardiologists.

01

Hemodynamic monitoring

Objective volume assessment with invasive pulmonary artery sensors or non-invasive monitoring, with clear selection criteria for the right patients.

02

7-day transitional care

A post-discharge scheduling workflow built on Transitional Care Management standards, with a 2-business-day call and medication reconciliation, so every patient is seen within a week.

03

Rescue diuretics

Outpatient decongestion guided by a hemodynamic-driven dosing protocol and run by a trained heart failure coordinator.

How an engagement works

We build the program with your teams, not around them.

  1. Step 1

    Assess

    Review your current HF workflow, readmission data, and discharge-to-follow-up handoffs.

  2. Step 2

    Design

    Adapt the IHFMS playbook to your service lines, EMR, and staffing model.

  3. Step 3

    Train

    Equip coordinators, providers, and coding staff, including transitional care and device-monitoring documentation.

  4. Step 4

    Measure

    Track readmissions, length of stay, and follow-up completion against your baseline.

The evidence behind the model

Each pillar rests on published clinical evidence

HFS integrates these approaches into one workflow. The figures below are from the cited studies, not HFS client results.

28%

fewer heart failure hospitalizations at six months with pulmonary artery pressure-guided management, rising to 37% over about 15 months of follow-up.

CHAMPION trial, The Lancet, 2011
44%

fewer heart failure hospitalizations or urgent IV-diuretic visits with remote hemodynamic monitoring, alongside improved quality of life.

MONITOR-HF trial, The Lancet, 2023 (HR 0.56)
15%

lower risk-adjusted 30-day readmission risk at hospitals with higher rates of physician follow-up within 7 days of discharge.

Hernandez et al., JAMA, 2010
What we measure

Every engagement is tracked against your own baseline

We establish your starting point during the assessment and report progress on the metrics your board and CMS already watch.

  • 30-day HF readmissions

    Including the HRRP excess readmission ratio

  • Index HF admissions

    ED visits and admissions avoided through outpatient decongestion

  • Length of stay

    Average HF inpatient days per admission

  • 7-day follow-up rate

    Share of HF discharges seen within one week
Physician-led

Built by cardiologists who run these programs

HFS was founded by practicing cardiologists who have designed and led hospital heart failure programs. Every engagement is clinically directed by physicians, with a patent-pending methodology developed from direct program experience rather than a generic consulting framework.

See where your heart failure program stands.

A no-cost assessment call reviews your current workflow and readmission exposure, and outlines what an IHFMS implementation would look like for your system.

Request a program assessment