Best Practices in Managing Patients With Heart Failure CollaCS_MERCY_HF

This best practices summary details how Mercy Hospital St. Louis, in an effort to improve care for patients with complex psychosocial and medical needs, and ultimately reduce hospital readmissions commissioned the creation of its Ambulatory Heart Failure Care Management Team (AHFCM Team), which targeted high-risk heart failure patients and assisted them with the transition from hospital to ambulatory setting.