Virtual Visits in Heart Failure Care Transitions

Published guidelines recommend that patients being discharged home after hospitalization for
HF should be offered a 7-day post-discharge outpatient clinic visit as a way to increase
engagement with care and reduce risk of poor outcomes. Unfortunately no-show rates for the
7-day post-discharge outpatient visit in this population are high, suggesting poor
engagement. The investigators have previously observed a 76% no-show rate at the Cleveland
Clinic Main Campus. This study is to evaluate whether use of 7-day post-discharge virtual
visit versus in-person visit can improve adherence with post-discharge appointment.

Inclusion Criteria:

1. Hospitalized for primary diagnosis of HF;

2. Anticipated to be discharged home;

3. Agreeable to longitudinal post-discharge care at Cleveland Clinic Main Campus in the
first few weeks after hospital discharge;

4. Patient or an individual in their social support network has the ability (equipment
and connectivity) to do a virtual visit after hospital discharge;

Exclusion Criteria:

1. Being transferred to another hospital, or being discharged to an inpatient facility or
nursing home;

2. Being discharged to hospice;

3. Subject currently enrolled in an interventional research study that requires an
in-person clinical visit within 7 days post-discharge.