Saint Luke's Health System
The objective of this program is to improve post-acute care coordination for necessary social services for patients leaving the hospital after recovering from an episode of decompensated heart failure.
Inclusion Criteria: * Aged 18-99 years * Resident of Missouri or Kansas * Current inpatient admission for acute heart failure Exclusion Criteria: * Under 18 years or over 99 years of age
coordination of care and assistance with community resources (food, transportation)