Multidisciplinary Care in Heart Failure Services

J Card Fail. 2023 Jun;29(6):943-958. doi: 10.1016/j.cardfail.2023.02.011. Epub 2023 Mar 14.

Abstract

The American College of Cardiology/American Heart Association/Heart Failure Society of American 2022 guidelines for heart failure (HF) recommend a multidisciplinary team approach for patients with HF. The multidisciplinary HF team-based approach decreases the hospitalization rate for HF and health care costs and improves adherence to self-care and the use of guideline-directed medical therapy. This article proposes the optimal multidisciplinary team structure and each team member's delineated role to achieve institutional goals and metrics for HF care. The proposed HF-specific multidisciplinary team comprises cardiologists, surgeons, advanced practice providers, clinical pharmacists, specialty nurses, dieticians, physical therapists, psychologists, social workers, immunologists, and palliative care clinicians. A standardized multidisciplinary HF team-based approach should be incorporated to optimize the structure, minimize the redundancy of clinical responsibilities among team members, and improve clinical outcomes and patient satisfaction in their HF care.

Keywords: Heart failure; LVAD; interdisciplinary; multidisciplinary; team-based; transplant.

Publication types

  • Review

MeSH terms

  • Benchmarking
  • Cardiology*
  • Heart Failure* / therapy
  • Hospitalization
  • Humans