Table 3.

Group Clinic Appointment Agenda.

Minutes	Patient-Centered Agenda Protocol
15	A brief HF self-management assessment exam of weight, vital signs, and a chart review of current medication orders.
5	Introductions (by first names only), name tags and HIPPA health protections and confidentiality pledge reminders.
15	View the short DVD for that week and HF home care skills identified.
70	Facilitated group discussions: Patient problem identification with solutions generated from patients and professionals practice of HF home care skills.
15	Each clinic appointment ended with completion of the HF Self-Management Summary report including the Patient/Provider Action Plan recommandations for each patient, that are then faxed to their primary care provider (see Figure 1).

Note: The average of each clinic appointment length was 2 hours with four to eight patients participating. The first four appointments occurred weekly post hospital discharge for an exacerbation of HF, and the fifth appointment occurred approximately 6 months later as a reinforcing booster.