Table 5.

Self-Management

1.	Develop a program to certify HF educators that provides techniques for engagement and education such as motivational interviewing and “teach back.”
2.	Shared (group) medical appointments can be useful and may increase interactions and depth of discussion.
3.	Consider incorporating home visits. Visiting patients in their home can give a more accurate perspective on home circumstances and lifestyle.
4.	Virtual Visits for Home Care. Virtual (distance health) visits may increase patient engagement in care and ease the burden of seeking healthcare provider support, especially for the elderly and other vulnerable or frail adults. Virtual visits need to be included in our reimbursement model; CPT and E&M code need to be defined to incentivise virtual visits.
5.	Create Technology Platforms for Patient Groups and Discussions. Technology platforms such as email, apps, and websites could enable patients to ask questions, discuss issues, and form support groups. Use social media to invite people into support groups. The group might include clinicians or other providers, but meets outside of the typical clinical visit.