Table 1:

Tasks of Heart Failure Disease Management (HF-DM) and Information Needs to Complete Tasks

HF-DM*Tasks	Information Needs to Complete Tasks
Tasks of HF-DM and Information Needs to Prompt HF-DM Tasks
Encourage patient to participate in HF care (i.e. getting on a scale for a daily weight or following a sodium restricted diet) Assess a patient Documentation (e.g. daily weights)	Which patients have HF?
	What are the signs and symptoms of HF?
	What is the difference between weighing to evaluation nutrition and weighing to evaluate fluid retention?
	What is the purpose of daily weights?
What is the purpose of a sodium restricted diet?
Tasks of Monitoring Patients and Information Needs to Prompt Intervention
Identify that there is a problem (e.g. a patient’s HF is worsening) Look at documentation of previous assessments of HF related signs and symptoms Look at the results of labs and use the lab values or assessment information (signs and symptoms of HF) in care	What is a sign of worsening HF?
	What do patients complain of when HF is worsening?
What vital signs indicate that HF is worsening?
Tasks of Communication and Information Needs to Improve Communication
Receive verbal HF-DM orders Receive HF-DM orders documented in the health record Coordinate care with another team member Request an order for medicine or supplies pertaining to HF from another team member of through the health record	Need to capture the verbal communication of team members
Need to capture the verbal orders of providers

^*HF-DM practices included here are non-pharmacological: monitoring body weight, assessment and monitoring HF-related symptoms, and encouraging a sodium restricted diet.