A patient-centred, comprehensive model for the care for heart failure: the 360° heart failure centre

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  Figure 1. 360o heart failure centre: a patient-centred comprehensive model for the care for congestive heart failure (HF). The care is centred around the patient with distance of different services representing the frequency and level of support. The patient is in the centre of the inner circle and can receive home services, including monitoring and home nursing (capable of intravenous (IV) or subcutaneous diuresis (SQ)). The care coordinator, through whom all supportive services provide coordinated care, manages all aspect related to the HF management of the patient. Additional services, including dietary, social work and pharmacy, have close regular follow-up and interventions with the patient. Other services, including occupational health, physical therapy and cardiac rehabilitation, can be used on as-needed basis. Patient continues to follow closely with primary care practitioner (PCP) and cardiology clinics (capable of IV or SQ diuresis).