Mobile Technology-Based System for Patient Engagement and Physician-Directed Remote Management of Heart Failure

Inclusion Criteria:

* Age ≥ 18
* Diagnosis of heart failure
* Most recent left ventricular ejection fraction ≤ 40% in the prior year based on echocardiogram, MRI, CT, or nuclear perfusion
* Primary cardiologist enrolled in the study
* Currently admitted with upcoming discharge or discharged from hospital within the prior 2 weeks
* At least two eligible heart failure therapies (guideline-recommended BB, RASI, MRA, or SGLT2i) not yet initiated or on ≤ 50% of target dose

Exclusion Criteria:

* Receives dialysis
* Inotropic therapy during hospitalization
* History of heart transplant or actively listed on heart transplant waiting list
* History of left ventricular assist device implantation
* Cardiac amyloidosis
* Pregnant or currently trying to be pregnant
* Life expectancy estimated less than 6 months related to non-cardiac comorbidities as per investigator's judgement
* Actively enrolled in hospice or comfort care
* Currently participating in an investigational device or drug study or having participated in such a study within 30 days prior to screening
* Subject or their caregiver without a smartphone
* Subject or their caregiver not proficient with written and spoken English
* Subject unavailable to complete all study procedures (e.g., interviews) to the best of the subject and investigator's knowledge
* Any other disorder or condition that, in the opinion of the investigator would pose a risk to subject safety or interfere with the study evaluation, procedures or completion
* Subject has diminished decision-making capacity
* Planned discharge to skilled nursing facility