{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:07:22Z","timestamp":1777936042441,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Heart Health Hub (HHH) is a virtual model of care for patients with newly diagnosed heart failure. A program pilot commenced in April 2020 and aimed to achieve acceptable titration rates for heart failure medications while improving patient access to services. This study aimed to investigate whether the virtual HHH service could deliver feasible, safe and acceptable titration outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single-arm observational cohort study design was adopted. Eligible heart failure patients currently receiving care could consent to be enrolled in the pilot virtual HHH program based on pre-defined inclusion and exclusion criteria. Data on patient demographics, clinical characteristics and heart failure medication titration rates were obtained from routine health system databases and patient notes. Patient satisfaction data were collected using a Likert-scale questionnaire. Overall health service use and costs for each patient were obtained from health system databases for a period of 12 months following enrolment in the virtual HHH program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 89 heart failure patients were included in the evaluation. Of these, 95% reached titration to either guideline-recommended target doses or maximum tolerated doses for both angiotensin-converting enzyme inhibitor\/angiotensin receptor blockers\/angiotensin and angiotensin receptor\u2013neprilysin inhibitor (ACEI\/ARB\/ARNI) and beta-blockers combined. The mean number of days to achieve titration ranged from 20.2 days for mineralocorticoid receptor antagonist drugs, between 27.5 to 32.3 days for ACEI\/ARB\/ARNI drugs and 41.0 days for beta-blockers; 70 (79%) patients completed the satisfaction survey at least once, with more than 98% of survey questions receiving a positive response. The average monthly equipment and consumables cost per patient was $277 in year 2021\/22.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides evidence that a virtual model of care for newly diagnosed heart failure patients was feasible, safe and acceptable, with high titration rates, relatively rapid times to titration, strong patient satisfaction outcomes and relatively low equipment costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x251318905","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T17:29:47Z","timestamp":1742318987000},"page":"68-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Heart Health Hub virtual care program for newly diagnosed heart failure patients"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3501-2645","authenticated-orcid":false,"given":"Ruvini M","family":"Hettiarachchi","sequence":"first","affiliation":[{"name":"The University of Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"McClurg","sequence":"additional","affiliation":[{"name":"West Moreton Hospital and Health Service, Ipswich, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Wallis","sequence":"additional","affiliation":[{"name":"West Moreton Hospital and Health Service, Ipswich, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanne","family":"Neill","sequence":"additional","affiliation":[{"name":"West Moreton Hospital and Health Service, Ipswich, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Tomlinson","sequence":"additional","affiliation":[{"name":"West Moreton Hospital and Health Service, Ipswich, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah E","family":"Carter","sequence":"additional","affiliation":[{"name":"Queensland University of Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.2196\/21962"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-016-0208-4"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2021-320131"},{"key":"e_1_3_4_5_2","unstructured":"Australian Institute of Health and Welfare. Disease expenditure in Australia 2018-19 https:\/\/www.aihw.gov.au\/reports\/health-welfare-expenditure\/disease-expenditure-australia (2019 accessed 28 January 2024)."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1748-0"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.2008"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.12.012"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.06.1042"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51656"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2022.10.005"},{"key":"e_1_3_4_12_2","unstructured":"National Heart Foundation of Australia. Clinical fact sheet - pharmacological management of chronic heart failure with reduced left ventricular ejection fraction (HFrEF). National Heart Foundation of Australia 2019."},{"key":"e_1_3_4_13_2","unstructured":"MedicineWise News. Up-titrating heart failure medicines \u2013 apractical guide https:\/\/www.nps.org.au\/news\/up-titrating-heart-failure-medicines (2021 accessed 28 January 2024)."},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2020.05.006"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2020.612818"},{"key":"e_1_3_4_16_2","unstructured":"Queensland Health. West Moreton Hospital and Health Service https:\/\/www.health.qld.gov.au\/services\/westmoreton (accessed 25 May 2023)."},{"key":"e_1_3_4_17_2","unstructured":"Statewide Cardiac Clinical Network. Queensland Cardiac Outcomes Registry 2018 annual report heart failure support services audit https:\/\/clinicalexcellence.qld.gov.au\/sites\/default\/files\/docs\/priority-area\/clinical-engagement\/networks\/cardiac\/qcor-annual-report-2018-support.pdf (2019)."},{"key":"e_1_3_4_18_2","unstructured":"Queensland Health Clinical Excellence Queensland. Heart Health Hub https:\/\/clinicalexcellence.qld.gov.au\/improvement-exchange\/heart-health-hub (2022 accessed 7 December 2024)."},{"key":"e_1_3_4_19_2","unstructured":"Queensland Health Clinical Excellence Showcase. Heart Health Hub https:\/\/clinicalexcellence.qld.gov.au\/showcase\/events\/showcase-2022\/solving-puzzle\/heart-health-hub.html (2022 accessed 7 December 2024)."},{"key":"e_1_3_4_20_2","unstructured":"Queensland Health. MeCare - \u2018mobile enabled\u2019 care https:\/\/clinicalexcellence.qld.gov.au\/improvement-exchange\/mecare (2017 accessed 25 October 2022)."},{"key":"e_1_3_4_21_2","unstructured":"Statewide Cardiac Clinical Network. Queensland Cardiac Outcomes Registry 2020 annual report heart failure support services audit https:\/\/clinicalexcellence.qld.gov.au\/sites\/default\/files\/docs\/priority-area\/clinical-engagement\/networks\/cardiac\/qcor-annual-report-2020.pdf (2020)."},{"key":"e_1_3_4_22_2","unstructured":"Statewide Cardiac Clinical Network. Queensland Cardiac Outcomes Registry 2021 annual report heart failure support services audit https:\/\/clinicalexcellence.qld.gov.au\/sites\/default\/files\/docs\/priority-area\/clinical-engagement\/networks\/cardiac\/qcor-annual-report-2021.pdf (2021)."},{"key":"e_1_3_4_23_2","unstructured":"Independent Hospital Pricing Authority (IHPA). National efficient price determination 2020-21 https:\/\/www.ihpa.gov.au\/publications\/national-efficient-price-determination-2020-21 (2021)."},{"key":"e_1_3_4_24_2","first-page":"44","article-title":"Ultra-fast remote up-titration of heart failure treatment: a safe, efficient, and feasible protocol","volume":"15","author":"Massot M","year":"2023","unstructured":"Massot M, Itier R, Fournier P, et al. Ultra-fast remote up-titration of heart failure treatment: a safe, efficient, and feasible protocol. 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