Welcome to the HPA-OHT Heart Failure Program
We are excited to introduce the Heart Failure Care Map, a best practice guide designed to support individuals with heart failure. This comprehensive resource offers valuable education, referral links, and a clear understanding of the steps involved in heart failure care within the Huron Perth and Area.
Key Features:
- Educational Resources: Access a wealth of information to better understand heart failure and its management.
- Referral Links: Easily find and connect with the appropriate healthcare services.
- Care Steps: Follow a structured guide to navigate the heart failure care process effectively.
We encourage healthcare providers to integrate the Heart Failure Care Map into their electronic medical record software to enhance patient care. Please note that this resource is intended for healthcare providers and does not constitute medical advice. For personalized medical guidance, always consult with your primary care provider or specialist.
We value your feedback! Please share your thoughts and suggestions with us at oht@hpaoht.ca
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Signs and Symptoms is it heart failure?
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Referral Process: Referral by a healthcare provider (Physician/Nurse Practitioner) for requisition if not using eReferral (see HUB referral Form tab)
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Referral Process: Referral by a healthcare provider (Physician/Nurse Practitioner) use Primary Care Electronic Medical Record messaging to Best Care Case Manager if not using eReferral
Huron County Community Paramedicine Referral
Perth County Community Paramedicine Referral: Perth County Community Paramedicine - Care providers can call 226-921-7663 to access the on duty team member. Providers can also email the team: communityoutreach@perthcounty.ca
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EMR messaging: as per primary care clinic protocols
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Referral Process: Referral by a healthcare provider (Physician/Nurse Practitioner) use Primary Care Electronic Medical Record messaging to Best Care Case Manager if not using eReferral
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Huron Perth Internal Medicine Associates:
Phone Number: 519-273-0100
Referral Process: Referral by a healthcare provider (Physician/Nurse Practitioner) for requisition if not using eReferral (see HUB referral Form tab)
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Heart failure with preserved ejection fraction (HFpEF) is a type of heart failure that occurs when the muscle in the left ventricle stiffens and is less able to relax, so the pressure inside the heart rises.
HFpEF is usually caused by:
- coronary artery
- disease
- valvular heart disease
- diabetes
- obesity
- hypertension
- obstructive sleep apnea
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Heart Failure with mildly reduced Ejection Fraction
HFmrEF encompasses all patients with a clear diagnosis of HF by clinical, biological and imagistic criteria that have a left ventricle ejection fraction between 40% and 49%
HFmrEF is usually caused by:
- Hypertension
- Ischemic heart disease
- Diabetes
Heart failure with reduced ejection fraction
(HFrEF) means your left heart ventricle has weakened and less blood is being pumped into your body. HFrEF requires ongoing treatment to reduce the risk of complications.
Several cardiovascular conditions can result in HFrEF. Among these conditions are:
- aortic stenosis (stiffening of the aortic valve)
- arrhythmia (irregular heart rhythm)
- cardiomyopathy (a condition that
- causes scarring or thickening of the heart muscle)
- heart attack
- high blood pressure
- mitral valve regurgitation
- myocarditis (inflammation of the heart)
Huron County Community Paramedicine Referral
Perth County Community Paramedicine Referral:
Care providers can call 226-921-7663 to access the on duty team member. Providers can also email the team: communityoutreach@perthcounty.ca
Heart Failure with improved Ejection Fraction
HF with improved EF" (HFimpEF), which describes patients who have shown improvement in EF by 10% or more to >40% compared to a baseline measurement. This designation distinguishes patients with previous severely reduced EF from those with only mild reductions at baseline and offers a sense of trajectory of disease. This concept is of key importance, as it is known that those with improved ejection fraction may still be at risk of recurrent ventricular dysfunction and decompensation, particularly if Goal Directed Therapy is stopped
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Action Plan:
Created by provider
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Define intermediate complexity
Moderate risk, multiple stable co-morbidities
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Referral process:
Referral by a healthcare provider (Physician/Nurse Practitioner) for requisition if not using eReferral (see HUB referral Form tab)
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Define Low Complexity
Stable, low risk, few co-morbidities
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Referral process:
Referral by a healthcare provider (Physician/Nurse Practitioner) use Primary Care Electronic Medical Record messaging to Best Care Case Manager if not using eReferral
Heart failure with reduced ejection fraction (HFrEF)
HFrEF means your left heart ventricle has weakened and less blood is being pumped into your body. HFrEF requires ongoing treatment to reduce the risk of complications.
Several cardiovascular conditions can result in HFrEF. Among these conditions are:
- aortic stenosis (stiffening of the aortic valve)
- arrhythmia (irregular heart rhythm)
- cardiomyopathy (a condition that
- causes scarring or thickening of the heart muscle)
- heart attack
- high blood pressure
- mitral valve regurgitation
- myocarditis (inflammation of the heart)
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Provider will complete evaluation
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St. Joseph's Health Care Heart Failure Clinic Referral Form
Referral by a healthcare provider (Physician/Nurse Practitioner) for requisition (see Node referral Form tab)
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Assessment will be done by Cardiologist
