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Patient completes Symptom questionnaire daily Measurements daily (weight, BP, heart rate)

CHF pilot Telehealth – Daily Recording and Reporting Flow v2. PMP = Personal Management Plan agreed in advance with practice and including individual measurement thresholds. Patient completes Symptom questionnaire daily Measurements daily (weight, BP, heart rate). Score 2 o r more.

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Patient completes Symptom questionnaire daily Measurements daily (weight, BP, heart rate)

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  1. CHF pilot Telehealth – Daily Recording and Reporting Flow v2 PMP = Personal Management Plan agreed in advance with practice and including individual measurement thresholds Patient completes Symptom questionnaire daily Measurements daily (weight, BP, heart rate) Score 2 o r more Score < or = 1 Undertake Repeat measurements Weight, BP, pulse rate No action Repeat tomorrow Score 2 o r more weekends Monday to Friday Call patient, ask patient If they want to speak to a doctor Refer to CHF nurse No Yes Patient “discharged” from Careline Refer to LUCS (cardiology on call team available for advice) Leave a message for CHF nurse to contact on Monday

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