Kansas City Cardiomyopathy Questionnaire in Web-Managed Congestive Heart Failure Patients

2. Heart Failure

3. Heart Failure Demographics Framingham: incidence of heart failure doubles for each decade of life after age 40 500,000 new cases annually One-year mortality 28% in men > 75 With heart failure the age-adjusted death rate is increased 5.5 times for women, and 8 times for men

4. Methods to Monitor HF Pts

5. Standard of Care

6. Heart Failure Study Design Hypothesis � A Telemedicine System will hospitalization and improve QoL for Heart Failure Patients 44 Pts with Class II, III or IV HF & Hospitalization within 6 months. Randomized to Standard Care or Telemedicine Followed for 1 year Primary Outcome - Hospital Days Secondary - Quality of Life

7. Kansas City Cardiomyopathy Questionnaire (KCCQ) is a valid, sensitive, and disease-specific method of questionnaire dedicated for congestive heart failure patients. It is a new, self-administered, 23-items questionnaire that quantifies physical limitation, symptoms, self- efficacy, social interference, and quality of life and more.Kansas City Cardiomyopathy Questionnaire (KCCQ) is a valid, sensitive, and disease-specific method of questionnaire dedicated for congestive heart failure patients. It is a new, self-administered, 23-items questionnaire that quantifies physical limitation, symptoms, self- efficacy, social interference, and quality of life and more.

8. Telehealth System

9. Screens Patient Doctor Input Data (messages) Pt Review Medications Medications Lab Data Lab Data Review Scheduler Education User Log

10. Patient Data Input

25. Heart Failure Classification Class I (Mild) No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath). Class II (Mild) Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea. Class III (Moderate) Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes fatigue, palpitation, or dyspnea. Class IV (Severe) Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency at rest. If any physical activity is undertaken, discomfort is increased.

26. Security Login � User Name / Password 128 bit Encryption Public Key Encryption HIPAA Compliant

28. KCCQ to be answered by the HF patient, whatever is appropriate for their medical condition.KCCQ to be answered by the HF patient, whatever is appropriate for their medical condition.

29. Similarly, HF patient needs to answer these questions, whatever is appropriate for their medical condition. Similarly, HF patient needs to answer these questions, whatever is appropriate for their medical condition.

30. Similarly, HF patient needs to answer these questions, whatever is appropriate for their medical condition. Similarly, HF patient needs to answer these questions, whatever is appropriate for their medical condition.

31. For each question answered, there are certain numbers/score. The worst is the situation, the lower is the score. That means higher the score, better is the health and functional status of the heart failure patientFor each question answered, there are certain numbers/score. The worst is the situation, the lower is the score. That means higher the score, better is the health and functional status of the heart failure patient

32. Show sample questionnaire from KCCQ that was implemented in our study in the Telemedicine research center. Mention that for each section, there are certain number and score for each answered questions. Please note that higher the score, better the functional status of the patient. Lower the score, worse is the condition of the heart failure patient.Show sample questionnaire from KCCQ that was implemented in our study in the Telemedicine research center. Mention that for each section, there are certain number and score for each answered questions. Please note that higher the score, better the functional status of the patient. Lower the score, worse is the condition of the heart failure patient.

33. These are 2-14 questions set, which show a sample patient. Patient answered variety according to individual condition.These are 2-14 questions set, which show a sample patient. Patient answered variety according to individual condition.

34. The last question set which included 4 more questions totaling 23 questions. Again, the more score is better health statusThe last question set which included 4 more questions totaling 23 questions. Again, the more score is better health status

35. Similarly, HF patient needs to answer these questions, whatever is appropriate for their medical condition. Similarly, HF patient needs to answer these questions, whatever is appropriate for their medical condition.