Integrated Tele-monitoring and Patient-centric Health Coaching Strategy in Patients Hospitalized With Heart Failure

Tele-monitoring involves a personal monitoring system used to analyze data to provide
relevant health information back to the treating clinician and the user. The monitoring
system remotely monitors electrocardiographic (ECG) signals, heart rate, breathing rate, and
activity levels. Additional devices will be integrated with the monitoring device to assess
blood pressure and weight.

Health Coaching involves a team of health care professionals including a registered nurse
(RN). The health care team creates a plan specific to the patient and provides guidance on
nutrition' medications, and exercise. The data collected by the remote monitoring device will
assist the care team in patient management.

Inclusion Criteria:

- Hospitalized with primary or secondary diagnosis of Acute Decompensated Heart Failure
(one or more of these symptoms: shortness of breath, orthopnea or edema AND one or
more of these signs: rales, peripheral edema, ascites, or pulmonary vascular
congestion on chest radiography)

- Adult patients >18 years old

Exclusion Criteria:

- Overall life expectancy < 1 year

- Known skin allergy to adhesives (hydrocolloid, silicone, acrylic)

- Active systemic infection

- Pregnant or lactating

- End stage renal disease on dialysis

- Subject or caregiver is not visually and tactile capable of smartphone and home device
usage

- Inadequate cell phone coverage (including international patients or international
travel during study period)

- Subject or legal guardian is not willing and able to provide appropriate informed
consent