Integrated Health Technologies in Heart Failure: A Scientific Statement From the Heart Failure Society of America and the American Association of Heart Failure Nurses.

Integrated health technologies (IHTs) have emerged as promising tools for improving heart failure (HF) management by facilitating care coordination and enabling timely clinical intervention. This joint scientific statement from the Heart Failure Society of America and the American Association of Heart Failure Nurses summarizes current evidence about the use of IHTs in HF management, including traditional telemonitoring, mobile health-based remote monitoring, and implantable devices. IHT interventions have demonstrated benefits, such as improved quality of life and reduced hospitalization rates, but their effectiveness varies, depending on patients' adherence, clinical integration, and feedback mechanisms. Challenges to widespread implementation of IHTs include suboptimal patient engagement, disparities in digital literacy and access, lack of interoperability between systems, concerns about data privacy and security, disruptions to clinician workflow, and substantial start-up and maintenance costs. This statement outlines strategies to overcome these challenges, including enhancing patients' engagement through personalized, actionable feedback; improving digital literacy and access; advancing interoperability; ensuring data security; engaging clinicians during implementation to facilitate seamless integration; and expanding reimbursement. Finally, the statement proposes key priorities for future research, including the use of automation and machine learning to reduce clinician burden, the integration of emerging technologies that reduce patient burden, and the evaluation of cost-effectiveness to support broader implementation.

Duke Scholars

Author Adam David DeVore Medicine, Cardiology