Patients with chronic cardiac conditions — particularly congestive heart failure — are often at risk for hospitalization. Our cardiac team uses a multifaceted approach to stabilize the patient’s condition, reduce re-hospitalizations, increase independence and improve overall quality of life.

Disease management provides an integral tool designed to actively manage cardiac and cardiovascular conditions, understand its treatment plan as well as the associated medication so that our patients can maintain their condition and enjoy life once again. 

Cardiac care is a program designed to provide expert care, as well as the education, support and encouragement to help our patients become active members of the care team.  Our cardiac care team provides support for patients with a broad array of conditions, including congestive heart failure, chronic obstructive pulmonary disease (COPD), cardiac bypass surgery, hypertension, pneumonia and cardiac disease. Chronic cardiac conditions include:

  • Acute myocardial infarction (MI or AMI)
  • Angina Pectoris
  • Angioplasty & Stent Placement
  • Aorta Disease & Marfan Syndrome
  • Cardiomyopathies
  • CABG (Coronary Artery Bypass Graft)
  • Coronary Artery Disease
  • Congenital Heart Disease
  • Congestive Heart Failure (CHF)
  • Hypertension
  • Heart Valve Disease
  • Ischemic Heart Disease
  • Tachycardia/Atrial Fibrillation
  • Pericarditis
  • Rheumatic Heart Disease
  • Stroke

Cardiac care can help:

Reduce shortness of breath.

Improve overall quality of life.

Minimize unnecessary trips to urgent care.

Boost mood and elevate empowerment.

Make better decisions for improving health.

Coordinate providers and community services.

Mitigate fatigue and weakness.

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Our care team uses the ZOE® Fluid Status Monitor — a portable device that uses a low-amplitude, high-frequency electrical current to detect fluid levels in the body, a  critical response in the monitoring and treatment of CHF patients. It also helps in rehydrating, without hospitalization, CHF patients needing to come off diuretics because of dehydration.

How Cardiac Care Works

Our program helps you navigate through the first steps of stabilizing your condition to a thorough understanding of the nuances of your condition. We confirm your medications, help you navigate medication changes and explain the role each medication plays in managing your condition. We assess the safety of your home and ensure access to adaptive equipment, if needed. We teach you how to monitor your condition and recognize changes that may impact your health sooner rather than later.

Our care program also helps to actively understand and manage your conditions through:

  • Counseling and instruction on healthy lifestyle changes
  • Medical journaling to record daily progress
  • Vital sign measures (blood pressure, heart rate, blood oxygen level and weight)
  • Early identification of new symptoms
  • Recognition of red flags and actions.
  • Medication management
  • Proper nutrition, diet and exercise
  • Self-care techniques to counteract panic and anxiety

Disease Management helps to navigate and stabilize your condition with a thorough understanding of your disease. We confirm medications, help you navigate medication changes, and explain the role each medication plays in managing your condition. We also teach you how to monitor your condition and recognize changes that may impact your health sooner rather than later.

Can Cardiac Care Work For You?

  • Are you a Medicare recipient, over 65 or disabled?
  • Have you been diagnosed with heart failure (CHF), chronic obstructive pulmonary disease (COPD), hypertension (high blood pressure) or pneumonia?
  • Have you had a heart attack or heart surgery?
  • Are you currently on medication to manage your heart and/or lung conditions?
  • Are you currently taking multiple medications to manage your heart and lung conditions?
  • Are you experiencing any complications from your condition?
  • Are you having difficulty with the instructions for your medications?
  • Do you have difficulty with daily activities?

If you answered yes to 2+ of these questions, our disease management program may be helpful for you.

Home health care provides necessary clinical care to an individual in their home. It refers to clinical services and support provided intermittently for those challenged by illness, age, disability; or those who are recovering from surgery, or an injury.

For Medicare recipients, a physician must certify that an individual needs home health care, medically necessary services to treat, rehabilitate, sustain or restore home-bound adults and seniors to their optimal health and in the setting where they feel most comfortable.

This includes skilled nursing, disease management, physical, occupational and speech therapy. 


Original Medicare Part A typically covers home care services at 100 percent, provided the services are ordered by your surgeon, are performed by skilled professionals and are medically necessary. In addition, the patient must be essentially “homebound,” meaning that it is difficult for the patient to perform activities outside the home, except to go to doctor’s appointments.

Medicare enrollees may be eligible for skilled nursing care, disease management and in-home therapy as prescribed by a physician.  

Private Insurance

Most insurance plans provide some coverage for home care services. But plans, deductibles and out-of-pocket expenses will vary. These plans generally follow the same rules as Medicare regarding payment for long-term care services. If they do cover long-term care services, it is typically only for skilled, short-term, medically necessary care.

Like Medicare, the skilled nursing stay must follow a recent hospitalization for the same or related condition and is limited to 100 days. Coverage of home care is also limited to medically necessary skilled care. Most forms of private insurance do not cover custodial or personal care services at all. Your plan may help you pay for some of the copayments or deductibles. It is best to contact your home care provider of choice prior to your surgery to see if it is in-network with your insurance company. You will also want to contact your insurance company to determine if any pre-authorization is required for home care services.

Short Term and Long-Term Disability Insurance

Disability insurance may pay all or a portion of home health and home care services. It is best to contact your policy provider to determine your coverage.

Private Pay