From hospital to home: coordinated heart failure care in general practice – EMPHN

Heart failure continues to drive significant illness, hospitalisation and premature death across Australia, highlighting the need for a primary care focus on systematic recall, coordinated monitoring and follow-up workflows that fit naturally within general practice.

This webinar will help support general practice teams strengthen early post-discharge heart failure care, with expert insights, evidence updates, and practical strategies for follow-up, medication management, monitoring, self-management, and escalation. 

You’ll hear from expert primary care health professionals:

  • Cardiologist – Dr Vicki Pandeli on why primary care–led optimisation is expected, supported and essential between hospital visits.
  • GP – Assoc Prof Ralph Audehm on translating guidelines into real‑world workflows, recall systems and team roles.
  • Consultant pharmacist – Mr Brian Meier on medicines optimisation, deprescribing and supporting adherence and patient understanding.
  • Cardiac clinical nurse specialist – Ms Kirsten Sandstrom on nurse‑led monitoring, education, vaccination and coordination that sustain long‑term heart failure care.

CPD learning outcomes:

  1. Explain why early post-discharge intervention matters in heart failure and identify the highest-value actions for general practice in the first weeks after discharge.
  2. Outline a coordinated, team-based approach to early post-discharge heart failure care, including how GPs work with practice nurses, pharmacists and specialist services.
  3. Prioritise and sequence evidence-informed management decisions in the community (medicines optimisation and monitoring, self-management support, and escalation/referral) using insights from cardiology, specialist GP, heart failure nursing and pharmacist perspectives.
  4. Develop a simple practice implementation plan for early post-discharge heart failure care, including one measurable action to implement within two to four weeks and a plan to review its impact.

CPD accreditation pending

This webinar is suitable for general practitioners, practice nurses, practice managers, pharmacists and other multidisciplinary primary care clinicians.

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