Case study from Heart failure policy and practice in Europe

Local initiatives to improve post-discharge and community care

17 November, 2020

The University Hospital Centre (Centre Hospitalier Universitaire, CHU) in Nancy1 has developed a protocol to facilitate post-discharge care for people living with heart failure and prevent rehospitalisation. Within around 10 days of discharge, people with heart failure attend an outpatient service for a half-day functional evaluation. This includes an echocardiogram and a six-minute walk test, followed by patient education to promote self-care.

The hospital has also introduced protocols for annual revision of heart failure and treatment at the outset of heart failure exacerbation to prevent hospitalisation. There are plans to initiate a nurse-led heart failure care model.


  1. Girerd N. 2020. Interview with Sara C Marques at The Health Policy Partnership (Secretariat for Heart Failure Policy Network) [Telephone]. 10/09/20
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The Heart Failure Policy Network is an independent, multidisciplinary platform made possible with financial support from AstraZeneca and Roche Diagnostics. The content produced by the Network is not biased toward any specific treatment or therapy. All outputs are guided and endorsed by the Network’s members. All members provide their time for free. The Network is hosted by The Health Policy Partnership .