There are no potential benefits to patients whose records are entered into the database. The potential benefit is to society and future patients diagnosed with heart failure. Implementation of a disease management model may improve functional and clinical outcomes through more productive interactions between patients and providers. A disease management model may decrease hospital re-admission rates and the associated cost. If this disease management model proves effective, the results will provide a framework for expanding care opportunities and for establishing a new model for heart failure patients in this health care system as well as in other systems.