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

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.

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

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 approved

This activity attracts up to 5.5 CPD hours, comprising 1hr Educational Activity (EA), 1.5hr Reviewing Performance (RP), and 3hr Measuring Outcomes (MO). See CPD hours details below:

• Case study only: Not eligible for CPD
• Webinar only: 1hr EA + 0.5hr RP
• Case study and webinar: 1hr EA + 1.5 RP (1hr RP from the case study and 0.5hr RP from the webinar)
• Self-directed mini-audit (completed after the webinar): 3hr MO