Provision and management of care and support for patients with Chronic Heart Failure (CHF) requires a multidisciplinary and multifaceted effort across settings for which multiple challenges remain, partly caused by existing fractures in systems and service delivery. On same time, health and care systems in Europe have been moving towards a more integrated approach of care service delivery over recent years.

INCAREHEART Target Groups include patients belonging mostly to the ACC/AHA Stage B – NYHA Class I, ACC/AHA Stage C – NYHA Class II and ACC/AHA Stage C – NYHA Class III. Family carers, health and care professionals and decision makers are also taken into account.


Early detection and secondary prevention

  • Module for comprehensive results sharing and review
  • Remote monitoring
  • ICT-enabled patient education
  • Personalised self-assessment tools
  • ACP digital directory
  • ΑΙ prediction model

Care, treatment and follow-up

  • Digital discharge pathway
  • MDT “Situation reports”
  • Remote support, messaging, virtual visits
  • Patient-facing module (e.g. for SCP, medication summary)
  • Wearables integration
  • MDT decision support

Living with Chronic Heart Failure at home

  • Adherence feedback
  • ePREMs and ePROMs collection
  • Remote exercising/ Cardiac rehabilitation
  • Integrated low-cost monitoring system
  • Virtual assistance

Data management

  • Security & privacy features for data management
  • Dynamic patient consent
  • Secured clinical document & data sharing
  • Compliance with National & European regulations

Involved Partners