A Study of Paramedic HF Management

Inclusion Criteria: One of the following criteria: 1. Adults admitted to the hospital with decompensated HF eligible for early discharge with CP support and monitoring. 2. Acutely decompensated HF patients at home or being evaluated in the ambulatory clinic who require large volume diuresis but do not require hospital-level monitoring. 3. Stage D advanced HF patients who require frequent (\>weekly) diuretic adjustments (either inpatient or outpatients). Exclusion Criteria: 1. Hospital-level monitoring or care is clinically indicated. 2. Failed safety assessment, active substance abuse, or behavioral health diagnosis which could impact participation. 3. Enrolled in hospice. 4. Patient is a resident in a skilled nursing facility. 5. Patient does not have a primary care physician or cardiologist at Mayo Clinic. 6. Patient participants with communication barriers due to medical illness or cognitive impairment. 7. Pregnant