Document resource
Background Ambulatory clinics are essential in effectively managing chronic conditions like heart failure. They bridge the gap between hospital care and home management, ensuring patients receive continuous support and care.Aim Setting up a new ambulatory heart failure clinic aiming to provide specialised care for patients in out-patient setting and avoid heart failure in-patient admission hence reducing overall hospital admission under cardiology.Methods - Logic Model Inputs (Resources Required) A structured approach was implemented through process mapping, SOPs, and clinical protocols. Inclusion/exclusion criteria guided patient selection, and a multidisciplinary team was recruited. Essential equipment and medication inventory were secured. Operational planning supported scheduling, documentation, and feedback collection.Activities (Implementation Steps) Activities included workflow development, patient enrolment, staff training, infrastructure setup, equipment testing, and launching twice-weekly sessions.Outputs & Outcomes Immediate outcomes were an operational clinic, trained staff, patient engagement, and efficient resource use. The unit improved access to care, enhanced patient confidence, and reduced admissions. Long-term, the model offers scalable, cost-effective heart failure management and strengthened multidisciplinary collaboration across healthcare settings.Results The ambulatory heart failure unit managed patients with fluid overload needing IV diuretics and iron, while supporting urgent investigations to optimize therapy and reduce delays. It now includes patients undergoing antiarrhythmic and anticoagulation therapy before cardioversion. Only three patients required hospital admission during their care ( figure 1).Abstract P04 Figure 1Comparing cycle1 data from 2 Oct 2024 to 12 Feb 2025 vs cycle 2 data - 13 Feb to 21 May 2025Conclusion The ambulatory unit reduced admissions and boosted patient confidence through timely, expert care. It improved efficiency by minimizing delays. Future plans include more sessions, advanced therapies, telehealth, remote monitoring, and stronger collaboration to support sustainable, comprehensive care.