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Jump To   Indications  ·  Intervention  ·  Communication Modes  ·  Messages  ·  Alerts

Intervention Details


EpxHeartFailure is a symptom tracking application for patients with heart health problems.

Patients diagnosed with heart failure.


EpxHeartFailure uses text messages to prompt your patient to report symptoms related to heart failure conditions. The frequency of communications can be modified by the clinician. Any reports of worsening symptoms, concerning dyspnea, pedal edema, or sudden increases in weight, trigger alerts to the provider that can be handled easily over the phone. This results in increased clinical outcomes, faster stabilization for patients, and a reduction of readmissions long term.

Communication Modes

Patients may receive messages in any given fixed interval, such as every day, or every week on Monday, Wednesday, Friday.

An optional smart schedule frequency can monitor patient symptom stability over time to appropriately increase or decrease schedule frequency from every day to 2 days per week. It starts off on a daily frequency, then after 14 days of non-consecutive worse symptoms, it will reduce to twice per week. At the low frequency, any worse symptom will put the schedule in an observation mode, during which another worse symptom will push it back to high frequency; should 7 days pass and no worse symptoms are reported during, it will reduce back to twice per week.

Default Messages
  • How has your breathing or swelling in your legs felt compared to normal? Please press 1 if better, press 2 if worse, or press 3 if the same.
    • If worse, then recheck the next day.
Recheck Messages
  • You reported your breathing or swelling in the legs to be worse yesterday. How has the breathing or swelling felt right now compared to yesterday? Please press 1 if better, press 2 if worse, or press 3 if the same.
  • Is your breathing while lying down better, worse, or the same compared to normal? Please press 1 if better, press 2 if worse, or press 3 if the same.
  • Do you think you have gained more than 5 pounds in the past 3 days? Press 1 if yes, press 2 if no.

If any of the symptoms are worse, trigger alert.

Quality of Life Questions
  • How often has feeling tired or short of breath kept you from doing daily activities? Please use the key pad to enter a number between 0 and 5, with 0 being never, and 5 being all the time.

Patient John has reported worsening dyspnea or pedal edema, worsening orthopnea, and weight gain of more than 5 pounds in the past 3 days.

Alerts are generated based on the symptoms reported.


Patients will be directed to call 911 if they are experiencing an emergency. You may designate a care provider to be acutely notified in the event of a defined critical value.

Intervention Team