An Outpatient Alternative for Patients with Heart Failure
Historically, patients with heart failure have not had an option for same or next day outpatient assessment and intravenous (IV) diuretics without using the Emergency Department or being admitted to the hospital.
Inova Heart and Vascular Institute (IHVI) now offers an outpatient alternative for patients with heart failure who have worsening shortness of breath and edema (swelling in the ankles or abdomen), to receive urgent evaluation by a heart failure advanced practice provider (APP) who can assess blood work and administer intravenous diuretics to treat the symptoms and avoid hospitalization. These APP’s work with patients’ cardiologists to adjust oral medications when needed and ensure communication is seamless and care is optimized.
IHVI is excited to provide these urgent access heart failure clinics, which are available to patients with a referral from their cardiologist:
- The clinics are based at three Inova hospitals – Inova Fairfax, Inova Mount Vernon, and Inova Loudoun.
- The clinics offer same day or next day appointments with a physician referral and are open Monday – Friday, 8 a.m. – 4 p.m.
IHVI's Fairfax location developed this service in 2019 in partnership with a multidisciplinary team of cardiologists, pharmacists, and APP’s to provide patients with heart failure access to timely assessment by a heart failure APP, with blood work to check electrolytes and kidney function, and outpatient IV diuretics to reduce preventable hospital admissions.
Since its opening in 2019, the urgent access heart failure clinic at Inova Fairfax Hospital has had more than 400 patient visits and has been able to avoid hospitalization for the majority of those patients treated. Each patient’s care is coordinated with their cardiologist to ensure clear communication regarding their condition and any recommendations.
IHVI opened a second clinic in 2019, at Inova Mount Vernon Hospital with the same objective of preventing unnecessary heart failure hospitalizations by providing timely assessment and intervention.
As a result of the success of these clinics, Inova Loudoun Hospital opened a third urgent access heart failure clinic in 2021 in the Schaufeld Family Heart Center at Lansdowne. This initiative, done in collaboration with Virginia Heart, has been instrumental in improving heart failure care in that area and is part of the expansion of Inova's heart failure services for patients across Northern Virginia.
Refer a Patient
Inova Urgent Access Heart Failure Clinics I 703-776-2529
Available at Inova Fairfax, Inova Mount Vernon and Inova Loudoun hospitals