Two American heart disease bodies are jointly offering advice on how clinicians can implement interoperable digital tools that support clinical decision-making, streamline workflows and enable timely responses to patient data.

The Heart Failure Society of America and the American Association of Heart Failure Nurses have issued the scientific statement to provide clinicians with practical guidance on how to integrate digital health tools into everyday heart failure care. The goal is to move beyond isolated devices towards coordinated, team-based and actionable systems of care.

Called “Integrated Health Technologies in Heart Failure”, it outlines how integrated health technologies (IHT) can be embedded into existing care pathways, linking remote monitoring, electronic health records and interdisciplinary teams to translate patient-generated data into meaningful clinical action.

“This statement is designed to help clinicians move from simply collecting data to actually using it to guide care,” said Mia Cajita, co-lead author of the statement. “An integrated approach where data flow seamlessly, care teams know who is responsible for monitoring and response, and patients receive timely feedback, represents a paradigm shift from device-centred solutions to system-level digital care.”

The statement reviews evidence across a range of technologies, including traditional telemonitoring, mobile health–based remote monitoring and implantable devices, while identifying why many programmes fall short in real-world practice. The authors highlight that outcomes improve only when digital data are paired with defined workflows, clinician accountability and rapid clinical response, such as medication titration, follow-up calls or care plan adjustments.

To support implementation, the statement outlines strategies for incorporating IHT into routine practice, including: establishing clear protocols for alert triage; leveraging interdisciplinary teams to distribute workload; integrating patient-generated data into EHR dashboards; and training clinicians and patients to support sustained engagement.

Special attention is given to reducing disparities through device-lending programmes, low-tech options and targeted patient education. The authors also identify priorities for future research, including machine learning-based alert triage, predictive modelling, automation to reduce clinician burden, and evaluation of cost-effectiveness to support scalability and reimbursement.

Key highlights from the statement include:

• Interoperability is key. Seamless data flow between devices, EHRs and clinicians is the foundation of integrated care.
• Remote monitoring works best when clinicians respond with timely, actionable feedback, not just data uploads.
• The greatest benefits occur among patients with recent heart-failure hospitalisations. Stable, well-compensated patients may derive limited benefits from intensive monitoring.
• Patient engagement drives success. Adherence of more than 70% linked to lower hospitalisations and mortality, which underscores the importance of empowering patients with feedback, tech support and easy-to-use tools.
• Leverage interdisciplinary teams. Physicians, nurses, pharmacists and social workers play a central role in monitoring, triage, therapy optimisation and patient education.
• Future research should explore machine learning-based alert triage, predictive modelling and automated decision support to reduce clinician burden and enhance scalability.

To read more on the statement, go to onlinejcf.com/article/S1071-9164(25)01036-X/abstract. In addition to reviewing the guidance found within the statement, clinicians can use the top ten take-home messages slide deck, designed by the statement’s lead author, as a quick reference guide, available at hfsa.org/integrated-health-technologies-heart-failure-scientific-statement-heart-failure-society-america-and.

The Heart Failure Society of America (HFSA, hfsa.org) provides a platform to improve and expand heart failure care through collaboration, education, innovation, research and advocacy. The American Association of Heart Failure Nurses (AAHFN, www.aahfn.org) is an organisation dedicated to advancing nursing education, clinical practice and research to improve heart failure patient outcomes.