Inclusion Criteria:  Age ≥18 years Clinical diagnosis of HF with EF ≤40% documented within 1 year of enrollment Receiving ≥1 oral medication for HF at study enrollment (including diuretics, ACEI/ARB/ARNI, beta-blockers, MRA, SGLT2i or thiazide diuretics.  Exclusion Criteria:  Current or anticipated participation in a clinical trial Currently receiving comfort care or enrolled in hospice Life expectancy <1 year History of or plan for heart transplantation or left ventricular assist device Current or planned hemodialysis