Inclusion Criteria:  Any patient aged 18 years or older admitted to hospital or seen in the emergency department with heart failure defined clinically The diagnosis will be guided by the Framingham criteria for HF and/or BNP. A BNP >400 will be defined as definite heart failure and BNP 100-400 classified as possible heart failure. Provides informed consent  Exclusion Criteria:  Patients who cannot communicate due to dementia or severe cognitive deficits non-Ontario residents nursing home residents those who are not discharged home but are discharged to a skilled nursing facility (long-term care or chronic institution) those who are unable to communicate who do not have a proxy (e.g. spouse or close family member) to facilitate communication with the patient.