Per PI this QI/QA resident project was not initiated. Record should be deleted.

With improve care of patients with heart failure, many patients are living longer. Care for these patients is now not only focused on mortality but also on the quality of life. Patient knowledge about heart failure and their overall compliance with the necessary lifestyle changes will lead to an improved quality of life. Discovering alternative ways to improve patient knowledge is key to long term survival. This studies objective is to assess the overall impact of video discharge instructions as compared to paper discharge instructions on Heart Failure Knowledge among an under-served patient population.

In this study, we will randomized patients admitted to the hospital with heart failure exacerbation to receive either paper or video discharge instructions within a day prior to discharge. The video and paper instructions will have the same content. The patients will take a pre-test and post-test and the change in scores among the patients who received the video and paper discharge instructions will be compared. Other points of interest include participant satisfactions with discharge instruction, followup at post hospital appointment and 30-day readmission.

Data to be collected includes:

1. Medial history of the patient
2. Educational background
3. Social Status
4. Patients Health Measurement: Self Efficacy for managing medications and Treatment Management, Informational Support

Inclusion Criteria:

• hospital admission with a diagnosis of Heart Failure (HF)- Heart failure with reduced ejection fraction or heart failure with preserved Ejection fraction
• planned discharge from hospital to home setting
• able to read and write English
• Acceptable to answer Questionnaire and to receive a call at the end of the study

Exclusion Criteria:

• Planned discharge to long term acute care
• Patients with unstable housing
• imprisoned patients
• patients who are pregnant
• illiteracy (defined as inability to write or read) and non-native speakers of English
• impaired cognition
• impaired vision
• Patients with End Stage Renal Disease(ESRD)
• Cancer patients