Inclusion Criteria:

• * A documented confirmed diagnosis of Heart Failure (HF)
• * Under the care of a Cardiologist and/or Advanced Practice Provider working in Cardiology
• * 18 years of age or older and less than 90 years of age
• * Alert and oriented to person, place, and time
• * Ability to walk without assistance
• * Able to read and speak English

Exclusion Criteria:

• * Diagnosed with myocardial infarction, coronary artery bypass graft (CABG), angioplasty or stent in the previous 30-days
• * Unstable angina in the previous 30 days
• * Active endocarditis
• * Acute myocarditis or pericarditis
• * Symptomatic severe aortic stenosis
• * Uncontrolled hypertension with systolic blood pressure readings \> 180 mmHg or diastolic pressure readings \> 100 mmHg
• * Uncontrolled atrial dysrhythmia or 3rd degree heart block
• * Active ventricular arrhythmias resulting in 1 or more shocks in the past month
• * Acute pulmonary embolus or pulmonary infection
• * Thrombosis of the lower extremities
• * Suspected dissecting aneurysm
• * Uncontrolled asthma
• * Pulmonary edema
• * Room air oxygen saturation (SPO2) at rest less than 90%
• * Acute respiratory failure
• * Acute noncardiopulmonary disorder that may affect exercise performance or be aggravated by exercise such as, infection, thyrotoxicosis
• * Left ventricular assist device
• * Mental impairment leading to inability to cooperate

Inclusion Criteria:

• • Licensed healthcare providers (Physicians and Advance Practice Providers) in HF ambulatory clinical sites who care for adult patients with HF.

Exclusion Criteria:

• • Providers who do not actively manage adult patients with HF.