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Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): Koning Boudewijn Stichting, Fonds Dr. Daniel De Konick Background The best HF-care is provided in a seamless system that includes both community- and hospital care to avoid hospital readmission. Essential elements to included in such a system are a.o. discharge planning, follow-up, multidisciplinary patient education, teamwork incl. shared professional education, medication optimisation and implementation of care pathways across settings.  Purpose To facilitate seamless HF-care in Belgium trough capacity building in primary care and improved communication between primary and specialist care. Methods HeartsConnect, a Learning Health care Network Heart Failure (LHCN-HF) was established and unites eight regional integrated care projects in Flanders, the Flemish speaking region of Belgium. This LHCN-HF organizes regular symposia on relevant topics for their members. Furthermore, materials to facilitate professional and patient education are being developed. To scale-up integrated care the LHCN-HF works together with several stakeholders. In addition, the process and results of the participating projects will be evaluated. Results Four symposia have taken place since the start of the LHCN. The discussed topics were project evaluation and data collection, the roles in a multidisciplinary team, data sharing and best practises. Narrated PowerPoints considering HF-management for GP’s, pharmacists and physiotherapists are being developed in collaboration with their professional associations. To scale-up integrated HF-care, the LHCN-HF works in close collaboration with the Belgian Working Group on Heart Failure and the Flemish Hospital Network. Together with national organizations the LHCN strives for the recognition of HF-nurses, standardized discharge planning, reimbursement of NT-pro-BNP and HF-education and the training of primary care nurses (PCN) in terms of HF-education, aligned with the existing initiatives of HF-nurse education. Conclusion  At this moment a seamless system of HF-care is not yet in place in Belgium. However, the LHCN-HF together with several HF-stakeholders aims to bridge existing gaps between primary- and specialist HF-care.

Learning Health Care Network Heart Failure: towards a better Heart Failure care in Belgium