Determine Return on Investment in Heart Failure Remote Monitoring Program

Inclusion Criteria: * Absence of significant vision, hearing, or other communication deficits * English speaking; * Capable and willing to give informed consent; * Participated in the in-patient heart failure class within the last three months. Acceptable candidate for elective, non-emergent, remote monitoring as determined by ordering physician; * Living in a private home; * Hospital admission for Heart Failure or decompensation in the previous 12 months * New York Heart Association (NYHA) classes II-IV, as assigned by the nurse researcher, trained by a cardiologist * Cardiac aetiology: ischaemic, idiopathic, hypertensive, or valvular * Left ventricular ejection fraction \<40% s an index of systolic dysfunction, combined or not with a left ventricular filling pattern supporting the presence of diastolic dysfunction, according to the American College of Cardiology/American Heart Association Guidelines for chronic heart failure. or * NYHA class II-III who had an ejection fraction \>40% and evidence of diastolic left ventricular dysfunction. * Optional subject with a diagnosis of diabetes (indicated by HbA1c \>7). Exclusion Criteria: * Currently involved in other investigational clinical trials (unless permission is granted by other study PI); * Females who are pregnant, planning to become pregnant within 3 months, or lactating; * Requirement for emergent placement other than private home (subject's condition would be compromised if there is a delay in placement). * Myocardial infarction, revascularization or Implantable Cardioverter Defibrillator (ICD) implantation in the previous 6 months angina or objective myocardial ischaemia requiring future revascularization implanted ventricular or atrial pacemaker (except dual chamber ICD pacemakers with good sinus activity); * End-stage heart failure requiring regular inotropic drug infusions; * Chronic renal failure requiring dialysis treatment and * Unstable angina.