 All HF patients admitted to CCF will receive a short consent form. The study will enroll patients for one year. Physicians will initiate titrate medications and obtain consults as usual but are highly encourage to keep patients in the hospital until at least 2 of the 3 above mentioned criteria are met. Physicians will receive a copy of consent forms, educational bulletins, and discharge forms as described in the Physician Education document which is attached to this application. Log-rank test will be used to compare groups. Chi-Square will be used to compare prospective patients with retrospective controls obtained in 2010. 