Digital Remote Home Monitoring for Heart Failure

Inclusion Criteria: * ≥18-year-old adults with a clinical diagnosis of heart failure AND a left ventricular ejection fraction ≤40% by transthoracic echocardiogram or cardiac MRI within 12 months prior to enrollment. Exclusion Criteria: * Patients who are pregnant. * Patients who do not have a smartphone or access to the Internet * Prisoners or refugees. * Patients who are homeless or have unstable housing. * Unable or unwilling to consent or use study related materials. * On-going cocaine, methamphetamine, opioid, alcohol, or other illicit substance abuse as determined by the study PI. * Not fluent in English or Spanish. * Students or trainees at UT-Southwestern or Parkland Health System. * Enrolled or considering hospice. * Recent or home inotropic therapy, or heart transplant evaluation. * Survival anticipated \<6 months. * End-stage renal disease, receiving dialysis or eGFR ≤30 mL/min/1.73m2 * Non-Texas resident