Introduction: Congestive heart failure (CHF) will reach epidemic proportions and contribute to large unsustainable impacts on health budgets for any single cardiovascular condition. Against other major cardiovascular outcomes trends, readmission and disease burden continue to rise as the demographics shift. Methods: The rise of heart failure with preserved ejection fraction (HFpEF) among elderly women will present new challenges. Gold standard care delivers sustainable and cost-effective health improvements using organised programs of care. When coordinated from large hospitals, this can be replicated universally. Mini review and perspective. Result: A gradient of outcomes with ambulatory care when greater care is relegated away from established institutions and shared with clients and community health services. This is now a sizeable proportion of CHF care. Conclusion: In this review, we explore health technologies as an emerging opportunity to confront and address this gap in CHF management.