Objectives: To compare patient health outcomes like mortality and rehospitalisation among heart failure patients receiving focussed care under HF clinics and those receiving usual care under regular cardiac outpatient department. Methods: A total of 200 heart failure patients who consulted in Heart Failure clinic and general cardiology outpatient department during the year of 2017 who satisfied the inclusion and exclusion criteria were selected for the study. The study was carried out in a tertiary care Interventional Cardiology and Cardiac Surgery hospital with a dedicated well established heart failure clinic in Kerala, for a period of 1 year. Patients were followed retrospectively for a period of one year and relevant patient data were obtained from the electronic medical record. The data collected were then evaluated for health outcomes like rehospitalisation and mortality among the two groups. Results: Among the total number of rehospitalisation's reported, only 32.8% of them were from Heart Failure clinic while 67.2% of reported rehospitalisation's were from general cardiology outpatient department. Chi square test was applied and statistically significant difference was obtained when mortality rate was compared between the two study groups. 80% of reported cases of death was among patients who consulted in general cardiology outpatient department while only 20% was from Heart Failure clinic. Conclusion: Management of heart failure patients in heart failure clinic was associated with significant reduction in one year mortality and rehospitalisation.

The treatment associated economic burden of our country is rising at an alarming rate due to the prevalence of various disease conditions. Since the burden of disease and its management cost is increasing, India has got all reasons to be alarmed over matters of health. Without finding out and implementing newer alternatives to meet the health needs of the population, the present health system has to do more to come up with the struggles in order to provide the adequate healthcare services to get the desired outcome. Focussed or personalised care can be foreseen as a remedy and has been considered as a core component in achieving a sustained high quality health outcome. Specialised clinics devoted to an area of speciality aims at providing focussed or personalised care to the patient which enables to provide more medical attention to the patient by the involvement of multidisciplinary health professionals and is also cost effective. The specialised clinics plays a major role in timely follow ups to ensure that the patient gets the individualised optimal therapy.