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Patients hospitalized for heart failure (HF) are often readmitted after discharge; although comprehensive discharge support is designed to reduce readmissions, trials have not clearly shown a benefit. In a recent trial that randomly assigned over 5600 patients hospitalized with heart failure with reduced ejection fraction (HFrEF) to a hospital and postdischarge quality improvement intervention (eg, medication reconciliation, risk assessment, self-management education, goal setting, access to postdischarge resources) or to usual care, rates of the combined outcome of all-cause mortality and HF rehospitalization were similar between the two groups (39 versus 40 percent, respectively). Of note, many centers in the trial were already participating in a program to improve the care of patients with heart failure. For patients hospitalized with heart failure with reduced ejection fraction, we routinely optimize HF medications and device therapies prior to discharge and use other services on a case-by-case basis.