Heart failure (HF) is a common chronic medical problem that is associated with considerable morbidity and mortality [1,2,3]. The prevalence of HF continuously rises due to changing demographics and better survival from cardiovascular diseases earlier in life. Meanwhile, there is abundant evidence to demonstrate the efficacy of a multidisciplinary team approach to meet the increasing complexity of HF management [3,4,5,6,7].
In 2017 the Heart Failure Working Group and the Working Group for Cardiological Assistance and Care Personnel of the Austrian Society of Cardiology published a position paper on the need for disease management programs (DMP) specific for heart failure in Austria . That article defined essential elements of a DMP that were essentially based on recommendations made by the Heart Failure Association of the European Society of Cardiology (ESC) [3, 9]. The publication attracted much attention from healthcare providers and political representatives and enhanced an ongoing public debate about optimal management of chronic heart failure in Austria. Nevertheless, a comprehensive concept for nationwide coverage with heart failure-specific DMPs is still pending.
This article presents a systematic survey of currently active heart failure-specific DMPs in Austria. To ensure a high degree of clarity in presenting the heterogeneity of individual programs and allow for comparison, the summary is essentially based on the aforementioned position paper of the Austrian Society of Cardiology  and on a system of classification developed by The American Heart Association’s Disease Management Taxonomy Writing Group . This publication consciously refrains from presenting efficacy and cost effectiveness analyses since final or interim evaluation is not yet available for all programs. Final assessment of the programs will be addressed in a future publication.
Currently, seven individual DMPs are operating in six regions in Austria ranging from Carinthia (Klagenfurt) to Lower Austria (Krems), Salzburg, Styria, Tyrol, and Upper Austria (Braunau, Linz) (in alphabetical order). Kardiomobil Kärnten (January 2019–December 2020), Integrierte Versorgung von Patienten mit Herzinsuffizienz in Oberösterreich – IVH OÖ-Pilot (January 2017 to December 2019), and KardioStabil Braunau (June 2017 to unlimited) are still in a project phase, while Kardiomobil Salzburg (since 2008) , the Krems model (since 2008)  and HerzMobil Tirol (2012–2017 in a project phase, established since July 2017) [13,14,15,16,17,18,19] and HerzMobil Stmk (since January 2019) are already established programs.
A summary of heart failure-specific DMPs in Austria including the number of included patients as of May 2019, the proportion of women, and the drop-out rate are given in Table 1–4. Various aspects and disparities between programs are highlighted and discussed in detail. HerzMobil Tirol and HerzMobil Stmk as well as Kardiomobil Salzburg and Kardiomobil Kärnten are largely identical with a few exceptions and thus are mostly discussed as units.