chronic condition and care coordination

1. Description of the health issue: heart failure. 

2. The incidence and prevalence of this condition in the US.

3.How the condition is diagnosed, monitored, and treated in individuals with this condition?

4. Description of the interdisciplinary team that will participate in coordinating care. Specifically, define the role of the APRN in management and coordination.  

5. Can care teams use the CCCR model? Think in terms of systems and complexity reflective thinking. If not, name another model to help manage care?

6. What resources are available to help manage the costs of care related to this condition?

7. Identify barriers or challenges that you foresee for patients and care teams. How can barriers be overcome?

**3-4 pages, APA format, headings are required, at least two scholarly sources**