Lead Sponsor

University of Texas Southwestern Medical Center

Age

18 - 80 years

Sex

ALL

Healthy Volunteers

No

•Age \> 18
•English speaking participants who completed SOCIAL-HF study surveys
•Ejection Fraction \<=40% and eligible for at least one component of GDMT
•Has at least some difficulty paying monthly bills (Somewhat Difficult and Very Difficult)
•Annual household income \<130% Federal Poverty Limit
•Have at least two additional social needs based on the following domains:
•* Cost-related nonadherence
•* Food Insecurity
•* Housing Instability
•* Transportation Difficulty
•* Unemployment
•* Household Crowding: Person/Room Ratio \>1
•* Rent Burden: Rent/Income Ratio \>30%
•* Low social support
•* Interpersonal Violence
•* History of Discrimination

•Unwilling to return for 1 and 2-month follow-up visits.
•Currently in jail or prison
•Primary residence outside Dallas County
•Legal Blindness
•Systolic blood pressure \<90 mmHg on screening
•Contraindications or Intolerance all medications available for therapeutic drug monitoring (metoprolol, losartan, lisinopril, valsartan, and spironolactone)
•Unable to answer orientation questions.