Introduction/Purpose: Heart failure (HF) is a disease that progressively afflicts more and more of the American population. Its burden extends across clinical, financial, and organizational domains. CHF is the greatest cause of 30-day hospital readmissions which result in increased mortality and decreased quality of life. Methods: Patients in a 25-bed critical access hospital were recruited. They were then educated using standardized materials from the American Heart Association (AHA) Rise Above Heart Failure toolkit. Self-care capacity was also assessed prior to discharge using the Self-Care in Heart Failure Index (SCHFI) questionnaire. After discharge, patients were contacted weekly and assessed using the AHA Target HF telephone follow up tool. After 30 days, patients were to be reassessed with a second SCHFI and scores compared. Data was collected pre and post intervention. Readmission rates in the sample were to be calculated and compared to data from the prior reporting year. Results: During data collection period, 48 unique patients were admitted. Three patients met the inclusion criteria but one declined participation. Of the two remaining patients included, one was promptly readmitted prior to engagement and the other was lost to follow-up. While both patients received the education intervention, neither received the follow-up intervention. Discussion: This project illustrated the challenges to recruitment and engagement that can be encountered by critical access hospitals that operate on a low daily census. Keys strategies for improvement in future cycles are to increase sample pool by extending the collection period, incorporating additional units, and limiting exclusion criteria. Strategies to improve post-discharge engagement focus on in-person connections such as home health or outpatient HF clinics. These are under consideration for future cycles of improvement.