As in most western countries, the burden of heart failure (HF) in Canada is increasing. BC HF prevalence rates are similar to national data and indicate that more than 90,000 patients are living with HF with this prevalence expected to double by 2030. A provincial strategy to improve HF services and care was developed in 2009 with Health Authorities commencing their implementation strategy’s in 2010. The three-year provincial strategy, led by Cardiac Services BC (CSBC) is based on an investment of $7.580M. CSBC has identified St. Paul’s Hospital as the strategies Provincial HF HUB with responsibilities to lead acute HF management, collaborate on the development of provincial HF quality indicators, HF resources, guideline, tools, patient self management resources, HF education and research. The provincial HUB is also leading the establishment of the Provincial HF website - www.bcheartfailure.ca, partnering with health authorities to coordinate CME workshops and a quarterly news letter.