We have recently developed and published 2 care pathways: 1 for the management of acute coronary syndrome and the other for acute heart failure. Our pathways are designed to optimize care for patients using clinical evidence models and to teach physicians in training consensus evaluation and management strategies. To implement our pathways to improve our patient care, we have developed unique admission and discharge forms derived from these pathways. These forms serve as reminders of key points of the pathways, as data collection devices, and most importantly as a health care agreement on discharge between patients and their healthcare providers.