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Table 3 Source and schedule of outcome, utilization, process, and other variables

From: A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial

   

Post-discharge

Variable

Source/Instrument

Baseline

7-days

30-days

180-days

Outcomes

     

Readmission

UHC, OSHPD

 

X

X

X

Hospital days

UHC, OSHPD

 

X

X

X

Hospital cost

UHC, OSHPD

    

Emergency Dept use

OSHPD

 

X

X

X

Mortality

UHC, OSHPD, National Death Index

 

X

X

X

Quality of life

Survey/Minnesota Living with Heart Failure Questionnaire

X

X

X

X

Intervention process

     

Pre-discharge education completion and comprehension

Enrollment documentation notes

X

   

Post-discharge health coaching

Call center documentation notes

 

*

*

*

Remote monitor use

Daily data transmission reports

 

*

*

*

Calls triggered by remote monitoring

Data transmission reports, call center documentation notes

 

*

*

*

Patient assessment of care transition

Survey/Care Transition Measure-3

 

X

  

Covariates

     

Age

Survey, UHC

X

   

Gender

Survey, UHC

X

   

Race/Ethnicity

Survey, UHC

X

   

Language

Survey, language of consent

X

   

Household income

Survey

X

   

Education

Survey

X

   

Marital status

Survey

X

   

Insurance (for example, dual Medicaid/Medicare)

UHC

X

   

Employment

Survey/Health and Work Performance Questionnaire

X

 

X

X

Health literacy

Survey/REALM-R

X

   

Severity of illness

Survey/Total Illness Burden Index

X

  

X

Co-morbidities

UHC

X

   

Depression

Survey/Geriatric Depression Scale

X

X

X

X

Self-care behaviors

Survey/Self-Care of Heart Failure Index

X

X

X

X

Social networks

Survey/Lubben Social Network Scale

X

 

X

X

Informal caregiving

Survey/Medical Care Questionnaire

X

 

X

X

Medication adherence

Survey/Morisky Medication Adherence Scale

 

X

X

X

End-of-life wishes

Survey

X

   
  1. *Signifies the measure is continuously available over the 180-day timeframe.
  2. UHC is University HealthSystem Consortium; OSHPD is Office of Statewide Health Planning & Development.