ID.1
Item
all patients admitted with either systolic or diastolic hf will be identified through ongoing daily prospective manual search of admission records in va nyhhs
boolean
ID.2
Item
men and women ( 21 years) being discharged after a hf admission will be eligible
boolean
ID.3
Item
they must have an available phone
boolean
ID.4
Item
patients with poor short-term survival (< 3 months)
boolean
ID.5
Item
recent major surgery (< 1 month)
boolean
ID.6
Item
planned discharge to a long-term-care facility
boolean
ID.7
Item
severe dementia or other serious psychiatric illness
boolean
ID.8
Item
temporarily in the area
boolean
ID.9
Item
those unable to provide consent, refusal to participate
boolean
ID.10
Item
logistic or discretionary reasons (including participation in another study) will be excluded
boolean