| Characteristic . | Total patients (n = 15), N (%) . |
|---|---|
| 1. Demographics | |
| Age | Average age of 67.3 years (range 40.5–93.8) |
| Sex | |
| Male | 8 (53) |
| Race | |
| White | 9 (60) |
| Black | 5 (33.3) |
| Asian | 1 (6.7) |
| 2. Socioeconomic status | |
| Type of insurance | |
| Dual eligibility | 1 (6.7) |
| Medicare “Fee For Service” only | 5 (33.3) |
| Any managed care | 6 (40) |
| Other (eg, private) | 3 (20) |
| Living condition | |
| Living with others (congregate or with other) | 10 (66.7) |
| 3. Current condition | |
| Active diagnoses | |
| Hypertension | 10 (73.3) |
| Chronic pulmonary disease | 5 (40) |
| Diabetes | 4 (33.3) |
| Renal failure | 2 (13.3) |
| Cardiac arrhythmias | 3 (20) |
| Cancer | 3 (20) |
| 4. Risk for hospitalization | |
| History of falls in the past 12 months | 2 (13.3) |
| Multiple emergency department visits in the past 6 months | 1 (6.7) |
| Decline in mental, emotional, or behavioral status | 1 (6.7) |
| Currently taking 5 or more medications | 15 (100) |
| 5. Integumentary | |
| Having at least 2 unhealed pressure ulcer at stage II or higher | 1 (6.7) |
| Having surgical wound | 4 (33.3) |
| Characteristic . | Total patients (n = 15), N (%) . |
|---|---|
| 1. Demographics | |
| Age | Average age of 67.3 years (range 40.5–93.8) |
| Sex | |
| Male | 8 (53) |
| Race | |
| White | 9 (60) |
| Black | 5 (33.3) |
| Asian | 1 (6.7) |
| 2. Socioeconomic status | |
| Type of insurance | |
| Dual eligibility | 1 (6.7) |
| Medicare “Fee For Service” only | 5 (33.3) |
| Any managed care | 6 (40) |
| Other (eg, private) | 3 (20) |
| Living condition | |
| Living with others (congregate or with other) | 10 (66.7) |
| 3. Current condition | |
| Active diagnoses | |
| Hypertension | 10 (73.3) |
| Chronic pulmonary disease | 5 (40) |
| Diabetes | 4 (33.3) |
| Renal failure | 2 (13.3) |
| Cardiac arrhythmias | 3 (20) |
| Cancer | 3 (20) |
| 4. Risk for hospitalization | |
| History of falls in the past 12 months | 2 (13.3) |
| Multiple emergency department visits in the past 6 months | 1 (6.7) |
| Decline in mental, emotional, or behavioral status | 1 (6.7) |
| Currently taking 5 or more medications | 15 (100) |
| 5. Integumentary | |
| Having at least 2 unhealed pressure ulcer at stage II or higher | 1 (6.7) |
| Having surgical wound | 4 (33.3) |
| Characteristic . | Total patients (n = 15), N (%) . |
|---|---|
| 1. Demographics | |
| Age | Average age of 67.3 years (range 40.5–93.8) |
| Sex | |
| Male | 8 (53) |
| Race | |
| White | 9 (60) |
| Black | 5 (33.3) |
| Asian | 1 (6.7) |
| 2. Socioeconomic status | |
| Type of insurance | |
| Dual eligibility | 1 (6.7) |
| Medicare “Fee For Service” only | 5 (33.3) |
| Any managed care | 6 (40) |
| Other (eg, private) | 3 (20) |
| Living condition | |
| Living with others (congregate or with other) | 10 (66.7) |
| 3. Current condition | |
| Active diagnoses | |
| Hypertension | 10 (73.3) |
| Chronic pulmonary disease | 5 (40) |
| Diabetes | 4 (33.3) |
| Renal failure | 2 (13.3) |
| Cardiac arrhythmias | 3 (20) |
| Cancer | 3 (20) |
| 4. Risk for hospitalization | |
| History of falls in the past 12 months | 2 (13.3) |
| Multiple emergency department visits in the past 6 months | 1 (6.7) |
| Decline in mental, emotional, or behavioral status | 1 (6.7) |
| Currently taking 5 or more medications | 15 (100) |
| 5. Integumentary | |
| Having at least 2 unhealed pressure ulcer at stage II or higher | 1 (6.7) |
| Having surgical wound | 4 (33.3) |
| Characteristic . | Total patients (n = 15), N (%) . |
|---|---|
| 1. Demographics | |
| Age | Average age of 67.3 years (range 40.5–93.8) |
| Sex | |
| Male | 8 (53) |
| Race | |
| White | 9 (60) |
| Black | 5 (33.3) |
| Asian | 1 (6.7) |
| 2. Socioeconomic status | |
| Type of insurance | |
| Dual eligibility | 1 (6.7) |
| Medicare “Fee For Service” only | 5 (33.3) |
| Any managed care | 6 (40) |
| Other (eg, private) | 3 (20) |
| Living condition | |
| Living with others (congregate or with other) | 10 (66.7) |
| 3. Current condition | |
| Active diagnoses | |
| Hypertension | 10 (73.3) |
| Chronic pulmonary disease | 5 (40) |
| Diabetes | 4 (33.3) |
| Renal failure | 2 (13.3) |
| Cardiac arrhythmias | 3 (20) |
| Cancer | 3 (20) |
| 4. Risk for hospitalization | |
| History of falls in the past 12 months | 2 (13.3) |
| Multiple emergency department visits in the past 6 months | 1 (6.7) |
| Decline in mental, emotional, or behavioral status | 1 (6.7) |
| Currently taking 5 or more medications | 15 (100) |
| 5. Integumentary | |
| Having at least 2 unhealed pressure ulcer at stage II or higher | 1 (6.7) |
| Having surgical wound | 4 (33.3) |
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