Table 1 Baseline sample characteristics by completion of post-hospital follow-up provider visits within 7-days of discharge

 Age

66.5 (16.4)

69.5 (16.2)

58.9 (17.8)

57.8 (18.6)

60.9 (18.1)

0.68

0.05

 Female

27,203 (48.2%)

4857 (53.9%)

36,903 (52.7%)

45,197 (57.9%)

114,160 (53.5%)

0.10

0.01

 Asian

5042 (8.9%)

721 (8%)

6432 (9.2%)

6459 (8.3%)

18,654 (8.7%)

0.01

0.00

 Black

6440 (11.4%)

1446 (16.1%)

7434 (10.6%)

9146 (11.7%)

24,466 (11.5%)

0.05

0.01

 Hispanic

18,788 (33.3%)

2517 (27.9%)

24,815 (35.5%)

28,760 (36.8%)

74,880 (35.1%)

0.09

0.01

 Other

1041 (1.8%)

155 (1.7%)

1385 (2%)

1554 (2%)

4135 (1.9%)

0.00

0.00

 White

25,072 (44.5%)

4170 (46.3%)

29,931 (42.8%)

32,205 (41.2%)

91,378 (42.8%)

0.05

0.01

Marital status: Partnered

32,842 (58.2%)

4622 (51.3%)

42,151 (60.2%)

44,166 (56.5%)

123,781 (58%)

0.09

0.01

Education: < College

41,216 (73.1%)

6504 (72.2%)

50,048 (71.5%)

56,640 (72.5%)

154,370 (72.3%)

0.09

0.05

Household income: >$20,000

48,602 (86.2%)

7667 (85.1%)

60,477 (86.4%)

67,187 (86.0%)

184,048 (86.2%)

0.15

0.06

Spoken language: English

48,993 (86.9%)

8108 (90%)

62,222 (88.9%)

69,453 (88.9%)

188,776 (88.4%)

0.03

0.02

 Commercial/private pay

21,503 (38.1%)

2772 (30.8%)

37,651 (53.8%)

43,070 (55.1%)

104,996 (49.2%)

0.24

0.02

 Dual

3215 (5.7%)

591 (6.6%)

2450 (3.5%)

2907 (3.7%)

9163 (4.3%)

0.03

0.01

 Medicaid

2493 (4.4%)

392 (4.4%)

3838 (5.5%)

4754 (6.1%)

11,477 (5.4%)

0.02

0.01

 Medicare

29,160 (51.7%)

5250 (58.3%)

26,035 (37.2%)

27,330 (35%)

87,775 (41.1%)

0.23

0.02

Received medical financial assistance in prior year

4590 (8.1%)

941 (10.4%)

5163 (7.4%)

5035 (6.4%)

15,729 (7.4%)

0.04

0.00

 Clinic no show rate (at least once)

34,084 (60.5%)

6185 (68.7%)

43,594 (62.3%)

47,297 (60.5%)

131,160 (61.4%)

0.08

0.01

 Charlson comorbidity index^b

4.7 (3.08)

5.5 (3.14)

3.8 (2.99)

3.4 (2.94)

4.0 (3.07)

0.68

0.03

  Myocardial infarction

9635 (17.1%)

1727 (19.2%)

7030 (10%)

6703 (8.6%)

25,095 (11.8%)

–

–

  Congestive heart failure

13,396 (23.8%)

2684 (29.8%)

9295 (13.3%)

8613 (11%)

33,988 (15.9%)

–

–

  Peripheral vascular disease

26,973 (47.8%)

5236 (58.1%)

22,050 (31.5%)

22,215 (28.4%)

76,474 (35.8%)

–

–

  Cerebrovascular disease

12,175 (21.6%)

2358 (26.2%)

9105 (13%)

9833 (12.6%)

33,471 (15.7%)

–

–

  Dementia

3536 (6.3%)

1134 (12.6%)

1940 (2.8%)

3357 (4.3%)

9967 (4.7%)

–

–

  Rheumatic disease

3937 (7%)

710 (7.9%)

3692 (5.3%)

3711 (4.8%)

12,050 (5.6%)

–

–

  Peptic ulcer disease

3779 (6.7%)

687 (7.6%)

3094 (4.4%)

3296 (4.2%)

10,856 (5.1%)

–

–

  Mild liver disease

8727 (15.5%)

1499 (16.6%)

9095 (13%)

9301 (11.9%)

28,622 (13.4%)

–

–

  Moderate or severe liver disease

1355 (2.4%)

236 (2.6%)

890 (1.3%)

837 (1.1%)

3318 (1.6%)

–

–

  Diabetes without chronic complication

7821 (13.9%)

1159 (12.9%)

8766 (12.5%)

9464 (12.1%)

27,210 (12.7%)

–

–

  Diabetes with chronic complication

18,284 (32.4%)

3201 (35.5%)

14,142 (20.2%)

12,878 (16.5%)

48,505 (22.7%)

–

–

  Hemiplegia or paraplegia

2909 (5.2%)

740 (8.2%)

2211 (3.2%)

2721 (3.5%)

8581 (4%)

–

–

  Renal disease

20,089 (35.6%)

3776 (41.9%)

14,696 (21%)

14,609 (18.7%)

53,170 (24.9%)

–

–

  Any malignancy (lymphomas, leukemias etc)

8825 (15.7%)

1788 (19.8%)

11,963 (17.1%)

9563 (12.2%)

32,139 (15.1%)

–

–

  Metastatic solid tumor

3343 (5.9%)

830 (9.2%)

4578 (6.5%)

3006 (3.8%)

11,757 (5.5%)

–

–

  AIDS/HIV

236 (0.4%)

51 (0.6%)

281 (0.4%)

244 (0.3%)

812 (0.4%)

–

–

 Frailty index

8.8 (6.65)

11.1 (8.35)

6.1 (6.05)

5.7 (6.44)

6.9 (6.65)

  Low risk < 5

18,052 (32%)

2310 (25.6%)

37,893 (54.1%)

46,855 (60%)

105,110 (49.2%)

0.34

0.01

  Intermediate risk 5–14

29,643 (52.6%)

4366 (48.5%)

26,225 (37.5%)

24,610 (31.5%)

84,844 (39.7%)

0.21

0.01

  High Risk 15+

8688 (15.4%)

2333 (25.9%)

5879 (8.4%)

6659 (8.5%)

23,559 (11%)

0.17

0.01