Abby G. Meyers|Amanda H. Salanitro|Kenneth A. Wallston|Courtney Cawthon|Eduard E. Vasilevskis|Kathryn Goggins|Corinne M. Davis|Russell L. Rothman|Liana D. Castel|Katharine M. Donato|John F. Schnelle|Susan P. Bell|Jonathan S. Schildcrout|Chandra Y. Osborn|Frank E. Harrell|Sunil Kripalani
Determinants of health after hospital discharge: rationale and design of the Vanderbilt Inpatient Cohort Study (VICS)
Vanderbilt University|Geriatric Research Education and Clinical Center|Target (United States)|Vanderbilt University|Vanderbilt University|Clinical Research Solutions|Vanderbilt University|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center
period following hospital discharge vulnerable time patients errors poorly coordinated care common suboptimal care transitions patients admitted cardiovascular conditions contribute readmission adverse health outcomes little research examined role health literacy social determinants health predicting postdischarge outcomes vanderbilt inpatient cohort study vics funded national institutes health prospective longitudinal study 3000 patients hospitalized acute coronary syndromes acute decompensated heart failure enrollment began october 2011 planned october 2015 hospitalization set validated demographic cognitive psychological social behavioral functional measures administered health status comorbidities assessed patients interviewed phone first week discharge assess quality hospital discharge communication initial medication management approximately 30 90 days postdischarge interviewers collect additional data medication adherence social support functional status quality life health care utilization mortality determined 35 years followup statistical models examine hypothesized relationships health literacy social determinants medication management functional status quality life utilization mortality paper describe recruitment eligibility followup data collection analysis plans vics well characteristics accruing patient cohort research enhance understanding health literacy patient factors affect quality care transitions outcomes hospitalization findings help inform design interventions improve care transitions postdischarge outcomes