Table 1.

Proxies to behavior that may result in early readmission captured from qualitative interviews

Patient Behavioral Characteristics	Frequency*	Predictor
Male sex‡	15	gender
Older patients‡	15	age over 65
Non-compliance§	13	adherence
Uninsured/under-insured‡	13	payer type
Low motivation - higher missed appointments, lower compliance‡	12	any missed appointments
Mild undiagnosed dementia§	12	dementia
Non-English speaking ethnic minorities‡	12	language
Limited social support†	11
Living alone, unable to cook‡	9	marital status
Lower socioeconomic status (SES)†	9
Mild to moderate undiagnosed/untreated depression§	9	depression
Higher refusal rate of services§	9	service decline
Higher stress (disease, age) †	8
Unable to perform daily activities†	6
Moderate anxiety§	4	anxiety

^*Numbers indicate the number of interviews in which this factor was mentioned (15 interviews).

^†These potential predictors were eliminated from further consideration due to lack of electronic data available.

^‡These potential predictors were extracted from the structured fields in the EHR

^§These potential predictors were extracted from the clinical notes.