Table 2.

Subject time sequence through GUIDED-HF data collection time points.

Time	Measure	Role in Analysis	Source	Time
ED Presentation	Demographics, medical history, income, insurance, current living condition (alone, homeless, with caregiver/family)	Aim 1/2 predictors	Patient, records	10 min
	Prior HF hospitalizations in past 6 months	Aim 1/2 predictor	Patient, records	1 min
	NYHA Class	Aim 1/2 predictor	Patient	1 min
	Medication management (adherence) – ARMS-7	Aim 1/2 predictors	Patient	2 min
	ED tests and treatments	Aim 1/2 predictors	Records	--
	Dutch HF Knowledge Scale	Aim 1/2 predictors	Patient	5 min
	Numeracy (SNS) and Literacy (BHLS) Scale, PROMIS	Aim 1/2 predictors	Patient	15 min
	HF health-related QOL – KCCQ-short version	Aim 1/2 predictors	Patient	10 min
48 hours	Transition Nurse Coordinator home visit (yes/no)		Patient	--
30, 90, 180 days	HF health-related QOL – KCCQ-short version, PROMIS	Aim 2 outcome	Patient	15 min
	ARMS-7, Dutch HF Knowledge Scale, and out of pocket costs	Aim 2 outcome	Patient	15 min
	All-cause and HF-related ED revisits and hospitalizations	Aim 1 and safety outcome	Patient, records	5 min
	All-cause and CV Mortality	Aim 1 and safety outcome	Records, SSDI	--