Table 2 –

Cox Regression Model

Model Construct	Concept	Hazard Ratio	Confidence Interval
Predisposing	Age	1.01*	1.01–1.02
	Race (ref: Black) Other	1.03	0.83–1.28
	Race (ref: Black) White	1.41*	1.25–1.59
	Sex male	0.78	0.58–1.05
	Hospital readmission within 3 days of an index hospitalization in the prior year	1.39*	1.13–1.72
	My HealtheVet enrollment	0.90*	0.82–0.99
Enabling	Care Assessment Need score ≥95%	1.23*	1.12–1.36
	In-home messaging device	0.79*	0.71–0.88
	Average adherence	0.97*	0.97–0.97
Need	Have depression	0.97	0.88–1.07
	Noninstitutional care (NIC)	1.14*	1.04–1.26

^*p < .05.