Discharge Functional Status and Rehospitalization in the Elderly

Inclusion Criteria: * patients cared for on the inpatient general medical and surgical services at Northwestern Memorial Hospital (NMH) * age upon admission ≥65 years * anticipated disposition to home at discharge or within two weeks of discharge Exclusion Criteria: * previous hospitalization within 30 days * in-hospital death * transfer to another inpatient facility at the time of discharge * non-English language fluency * hospital medicine attending attestation that patient is not competent or clinically stable to participate * Mini-cog evaluation consistent with dementia