<qa>  What is the primary caregiver-level outcome measure?The trial interventions begin once the patient returns home Day 1 and end 3 months later Day 90. Outcomes data will be collected by telephone at baseline Day 7 and at Day 90. Subjects who are enrolled but do not go home within 1 month because they remain in a rehabilitation or Skilled Nursing Facility will be dropped and replaced by new patients. Two primary patient-level outcome measures include the Patient Activation Measure PAM, a measure of self-efficacy, and the PROMIS-10, a global quality of life scale. Two primary caregiver-level outcome measures include the Bakas Caregiving Outcomes Scale BCOS and depression PHQ-9. 