Table 4.
Preventive Health Services Completion among Eligible Patients by Completion of Annual Wellness Visits (at Baseline and 8 Months Post-Intervention Implementation)
| Preventive health service | Baseline | 8 months post-implementation | ||||
|---|---|---|---|---|---|---|
| Completed AWV, % (n=107) |
Did Not Complete AWV, % (n=1406) |
p-value | Completed AWV, % (n=630) |
Did Not Complete AWV, % (n=537) |
p-value | |
| Vaccinations | ||||||
| Influenza | 55.1 | 55.9 | 0.249 | 62.7 | 56.3 | 0.036 |
| Herpes zoster (shingles) | 60.0 | 42.2 | < 0.001 | 53.5 | 39.9 | < 0.001 |
| Pneumococcal (PPSV23) | 85.1 | 71.2 | 0.004 | 83.2 | 63.4 | < 0.001 |
| Tetanus (Td or Tdap) | 74.8 | 55.7 | < 0.001 | 63.0 | 49.4 | < 0.001 |
| Cancer screening | ||||||
| Colorectal cancer | 22.2 | 35.1 | 0.037 | 37.5 | 27.7 | 0.006 |
| Mammogram | 48.8 | 41.0 | 0.331 | 49.5 | 39.5 | 0.065 |
| Pap smear | 100.0 | 54.0 | 0.113 | 77.4 | 50.0 | 0.014 |
| PSA (prostate) | 71.4 | 63.4 | 0.542 | 74.7 | 35.2 | < 0.001 |
| Other screening | ||||||
| Osteoporosis | 36.0 | 38.0 | 0.843 | 54.5 | 33.6 | 0.001 |
| Hepatitis C | 24.1 | 23.3 | 0.852 | 37.1 | 20.2 | < 0.001 |
| Alcohol misuse screening | 90.7 | 38.8 | < 0.001 | 91.4 | 23.0 | < 0.001 |
| Depression screening | 93.9 | 48.2 | < 0.001 | 97.5 | 33.8 | < 0.001 |
| Tobacco use screening | 89.7 | 84.1 | 0.122 | 86.4 | 71.9 | < 0.001 |
| Advance care planning | 10.1 | 7.7 | 0.388 | 27.4 | 7.5 | < 0.001 |
| Fulfillment of recommended preventive health services * | 61.5 | 46.4 | < 0.001 | 65.7 | 39.7 | < 0.001 |
*
% fulfillment of all recommended preventive health services listed in this table computed at the patient level [except for tetanus vaccination (since Medicare Part B does not routinely cover it) and PSA screening (a measure of overuse)] (maximum of n=12 services)