TABLE 3.

Health Service Usage by PROMIS Anxiety and Depression CAT Screening Alert Thresholds

		Clinical Alert Thresholds (T Scores ≥ 75)		Newly Proposed Thresholds
		Anxiety	Depression	Anxiety (T Scores ≥ 65)	Depression (T Scores ≥ 60)
No. assessments above		30	10	587	629
clinical thresholds
Outpatient encounters	Above	11.90 (15.22)	11.60 (9.34)	10.17 (8.82)	9.75 (8.54)
	Below	8.30 (7.67)	8.31 (7.72)	8.16 (7.60)	8.20 (7.64)
	P	.2052	.1788	<.0001	<.0001
	d	0.436	0.399	0.244	0.188
Inpatient encounters	Above	0.10 (0.31)	0.20 (0.42)	0.16 (0.45)	0.13 (0.41)
	Below	0.09 (0.34)	0.09 (0.34)	0.08 (0.33)	0.08 (0.34)
	P	.8452	.3012	<.0001	.0044
	d	0.111	1.222	0.889	0.556
Telephone encounters	Above	4.30 (5.31)	3.40 (3.34)	3.35 (3.87)	3.01 (3.66)
	Below	1.86 (2.73)	1.87 (2.75)	1.76 (2.60)	1.77 (2.63)
	P	.0177	.0778	<.0001	<.0001
	d	1.312	0.823	0.855	0.667
MyChart messages	Above	4.03 (3.59)	4.60 (4.38)	3.53 (4.30)	3.39 (4.17)
	Below	2.20 (3.04)	2.21 (3.05)	2.11 (2.90)	2.11 (2.91)
	P	.001	.0131	<.0001	<.0001
	d	0.839	1.096	0.651	0.587
Supportive oncology	Above	3.27 (2.30)	2.70 (2.79)	1.70 (1.85)	1.51 (1.77)
encounters	Below	0.74 (1.21)	0.75 (1.22)	0.67 (1.13)	0.68 (1.15)
	P	<.0001	.0541	<.0001	<.0001
	d	3.466	2.671	1.411	1.137

Abbreviations: CAT, computer adaptive test; PROMIS, Patient-Reported Outcomes Measurement Information System.

“Above” and “below” figures are the numbers of health encounters in the month after assessments that were above or below clinical alert thresholds, respectively.