Table 2.
Specific Patient Health Risks and Care Plan Selection.
| Need/risk | # at risk/# intervention Pts (%) | #Care plans/# at risk (%) |
|---|---|---|
| Behavioral needs/risks | ||
| Any behavioral need/risk (at least 1) | 187/187 (100) | 173/187 (92.5) |
| Nutrition | 185/187 (98.9) | 67/185 (36.2) |
| Exercise a | 152/186 (81.7) | 99/152 (65.1) |
| Weight loss a | 121/186 (64.7) | 45/121 (37.2) |
| Smoking | 27/187 (14.4) | 4/27 (14.8) |
| Alcohol | 83/187 (44.4) | 7/83 (8.4) |
| Drug use | 12/187 (6.4) | 1/12 (8.3) |
| Social needs/risks | ||
| Any social need/risk (at least 1) | 96/187 (51.3) | 12/96 (12.5) |
| Financial | 63/187 (33.7) | 5/63 (7.9) |
| Food security | 34/187 (18.2) | 0/34 (0.0) |
| Transportation | 43/187 (23.0) | 1/43 (2.3) |
| Housing security | 9/185 (4.9) | 1/9 (11.1) |
| Dental | 34/187 (18.2) | 3/34 (8.8) |
| Safety | 22/187 (11.8) | 2/22 (9.1) |
| Mental health needs/risks | ||
| Any mental health need/risk (at least 1) | 125/187 (66.8) | 29/125 (23.2) |
| Anxiety or depression | 84/187 (44.9) | 10/84 (11.9) |
| Loneliness | 82/187 (43.9) | 8/82 (9.8) |
| Sleep | 74/187 (39.6) | 11/74 (14.9) |
a
“Exercise” has 1 CP and “Weight Loss” has 12 CPs without a respective HR that are not included in the #Care Plans numerator.