Fig. 1.

Average screening compliance over time across 8 practices affiliated with Wake Forest Baptist Health.

Encounter was considered “compliant” if either: (a) screening took place, or (b) screening was not done, but was not indicated due to patient age (<6 months or >17 years), or due to SSB screening already having been completed in prior 90 days. Monthly compliance presented rates here are averaged across all 8 participating practices. Month 1 is calendar month spanning March 20 through April 19, month 9 is November 20–December 20. A decline in compliance was observed coincident with the start of our annual Flu Vaccine campaign.