Article Figures & Data
Figures
- Figure 1.
Healthier Together county partnership structure.
Tables
- Table 1.
Demographics of the Healthier Together Study Population in Three Rural Oklahoma Counties between 2014 and 2018
Demographic Variables Study Statistics (n = 71,989) Age, years Mean (SD) 45.7 (23.5) Median 46 Range 1 to 99 Gender (female), % 57.0 Race/ethnicity Approximately 70% white* Medicare beneficiaries Approximately 29% of patients seen (10 to 40%) ↵* Race/ethnicity composition was estimated from local population statistics due to insufficient or inaccurate data in electronic medical records.
SD, standard deviation.
- Table 2.
Geographic Locations and County Statistics of the Healthier Together Study Population in Three Rural Oklahoma Counties between 2014 and 2018
County Locations Total County Population No. Clinics/No. Clinicians No. Clinician Participants Central Oklahoma 15,000 8/14 11 Northeast Oklahoma County 1 51,600 8/30 23 Northeast Oklahoma County 2 20,000 4/15 10 Totals 86,600 20/59 44 - Table 3.
Most Frequently Accepted Care Recommendations and Acceptance Rates at the Time of Wellness Coordinator Outreach in Three Rural Counties between 2014 and 2018
Service Recommendations Patients Accepted to Receive (n = 11,607) Percentage of All Accepted Colon cancer screening 16.03 Adult dT-Tdap immunization 11.14 Influenza immunization 10.01 Mammography 9.91 Well-child visit 6.55 Zoster immunization 6.46 PAP smear 5.99 PCV13-Pneumo immunization 5.52 DEXA scan 4.79 Seatbelt use 4.63 Sun exposure advice 2.42 Smoking status documentation 1.79 Type 2 diabetes screening 1.74 HbA1c measurement 1.62 ACEI in diabetes 1.53 Lipid panel 1.27 MMR immunization 1.1 Hearing testing 1.05 Smoking counseling 1.03 VZV immunization 0.89 ACEI, angiotensin-converting enzyme inhibitor; DEXA, dual-energy X-ray absorptiometry; HbA1c, hemoglobin A1c; MMR, measles, mumps, rubella; PAP, Papanicolaou test; PCV13, pneumococcal conjugate vaccine 13-valent; VZV, varicella zoster virus.
- Table 4.
Overall Improvements in the Delivery of Preventive Services in Three Rural Counties, between 2015 and 2018
Preventive Services Delivered (n = 14,043) Improvement in Delivery* (%) Hypertension controlled 43.0 Diabetes checkup 33.4 HbA1c measurement 33.0 Smoking cessation counseling 32.0 Physical activity counseling 23.0 Well-child visit (EPSDT) 19.0 Mammography 14.6 Colonoscopy 11.0 BMI measurement 10.8 DEXA scan 7.8 HbA1c value documentation 7.8 Pneumococcal vaccination 7.0 BMI, body-mass index; DEXA, dual-energy X-ray absorptiometry; EPSDT, Early and Periodic Screening, Diagnostic and Treatment; HbA1c, hemoglobin A1c.
↵* Rates of preventive services that were received by patients after their annual contact with the wellness coordinators were computed across the three counties and over the project period. Improvement in the delivery of selected services was calculated by comparing a pre-implementation baseline year to rates at the end of the first implementation year for each primary care practice.
