Article Figures & Data
Tables
Characteristic n (%) Decade of Birth 1940s 9 (5.7) 1950s 35 (22.0) 1960s 30 (18.9) 1970s 28 (17.6) 1980s 9 (5.7) Missing 48 (30.2) Gender Male 73 (45.9) Female 45 (28.3) Missing 41 (25.8) Race Asian 3 (1.9) African-American 1 (0.6) White 12 (7.5) Decline to Answer 1 (0.6) Missing 142 (89.3) Ethnicity Hispanic/Latinx 1 (0.6) Not Hispanic/Latinx 15 (9.4) Decline to answer 1 (0.6) Missing 142 (89.3) Specialty Family Medicine 54 (34.0) General Internal Medicine 3 (1.9) Missing 102 (64.2) Abbreviations: AWV, Annual wellness visit.
Currently Use Would Like To Start Using if Available Don't Care/Don't Need No Response 1 Administer a Health Risk Assessment that includes, at a minimum: demographic data, self-assessment of health status, psychosocial and behavioral risks, and activities of daily living (ADLs), instrumental ADLs including but not limited to shopping, housekeeping, managing own medications, and handling finances. Health Risk Assessment 122 (78.2) 21 (13.5) 13 (8.3) 3 Quality of Life Questionnaire 51 (33.6) 75 (49.3) 26 (17.1) 7 Physical Activity Level 100 (65.4) 39 (25.5) 14 (9.6) 6 Nutrition/Diet Assessment 89 (57.1) 54 (34.6) 13 (8.3) 3 Alcohol Screening 136 (87.2) 15 (9.6) 5 (3.2) 3 Tobacco Screening 149 (95.5) 4 (2.6) 3 (1.9) 3 Drug Use 118 (76.6) 24 (15.6) 12 (7.8) 5 Suicide Risk 66 (42.9) 58 (37.7) 30 (19.5) 5 Trauma 19 (12.8) 85 (57.1) 45 (30.2) 10 2 Establish the patient's medical and family history. Personal Medical History 149 (96.1) 1 (0.7) 5 (3.2) 4 Family Medical History 145 (94.2) 0 (0.0) 9 (5.8) 5 3 Establish a list of current physicians and providers that are regularly involved in the medical care of the patient. List of current providers 106 (68.4) 32 (20.7) 17 (11.0) 4 List of pharmacies 106 (68.4) 26 (16.8) 23 (14.8) 4 List of medical suppliers 31 (20.4) 60 (39.5) 61 (40.1) 7 4 Obtain blood pressure, height, weight, body mass index or waist circumference, and other measurements, as deemed appropriate. Vitals/Patient Measurements 149 (96.1) 0 (0.0) 6 (3.9) 4 5 Assess patient's cognitive function. Cognitive Measures (validated memory screening tool) 105 (68.6) 33 (21.6) 15 (9.8) 6 Cognitive Measures (direct observations or family concerns) 101 (66.0) 37 (24.2) 15 (9.8) 6 6 Review risk factors for depression, including current or past experiences with depression or mood disorders. Depression (PHQ-2) 116 (76.8) 11 (7.3) 24 (15.9) 8 Depression (PHQ-9) 114 (77.0) 11 (7.4) 23 (15.5) 11 Anxiety Disorders 62 (40.3) 61 (39.6) 31 (20.1) 5 7 Review patient's functional ability and safety based on direct observation, or the use of appropriate screening questions. to assess, at a minimum, the following topics: Ability to successfully perform ADLs ● Fall risk ● Hearing impairment ● Home safety Activities of Daily Living Questionnaire 83 (54.6) 48 (31.6) 21 (13.8) 7 Functional Ability: Questionnaire 94 (61.0) 46 (29.9) 14 (9.1) 5 Functional Ability: Physical Test (e.g., TUG) 48 (31.4) 76 (49.7) 29 (19.0) 6 Mobility Assessment 99 (64.3) 41 (26.6) 14 (9.1) 5 Fall Risk 121 (78.6) 23 (14.9) 10 (6.5) 5 Hearing Impairment 92 (60.5) 43 (28.3) 17 (11.2) 7 Home Safety Assessment 78 (51.3) 58 (38.2) 16 (10.5) 7 Safety - Self Reported Questionnaire 98 (63.6) 40 (26.0) 16 (10.4) 5 Driving Safety Assessment 25 (16.2) 109 (70.8) 20 (13.0) 5 8 Establish a written screening schedule for the individual, such as a checklist for the next 5 to 10 years based on appropriate recommendations. Immunizations Checklist 129 (83.8) 19 (12.3) 6 (3.9) 5 AHRQ Preventive Services Calculator 28 (18.9) 74 (50.0) 46 (31.1) 11 9 Establish a list of risk factors and conditions for primary, secondary, or tertiary intervention N/A 10 Provide personalized health advice to the patient, as appropriate, including referrals to health education or preventive counseling services and programs. N/A 11 At the patient's discretion, furnish advance care planning services End of life checklist 79 (52.3) 61 (40.4) 11 (7.3) 8 Abbreviations: PHQ, Patient health questionnaire; TUG, Timed up and go; AHRQ, Agency for healthcare research and quality.
Currently Use Would Like to Start Using if Available Don't Care/Don't Need Vitals/Patient Measurements Health Risk Assessment Alcohol Screening Tobacco Screening Immunizations Checklist List of Current Providers List of Pharmacies List of Medical Suppliers Personal Medical History Family Medical History Depression (PHQ-2) Depression (PHQ-9) Functional Ability - Questionnaire Functional Ability - Physical Test (e.g., TUG) Safety - Self Reported Questionnaire Cognitive Measures (validated memory screening tool) Cognitive Measures (direct observations or family concerns) AHRQ Preventive Services Calculator Activities of Daily Living Questionnaire Quality of Life Questionnaire Fall Risk Hearing Impairment Mobility Assessment Physical Activity Level Nutrition/Diet Assessment Home Safety Assessment Driving Safety Assessment Drug Use Suicide Risk Anxiety Disorders Trauma End-of-Life Checklist Other (please specify): Other (please specify): Other (please specify): Abbreviations: PHQ, Patient health questionnaire; TUG, Timed up and go; AHRQ, Agency for healthcare research and quality.
