TY - JOUR T1 - Patient-Entered Wellness Data and Tailored Electronic Recommendations Increase Preventive Care JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - 350 LP - 361 DO - 10.3122/jabfm.2017.03.160231 VL - 30 IS - 3 AU - Julie Foucher-Urcuyo AU - David Longworth AU - Michael Roizen AU - Bo Hu AU - Michael B. Rothberg Y1 - 2017/05/01 UR - http://www.jabfm.org/content/30/3/350.abstract N2 - Purpose: We investigated whether a tool using patient-entered wellness data to generate tailored electronic recommendations improved preventive care delivery.Methods: We conducted a mixed-methods retrospective study of primary care encounters utilizing an Integrated Wellness Tool with a matched-comparison before-and-after study design. Encounters took place at a single clinic within the Cleveland Clinic Health System. The primary outcome was preventive orders placed. Index patients were matched, based on propensity scores, with comparison patients seen in the same clinic several months earlier.Results: Five providers conducted 863 patient encounters using the tool during the study period. During encounters using the tool, providers placed more orders for smoking cessation programs (2.4 vs 0.5%, P < .01), lifestyle medicine (2.4 vs 0%, P < .01) and psychology (2.3 vs 1.0%, P = .04) consults, online nutrition (2.4 vs 1.4%, P = .04) and stress management (5.5 vs 0.9%, P < .01) programs, spirometry (5.9 vs 1.7%, P < .01) and polysomnography (6.3 vs 1.3%, P < .01) tests, and antidepressant (7.2 vs 3.9%, P = .01) and hypnotic (2.2 vs 0.7%, P = .01) medications when compared with matched encounters.Conclusions: Patients are willing to enter lifestyle data, and these data influence provider orders. ER -