RT Journal Article SR Electronic 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 FD American Board of Family Medicine SP 350 OP 361 DO 10.3122/jabfm.2017.03.160231 VO 30 IS 3 A1 Foucher-Urcuyo, Julie A1 Longworth, David A1 Roizen, Michael A1 Hu, Bo A1 Rothberg, Michael B. YR 2017 UL http://www.jabfm.org/content/30/3/350.abstract AB 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.