Order | Comparison Group | IWT Pilot | ||||
---|---|---|---|---|---|---|
Pre* | Post† | P Value | Pre* | Post† | P Value | |
Breathing (COPD) | ||||||
Spirometry | 3 (0.4) | 3 (0.4) | .66 | 15 (1.7) | 51 (5.9) | <.01 |
Consult to smoking cessation | 1 (0.1) | 2 (0.2) | .50 | 4 (0.5) | 21 (2.4) | <.01 |
Smoking cessation drug order | 4 (0.5) | 8 (0.9) | .19 | 11 (1.3) | 10 (1.2) | .91 |
Albuterol order | 18 (0.2) | 9 (1.0) | .08 | 15 (1.7) | 14 (1.6) | .97 |
Nutrition | ||||||
Consult to Go! Foods For You | 2 (0.2) | 1 (0.1) | .88 | 12 (1.4) | 21 (2.4) | .04 |
Consult to nutrition therapy | 7 (0.8) | 4 (0.5) | .89 | 17 (2.0) | 23 (2.7) | .30 |
Stress | ||||||
Consult to Stress Free Now! | 0 (0) | 1 (0.1) | .50 | 8 (0.9) | 47 (5.5) | <.01 |
Consult to integrative medicine | 0 (0) | 1 (0.1) | .50 | 0 (0) | 2 (0.2) | 1.00 |
Exercise | ||||||
Consult to lifestyle medicine | 0 (0) | 0 (0) | — | 0 (0) | 21 (2.4) | <.01 |
Depression | ||||||
Consult to psychology | 7 (0.8) | 12 (1.4) | .25 | 9 (1.0) | 20 (2.3) | .04 |
Consult to psychiatry | 4 (0.5) | 9 (1.0) | .13 | 6 (0.7) | 14 (1.6) | .07 |
Antidepressant drug order | 38 (1.5) | 46 (5.3) | .37 | 34 (3.9) | 62 (7.2) | .01 |
Insomnia | ||||||
Consult to Go! To Sleep | 0 (0) | 0 (0) | — | 6 (0.7) | 18 (2.1) | .01 |
Consult to behavioral sleep medicine | ||||||
Group | 0 (0) | 0 (0) | — | 0 (0) | 1 (0.1) | 1.00 |
Individual | 0 (0) | 0 (0) | — | 0 (0) | 2 (0.2) | 1.00 |
Insomnia drug order | 8 (1.5) | 13 (4.4) | .27 | 6 (0.7) | 19 (2.2) | .01 |
Sleep apnea | ||||||
Polysomnogram | 11 (1.3) | 13 (1.5) | .68 | 11 (1.3) | 54 (6.3) | <.01 |
Consult to sleep medicine | 2 (0.2) | 5 (0.6) | .23 | 6 (0.7) | 8 (0.9) | .76 |
Data are no. of encounters with order (percentage of 863 total encounters per group), unless otherwise indicated. All comparisons were adjusted for age and sleep apnea, hypertension, and cardiovascular disease status.
COPD, chronic obstructive pulmonary disease; IWT, Integrated Wellness Tool.
↵* Number of patients whose risk score prompted the order using the Integrated Wellness Tool.
↵† Percentage values are the proportions of the totals.