Table 2.

Frequency of Order Placement by Primary Care Providers During the Integrated Wellness Tool Pilot and from Matched Comparison Groups

OrderComparison GroupIWT Pilot
Pre*PostP ValuePre*PostP Value
Breathing (COPD)
    Spirometry3 (0.4)3 (0.4).6615 (1.7)51 (5.9)<.01
    Consult to smoking cessation1 (0.1)2 (0.2).504 (0.5)21 (2.4)<.01
    Smoking cessation drug order4 (0.5)8 (0.9).1911 (1.3)10 (1.2).91
    Albuterol order18 (0.2)9 (1.0).0815 (1.7)14 (1.6).97
Nutrition
    Consult to Go! Foods For You2 (0.2)1 (0.1).8812 (1.4)21 (2.4).04
    Consult to nutrition therapy7 (0.8)4 (0.5).8917 (2.0)23 (2.7).30
Stress
    Consult to Stress Free Now!0 (0)1 (0.1).508 (0.9)47 (5.5)<.01
    Consult to integrative medicine0 (0)1 (0.1).500 (0)2 (0.2)1.00
Exercise
    Consult to lifestyle medicine0 (0)0 (0)0 (0)21 (2.4)<.01
Depression
    Consult to psychology7 (0.8)12 (1.4).259 (1.0)20 (2.3).04
    Consult to psychiatry4 (0.5)9 (1.0).136 (0.7)14 (1.6).07
    Antidepressant drug order38 (1.5)46 (5.3).3734 (3.9)62 (7.2).01
Insomnia
    Consult to Go! To Sleep0 (0)0 (0)6 (0.7)18 (2.1).01
    Consult to behavioral sleep medicine
        Group0 (0)0 (0)0 (0)1 (0.1)1.00
        Individual0 (0)0 (0)0 (0)2 (0.2)1.00
    Insomnia drug order8 (1.5)13 (4.4).276 (0.7)19 (2.2).01
Sleep apnea
    Polysomnogram11 (1.3)13 (1.5).6811 (1.3)54 (6.3)<.01
    Consult to sleep medicine2 (0.2)5 (0.6).236 (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.