Overall Improvements in the Delivery of Preventive Services in Three Rural Counties, between 2015 and 2018
| Preventive Services Delivered (n = 14,043) | Improvement in Delivery* (%) |
|---|---|
| Hypertension controlled | 43.0 |
| Diabetes checkup | 33.4 |
| HbA1c measurement | 33.0 |
| Smoking cessation counseling | 32.0 |
| Physical activity counseling | 23.0 |
| Well-child visit (EPSDT) | 19.0 |
| Mammography | 14.6 |
| Colonoscopy | 11.0 |
| BMI measurement | 10.8 |
| DEXA scan | 7.8 |
| HbA1c value documentation | 7.8 |
| Pneumococcal vaccination | 7.0 |
BMI, body-mass index; DEXA, dual-energy X-ray absorptiometry; EPSDT, Early and Periodic Screening, Diagnostic and Treatment; HbA1c, hemoglobin A1c.
↵* Rates of preventive services that were received by patients after their annual contact with the wellness coordinators were computed across the three counties and over the project period. Improvement in the delivery of selected services was calculated by comparing a pre-implementation baseline year to rates at the end of the first implementation year for each primary care practice.