Table 4.

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 controlled43.0
Diabetes checkup33.4
HbA1c measurement33.0
Smoking cessation counseling32.0
Physical activity counseling23.0
Well-child visit (EPSDT)19.0
BMI measurement10.8
DEXA scan7.8
HbA1c value documentation7.8
Pneumococcal vaccination7.0
  • 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.