80 results match your criteria awv

Understanding and Being Understood: Information and Care Needs of 2113 Patients With Confirmed or Suspected COVID-19.

J Patient Exp 2021 8;8:2374373521997222. Epub 2021 Mar 8.

Department of Research and Development, Ciro, Horn, the Netherlands.

To become a proactive and informed partner in postacute coronavirus disease 2019 (COVID-19) management, patients need to have the knowledge, skills, and confidence to self-manage COVID-19-related health challenges. Due to several restrictions and consequently social isolation, online platforms and forums where people can share information and experiences became more popular and influential. Therefore, this study aimed to identify perceived information needs and care needs of members of 2 Facebook groups for patients with COVID-19 and persistent complaints in the Netherlands and Belgium and patients with COVID-19 who registered at a website of the Lung Foundation Netherlands. Read More

View Article and Full-Text PDF

Annual wellness visits and care management before and after dialysis initiation.

BMC Nephrol 2021 May 5;22(1):164. Epub 2021 May 5.

Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA.

Introduction: Demands of dialysis regimens may pose challenges for primary care provider (PCP) engagement and timely preventive care. This is especially the case for patients initiating dialysis adjusting to new logistical challenges and management of symptoms and existing comorbid conditions. Since 2011, Medicare has provided coverage for annual wellness visits (AWV), which are primarily conducted by PCPs and may be useful for older adults undergoing dialysis. Read More

View Article and Full-Text PDF

Greater arterial wall viscosity in endurance-trained men.

Eur J Appl Physiol 2021 Aug 23;121(8):2219-2228. Epub 2021 Apr 23.

Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan.

Purpose: The age-associated increase in arterial wall viscosity (AWV) is attenuated by high cardiorespiratory fitness level. However, AWV in endurance-trained athletes have not been determined. We designed a cross sectional study to compare central AWV and compliance between endurance-trained young athletes and age-matched control men. Read More

View Article and Full-Text PDF

Co-adaptive behavior of interacting populations in a habitat selection game significantly impacts ecosystem functions.

J Theor Biol 2021 08 20;523:110663. Epub 2021 Apr 20.

VKR Centre for Ocean Life, Technical University of Denmark, 2800 Kongens Lyngby, Denmark. Electronic address:

Individuals of different interacting populations often adjust to prevailing conditions by changing their behavior simultaneously, with consequences for trophic relationships throughout the system. While we now have a good theoretical understanding of how individuals adjust their behavior, the population dynamical consequences of co-adaptive behaviors are rarely described. Further, mechanistic descriptions of ecosystem functions are based on population models that seldom take behavior into account. Read More

View Article and Full-Text PDF

Conversations about wellness: A qualitative analysis of patient narratives post annual wellness visit.

Geriatr Nurs 2021 May-Jun;42(3):681-686. Epub 2021 Apr 5.

Purdue University Department of Public Health, 812 W. State Street, West Lafayette, IN 47907, United States.

Support for successful aging in place requires an understanding of the factors that impede or support health promotion behaviors. Nurse-led monthly follow-up calls between annual wellness visits (AWV) offer the opportunity to both provide support and collect data which can inform development of effective health promotion strategies. The aim of this research was to provide ongoing support for health promotion efforts and explore factors playing a role in meeting AWV recommendations. Read More

View Article and Full-Text PDF

Detection of Cognitive Impairment Following Critical Illness with the Medicare Annual Wellness Visit: A Cohort Study.

Ann Am Thorac Soc 2021 Mar 18. Epub 2021 Mar 18.

Wake Forest Baptist Medical Center, 12280, Gerontology and Geriatric Medicine, Winston-Salem, North Carolina, United States.

Rationale: Cognitive impairment following critical illness is common in observational studies of older intensive care unit (ICU) survivors. The rate of screening for and diagnosis of cognitive impairment in ICU survivors in non-research settings is unknown.

Objectives: To determine how often cognitive impairment was detected in older adults in the year following critical illness at an academic medical center as part of (1) the Medicare Annual Wellness Visit (AWV), and (2) as part of routine clinical care. Read More

View Article and Full-Text PDF

Factors influencing implementation of personalized prevention plans among annual wellness visit patients using the theory of planned behavior: A quantitative study.

Res Social Adm Pharm 2021 Sep 18;17(9):1636-1644. Epub 2021 Jan 18.

Pharmaceutical and Administrative Sciences, Loma Linda University, School of Pharmacy, Loma Linda, CA, USA.

Background: The Affordable Care Act provides Medicare Part B beneficiaries access to cost-free Annual Wellness Visits (AWVs). Patients receive health behavior recommendations from a Personalized Prevention Plan (PPP) during AWV encounters.

Aims: To identify factors clinical pharmacists can use to influence adoption of PPPs in primary care practices. Read More

View Article and Full-Text PDF
September 2021

The effect of direct cognitive assessment in the Medicare annual wellness visit on dementia diagnosis rates.

Health Serv Res 2021 Apr 22;56(2):193-203. Epub 2021 Jan 22.

Colorado School of Public Health, University of Colorado, Aurora, Colorado, USA.

Objective: To evaluate the relationship between direct cognitive assessment introduced with the Medicare Annual Wellness Visit (AWV) and new diagnoses of dementia, and to determine if effects vary by race.

Data Sources: Medicare Limited Data Set 5% sample claims 2003-2014 and the HRSA Area Health Resources Files.

Study Design: Instrumental Variable approach estimating the relationship between AWV utilization and new diagnoses of dementia using county-level Welcome to Medicare Visit rates as an instrument. Read More

View Article and Full-Text PDF

Assessment of Prevalence and Cost of Care Cascades After Routine Testing During the Medicare Annual Wellness Visit.

JAMA Netw Open 2020 12 1;3(12):e2029891. Epub 2020 Dec 1.

The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Importance: For healthy adults, routine testing during annual check-ups is considered low value and may trigger cascades of medical services of unclear benefit. It is unknown how often routine tests are performed during Medicare annual wellness visits (AWVs) or whether they are associated with cascades of care.

Objective: To estimate the prevalence of routine electrocardiograms (ECGs), urinalyses, and thyrotropin tests and of cascades (further tests, procedures, visits, hospitalizations, and new diagnoses) that might follow among healthy adults receiving AWVs. Read More

View Article and Full-Text PDF
December 2020

Impact of establishing a Geriatrics Workforce Enhancement Program clinic on preventive health and Medicare Annual Wellness Visits.

Gerontol Geriatr Educ 2020 Dec 3:1-10. Epub 2020 Dec 3.

Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa, Florida, USA.

We established a Geriatrics Workforce Enhancement Program (GWEP) clinic to enhance resident training on comprehensive preventive care and chronic disease management, and to increase the number of older patients who received Medicare Annual Wellness Visit (AWV) preventive services. A total of 1,104 patients were tracked at baseline and during the intervention period. Patients were grouped into two categories: Adult (aged 55-64) and Senior (aged 65+). Read More

View Article and Full-Text PDF
December 2020

Access to clinical pharmacy services in a pharmacist-physician covisit model.

Res Social Adm Pharm 2021 Jul 8;17(7):1321-1326. Epub 2020 Oct 8.

Family Medicine Faculty Physician, Mountain Area Health Education Center, UNC School of Medicine, USA. Electronic address:

Background: A pharmacist-physician covisit model in which patients see both a pharmacist and physician on the same day was established in a primary care practice. Previously, patients were seen in a referrals-based model in which providers referred patients for clinical pharmacy services on a different day.

Objective: To assess access to clinical pharmacy services in a pharmacist-physician covisit model compared to a referrals-based model. Read More

View Article and Full-Text PDF

Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US.

J Prim Care Community Health 2020 Jan-Dec;11:2150132720962870

Oregon Health & Science University, Portland, OR, USA.

Objectives: Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations.

Methods: Data on 4999 individuals aged ≥65 years from the 2012 wave of the Health and Retirement Study linked with Medicare claims were analyzed. Conditional Inference Tree (CIT) and Random Forest (CIRF) analyses identified the most important predictors of AWVs and influenza vaccinations. Read More

View Article and Full-Text PDF

Impact of an RN-led Medicare Annual Wellness Visit on Preventive Services in a Family Medicine Practice.

J Appl Gerontol 2021 Aug 12;40(8):865-871. Epub 2020 Aug 12.

Mayo Clinic, Jacksonville, FL, USA.

Objective: To evaluate the impact of a registered nurse (RN)-led Medicare annual wellness visit (AWV) on preventive services in a family medicine clinic.

Patients And Methods: A retrospective chart review was performed on patients who underwent an RN-led AWV and patients who underwent a standard assessment (SA) between October 2017 and October 2018. A total of 630 patients (330 AWV and 300 SA) were included in this study. Read More

View Article and Full-Text PDF

A Multicenter Focus Group Analysis of Medicare Beneficiaries Perception of Annual Wellness Visits.

J Healthc Qual 2021 May-Jun 01;43(3):e33-e42

Abstract: National utilization of Medicare's Annual Wellness Visits (AWVs) benefit is low. Few studies have evaluated how beneficiaries perceive this service. This study aimed to characterize beneficiaries' opinion on the value of AWVs, preventive care services offered by Medicare, and barriers and facilitators to receiving those services. Read More

View Article and Full-Text PDF

Impact of quality measures performed through pharmacist collaboration with a primary care clinic.

J Am Pharm Assoc (2003) 2020 May - Jun;60(3S):S97-S102

Objective: The objective was to assess the clinical and financial impact of a pharmacist integrated within a primary care practice on quality measures of the merit-based incentive payment system (MIPS).

Setting: The study was conducted in a multidisciplinary primary care practice in Charlotte, NC.

Practice Description: A collaborating pharmacist from an independent community pharmacy is integrated within clinic workflow. Read More

View Article and Full-Text PDF

Predictive values of maximum changes of brainstem auditory evoked potentials during microvascular decompression for hemifacial spasm.

Acta Neurochir (Wien) 2020 11 8;162(11):2823-2832. Epub 2020 May 8.

Department of Neurosurgery, Peking University China-Japan Friendship School of Clinical Medicine, No. 2, Yinghua East Street, ChaoYang District, Beijing, 100029, China.

Background: Brainstem auditory evoked potentials (BAEPs) have been widely monitored to prevent hearing loss (HL) during microvascular decompression (MVD) for hemifacial spasm (HFS); however, their predictive value is still unclear. The aim of this study is to investigate the predictive values of the maximum changes in BAEPs and define the best warning indicator and a cutoff value (CV) during HFS-MVD.

Methods: The clinical data of 93 HFS-MVD patients were retrospectively analysed. Read More

View Article and Full-Text PDF
November 2020

Assessing Medicare Patients' Salient Beliefs to Improve Annual Wellness Visit Health Outcomes.

Sr Care Pharm 2020 Feb;35(2):93-106

To identify key beliefs that influence behavior, regarding Medicare's Annual Wellness Visit (AWV) and older patients' willingness to implement personalized prevention plans.
Cross-sectional. In-depth semi-structured focus group sessions with Medicare patients in July 2018. Read More

View Article and Full-Text PDF
February 2020

Regional lung deflation with increased airway volume underlies the functional response to bronchodilators in chronic obstructive pulmonary disease.

Physiol Rep 2019 12;7(24):e14330

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Bronchodilators, including long-acting muscarinic antagonists (LAMAs), improve airflow limitation and lung hyperinflation in patients with chronic obstructive pulmonary disease (COPD). While bronchodilators increase airway caliber and deflate the lungs, little is known about the effects of the local interaction between airway dilation and lung deflation on functional improvements resulting from bronchodilator therapy. This study aimed to explore whether lung deflation with increased airway volume in the upper and lower lung regions would produce different physiological responses to LAMA therapy. Read More

View Article and Full-Text PDF
December 2019

A pharmacist-led pilot program to facilitate deprescribing in a primary care clinic.

J Am Pharm Assoc (2003) 2020 Jan - Feb;60(1):105-111. Epub 2019 Nov 2.

Objective: To develop and pilot-test a model in which a community-based clinical pharmacist was incorporated as part of a Medicare Annual Wellness Visit (AWV) to make deprescribing recommendations targeted at potentially inappropriate medications (PIMs) in seniors.

Setting: A family medicine patient-centered medical home (PCMH) clinic in Buffalo, NY.

Practice Description: Implementation and evaluation of a pilot program incorporating a pharmacist-provided medication review targeting PIMs in seniors as part of a Medicare AWV. Read More

View Article and Full-Text PDF

Pharmacist-Led Annual Wellness Visits: A Review.

J Pharm Pract 2021 Apr 23;34(2):295-305. Epub 2019 Oct 23.

Department of Pharmacy Practice & Administration, School of Pharmacy and Physician Assistant Studies, 8515University of Saint Joseph, Hartford, CT, USA.

Objective: To summarize findings of pharmacist involvement with Medicare Annual Wellness Visits (AWV), including the number of pharmacist interventions, patient/provider satisfaction, and billing models.

Data Sources: A literature search was conducted using PubMed, ScienceDirect College Edition Journals Collection-Health and Life Sciences, Cochrane Library, CINAHL, Medline, and Academic Search Complete, including dates between January 01, 2011, and November 05, 2018.

Study Selection: Search was limited to full-text, peer-reviewed articles, published in English which were relevant based on identification of a pharmacist's role in AWV. Read More

View Article and Full-Text PDF

Hospital utilization and expenditures among a nationally representative sample of Medicare fee-for-service beneficiaries 2 years after receipt of an Annual Wellness Visit.

Prev Med 2019 12 17;129:105850. Epub 2019 Oct 17.

Centers for Medicare & Medicaid Services, Center for Medicare & Medicaid Innovation, Research and Rapid-Cycle Evaluation Group, Baltimore, MD, United States of America. Electronic address:

Medicare's Annual Wellness Visit (AWV) provides an opportunity to link beneficiaries to cancer screenings and immunizations, however, research has not examined its effectiveness. The aim of this study was to examine the effect of receiving an AWV on outcomes while accounting for the healthy user effect. This study used 2013-2017 Medicare claims data to compare hospital utilization and total expenditures among a 5% random sample of Medicare fee-for-service (FFS) beneficiaries with and without AWV use in 2014 (228,053 AWV users were propensity-score matched to 228,053 nonusers). Read More

View Article and Full-Text PDF
December 2019

Persistent Disparities in Medicare's Annual Wellness Visit Utilization.

Med Care 2019 12;57(12):984-989

Department of Health Systems, Management and Policy, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.

Introduction: The Medicare Annual Wellness Visit (AWV) is a preventive care visit introduced in 2011 as part of the Affordable Care Act provided without cost to beneficiaries. The AWV is associated with higher preventive services utilization. Although AWV utilization increased during 2011-2013, utilization was lower among ethnoracial minority beneficiaries who may benefit the most. Read More

View Article and Full-Text PDF
December 2019

Medicare Annual Wellness Visits: A Scoping Review of Current Practice Models and Opportunities for Pharmacists.

J Pharm Pract 2020 Oct 23;33(5):666-681. Epub 2019 Jun 23.

Department of Health Outcomes Research and Policy, 15460Auburn University Harrison School of Pharmacy, Auburn, AL, USA.

Objective: To explore the existing practice models and practice opportunities surrounding pharmacist-delivered Medicare Annual Wellness Visits (AWVs), with the goal of improving patient access through advanced pharmacy-based health services.

Data Sources: English-language articles published in peer-reviewed journals from January 2011 to March 2018 were reviewed by searching PubMed and Google Scholar databases using permutations of terms such as "pharmacist/pharmacy," "Medicare," "Annual Wellness Visit," "develop/development," and "implement/implementation."

Study Selection And Data Extraction: Original articles reporting resources (inputs), processes, and programmatic outcomes (uptake and delivery, interventions made, financial models, satisfaction) of pharmacist-delivered AWV services were retained. Read More

View Article and Full-Text PDF
October 2020

Impact of a pharmacist in improving quality measures that affect payments to physicians.

J Am Pharm Assoc (2003) 2019 Jul - Aug;59(4S):S85-S90. Epub 2019 Jun 13.

Objectives: The objective was to assess the impact of a pharmacist embedded within a primary care practice on quality measures of the Merit-Based Incentive Payment System (MIPS) and patient-centered medical home (PCMH) by characterizing (1) measure achievement after pharmacist involvement in care and (2) measure achievement separately for patients seen by the pharmacist and patients not seen by the pharmacist.

Setting: Multidisciplinary primary care practice in Charlotte, North Carolina.

Practice Description: Pharmacists from an independent community pharmacy are highly integrated into the clinic. Read More

View Article and Full-Text PDF

Endothelium-dependent adaptation of arterial wall viscosity during blood flow increase is impaired in essential hypertension.

Atherosclerosis 2019 06 8;285:102-107. Epub 2019 Apr 8.

Rouen University Hospital, Department of Pharmacology, F 76000, Rouen, France; Normandie Univ, UNIROUEN, Inserm U1096, F 76000, Rouen, France; University of Rouen, Institute for Research and Innovation in Biomedicine, Rouen, France; Clinical Investigation Center CIC-CRB 1404, Rouen University Hospital, Rouen, France.

Background And Aims: Arterial wall viscosity (AWV) is regulated by endothelium-derived NO and epoxyeicosatrienoic acids (EETs) under baseline physiological conditions. Whether these factors regulate AWV during blood flow increase and whether this mechanism is affected in essential hypertensive patients (HT) remain unknown.

Methods: The evolution of radial artery diameter, wall thickness and arterial pressure in response to an increase in flow induced by hand skin heating were measured in 18 untreated HT and 14 normotensive controls (NT) during local infusion of saline and the respective pharmacological inhibitors of NO-synthase and EETs synthesis by cytochrome P450, L-NMMA and/or fluconazole. Read More

View Article and Full-Text PDF

Associations of airway tree to lung volume ratio on computed tomography with lung function and symptoms in chronic obstructive pulmonary disease.

Respir Res 2019 Apr 18;20(1):77. Epub 2019 Apr 18.

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

Background: Decreased airway lumen size and increased lung volume are major structural changes in chronic obstructive pulmonary disease (COPD). However, even though the outer wall of the airways is connected with lung parenchyma and the mechanical properties of the parenchyma affect the behaviour of the airways, little is known about the interactions between airway and lung sizes on lung function and symptoms. The present study examined these effects by establishing a novel computed tomography (CT) index, namely, airway volume percent (AWV%), which was defined as a percentage ratio of the airway tree to lung volume. Read More

View Article and Full-Text PDF

Medicare Annual Wellness Visit association with healthcare quality and costs.

Am J Manag Care 2019 03 1;25(3):e76-e82. Epub 2019 Mar 1.

Aledade Inc, 4550 Montgomery Ave, Ste 950, Bethesda, MD 20814. Email:

Objectives: Although use of the Medicare Annual Wellness Visit (AWV) is increasing nationally, it remains unclear whether it can help contain healthcare costs and improve quality. In the context of 2 primary care physician-led accountable care organizations (ACOs), we tested the hypothesis that AWVs can improve healthcare costs and clinical quality.

Study Design: A retrospective cohort study using propensity score matching and quasi-experimental difference-in-differences regression models comparing the differential changes in cost, emergency department (ED) visits, and hospitalizations for those who received an AWV versus those who did not from before until after the AWV. Read More

View Article and Full-Text PDF

Evaluation of Pharmacist Involvement in Medicare Wellness Visits.

J Pharm Pract 2020 Dec 26;33(6):745-748. Epub 2019 Feb 26.

Baylor Scott & White Health-Temple, TX, USA.

Purpose: To evaluate the difference in the number of drug therapy interventions between patients seen by pharmacists and patients seen by nonpharmacist providers during Medicare Annual Wellness Visits (AWVs).

Methods: Pharmacists completed the medication history portion of AWVs at a primary care, interdisciplinary clinic in Central Texas. Drug therapy problems were collected and compared to those identified by physicians conducting AWVs. Read More

View Article and Full-Text PDF
December 2020

Mandibular width as a novel anthropometric measure for assessing obstructive sleep apnea risk.

Medicine (Baltimore) 2019 Jan;98(4):e14040

Department of Radiology, Assaf Harofeh Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.

Craniofacial abnormalities are a known obstructive sleep apnea (OSA) risk factor, but still need to be better characterized. This study investigates the relationship between mandibular width and the risk of developing OSA.We retrospectively analyzed 3D reconstructions of head and neck computed tomography (CT) scans at our institution for mandibular width, neck circumference, neck fat volume (NFV), airway volume (AWV), and NFV:AWV ratio. Read More

View Article and Full-Text PDF
January 2019

Frailty Screening Using the Electronic Health Record Within a Medicare Accountable Care Organization.

J Gerontol A Biol Sci Med Sci 2019 10;74(11):1771-1777

Center for Health Care Innovation, Winston-Salem, North Carolina.

Background: The accumulation of deficits model for frailty has been used to develop an electronic health record (EHR) frailty index (eFI) that has been incorporated into British guidelines for frailty management. However, there have been limited applications of EHR-based approaches in the United States.

Methods: We constructed an adapted eFI for patients in our Medicare Accountable Care Organization (ACO, N = 12,798) using encounter, diagnosis code, laboratory, medication, and Medicare Annual Wellness Visit (AWV) data from the EHR. Read More

View Article and Full-Text PDF
October 2019