Research published in the *Annals of Family Medicine* outlines two innovative approaches to improve primary care for older adults, emphasizing enhanced patient engagement and streamlined healthcare processes. A study conducted by the **Joan C. Edwards School of Medicine at Marshall University** found that implementing **40-minute combined visits**—which include Medicare annual wellness assessments and problem-focused consultations—significantly increased completion rates for these essential appointments.
Over a nine-month period, the research team focused on Medicare patients aged 65 and older across five clinics. They reported that the completion rate for annual wellness visits surged from **8.4% to 50.8%**. Additionally, the no-show rates for combined visits were lower compared to those for wellness-only appointments, with figures of **11.9%** versus **19.6%**, respectively. The study’s findings demonstrate that such combined visits not only improve attendance but also enhance the completion of various quality measures, including screenings for depression and cancer.
Automated Solutions Streamline Care
A complementary article from the **Mayo Clinic** in Rochester, Minnesota, presents another solution aimed at simplifying the primary care experience for older adults. The team developed an automated system for previsit test ordering and scheduling, which allows for more efficient management of patient care. By utilizing the **Epic electronic health record (EHR)** system, they identified patients eligible for annual wellness visits and preventive screenings.
This innovative workflow enabled the auto-ordering of necessary tests up to six months in advance, ensuring that patients received reminders via the patient portal three weeks before their appointments. Clinicians also encouraged patients to list any concerns they wished to address during their visit. Results from this initiative revealed that approximately **3,500 patients** received automated communications, with an impressive **81%** reading the messages and **27%** responding prior to their appointments. The integration of previsit testing allowed for immediate discussions of results during consultations, thereby reducing the need for follow-up communications and cancellations.
The findings from both articles highlight the critical need for improvements in the primary care system catering to older adults, who often face barriers when accessing preventive healthcare. By addressing these challenges through innovative scheduling and combined visit strategies, healthcare providers can significantly enhance patient engagement and overall care quality.
The *Annals of Family Medicine*, which has been publishing peer-reviewed research since **May 2003**, serves as a vital platform for disseminating evidence-based information that impacts primary care practices. The journal is sponsored by several prominent organizations, including the **American Academy of Family Physicians** and the **Society of Teachers of Family Medicine**, ensuring that it remains a respected source for healthcare professionals.
As the healthcare landscape continues to evolve, studies like these provide valuable insights into optimizing care delivery for older adults, ultimately promoting better health outcomes and a more accessible healthcare system for this growing demographic. For more information, visit the journal’s website at www.AnnFamMed.org.