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A Framework for patient-centered health risk assessments : providing health promotion and disease prevention services to Medicare beneficiaries
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    Acknowledgments -- Summary -- Introduction -- Purpose -- Use of HRAs and follow-up interventions as part of the Medicare annual wellness visit -- Defining the HRA plus process -- Use of HRA plus services -- History of health risk assessments -- Methods: the development process -- Recommendations -- Conclusion -- References -- Appendix: Sample health risk assessment.

    In this report, we provide an evidence-informed framework for providers, policymakers, health plans, payers, researchers, and vendors on the implementation of patient-centered health risk assessments (HRAs), follow-up activities, and monitoring of progress toward achieving health improvement goals (referred to in the literature as the HRA Plus process). The Centers for Disease Control and Prevention (CDC) developed this framework on the basis of three recently conducted systematic literature reviews and expert input from physicians, researchers, members of medical associations, wellness program developers, and CDC subject matter experts. Expert opinion was used where the evidence base was limited. This framework is targeted at Medicare beneficiaries 65 years and older but can also be applied to younger beneficiaries. The CDC recommendations aim to achieve the following goals: 1. Provide guidance to providers offering clinical preventive care, health promotion, and disease management services on ways to use HRAs followed by evidence-based health improvement programs; 2. Ultimately, reduce health disparities through the use of HRAs and follow-up interventions that are linguistically and culturally tailored and are available to persons with disabilities; 3. Ultimately, improve health outcomes by identifying patients’ modifiable health risks and providing follow-up behavior change interventions that are implemented over time. The framework addresses the content and design of HRAs and the context of delivery.

    Suggested citation: Goetzel, RZ; Staley, P; Ogden, L; Stange, P; Fox, J; Spangler, J; Tabrizi, M; Beckowski, M; Kowlessar, N; Glasgow ,RE, Taylor, MV. A framework for patient-centered health risk assessments – providing health promotion and disease prevention services to Medicare beneficiaries. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

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