Annual Wellness Exams AWV
ofDomains4Life Every human has 4 domains of Life. Your Body, Mind, Intellect and Social. 1. Your body is a vehicle 2. Mind is for Emotions and feelings. 3. Intellect is for Thinking and Analyzing. 4. Social is everything other that your body, mind and intellect. Your Social domain consist of 5 aspects- People, Places, Things, Events and Time
3. Intellect is for Thinking and Analyzing.
1.Social.Yourbody is a vehicle
• AWV is focused on to know other Domains of life to Know you as a person about your intellectual, mental and social problems, support system and your coping mechanism to bodily and mental stresses.
Goal AWVof
• This visit about collecting information about you.
4. Social is everything other that your body, mind and intellect. Your Social domain consist of 5 aspects- People, Places, Things, Events and Time
• Every human has 4 domains of Life. Your Body, Mind, Intellect and
• The purpose of this visit is to know other aspects of your health. Healthcare system is primarily focused – your body domain.
2. Mind is for Emotions and feelings.
• There is no physical examination done in these visit except vitals.
What Visitduringexpectto Documenting your height, weight, blood pressure and other routine measurements A health risk assessment (questions you answer about your Ahealth)review of your medical and family history Developing or updating a list of your current providers and Lookingprescriptionsforsigns of memory loss or dementia, depression, anxiety, and stress Discussion of your risk factors and what lifestyle modifications or treatment options can help A screening schedule for appropriate preventive services (as needed)
Medicare’s Annual Wellness Visit does not have A Physical Exam At All
eligibilityVerify Enrolled in Medicare Part B (effective date) Not eligible for initial preventive physical examination (IPPE)/“Welcome to Medicare” visit No longer within 12 months after eligibility date for Medicare Part B benefits Not received an initial preventive physical examination (IPPE) or AWV within the past 12 months More than 11 full months after the month of the previous AWV
patienttotheExplainAWVthe • Purpose of visit • What it includes • What it is not (e.g., annual problems;treatmentphysical;ofhealthmedicationrefills)•Cost
During the Visit
(HRA)assessmentrisktheCompletehealth Demographic data • Self-assessment of health status • Psychosocial risks • Behavioral risks • Activities of daily living (ADLs), including dressing, bathing, and walking • Instrumental ADLs, including shopping, housekeeping, managing own medications, and handling finances
history:medicalfamilyEstablishand • Medical events of the beneficiary’s parents, siblings, and children • Past medical/surgical history • List of all medications/supplementscurrent from all providers (i.e., medication •reconciliation)Opioiduse
List of providers/supplierscurrent that regularlymedicalprovidecare
Measurements • ••HeightWeightBodymass index (or waist circumference, if appropriate) • Blood pressure • Other routine measurements deemed appropriate based on history
history:medicalfamilyEstablishand Medical events of the beneficiary’s parents, siblings, and children • Past medical/surgical history • List of all current medications/supplements from all providers (i.e., medication •reconciliation)Opioiduse
List of conditions,factorsriskand planinterventionwith • Mental health conditions • Risk factors identified • Treatment options and their associated risks/benefit
Cognitive assessment • Direct observation • Consideration of information from beneficiary reports and concerns raised by individuals supporting the beneficiary • Assessment tool
AssessmentDepression • PHQ2 for Screening • PHQ 9 for diagnosis and follow up of treatment
Everyday living and safety assessment (use one or more of) • DIRECT OBSERVATION • QUESTIONNAIRESTANDARDIZEDASSESS(ATMINIMUM): • ABILITY PERFORMSUCCESSFULLYTOADLS • FALL RISK • IMPAIRMENTHEARING • HOME SAFETY
List of All specialists and other Providers taking care of the patient List of current providers/suppliers that regularly provide medical car
Written preventive screening and schedule/checklistimmunizationfornext 510 years • Beneficiary provided with physical copy
List of conditions,factorsriskand planinterventionwith • Mental health conditions • Risk factors identified • Treatment options and their associated risks/benefits
healthPersonalizedadviceandappropriatereferrals,including Fall prevention • Nutrition • Physical activity • Tobacco cessation • Weight loss • Cognition • Beneficiary provided with physical copy
discretion)(atcareAdvancedOptional:planningpatient’s • Future care decisions • Informing others know about care preferences•Caregiver identification • Explanation of advance directive