MCHbest. NPM 10: Adolescent Well-Visit
Strategy. Patient Reminders/Navigator Program
Approach. Support a patient reminder program that includes telephone and mailed reminders.
Overview. Managed care-based mail or telephone reminders/multiple calls improved adolescent immunizations and preventive visits, with modest costs.1 Note: the addition of transportation services (and coordination through phone/mailed reminders) also increased attendance rates.
Evidence. Emerging. Patient reminders appear to have a positive impact on attendance. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patient/Consumer.
Outcome. Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently XXX ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Support a patient reminder program that includes telephone and mailed reminders,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Szilagyi PG, Albertin C, Humiston SG, et al. A randomized trial of the effect of centralized reminder/recall on immunizations and preventive care visits for adolescents. Acad Pediatr. 2013;13(3):204-213.