Abstract
Vitamin D deficiency is the most prevalent micronutrient deficiency in the world and is associated with myriad preventable chronic illnesses. To address this problem in a rural primary care practice, an electronic medical record (EMR) prompt for serum 25-hydroxyvitamin D was added to an existing lab order set to screen vulnerable elderly patients over age 65 years for vitamin D deficiency during a Medicare Annual Wellness Visit (MAWV). The EMR prompt increased the percentage of patients screened by 90%, the number of patients screened by 1,400%, and those supplemented by 783%. These results suggest that vitamin D screening during Medicare Annual Wellness Visits provides a platform to screen and supplement vitamin D to mitigate chronic diseases associated with deficiency.
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