Assessment
5
Table 2. Clinical Care of Older People
General Health
Assessment
a
General Health Tests
b
Diabetes-Specific
Health
c
Functional status
(ADLs/IADLs
d
)
EKG Retinopathy
Depression Lipid panel Nephropathy
Cognition Bone mineral density Neuropathy
Fall risk AAA ultrasound Medical Nutrition erapy
Weight (kg )/
Height (m)
2
= BMI
Diabetes screening
(for nondiabetic persons)
Diabetes Management
Blood pressure Diabetes Self-Management
Training
Tobacco use
Alcohol use
Medication review
Cancer screening
Hearing
Comorbid conditions
Visual acuity
Frailty/Physical performance
a
All items are required services to qualify for Medicare coverage of Annual Wellness Exams for
people in the US over age 65, except for Frailty/Physical performance (Medicare Interactive.
Annual wellness visit. https://www.medicareinteractive.org/get-answers/medicare-covered-
services/preventive-services/annual-wellness-visit. Accessed October 17, 2017). ese are generally
conducted by primary care providers.
b
All items are services covered by Medicare for people in the US over age 65 as part of Annual
Wellness Exams at intervals varying from annually to once per lifetime (Medicare Interactive.
Annual wellness visit. https://www.medicareinteractive.org/get-answers/medicare-covered-
services/preventive-services/annual-wellness-visit. Accessed October 17, 2017).
c
All items are services covered by Medicare for people in the US over age 65 as part of standard
diabetes care (Medicare Interactive. Annual wellness visit. https://www.medicareinteractive.
org/get-answers/medicare-covered-services/preventive-services/annual-wellness-visit. Accessed
October 17, 2017). ese are covered annually except for Diabetes Management visits, which are
covered as recommended by the diabetes care team.
d
Note: Our analysis included dependency (having difficulty and receiving assistance) in 5 ADLs
(bathing, dressing, eating, toileting, and transferring ) and 5 IADLs (preparing meals, shopping,
managing money, using the telephone, and managing medications) (Applegate WB, Blass
JP, Williams TF. Instruments for the functional assessment of older patients. N Engl J Med.
1990;322(17):1207–1214.).
