12 minutes
A health-access review you can run Run a short review of one person's health care access and produce one change with an owner.
What you’ll be able to do Complete a health-access review with one person and produce one change with a named owner and a review point. Compare the responses to this question and explain your choice: Where do you start? Draft Health-access review for your work, including overdue care, barriers met, unexamined changes. A review that ends in an appointment The health-access review is short because it is meant to be run, not filed. It asks what preventive care the person has had and when, what barriers they met, what changes from baseline have been noted without examination, and who will be with them at the next appointment. It almost always finds something. The measure of the review is not the list it produces but the appointment it books.
The five questions When did the person last have: a physical examination, dental care, vision and hearing checks, and the screenings recommended for their age? Which are overdue?
At past appointments, what barriers did they meet: equipment, time, communication, environment, attitude?
In the last year, what changes from their baseline were noted, and were any of them examined by a clinician?
Who will support them at the next appointment, do they know the person, and have accommodations been requested?
What is the most urgent gap, who will book the appointment, and by when?
Health-access review One page that records what care is overdue, what barriers were met, what has gone unexamined, and the one appointment that gets booked.
Overdue care Physical, dental, vision, hearing, screenings; dates
Barriers met Equipment, time, communication, environment, attitude
Unexamined changes From the last year of notes
Next appointment support Who; do they know the person; accommodations requested
One appointment, one owner, one date The most urgent gap, booked
Run it with one person and book the appointment it finds.
Browse and download only. Staff notes are not typed or saved on this page.
Download this published draft Unexamined changes first What you can change You control the order in which gaps are addressed. An unexamined change from baseline outranks overdue routine care, because it may be the thing that is currently doing harm.
What to watch for Do not let the review become a checklist of everything overdue that nobody books. Book one thing.
Your next step Run the review with one person and book the most urgent appointment before the month ends.
Preventive care people with disabilities most often miss Dental
The most commonly missed. Untreated dental pain is a leading cause of behavior change in people who cannot report pain in words.
Vision and hearing
Frequently unexamined for years. Unrecognized sensory loss is routinely mistaken for cognitive decline or withdrawal.
Cancer screening
Cervical, breast, bowel and other screenings are received at far lower rates, often because equipment or positioning was never accommodated.
Bone health
People with mobility disabilities and those on certain long-term medications are at elevated risk and are rarely screened.
Medication review
Long-term prescriptions, sometimes decades old, rarely reviewed for continued need or for interactions. Ask when the list was last reviewed as a whole.
Carry this forward The review asks when the person last had routine and preventive care, what barriers they met, what changes from baseline have gone unexamined, and who will be their support at the next appointment.
Most people with disabilities are behind on preventive care, and the review usually finds something specific and fixable.
One appointment booked with accommodations is worth more than a complete audit.
A list of the review's questions, an artifact, a scenario decision and a knowledge check.
Run the review with one person this month and book the appointment it finds missing.
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