# Close preventive care gaps a few patients at a time

> Overdue screenings and vaccines surface on a live list, one person works it steadily, and a gap closes only when the care is done.

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1. [Playbooks](https://www.tabflows.com/university/playbooks)
2. [Patient Follow-Up](https://www.tabflows.com/university/playbooks#patient-follow-up)

Overdue screenings and vaccines surface on a live list, one person works it steadily, and a gap closes only when the care is done.

- Elation
- Spruce
- Saves about 2 hrs per month (est.)

Last checked Oct 27, 2026 against Tabflows v3.10.63

## The situation

A preventive care gap is any recommended screening, vaccine or wellness visit a patient is due or overdue for, like an annual physical, a mammogram, a colonoscopy or an annual flu shot. Preventive care gaps usually get found one of two ways. Someone notices an overdue mammogram while the patient is in for something else, or a quarterly report surfaces dozens of gaps at once and the team scrambles to clear them before a deadline.

Neither reaches everyone. The patients with real gaps are often the ones who rarely come in, so no visit ever catches them. And a backlog worked in a rush tends to get one generic message, with little follow-up for anyone who does not reply.

## Steps

1. **Keep a live list for each screening or vaccine** In Patients, open Smart Segments, select New Segment and describe who belongs in plain language, such as patients over 40 who have not had a mammogram in the last year. Select Scan on a regular routine so newly overdue patients join the list, and confirm each gap in the chart before you reach out.
2. **Reach out to a few patients at a time** Each day or each week, take a handful of patients from the list and create one outreach Task for each, instead of working the whole list at once. Link the patient, add a clinic Tag for preventive care, and assign each Task to the one nurse, MA or care coordinator who owns the list.
3. **Make checking the list part of the routine** Save a filter for that Tag and the To do status under Favorite filters. The owner opens it on a set schedule, not only when a report deadline gets close.
4. **Change the approach when there is no reply** Record each outreach attempt in Comments. When a patient does not respond to the first attempt, make the next one a phone call or a different channel, not the same message sent again.
5. **Close the gap only when the care is done** Set the status to Waiting once the screening or vaccine is booked. Mark the Task Done only when it is confirmed completed, since outreach is a step toward closing a gap, not the same thing.

## The outcome

Gaps close steadily, patient by patient, all year, instead of in a rush before a report is due. The patients who rarely come in get reached too, and each closed gap is a screening or vaccine that actually happened, a real chance to catch something early.

## Ask Sidekick

Sidekick is the AI assistant inside Tabflows.

Hey Tabflows, create an outreach task for each patient I list who is due for a screening, assigned to the front desk, with a checklist for contacted, scheduled and confirmed done.

## In the Product Library

- [How to find a group of patients with Smart Segments](https://www.tabflows.com/university/library/sidekick/how-to-find-a-group-of-patients-with-smart-segments)
- [How to create a follow-up reminder task](https://www.tabflows.com/university/library/tasks/how-to-create-a-follow-up-reminder-task)
- [Collaborate on tasks with comments and mentions](https://www.tabflows.com/university/library/tasks/collaborate-on-tasks-with-comments-and-mentions)
- [How do I save and reuse a task filter](https://www.tabflows.com/university/library/tasks/how-do-i-save-and-reuse-a-task-filter)
- [Using Elation with Tabflows](https://www.tabflows.com/university/library/integrations/using-elation-with-tabflows)
- [Using Spruce with Tabflows](https://www.tabflows.com/university/library/integrations/using-spruce-with-tabflows)

[Read the full guide](https://www.tabflows.com/blog/preventive-care-gap-tracking)

[Open it in the Automation catalog](https://www.tabflows.com/university/automations?automation=preventive-care-gaps)

## Related markdown

Section index: [Playbooks](https://www.tabflows.com/university/playbooks.md)

Alongside this page:

- [Advance directive tracking](https://www.tabflows.com/university/playbooks/advance-directive-tracking.md)
- [After hours answering service](https://www.tabflows.com/university/playbooks/after-hours-answering-service.md)
- [After hours message triage](https://www.tabflows.com/university/playbooks/after-hours-message-triage.md)
- [Billing decline follow up](https://www.tabflows.com/university/playbooks/billing-decline-follow-up.md)
- [Call follow up loop](https://www.tabflows.com/university/playbooks/call-follow-up-loop.md)
- [Chronic care check ins](https://www.tabflows.com/university/playbooks/chronic-care-check-ins.md)
- [Clia and compliance renewals](https://www.tabflows.com/university/playbooks/clia-and-compliance-renewals.md)
- [Dea and license renewals](https://www.tabflows.com/university/playbooks/dea-and-license-renewals.md)

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