School of Public Health

Oregon Turns the Sports Physical into a Well-Visit

November 2017

Adolescent and School Health Unit | Transformation Center

The Oregon Health Authority (OHA) recently released a new tool to help schools and providers identify differences between the adolescent well-visit and the sports physical and ensure that student athletes in the seventh through twelfth grades receive both evaluations.

The overarching goal is to improve the number Oregon students who regularly receive preventive care. The team behind this effort includes OHA’s Adolescent and School Health Unit, OHA’s Transformation Center, Oregon School Activities Association (OSAA), Central Oregon Health Council, Columbia Gorge Health Council, and PacificSource Community Solutions Coordinated Care Organization. Oregon’s Title V staff, housed in the OHA Adolescent and School Health Unit, was involved in the drafting and communication of the tool.


The tool is a 12-page document titled “The Comparison of the Adolescent Well Care Visit and Pre-participation Physical Evaluation.” It includes a comprehensive side-by-side comparison of the well visit and the sports physical followed by recommendations for how providers can modify one visit to incorporate the elements of the other and offer care coordination that can minimize a student’s absence from school and sports. Increased coordination and proper claims reporting of the adolescent well-visit can also help providers and Coordinated Care Organizations meet quality metrics benchmarks.

The team distributed the document to 1,000 School-Based Health Centers, Coordinated Care Organizations, local Title V grantees, and OSAA’s network of school athletic staff, coaches, and athletic directors in June of 2016.

While the tool has only recently been implemented, the team plans to assess its efficacy through encounter data collected by the School-based Health Centers and the self-reported updates from other partners.


The team is currently exploring other ways to engage the student athlete population in preventive screenings – particularly around mental health.

For more information about the Comparison of the Adolescent Well Care Visit and the Pre-participation Physical Evaluation Project contact Wesley Rivers, Adolescent and School Health Policy and Assessment Specialist, at