In an effort to identify areas in healthcare that need improving, the Seattle-based Puget Sound Health Alliance conducted a "community checkup" of 1.6 million patients. Fewer than half of residents over 50 in the Washington counties surveyed have received recommended preventive care, the report found. While the Alliance hopes the findings will be a starting point for improvement, some physicians questioned how consumer-friendly the results will be and if anything beyond talking about the findings will be done.