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Agency for Healthcare Research Quality

Put Prevention Into Practice

A Step-by-Step Guide to Delivering Clinical Preventive Services: A Systems Approach

Electronic Archive

There is increasing evidence that many barriers to the routine delivery of preventive care can be overcome through a formal system for delivering clinical preventive services. "A Step-by-Step Guide to Delivering Clinical Preventive Services: A Systems Approach" describes easy-to-follow, logical steps to take you through the process.

The information in this Step-by-Step Guide is no longer considered current for medical practice.


Effectiveness of Systems for Delivering Clinical Preventive Services
Essential Elements of a System for Delivering Preventive Services
How to Use This Guide
For Further Reading
Chapter 1. Assess Your Readiness for a Systems Change
Assess Staff Values and Beliefs
Elicit Patient Opinion
Introduce PPIP as a Possibility
Chapter 2. Assess Your Current Prevention Practice
Assess Current Preventive Services
Assess Current Individual and Group Systems
Assess Current Clinical Flow
Chapter 3. Develop a Preventive Care Protocol
Establish Preventive Care Standards
Conduct Chart Audits
Establish Goals for Your Setting
Design an Evaluation Process
Chapter 4. Establish a Process for Delivering Preventive Services
Obtain Staff and Administrative Support
Define Staff Roles
Determine the Flow of Information and Materials
Chapter 5. Evaluate Your PPIP System
Evaluation Activities
Chapter 6. Incorporate Prevention Materials Into Your PPIP System
Reference Materials for Clinicians
Office System Materials
Patient Materials
For Further Reading
Worksheets for Implementing PPIP
Sample Prevention Prescriptions for Adults
Stages of Change and Your Patients

AHRQ Publication No. APPIP 01-0001
Archived August 2008

Internet Citation:

A Step-by-Step Guide to Delivering Clinical Preventive Services: A Systems Approach. AHRQ Publication No. APPIP 01-0001, October 2001. Archived August 2008. Agency for Healthcare Research and Quality, Rockville, MD.


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