Preventive Services for Children and Adolescents

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Source: Institute for Clinical Systems Improvement (ICSI). Preventive services for children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Oct. 80 p. Preventive Services for Children and Adolescents System alerts patient/parent or provider of needed preventive services. A A = Annotation Perform risk stratification and health assessment. A Level III. Preventive Services for which the evidence is currently incomplete, therefore left to the judgment of individual medical groups, clinicians and their patients. *Blood lead testing. *Clinical breast exam screening. *Dental and periodontal disease counseling. *Developmental/behavioral assessment testing. Use every opportunity for prevention: *Patient/parent contacts clinic system for acute or chronic medical problem. *Patient/parent contacts clinic system for preventive services visit. *Scheduling system initiates service. A Level I. Preventive services that providers and care systems must deliver (based on best evidence) (see Table 1) *Childhood immunizations series. *Chlamydia screening (sexually active 25 and younger). *Vision screening (4 years and younger). A *Domestic violence and abuse screening and counseling. *Dyslipidemia screening. *Dysplasia of the hip screening. *Hearing screening. *Injury prevention screening. *Iron deficiency screening. *Nutritional counseling. *Preconception counseling. *Pregnancy prevention counseling. *Scoliosis screening. *Secondhand smoke exposure counseling. *Sexually transmitted infection (other than chlamydia) counseling. *Sexually transmitted infection (other than chlamydia) screening. *Skin cancer screening and counseling. *Substance abuse: alcohol use screening and counseling. *Undescended testicle screening. *Viral upper respiratory infection prevention counseling. A Level II. Preventive services that providers and care systems should deliver (based on good evidence) (see Table 2). *Cervical cancer screening. *Infant sleep positioning and SIDS counseling. *Injury prevention: motor vehicle safety screening and counseling. *Neonatal screening. *Obesity screening. *Tobacco use screening, prevention and intervention in adolescents. A Level IV. Screening maneuvers that are not supported by evidence. *Blood chemistry panels. *Child maltreatment screening. *Hemoglobin (for anemia screening). *Tuberculin skin testing (routine). *Urinalysis. A Assessment complete: patient/system up-to-date All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.