Preventive Services for Adults

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Source: Institute for Clinical Systems Improvement (ICSI). Preventive services for adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Oct. 87 p. Preventive Services for Adults System alerts patient or provider of needed preventive services. A A = Annotation Perform risk stratification and health assessment at least every 5 years. 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. *Advance directives counseling. *Anxiety and stress counseling. *Clinical breast exam screening. Use every opportunity for prevention *Patient contacts clinic system for acute or chronic medical problem. *Patient contacts clinic system for preventive services visit. *Scheduling system initiates service opportunity. A *Dementia routine testing. *Dental and periodontal disease counseling. *Domestic violence and abuse screening and counseling. *Drug abuse screening and counseling. *Injury prevention screening and counseling. *Menopause and hormone therapy counseling. Level I. Preventive services that providers and care systems must deliver (based on best evidence) (see Table 1). *Aspirin chemoprophylaxis counseling. *Breast cancer screening. *Calcium chemoprophylaxis counseling. *Cervical cancer screening. *Chlamydia screening. *Nutrition and physical activity counseling. *Preconception counseling. *PSA screening and digital rectal exam of the prostate. *Sexually transmitted infection counseling (other than chlamydia). *Colorectal cancer screening. *Hypertension screening. *Influenza immunization. *Lipid screening. *Pneumococcal immunization. *Problem drinking screening and brief counseling. *Tobacco use screening and brief intervention. *Vision screening. A *Sexually transmitted infection screening (other than chlamydia). *Skin cancer screening and counseling. *Unintended pregnancy prevention counseling. A Level II. Preventive services that providers and care systems should deliver (based on good evidence) (see Table 2). *Abdominal aortic aneurysm screening. *Depression screening. *Folic acid chemoprophylaxis counseling. *Hearing screening. *Hepatitis B immunization. Level IV. Screening maneuvers that are not supported by evidence. *Blood chemistry panels. *CA 125 and ultrasound (for ovarian cancer screening). *Coronary heart disease routine testing. *Diabetes routine testing. *Herpes zoster/shingles immunization. *Human paillomavirus (HPV) immunization. *Inactivated polio vaccine (IPV) immunization. *Measles, mumps, rubella (MMR) immunization. *Obesity screening. *Osteoporosis screening. *Tetanus-diphtheria immunization (Tdap). *Varicella immunization. A *Hemoglobin/Hematocrit (for anemia screening). *TSH/thyroxine (for hypothyroidism screening). *Tuberculin skin testing (routine). *Urinalysis. A Other needs? (scheduling, follow-up) Address other needs or schedule appointments Assessment complete: patient/system up-to-date All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.