Preventive Health Guidelines
Education on preventing premature onset of disease and disability is a key tool in positive outcomes for patients.
The following are Preventive Health Guidelines which are age-specific and describe prevention or early detection interventions and recommended frequency and conditions under which the interventions are required.
| Women ONLY | ||
| Periodic Health Examinations | 18-39 Years |
40-50+ Years |
| Mammogram | One baseline mammogram between the ages of 35-39 | Every year |
| Pap Smear | Annual gynecological examinations including pap smear and urinalysis | |
| Men ONLY | ||
| Periodic Health Examinations | 50+ Years | |
| Prostate Specific Antigen | One Prostate Specific Antigen between the ages of 50+ years every year | |
Both Men and Women
| Periodic Health Exams | 18-39 Years |
40-49 Years |
50+ Years |
| History and Physical | Every Year |
||
| Cholesterol Screening | Lipid profile once between ages 18 and 24 years | Lipid profile once every five years between ages 24 and 44 | One lipid profile every year for ages 45 and over |
| Basic Metabolic Panel including: Calcium, Carbon Dioxide, Chloride, Creatinine, Glucose, Potassium, Sodium, Urea Nitrogen (BUN) | One Basic Metabolic Panel Every Year | ||
| Colorectal Screening | Stool for occult blood yearly | Colonoscopy every 10 years or stool for occult blood every year. Flexible sigmoidoscopy 1X, if negative then every 5 years. | |
| Screening for High-Risk Behaviors | Review lifestyle habits such as: tobacco use, stress, alcohol and drug abuse, weight loss or gain, sexual practices, sun exposure, household hazards, and motor vehicle use. Counsel as necessary for high risk behaviors | ||
| EKG | Baseline x1 |
||
| Hemoglobin or Hematocrit | One Hemoglobin OR One Hematocrit Every Year | ||
| Urinalysis | One Screening urinalysis every year | ||
| Vaccine/Toxoid | 18-39 Years |
40-49 Years |
50+ Years |
| Influenza | Every Year |
||
| Tetanus Diptheria (Td) | Booster Every 10 Years | ||
| Combined Tetanus, Diptheria & Pertussis (Tdap) Vaccines | Once in a lifetime 11-64 years old | ||
| Pneumococcal | Recommended for individuals with underlying medical conditions such as chronic cardiac or pulmonary disease, chronic liver disease, alcoholism, diabetes mellitius, and the immunocompromised adult, such as those with anatomical and functional asplenia, multiple myeloma, Hodgkin's disease, organ transplants, renal disease, or HIV infection. Two vaccinations will be allowed for these high risk individuals. The vaccinations should be at least 5 years apart. | ||
| Hepatitis B | Covered through age 19 (3 series shot) | Recommended for health care workers, individuals with numerous sexual partners, IV drug users, and persons in contact with carriers. | |
| Chickenpox (Varicella) | This vaccine is covered once in a lifetime through age 19. After age 13, two vaccinations should be administered. Recommended for adolescents and young adults who have not had chickenpox or who are seronegative, especially health care workers. | Once at age 65 if not vaccinated previously | |
| Meningococcal | Only ages 11-24 | ||
