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Preventive Care Guidelines

Jefferson Health Plans's / Health Partners Plans's Quality Management department is responsible for developing and monitoring systems that support our commitment to providing quality care and services to our members. This includes evaluating our performance based on clinical standards. We encourage our participating providers to take an active role in the ongoing management of member care, particularly members with chronic conditions. We also seek to ensure the coordination of care across specialties and care settings. We encourage providers to discuss preventive care with their patients. The below grid demonstrates examples of evidence based guidelines.

Preventive Care Resources

Social Determinants of Health:

Immunizations:

Depression:

U.S. Preventive Services Task Force:

Other Resources:

Preventive Care Guidelines

Condition Reference Clinical Evidence
ADHD Centers for Disease Control and Prevention (CDC) Clinical Care of ADHD
Adult Well Care U.S. Preventive Services Task Force (USPSTF) A and B Recommendations | United States Preventive Services Taskforce
American Family Physician (AFP) Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at a Glance
Breast Cancer Screening
American Cancer Society (ACS) ACS Breast Cancer Screening Guidelines | American Cancer Society
American College of Radiology (ACR) Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations From the ACR
Cervical Cancer Screening Centers for Disease Control and Prevention (CDC) Cervical Cancer Screening Guidelines
National Institute of Health: National Institute of Cancer ACS’s Updated Cervical Cancer Screening Guidelines
Child and Adolescent Well Care Bright Futures/AAP Periodicity Grid Bright Futures/AAP Periodicity Grid
Bright Futures/APA Tip Sheets Bright Futures Tip Sheets for Clinical Practices
Bright Futures/APA Updates Evidence and Rationale for Clinical Guidelines Evidence and Rationale
Colorectal Cancer Screening
American Cancer Society (ACS) ACS Guidelines for Colorectal Cancer Screening
U.S. Preventative Services Task Force Final Recommendation Statement: Colorectal Cancer Screening
Depression Screening, Adults
U.S. Preventative Services Task Force Depression in Adults Screening
U.S. Preventative Services Task Force Depression and Suicide Risk in Adults: Screening
Depression Screening, Children and Adolescents U.S. Preventative Services Task Force Depression and Suicide Risk in Children and Adolescents: Screening
Developmental Screenings Centers for Disease Control and Prevention (CDC) Developmental Monitoring and Screening for Health Professionals
American Academy of Pediatrics (AAP) Development Surveillance and Screening
Hepatitis C Virus Infection in Adolescents and Adults: Screening U.S. Preventative Services Task Force Hepatitis C Virus Infection in Adolescents and Adults: Screening
Obesity Screening, Adults U.S. Preventative Services Task Force Screening for and Management of Obesity in Adults
Obesity Screening, Children and Adolescents Agency for Healthcare Research and Quality Obesity in Children and Adolescents: Screening
Pediatric Oral Health Various Sources Pediatric Oral Health Resources
Prostate Cancer Screening U.S. Preventative Services Task Force Prostate Cancer: Screening
Sexually Transmitted Infections (STI) Counseling, Adolescents and Adults Agency for Healthcare Research and Quality Sexually Transmitted Infections: Behavioral Counseling
STI/Chlamydia Screening U.S. Preventive Services Task Force Chlamydia and Gonorrhea: Screening
Respiratory Virus Centers for Disease Control and Prevention (CDC) Respiratory Virus Guidance
Well Elderly American Academy of Family Physicians Geriatric Assessment: An Office-Based Approach

These guidelines are reviewed at least annually, and are approved by our Utilization Management Committee. To request printed copies of any guidelines, please call our Provider Services Helpline at 1-888-991-9023.