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Using USPSTF Recommendations in VHA Clinical Practice

Veterans Health Administration. US's largest integrated health care systemFacilities in all 50 states153 medical centers, 745 out-patient clinics5.5 million active patientsUnique populationOlder (half over age 65)Poorer (~70% with annual incomes <$26,000)Sicker (more physical and mental healt

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Using USPSTF Recommendations in VHA Clinical Practice

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    1. Using USPSTF Recommendations in VHA Clinical Practice Linda Kinsinger, MD, MPH Chief Consultant for Preventive Medicine Office of Patient Care Services

    2. Veterans Health Administration USs largest integrated health care system Facilities in all 50 states 153 medical centers, 745 out-patient clinics 5.5 million active patients Unique population Older (half over age 65) Poorer (~70% with annual incomes <$26,000) Sicker (more physical and mental health diagnoses) Mostly men (5% women now but % increasing)

    3. System Features that Support Delivery of Preventive Services Computerized patient record system Clinical practice guidelines Cover ~ 20 clinical topics Address both prevention and treatment Clinical reminders Performance measures

    4. Performance Measures Process measures, based on evidence-based guidelines Prevention-related measures based on USPSTF recommendations: Cancer screening Breast Cervical Colorectal Tobacco use screening and counseling Alcohol use screening and counseling

    5. Prevention-Related Performance Measures Other prevention-related measures: Cardiovascular Hypertension control, LDL in ischemic heart disease Diabetes Hypertension control Foot sensory exam HbA1c control LDL control Retinal exam Infectious Diseases Influenza immunization Pneumococcal immunization

    6. Delivery of Clinical Preventive Services

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