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|Requirement ID:||Req-1082: Identify incomplete preventive care opportunities||Req-2047: Identify incomplete preventive care opportunities|
|Release Package:||2013 Format||2015 Priority List|
|Title:||Identify incomplete preventive care opportunities||Identify incomplete preventive care opportunities|
|Description:||The system SHALL identify incomplete age-specific screening and preventive care opportunities for each patient scheduled or assigned to a practice (e.g. individual or organization).||The system shall track and report the completion of recommended health supervision visits delivered according to the recommended periodicity of visits included in Bright Futures for a panel of patients.|
|Topic Area(s):||Well Child/Preventive Care||Well Child/Preventive Care|
|Provenance:||IH Gap Analysis - SME||Not Applicable|
|Requirement Type:||Normative Statements||Normative Statement|
|Links:||Bright Futures: This link is the summary table/periodicity schedule. This one page pdf provides a summary of the recommendations for pediatric preventive health care.http://brightfutures.aap.org/pdfs/AAP Bright Futures Periodicity Sched 101107.pdfBright Futures: This site provides a complete on-line downloadable version of the HRSA Bright Futures Guideline, Edition 3 (2008). It is 648 pages long. Each chapter and appendix is available as separate pdf documents. There are links on this page to the summary table/periodicity schedule, to downloadable PDFs that summarize the underlying evidence reviews, to implementation tools and resource kits, PDA and on line products, and also to the Pocket Guide version of the guideline.http://brightfutures.aap.org/3rd_Edition_Guidelines_and_Pocket_Guide.htmlBright Futures: The Pocket Guide is also fully downloadable, and this single pdf summarizes the Guideline in 65 4"x7"pages; longer format than the periodicity table, but much shorter than the full guideline.http://brightfutures.aap.org/pdfs/BF3 pocket guide_final.pdfBright Futures: The Bright Futures implementation tools and resource kits include pre and post visit patient questionnaire and documentation forms, decision tools, chart forms, and patient/family educational materials. These are available as downloads, or may be purchased.http://brightfutures.aap.org/tool_and_resource_kit.html|
|Implementation Notes:||Studies have demonstrated the value of maintaining a periodic visit schedule in responding to parent questions, providing immunizations, and assessing child development and behavior. This requirement refers to the ability to track adherence of a single patient to this recommended periodicity of visits, using the Bright Futures guidelines as a common standard. It differs from Req-2025 in that it focuses on the periodicity of visits and not on visit-specific content. It differs from Req-2024 in that it focuses on a single patient’s overall compliance with the periodicity schedule. Ideally, an EHR developing this monitoring also should provide the capability to retroactively enter dates of previous visits in a way that seamlessly integrates with the practice schedule data from which this sort of report normally would be generated. This functionality would be important for a child transferring into a practice, or for a child with fragmented care and visits that occur at another location that cannot exchange such data electronically.|