AUC Macros: Health Care Maintenance

Health care maintenance 0-17

Birth to 17
Check Ups
Visits at 1, 2, 4, 6, 9, 12, 15 and 18 months of age. Annual visits from ages 2 to 6. Visits every other year for ages 6 to 17.

Screening Tests
Vision: Check once before age 5.
Obesity: Monitor starting at age 6.
Chlamydia/Gonorrhea: Check yearly for sexually active females ages 15 to 24 years.
HIV/AIDS: Check between ages 15 and 65.

Immunizations
Two month series of vaccines can be given as early as 6 weeks.
Immunizations

Recommendations for Immunizations

Hepatitis B: Birth, 1 month, 6 months (2)
Haemophilus Influenza Type B: 2 month, 4 months, 6 months, 12 months (4)
Polio: 2 months, 4 months, 6 months, 4-5 years (3)
Diphtheria,Tetanus and Acellular Pertussis:2 months,4 months,6 months,18 months, 4-5 yrs (4)
Tdap/Td: 11 years (1 - every 10 years)
Rotavirus: 2 months, 4 months, 6 months (3)
Pneumococcal: 2 months, 4 months, 6 months, 12 months (4)
Measles, Mumps and Rubella: 12 months, 4-5 years (2)
Varicella (Chickenpox): 12 months, 4-5 years (2)
Hepatitis A: 12 months, 18 months (2)
Influenza (yearly) 6 months, 18 months, 2 years, 4-5 years, 11 years, 16 years
Conjugated Meningococcal 11 years, 16 years (2)
Human Papillomavirus (HPV): Females and males ages 11 to 14 years should receive a two-dose series, and females ages 15 to 26 and males ages 15 to 21 should receive a three-dose series.

Pregnancy: If you are pregnant or able to get pregnant, take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about more steps for a healthy pregnancy.

Health care maintenance 18-39

Ages 18 to 39
Wellness Check
Check blood pressure, screen for healthy weight and assess overall health.

Screening Tests
HIV/AIDS: Check between ages 15 and 65.

Immunizations
Influenza (Flu): Yearly flu vaccine.
Varicella (Chickenpox): A vaccine for adults born in 1980 or later.
HPV (Human Papillomavirus): Unvaccinated females ages 15 to 26 and males ages 15 to 21 should receive a three-dose series.
MMR (Measles, Mumps and Rubella): Adults ages 19 to 59 should have recorded in their chart at least one dose of the vaccine.
Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive a tetanus vaccine (Tdap or Td) every 10 years.

Men’s Health
Cholesterol: Check every five years starting at age 35.

Women’s Health
Chlamydia/Gonorrhea: Check yearly for sexually active females ages 15 to 24 years.
Cervical Cancer: Pap test every three years for all women ages 21 to 29. Pap test with HPV screening every five years for all women ages 30 to 65.
Pregnancy: If you are pregnant or able to get pregnant, take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about more steps for a healthy pregnancy.
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KNOW THE RISKS:An Interactive HIV/AIDS Information and Personal Risk Assessment Center
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Health care maintenance 40-49

Ages 40 to 49
Wellness Check
Check blood pressure, screen for healthy weight and assess overall health.

Screening Tests
HIV/AIDS: Check between ages 15 and 65.

Immunizations
Influenza (Flu): Yearly flu vaccine.
MMR (Measles, Mumps and Rubella): Adults ages 19 to 59 should have recorded in their chart at least one dose of the vaccine.
Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive a tetanus vaccine (Tdap or Td) every 10 years.

Men’s Health
Cholesterol: Check every five years starting at age 35.

Women’s Health
Cervical Cancer: Pap test with HPV screening every five years for all women ages 30 to 65.
Pregnancy: All females who are pregnant or able to get pregnant should take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about additional steps for a healthy pregnancy.
Breast Cancer Screening: Mammography is optional every other year. Talk to your doctor about your options for breast cancer screening. It’s your decision whether to start screening before the age of 50.

Health care maintenance 50-74

Ages 50 to 74
Wellness Check
Check blood pressure, screen for healthy weight and assess overall health.

Screening Tests
HIV/AIDS: Check between ages 15 and 65.
Hepatitis C: Check adults born between 1945 and 1965.
Colon Cancer: Preferred Screening Options — A colonoscopy every 10 years, a stool FIT* test every year or a sigmoidoscopy every 10 years with annual FIT testing. Other Options— A CT colonography every five years or a FIT/DNA test every three years.
*FIT= Fecal Immunochemical Test

Immunizations
Influenza (Flu): Yearly flu vaccine.
MMR (Measles, Mumps and Rubella): Adults ages 19 to 59 should have recorded in their chart at least one dose of the vaccine.
Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive a tetanus vaccine (Tdap or Td) every 10 years.
Zoster (Shingles): Vaccine for adults at age 60.
Pneumococcal (Pneumonia): At least two vaccinations (injections) one year apart beginning at age 65.

Men’s Health
Cholesterol: Check every five years.
Prostate Cancer: Talk to your doctor about your risk. Regular screening is not recommended for men who have an average risk.

Women’s Health
Cervical Cancer: Pap test with HPV screening every five years for all women ages 30 to 65.
Breast Cancer: Mammography every two years.

Health care maintenance 75&over

Ages 75 & Over
Wellness Check
Check blood pressure, screen for healthy weight and assess overall health.

Screening Tests
Colon Cancer: The decision to screen for colorectal cancer in adults ages 76 to 85 years should be an individual one, taking into account the patient’s overall health and prior screening history.

Immunizations
Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults age 65 and older may receive a tetanus vaccine (Tdap or Td) every 10 years.

Men’s Health
Prostate Cancer: Talk to your doctor about your risk. Regular screening is not recommended for men who have an average risk.

Women’s Health
Breast Cancer: Mammography is optional after age 74.

These guidelines may vary for patients with personal or family health risks or who take certain medications.