Plan Section Template: PPPS (Man)
Personalize Prevention Plan of Service (PPPS) [print this section, give to patient]
Vaccines (PNA once >65, Inf yearly, Hep B med/high risk): [recommended, or list your dates here]
Prostate Ca Screen (annually to 75 yo): [Medicare says offered, but will usually not pay for screening]
Colon CA Screen (to 75 yo):
Glaucoma Screen:
CVS Screening Labs (every 5 years):
DM Education:
DM Screening Labs (every 3 years, prediabetic 6mo):
AAA (once for men 65-75 smoked >100 cigs, anyone with FH of AAA, may be only covered at Welcome Visit):
HIV (inc risk patients): n/a
Smoking Cessation (8 cessions per year): Smokers should quit: this increases risk for lung disease and cancers, early death.
Subsequent AWV: Recommended 1 year.
Plan Section: PPPS (Woman)
Personalize Prevention Plan of Service (PPPS)
Vaccines (PNA once >65, Inf yearly, Hep B med/high risk):
Pap and Pelvic (at least to 70):
Mammogram (biennial 50-74yo):
Colon CA Screen (to 75 yo):
DEXA (biennial after 65, Indicate Risk from Estrogen Def): [Medicare says will pay if estrogen deficient, and they all are, but often the imaging center here rejects this as CMS won't pay. You almost have to be on steroids or HAD fracture already to get his paid]
Glaucoma Screen:
CVS Screening Labs (every 5 years):
DM Education:
DM Screening Labs (every 3 years, prediabetic 6mo):
HIV (inc risk patients): n/a
Smoking Cessation (8 cessions per year): Smokers should quit: this increases risk for lung disease and cancers, early death.
Subsequent AWV: Recommended 1 year.
