Birth-17

Check up
1,2,4,6,9,12,15 and 18 months
annually check up for 2-6 times per month.
Vision Screening and BMI: for ages 6-17

Screening Tests
Assessment for risk for TB: To determine risk factor.
HIV Screening: Between ages 16-25

Immunization

Hepatitis B Birth, 1-6 months baby

Haemophilus influenza type B 2,4,6,12 months baby

Polio 2,4,6 months baby

Diphtheria, tetanus & Acellular 2,4,6,18 months baby

Pertussis
Rotavirus 2,4,6 months baby

Pneumococcal 2,4,6,12 months baby

Tdap/ Td 2,4,6,12 months baby

Measles, Mumps & Rubella 1 year old baby

Varicella (Chicken Pox) 1 year old baby

Hepatitis A 1 year old baby

Influenza (yearly) 6 months baby

Conjugated Meningococcal 11-16 years old

Human Papillomavirus 11 years old

Age 18- 39
Wellness Check
Check Blood pressure, weight and height to calculate body
mass index (BMI) and health risk.
Screening Test
Diabetes: All non-Caucasians; All Caucasians with
sustained blood pressure Greater than 135/80, or BMI
greater than or equal 25, or history of gestational
diabetes, or family history of diabetes.
HIV Screening: Between ages 15-65.
 IMMUNIZATION

Influenza: yearly

Varicella (Chicken Pox) Vaccine: Individuals born in 1980 or

later should receive a Second Vaccine.

HPV: Females ages 11-26 and males 11-21 should receive

the HPV vaccine at 2-6 months interval.
MENS HEALTH
Lipid Test: At age 35

WOMENS HEALTH
Chlamydia: Yearly through age 24 for Sexually active
women.
Pap Test: Every 3 years starting from age 21 (between ages
21-30, may be more often). At the age 30, may switch to
every 5 years with HPV screening
FOLIC ACID: All girls planning or capable of pregnancy take
daily supplement containing 0.4-0.8mg of folic acid.
Age 40-49
Wellness Check
Check Blood pressure, weight and height to calculate body
mass index (BMI) and health risk.

Screening Test
Hep C: Screening for those born between 1945-1965.
Diabetes: All non-Caucasians; All Caucasians with sustained
blood pressure Greater than 135/80, or BMI greater than or
equal 25, or history of gestational diabetes, or family
history of diabetes.
HIV Screening: Between ages 15-65.
MENS HEALTH
Lipid Test: At age 35

WOMENS HEALTH
Pap Test: Every 3 years starting from age 21 (between
ages 21-30, may be more often). At the age 30, may
switch to every 5 years with HPV screening
FOLIC ACID: All girls planning or capable of pregnancy
take daily supplement containing 0.4-0.8mg of folic
acid.
Mammogram: Optional yearly.
Age 50-74
Wellness Check
Check Blood pressure, weight and height to calculate body
mass index (BMI) and health risk.

Screening Test
Hep C: Screening for those born between 1945-1965.
Diabetes: All non-Caucasians; All Caucasians with sustained
blood pressure Greater than 135/80, or BMI greater than or
equal 25, or history of gestational diabetes, or family
history of diabetes.
Colorectal Cancer(options): Colonoscopy every 10 years;
Fecal occult Blood Testing every 3 years with sigmoidoscopy
every; or annual Fecal Occult Blood Testing.

IMMUNIZATION
Influenza: Yearly
Tdap/Td: Adults under 65 who have never receive Tdap
should get a Tdap booster, regardless of when a prior Td
was given. After this , Td is required every 10 years.
Zoster(Shingles): At age 60
Pneumococcal Vaccine: Series beginning at age 65.
MENS HEALTH
Lipid Test: Every 10 years
Prostate Specific Antigen (PSA): Current evidence does
not recommend routine PSA screening for average risk
men.
WOMENS HEALTH
Pap Test: Every 3 years starting from age 21 (between
ages 21-30, may be more often). At the age 30, may
switch to every 5 years with HPV screening.
Mammogram: Every 2 years.
Bone Density: At age 65
Age 75 & over
Wellness Check
Check Blood pressure, weight and height to calculate
body mass index (BMI) and health risk.
Screening Test
Diabetes: All non-Caucasians; All Caucasians with
sustained blood pressure Greater than 135/80, or BMI
greater than or equal 25, or history of gestational
diabetes, or family history of diabetes.
Colorectal Cancer(options): Colonoscopy every 10 years;
Fecal occult Blood Testing every 3 years with
sigmoidoscopy every; or annual Fecal Occult Blood
Testing.

MENS HEALTH
Prostate Specific Antigen (PSA): Current evidence does
not recommend routine PSA screening for average risk
men.

WOMENS HEALTH
Mammogram: Every 2 years.
E-Health
A resolution on e-Health standardization and
interoperability notes the importance of standardized,
accurate, timely data and health information to the
functioning of health systems and services, while also
highlighting that the security of this information, and
privacy of personal clinical data, must be protected. Also
noted was evaluation of information and communications
technologies in health interventions
Global Vaccine Action Plan
Member States reiterated their support to the Global
Vaccine Action Plan to prevent millions of deaths by 2020
through more equitable access to vaccines for people in
all communities, and for the proposed Framework for
Monitoring, Evaluation and Accountability (which is linked
to the Commission on Information and Accountability for
Womens and Childrens Health).
Life-Saving Commodities for
Women and Children
The adopted resolution urges Member States to improve
the quality, supply and use of 13 life-saving commodities
for women and children, such as contraceptives,
antibiotics and oral rehydration salts; streamline the
process for their registration; and develop plans to
increase demand and facilitate universal access.
Delegates also noted progress in the follow-up to the
recommendations of the Commission on Information and
Accountability for Womens and Childrens Health and
called on WHO to continue supporting them in the
implementation of these recommendations.
Malaria
Delegates noted the report on progress in
implementation of the resolution on global efforts to
prevent, control and eliminate malaria. Mortality rates
decreased by more than 25% worldwide between 2000
and 2010, but a global funding shortfall threatens to
jeopardize further progress. The report highlights
surveillance challenges in many endemic countries and
notes new WHO-led initiatives to address emerging drug
and insecticide resistance. It also underlines that further
progress can only be made if malaria interventions are
substantially expanded in the 17 most affected countries,
which account for an estimated 80% of malaria cases.
Mental Health Action Plan: 2013-
2020
Major objectives
1. strengthen effective leadership and governance for
mental health.
2. provide comprehensive, integrated and responsive
mental health and social care services in community-
based settings.
3. implement strategies for promotion and prevention in
mental health, and strengthen information systems,
evidence and research for mental health
Non communicable Diseases
(NCDs)
A global action plan for the prevention and control of NCDs
(including heart disease, stroke, diabetes, cancer and chronic
lung diseases) comprises a set of actions. When performed
collectively by Member States, UN organizations and other
international partners, and WHO these actions will set the
world on a new course to achieve nine globally agreed targets
for NCDs including a reduction in premature mortality from
NCDs by 25% in 2025. The action plan also contains a
monitoring framework, including 25 indicators to track
mortality and morbidity; assess progress in addressing risk
factors, and evaluate the implementation of national
strategies and plans.
Poliomyelitis: intensification of
the global eradication initiative
Delegates endorsed the new Polio Eradication and Endgame
Strategic Plan 2013-2018 to secure a lasting polio-free world
and urged for its full implementation and financing. At the
same time, the Assembly received stark warning of the
ongoing risk the disease poses to children everywhere, with
confirmation of a new polio outbreak in the Horn of Africa
(Somalia and Kenya). Noting the generous pledges made to
support polio eradication at the Global Vaccine Summit,
delegates urged donors to rapidly convert these pledges into
contributions. The WHA pointed out that this funding was
critical for accelerated implementation of the Plan, given the
complexity and scale of introducing inactivated polio vaccine
worldwide.
Prevention of avoidable blindness
and visual impairment 20142019
In the resolution Towards universal eye health: a
global action plan 2014-2019 delegates endorsed an
action plan that aims to further improve eye health,
reduce avoidable visual impairment and secure
access to rehabilitation services. The global target is
to reduce the prevalence of avoidable visual
impairment by 25% by 2019.
1. Quality improvement is the
science of process management
The approach they developed to improvement 75
years ago was remarkably simple, yet extraordinary
powerful. Its centered on the fact that quality
improvement is really about process management
2. If you cannot measure it You
cannot improve it.
Meaningful quality improvement must be data-driven
3. Managed care means managing
the processes of care, not
managing physicians and nurses.
Managed care movement was naively thinking that
managing care meant telling physician and nurses what
to do. The reality is that you need to engage clinicians in
the process and they are the best equipped to figure out
how to improved the process of care over time.
4.The right data in the right format
at the right time in the right hand.
If a clinicians are going to manage care, they need the
right data delivered in the right time and in the right
place . And the data has to be delivered into the right
hands- the clinicians involved in operating and
improving any given process of care.
5. Engaging the smart cogs of
healthcare

smart cogs they are the frontline workers who

understand and own the process of care.
Health Impact assessment
Promoting health across of activity.
Economic sectors such as transport, agriculture and housing
have profound impacts on health. For instance, transport is
a major factor in traffic injuries, air pollution and noise. But
healthy transport policies can help reduce these risk, as
well as promoting walking and cycling. In agriculture,
fertilizers and pesticides may boost crop yields . But wise
use is important to protect farm workers and consumers
excessive chemical expose.
Care-enhancement qualities
2008 circle of care

RESPECT DIGNITY COMPASION CHOICE

COMPETENCE HONNESTY SAFETY
EMPATHY PATIENCE KNOWLEDGE WARMTH
HEARTH FLEXIBILLITY PRIVACY
 TAKE HEART
PHYSICAL SELF- CARE
EMOTIONAL SELF-
CARE
DONT LOSE HEART