Bright Futures at Georgetown University

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   I. Overview

       • EPSDT Program
       • HealthCheck Program
    Goals & Requirements
    Participants & Providers
    Services
    Coordination & Outreach
       • Review



   II. Health Supervision

       • Introduction
    Screens & Timing
    Requirements
    Review
       • Health History
    Introduction
    Initial
    Interval
    Specific Visits
    Review
       • Physical Examination
    Introduction
    Comprehensive Exam
    Growth Assessment
    Specific Visits
    Review
       • Screening Services
    Introduction
    Nutritional
    Vision
    Speech & Language
    Hearing
    Developmental
    Review
       • Laboratory Tests
    Introduction
    Metabolic
    Sickle Cell
    Lead
    Anemia
    Urinalysis
    Cholesterol
    Tuberculosis
    STDs & Pregnancy
    Review
       • Immunizations
    Introduction
    Immunization Schedule
    Vaccines Program
    Documentation
    Precautions & Exceptions
    Review
       • Health Education/
         Anticipatory Guidance

    Introduction
    Working with Families
    Working with Teens
    Pregnancy Prevention
    HIV Prevention
    Specific Visits
    Review




   III. Special Health Issues

       • Introduction
       • Dental Health
       • HIV Guidelines
       • Child Abuse & Neglect
       • Reducing Language          Barriers
       • Using Interpreters
       • Review



   IV. Documentation

       • Guidelines
       • SMRFs
       • HealthCheck Reporting
       • Billing Procedures
       • Review


At-a-Glance Resources


HealthCheck SMRFs HealthCheck Periodicity HealthCheck Manual HIPAA Codes

 

II. Health Supervision

Laboratory Tests: Urinalysis

Urinalysis can help identify abnormalities such as glucose, protein, red and white blood cells, and bacteria in the urine. Urinalysis is also a preliminary screening tool for detecting the presence of gonorrhea or chlamydia in asymptomatic teens.

Periodicity and Guidelines for Urinalysis Screening

HealthCheck requires urinalysis screening at key developmental ages:

Childhood:

  • Perform urinalysis once between ages 3 and 5 years.

Adolescence:

  • Perform urinalysis once between ages 11 and 20 years, with preference at 16 years.
  • Perform urinalysis screening for all sexually active males and females.
  • Use dipstick leukocyte esterase test to determine the presence of gonorrhea and/or chlamydia.
  • If test is positive, evaluate for urethritis in males. Screen and treat for STDs as indicated. (See Screening for Sexually Transmitted Diseases.)
  • Provide STD prevention counseling for all sexually active teens.

 

 

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