Measure Status: Active
Evidence Level: There is limited research in the evidence base for this NPM to support this strategy.
Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Public health services and systems level of pyramid
Essential Public Health Services: 7. Assure effective and equitable health systems
Service Recipient: Activities related to systems-building
Goal: Increase the percentage of adolescents ages 10 - 17 years receiving a well-visit by 2% annually, for the next five years.
Numerator: Number of adolescents ages 10 - 17 years with a wellness check-up passport.
Denominator: Total number of adolescents 10 - 17 years I the reporting year.
Significance: Adolescence is a period of major physical, psychological, and social development. As adolescents move from childhood to adulthood, they assume individual responsibility for health habits, and those who have chronic health problems take on a greater role in managing those conditions. Initiation of risky behaviors is a critical health issue during adolescence, as adolescents try on adult roles and behaviors. Risky behaviors often initiated in adolescence include unsafe sexual activity, unsafe driving, and use of substances, including tobacco, alcohol, and illegal drugs.
Receiving health care services, including annual adolescent preventive well visits, helps adolescents adopt or maintain healthy habits and behaviors, avoid health-damaging behaviors, manage chronic conditions, and prevent disease. Receipt of services can help prepare adolescents to manage their health and health care as adults.
The Bright Futures guidelines recommend that adolescents have an annual checkup starting at age 11. The visit should cover a comprehensive set of preventive services, such as a physical examination, discussion of health-related behaviors, and immunizations. It recommends that the annual checkup include discussion of several health, related topics, including healthy eating, physical activity, substance use, sexual behavior, violence, and motor vehicle safety.
Establishing an adolescent well-visit passport to include weight management, reproductive health and behavioral health screening and counseling, based on Bright Futures.
Data Sources and Data Issues: UDS
Unit Type: Percentage, Unit Number: 100