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The updated ASaP Screening Maneuvers Menu for Adults reflects new evidence and changes to recommendations while continuing to balance impact and practicality in primary care settings. Download the 2017 Menu. Download our reference list.
Every year the ASaP maneuver menu is reviewed and updated by the ASaP Scientific Advisory Committee. Changes to the maneuver menu reflect emerging evidence and/or improvements in screening.
NOTE: Hyperlinks and documents on the TOP website may not always be updated immediately to reflect the most recent ASaP Maneuver Menu. Always use and refer to the latest maneuver menu found here.
What's changed?
Initiate cardiovascular risk and lipid profile screening starting at age 40 for both women and men.
Why the change?
While the evidence continues to suggest that screening women before the age of 50 is unlikely to identify women at elevated risk of CVD when other risks factors (e.g., diabetes) are not readily apparent; from a logistical/practical point of view, the new Canadian Cardiovascular Society Guideline and the ASaP Scientific Advisory Committee were of the opinion that harmonizing the age range to 40-74 for both men and women would:
1) Avoid confusion and questions from AB physicians about differences in ages in the different guidelines and ASaP
2) Permit simplicity in the screening process (i.e., starting men and women at the same age).
NOTE: The Toward Optimized Practice Prevention and Management of Cardiovascular Disease Risk in Primary Care Clinical Practice Guideline has also been modified accordingly.
How to implement the change:
Practice changes begin now (October 2017). Chart review changes begin April 1, 2018. This gives practices time to start implementing the changed screening maneuver.
The Alberta Screening and Prevention (ASaP) program is now in its 5th year of operation. The efforts of primary care teams are paying off, with results showing the impact of continuous quality improvement on patient care. For more information on the ASaP program, please contact asap@topalbertadoctors.org.
TOP is pleased to continue our partnership with Primary Care Networks (PCNs) to engage primary care providers and clinic teams in screening and preventative improvement work as part of their Patient's Medical Home transformations.
The focus of ASaP is to support physicians, nurse practitioners and clinic teams to offer a screening and prevention bundle to all their patients through enhanced opportunistic and planned outreach methods (targeting patients who do not present for screening care).
Please review the following resources for more detailed information about ASaP:
To begin, establishing panel identification and maintenance processes will be the first step for many teams. Learn more about our approach for all our clinical quality improvement programs | Learn More |
Specific questions about ASaP or expressions of interest may be directed to Mark Watt - TOP Program Delivery Lead via email - top@topalbertadoctors.org or phone 780.482.0319 (toll free 1.866.505.3302).