Electronic Preventive Services Selector (ePSS)
U.S. Department of Health and Human Services
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Instructions for Use

Overview

This Web site enables you, the user, to look up U.S. Preventive Services Task Force (USPSTF) recommendations. You can view all of the recommendations or search the database using specific information: age, sex, pregnancy status, tobacco use and sexual activity. Information is entered into the Web site using the search screen. You can filter recommendations based on the grade of the recommendation (e.g. show only A recommendations). If you choose to display all the recommendations, recommendations will be grouped into three categories: Recommended; Not Recommended; and Uncertain Recommendations with grades of A and B will be grouped under Recommended; D recommendations under Not Recommended; and C and I recommendations under Uncertain.

Before you start to use this Web site, the popup blockers on your browser must be turned off.


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On the "Search for Recommendations" screen, all fields are optional.

Search for Recommendations Screen Figure 1: Search for Recommendations Screen

For a targeted search based on age, sex and other factors, use the following steps

  1. Enter age.
  2. Select sex by clicking Female or Male.
  3. If Female is selected, indicate pregnancy status in the check box.
  4. Indicate Tobacco User by clicking Yes or No.
  5. Indicate Sexually Active by clicking Yes or No.
  6. Click on the Show Recommendations to produce search results.
  7. Click on Reset to clear search criteria and start a new search.


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The entered information will appear at the top of screen as a reference to the search criteria. The screen will display a list of all the recommendations matching the criteria entered with the results grouped into three tables: Recommended, Not Recommended and Uncertain.

Search Results Screen Figure 2: Search Results Screen

Each table contains four columns. The first column displays the recommendation's grade (A, B, C, D and I). The second column displays the recommendation's title. The third column indicates the existence of high-risk groups. A pop-up window of the high-risk groups can be accessed by clicking on the Group Icon icon. The last column allows you to view more detailed information about the recommendation by clicking on the Detail Icon icon.

Risk Information Pop-up Screen Figure 3: Risk Information Screen

Search results can also be grouped by grade using the five tabs at the top of the results list. By clicking on the grade tab, only recommendations with the corresponding grade will be displayed.

If risk information exists, the Risk Information Icon icon will appear in the third column. By clicking on the icon, you can open a dialog box displaying this information.


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Recommendation Details

After clicking on the Recommendation Detail Icon icon on the recommendation list, you will see a recommendation screen. The title of the recommendation appears at the top of this screen. The title of the specific recommendation is displayed under the recommendation title.

Recommendation Details Screen Figure 4: Recommendation Details Screen

Five tabs appear at the top of this screen: General (default), Rationale, Clinical Considerations, Others, and Tools. The General tab contains the grade, specific recommendation, frequency of service (if available) and risk information (if available). Click on Tools to display a list of tools to be used with this recommendation.

The Previous and Next buttons take you to the previous or next recommendations from the search results. If the recommendation is the first item in the search results, the Previous button will not be available. Similarly, if the current recommendation is the last item in the search results, the "Next" button will not be available. Click on View All to see the complete search results. New Search will take you back to the Search for Recommendation screen.


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Browse by Topics

Topic List

Click the link Browse by Topic on the left navigation panel to display the full list of topics. At the top of this page are four tabs: View All, Counseling, Preventive Medication and Screening. View All displays a list of all topics in the USPSTF database. The other tabs display topics by selected categories. For example, click on the tab Counseling for a list of all counseling topics.

Click on a topic in the list for more details about the topic.

Topic List Screen Figure 5: Topic List Screen
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Topic Details

After clicking on a topic in the list, the topic detail screen will be displayed. At the top of this screen are four tabs: Recommendations, Clinical Considerations, Rationale and Tools. Click on Recommendations for a list of all recommendations related to the topic along with their grades.

Topic Details Screen Figure 6: Topic Details Screen


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Browse by Grades

Recommendations List

Click the link Browse by Grades on the left navigation panel to display the full list of recommendations. Each table contains four columns. The first column displays the recommendation's grade (A, B, C, D and I). The second column displays the recommendation's title. The third column indicates the existence of high-risk groups. A pop-up window of the high-risk groups can be accessed by clicking on the Group Icon icon. The last column allows you to view more detailed information about the recommendation by clicking on the Detail Icon icon.

Browse by Grades Screen Figure 7: Browse by Grades Screen
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Agency for Healthcare Research and Quality - Advancing Excellence in Health Care