2023-10-13 12:05:29
My prevention report is a time for discussion dedicated to health prevention.
Who are the people concerned?
Prevention assessments are intended for all socially insured people at key ages of life, that is to say between:
- 18 and 25 years old;
- 45 and 50 years old;
- 60 and 65 years old;
- 70 and 75 years old.
Prevention reports will be accessible from January 2024.
If you are a healthcare professional in the Hauts-de-France region, you can participate in the pilot program of this system carried out from October 2023 with voluntary social security beneficiaries aged 45 to 50.
This is an exchange on certain priority prevention themes such as the prevention of cardiovascular diseases, vaccination, physical activity, sedentary lifestyle, eating habits, and even addictions. This sequence allows the identification of patient risk factors. You can also address, depending on the needs and desires of the person, questions of mental health, sexual health or even health determinants linked to your patient’s environment (home, workplace, etc.).
This first part can be very quick, in particular thanks to the help of the restitution of the self-questionnaire (completed online by the patient before the assessment). Depending in particular on the person’s age, gender, living/working conditions, the questions vary to best understand the person’s lifestyle habits.
To address one or two priority topics, you can rely on tools and methods that create and reinforce motivation to change habits. The accompanying booklet for professionals offers development on motivational interviewing techniques and brief interventions. An e-learning platform also offers you mini training modules.
The objective is to adopt a caring and partnership stance promoting trust and exchanges to encourage changes in behavior.
At the end of the assessment, you write with the person their Personalized Prevention Plan (PPP) indicating their priority health objectives and concrete actions to implement a change in behavior and lifestyle habits. This personalized prevention plan makes it possible to direct the patient towards a suitable path (direction towards one or more health professionals, online resources, associations in particular sports, etc.). It is then integrated into the shared medical record (DMP) to be transmitted to the attending physician.
In case of suspicion of pathology not monitored or not known, the assessment must be followed by a medical consultation to enable a diagnosis to be established. The doctor will be able to carry out a complete clinical examination and prescribe certain additional tests. This medical consultation may be followed by second-line consultations and/or treatment by other professionals (psychologist, cardiologist, etc.) as part of a coordinated care pathway.
What are the prices and billing terms?
The prevention assessment is paid up to €30 for health professionals authorized to carry it out.
No act may be billed in addition to the prevention assessment, except in the following situations:
- Carrying out a preventive act as part of a public health program: a vaccination act for midwives, pharmacists (RVA code) or nurses (AMI 2.4 or AMI 3.05), a cervical-uterine smear as part of screening for doctors and midwives (code JKHD001) or delivery of the DOCCR kit by the pharmacist;
- Carrying out an act relating to a diagnosis carried out following the prevention assessment: a consultation with clinical examination and prescription of additional examinations for doctors and midwives (G, GS, C, CS – excluding complex consultations and very complex) and electrocardiogram for doctors (DEQP003).
These preventive and diagnostic acts will be covered by health insurance under common law conditions (a single act or consultation among those listed may be billed additionally, per preventive assessment).
Billing for these additional actions should not be systematic and should only be carried out in cases where a need has been identified during the prevention assessment.
For further
To facilitate the appropriation of this new system, various tools are made available to you to support you in carrying out these assessments:
- A support booklet for professionals specifying the progress and content of the prevention assessments, as well as details on the thematic fields;
- Tools to ensure the progress of the balance sheet : risk identification help sheet, personalized prevention plan to complete;
- A webinar presentation of the device;
- An e-learning platform presenting different training and knowledge refresher modules in the field of prevention and motivational interviewing techniques and brief interventions.
Information materials (flyers, brochures) on different prevention themes, to be given to the patient, are also available from Public Health France.
Presentation booklet My prevention report
Self-questionnaire
Help sheet for identifying risks 45-50 years old
Personalized prevention plan (PPP)
Thematic sheets
1697245900
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