The document provides guidance on dyslipidemia risk assessment requirements and procedures for Child and Teen Checkups in Minnesota. It outlines that risk assessment is required at certain ages to identify risk factors through family history and measurements, though blood testing is not mandatory. A licensed health care provider should perform and document the risk assessment, and ensure appropriate follow-up and counseling based on the results. Recommendations from the American Academy of Pediatrics and U.S. Preventive Services Task Force are also summarized.
The document provides guidance on dyslipidemia risk assessment requirements and procedures for Child and Teen Checkups in Minnesota. It outlines that risk assessment is required at certain ages to identify risk factors through family history and measurements, though blood testing is not mandatory. A licensed health care provider should perform and document the risk assessment, and ensure appropriate follow-up and counseling based on the results. Recommendations from the American Academy of Pediatrics and U.S. Preventive Services Task Force are also summarized.
The document provides guidance on dyslipidemia risk assessment requirements and procedures for Child and Teen Checkups in Minnesota. It outlines that risk assessment is required at certain ages to identify risk factors through family history and measurements, though blood testing is not mandatory. A licensed health care provider should perform and document the risk assessment, and ensure appropriate follow-up and counseling based on the results. Recommendations from the American Academy of Pediatrics and U.S. Preventive Services Task Force are also summarized.
The document provides guidance on dyslipidemia risk assessment requirements and procedures for Child and Teen Checkups in Minnesota. It outlines that risk assessment is required at certain ages to identify risk factors through family history and measurements, though blood testing is not mandatory. A licensed health care provider should perform and document the risk assessment, and ensure appropriate follow-up and counseling based on the results. Recommendations from the American Academy of Pediatrics and U.S. Preventive Services Task Force are also summarized.
C HI LD A N D T E E N C HECKUPS ( C &TC) F A C T S HE ET F O R P R I M A R Y C A R E P R O V I DE R S
C&TC Requirements Procedure
General Risk Assessment Dyslipidemia risk assessment is required Identify risk factors through personal and during C&TC visits at ages 2, 4, 6, and 8 family health history and physical years and at least once between the ages of measurements (American Academy of 9-11, 12-16, and 17-20 years. Pediatrics, 2011). Include some or all the Dyslipidemia blood testing is not required following factors in the risk assessment: to bill for a complete C&TC visit. Performing ▪ Parent, grandparent, aunt, uncle, or lab testing is up to the provider’s discretion. sibling with myocardial infarction (MI); angina; stroke; or coronary artery bypass graft (CABG), stent, or Personnel angioplasty at younger than 55 years in A licensed health care provider should males and younger than 65 years in review and interpret the risk assessment: females physician, nurse practitioner, physician ▪ Parent with total cholesterol ≥240 assistant, or registered or public health nurse (RN, PHN) who has completed the mg/dL or known dyslipidemia C&TC Comprehensive Screening training ▪ Patient has diabetes, hypertension, or through the Minnesota Department of body mass index (BMI) ≥95th percentile Health (MDH). or smokes cigarettes ▪ Patient has a medical condition that Documentation places them at moderate or high risk for dyslipidemia Document the dyslipidemia risk assessment along with appropriate counseling and follow-up. Laboratory Testing and For documentation examples, refer to the Management C&TC Provider Documentation Forms Ensure appropriate counseling and follow- (mn.gov/dhs). up based on the results of the risk assessment. Refer to the Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents (ncbi.nlm.nih.gov) for guidance on laboratory testing and management. 1 D Y S L IP I DE MIA R I S K A SSE SS MEN T C & T C F A CT S H EE T
More Information Resources
C&TC guidelines for dyslipidemia risk assessment follow Bright Futures Minnesota Department of recommendations but differ regarding Human Services universal dyslipidemia blood testing. ▪ C&TC Schedule of Age-Related Screening Standards (dhs.state.mn.us) Anticipatory Guidance ▪ Minnesota Health Care Programs There is strong evidence that good nutrition (MHCP) Provider Manual - C&TC Section starting at birth may decrease the future (dhs.state.mn.us) risk of cardiovascular disease. Breastfeeding provides sustained cardiovascular benefits (American Academy of Pediatrics, 2011). Minnesota Department of For children and young people two years of Health age and older, counsel using the Toolkit for ▪ Child and Teen Checkups (C&TC) Professionals (health.gov). (www.health.state.mn.us) Let’s Go! (mainehealth.org) has nutrition and physical activity counseling tools. Centers for Disease Control and Prevention Professional ▪ Prevent Heart Disease (cdc.gov) Recommendations References American Academy of Pediatrics American Academy of Pediatrics. (2011). Expert Panel on Perform a risk assessment for dyslipidemia Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report. at two, four, six, and eight years and Pediatrics, 128(supplement 5), 213-256. between 12 and 16 years. Perform universal doi:10.1542/peds.2009-2107C lipid screening using the non-fasting, non- United States Preventive Services Task Force. (2016). HDL total cholesterol once between nine Screening for Lipid Disorders in Children and Adolescents: US Preventive Services Task Force Statement. JAMA, and 11 years and between 17 and 21 years 316(6), 625-633. doi:10.1001/jama.2016.9852 (American Academy of Pediatrics, 2011).
U.S. Preventive Services Task
For More Information The Child and Teen Checkups (C&TC) program is Force administered through a partnership between the Minnesota Department of Human Services and the “Current evidence is insufficient to assess Minnesota Department of Health. the balance of benefits and harms of For questions about this fact sheet or to obtain this screening for lipid disorders in children and information in a different format, call 651-201-3650 or adolescents 20 years or younger” (United email [email protected]. States Preventive Services Task Force, Revised 03/2023 2016).
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