Programs, USPSTF & Medicare

35 vocabulary flashcards based on lecture notes regarding community long-term care models, 4Ms framework, USPSTF preventive screening grades, and Medicare coverage rules.

Green House Model

A small, home-like long-term-care model emphasizing autonomy, relationships, resident choice, and continuing clinical care.

Green House Model Features

A long-term care setup typically accommodating about 10-12 residents, featuring private rooms/baths and shared living/cooking spaces.

Green House Model History

The first homes under this model opened in Tupelo, Mississippi, in 2003.

Chronic Disease Self-Management Program

A six-week workshop that builds practical self-management skills alongside medical treatment.

Project Enhance

A community program that includes EnhanceFitness and EnhanceWellness.

Age-Friendly Health Systems 4Ms: What Matters

Knowing and aligning care with the older adult’s specific goals and care preferences.

Age-Friendly Health Systems 4Ms: Medication

Using medications that do not interfere with what matters, mentation, or mobility, to reduce harm.

Age-Friendly Health Systems 4Ms: Mentation

Preventing, identifying, treating, and managing dementia, depression, and delirium.

Age-Friendly Health Systems 4Ms: Mobility

Supporting safe movement every day to maintain function and do what matters.

Approved Intensive Cardiac Rehabilitation Programs

Specific Medicare-approved programs, such as Ornish and Benson-Henry, eligible for reimbursement.

AHRQ ECHO National Nursing Home COVID-19 Action Network

A historical nursing-home infection-prevention training initiative that concluded in 2021.

USPSTF Grade A

Service recommendation indicating high certainty of substantial net benefit; recommended to offer.

USPSTF Grade B

Service recommendation indicating moderate certainty of moderate/substantial benefit or high certainty of moderate benefit; recommended to offer.

USPSTF Grade C

Service recommendation to selectively offer based on individual circumstances due to a smaller net benefit.

USPSTF Grade D

Service recommendation indicating recommendation against the service.

USPSTF Grade I Statement

Statement indicating that current evidence is insufficient to determine the balance of benefits and harms.

Tobacco Screening (USPSTF)

Grade A recommendation to ask adults about use, advise cessation, and offer indicated interventions.

Hypertension Screening (USPSTF)

Grade A recommendation to screen adults without known hypertension and confirm outside the office before treatment.

Colorectal Cancer Screening: Ages 50-75 (USPSTF)

Grade A recommendation for screening adults aged 50 to 75, with colonoscopy being one of several options.

Colorectal Cancer Screening: Ages 45-49 (USPSTF)

Grade B recommendation for screening adults in the 45 to 49 age range.

Depression Screening (USPSTF)

Grade B recommendation for routine screening of depression in adults.

Unhealthy Alcohol Use Screening (USPSTF)

Grade B recommendation to screen adults and offer brief counseling when indicated.

Cognitive Impairment Screening (USPSTF)

Grade I statement regarding routine screening of asymptomatic community-dwelling adults aged 65 and older.

Asymptomatic Carotid Stenosis Screening (USPSTF)

Grade D recommendation advising against general-population screening.

Aspirin Primary Prevention: Age 60+ (USPSTF)

Grade D recommendation stating adults aged 60 and older should NOT be initiated on aspirin for primary prevention.

Aspirin Primary Prevention: Ages 40-59 (USPSTF)

Grade C recommendation designating initiation as an individual decision for adults aged 40 to 59 at elevated risk.

Lipid Values Screening Guidance

Guidance specifying that lipid values should be used with overall cardiovascular risk, rather than using archived stand-alone screening grades.

Core Rule for Clinical Screening

Screening applies strictly to people without symptoms; a reported symptom or change requires clinical evaluation, not routine screening.

September 2026 Class Guide Exam Priority Rule

Guideline specifying that class guide study recommendations take precedence over older PowerPoint tables when conflicts occur.

Welcome to Medicare Preventive Visit

A one-time initial preventive service provided by Medicare that is distinct from a routine comprehensive physical exam.

Annual Wellness Visit

A yearly preventive planning and risk review benefit, distinct from a treatment visit for a new or active problem.

Covered Prevention: Tobacco Counseling

A preventive service covered under Medicare for eligible beneficiaries.

Covered Prevention: Depression Screening

A covered Medicare preventive service available when appropriate follow-up access is provided.

Covered Prevention: Alcohol Screening & Counseling

A Medicare preventive service offering annual alcohol screening with up to four brief counseling sessions when eligible.

Covered Preventive Services Cost Sharing

Many covered preventive services carry no patient cost when the provider accepts assignment, though follow-up treatment or extra services can incur costs.