Healthcare Glossary


Quality Quest for Health of Illinois

Quest Projects : Preventive Care

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Preventive Care

One of the most important ways to improve our healthcare is to do whatever we can to keep from becoming ill in the first place. Preventive care helps individuals stay healthy, find health problems early when they are most treatable, and maintain a positive quality of life. Unfortunately, studies show that more than half of all Americans do not receive all the preventive services they need. The underuse, overuse and misuse of preventive services can be directly linked to increased health morbidity and mortality.

Patient care in the tri-county area has not been standardized to ensure all patients receive all and only high priority preventive services. Some patients receive more services than are needed; others do not receive services that are known to be effective in preventing illness or diagnosing illness early; and some patients are being provided screening services that are potentially harmful.

Achieving the goal of ensuring patients receive all and only preventive services that are beneficial requires a coordinated effort of the patient and all individuals providing care to the patient who have systems that support their work. Reliance on the individual physician alone to determine which services are effective, including follow-up services that are needed, is not sufficient to provide consistent delivery of these important interventions.

The work of the Preventive Care Team was to develop the processes, tools and other support systems to enhance the effectiveness and efficiency of preventive care provided in central Illinois.


Preventive Care Team

Preventive Care Team

Team Lead: John Halvorsen, MD
Black Belts: Stacey Boland and Phil Baer

Team Members: Lori Brown, RN; Cindy Brubaker, PhD; Amy Christison, MD; Don Crane, MD; Jim Crane, MD; Tony Cutinello, MD; Vicki Keller; Rick Luetkemeyer, MD; Denise McWhorter; John Miller, MD; Roberta Parks; Mary Schultz, MD; David Wellman, PhD




Underuse refers to the failure to provide a health care service when it would have produced a favorable outcome for a patient. Standard examples include failure to provide appropriate preventive services to eligible patients (e.g., Pap smears, flu shots for elderly patients, screening for hypertension) and proven medications for chronic illnesses (steroid inhalers for asthmatics; aspirin, beta-blockers and lipid-lowering agents for patients who have suffered a recent myocardial infarction).
Overuse describes a process of care in circumstances where the potential for harm exceeds the potential for benefit. Prescribing an antibiotic for a viral infection like a cold, for which antibiotics are ineffective, constitutes Overuse. The potential for harm includes adverse reactions to the antibiotics and increases in antibiotic resistance among bacteria in the community. Overuse can also apply to diagnostic tests and surgical procedures.
Misuse occurs when an appropriate process of care has been selected, but a preventable complication occurs and the patient does not receive the full potential benefit of the service. Avoidable complications of surgery or medication use are Misuse problems. A patient who suffers a rash after receiving penicillin for strep throat, despite having a known allergy to that antibiotic, is an example of Misuse. A patient who develops a pneumothorax after an inexperienced operator attempted to insert a subclavian line would represent another example of Misuse.