1. Instructions for making a CLIPS Card:PREVENTION
Use this 2 slide Powerpoint template following this intro slide to create the 2-sided CLIP session card you are working on.
Remove this slide and the finished product with 2 slides (front and back) to Cristina at
Name the presentation “CLIPS TOPIC NAME YEAR MADE”
e.g. “CLIPS LIPID SCREENING 2015”
Each card should take about 15 minutes to present/ask/discuss.
Try wherever possible to include the name of the organization that makes the screening recommendation, NNT for screening
Include information about important safety net programs where relevant: FPACT, CDP, BCCCP/BCCTP, low cost pharmacy programs, community resources, common barriers

2. Screening for Lipid Disorders (1)
C.L.I.P.S.
Why do we screen?
Treatment of HLD with statins reduces the risk of heart attack and
stroke, absolute risk reduction depends on the level of risk at start
Primary Prevention (those with no known CVD)
Women >45 (A) Women with risk factors (B)
Men >35 (A) Men with risk factors (B)
Risk Factors include: HTN, Obesity, Tobacco, FHx, DM
Interval for screening: q 5 years, sooner if high/borderline results
Age to stop screening: not established, over 65: consider if never screened, other risk factors present(see above)
Who makes these recommendation? USPSTF 2008
How do we screen
ICD code has to be a condition or risk factor not V code
In eCW, order “Lipid panel with reflex to direct LDL” non-fasting
Order a follow up fasting test if TG were significantly elevated
Clinical care tools for point of care
AHRQ ePSS App (USPSTF guidelines)
ASCVD Risk Calculator (Based on 2013 ACC/AHA guidelines)
Algorhythym for treatment by AHA 2013
Consider asking if anyone has/uses these APPS
What is the relative risk reduction of statins for primary prevention of CVD event?
About 30%
(an at-best estimate)
Updated 5/15 T.Scott

3. Screening for Lipid Disorders (2)
C.L.I.P.S.
How do you interpret the results?
LDL-C >190 or TG >500 start high intensity statin all ages
LDL-C with no DM, CAD, ASCVD Risk >7.5% moderate to high intensity statin
This is displayed in the treatment algorhythm (make available)
Put this algorhythm in favorites on the internet
Interventions to reduce risk of CVD event
Smoking cessation
Exercise
Dietary change: healthy oils and fats, fewer refined carbohydrates
High-intensity statins:
Partnership: Atorva 40-80*, Rosuvastatin (STEP)
Target/Walmart: none available at high intensity
SRCHC: none available at high intensity
Moderate-intensity statins:
Partnership: Atorva 10-20*
Target/Walmart: Lova 40
SRCHC: Prava 40,Simva 20-40
Considerations for population management:
PHP:
What high- intensity statin is available through a $4 or low cost program?
none