Health Care Links
Clinical Practice Guidelines
Çï¿ûapp approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are identified through member review of member population demographics and state/national priorities. Review occurs every two years by our Provider Advisory Committee and CPGs are updated as necessary.
The use of these guidelines allows Çï¿ûapp to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market Çï¿ûapp Provider Advisory Committee (PAC). The Çï¿ûapp Enterprise PAC also approves the guidelines and the Quality Enterprise Committee (QEC) notified of guideline approval. Topics for guidelines are identified through the analysis of member populations demographics and national or state priorities. Guidelines may include, but are not limited to:
- Behavioral health (e.g., depression)
- Adult health (e.g., hypertension and diabetes)
- Population health (e.g., obesity and tobacco cessation)
Guidelines may be promoted to providers through one or more of the following: newsletters, our website, direct mailings, provider manual, and through focused meetings with Çï¿ûapp Provider Engagement Specialists. A broad range of wellness, preventive health and chronic disease management tools are also available on the Çï¿ûapp member website, newsletters or upon request.
If you would like more information on Çï¿ûapp quality improvement, please call Provider Services.
Clinical Practice Guidelines
Health Condition | Clinical Guideline |
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Asthma |
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Blood Cholesterol | The American Heart Association, American College of Cardiology, American Association of Cardiovascular & Pulmonary Rehabilitation, American Academy of Physician Assistants, Association of Black Cardiologists, American College of Preventive Medicine, et al. The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
Chronic Obstructive Pulmonary Disease (COPD) | Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) |
Coronary Artery Disease | American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
Dental Health | The American Dental Association (ADA) ADA is a registered trademark of the American Dental Association and ADA.org is a service mark of the American Dental Association. Links may be made to ADA.org provided the links do not use trademarks or service marks of the American Dental Association or its affiliated entities. |
Diabetes | American Diabetes Association |
Geriatric Medicine | American Academy of Family Physicians (AAFP) |
Heart Failure | |
HIV/AIDS | Centers for Disease Control and Prevention CDC.gov is your online source for credible health information and is the official web site of the Centers for Disease Control and Prevention (CDC) |
Hepatitis C Virus |
Hepatitis C Virus Infection Care Pathway A Report from the American Gastroenterological Association Institute HCV Care Pathway Work Group |
Hypertension | American Heart Association The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. |
Infant Mortality | Centers for Disease Control & Prevention |
Kidney Disease |
2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease Kidney Disease Outcomes Quality Initiative (KDOQI)
U.S. Commentary on the 2012 Kidney Disease: Improving Global Initiatives (KDIGO) Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (CKD) |
Lead Toxicity | The American Academy of Pediatrics, Council on Environmental Health The mission of the American Academy of Pediatrics is to attain optimal physical, mental and social health and well-being for all infants, children, adolescents and young adults. |
Interpregnancy Care |
Obstetric Care Consensus, Interpregnancy Care The American College of Obstetricians and Gynecologists The American College of Obstetricians and Gynecologists is a membership organization dedicated to the advancement of women’s health care through continuing medical education, research and practice. |
Maternal Care |
Obstetric Care Consensus, Levels of Maternal Care The American College of Obstetricians and Gynecologists |
Maternal Health |
Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities The American College of Obstetricians and Gynecologists, ACOG Committee Opinion |
Postpartum Care |
ACOG Committee Opinion, Optimizing Postpartum Care The American College of Obstetrics and Gynecologists The American College of Obstetrics and Gynecologists |
Sickle Cell Disease | National Heart, Lung and Blood Institute (NHLBI) |
Sickle Cell Disease: Pediatric | American Academy of Pediatrics |
Preventive Health Guidelines
Health Condition | Clinical Guideline |
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0-18 Years of Age Immunization Schedule | Centers for Disease Control and Prevention |
≥ 19 Years of Age Immunization Schedule | Centers for Disease Control and Prevention |
Periodicity Schedule | American Academy of Pediatrics |
Recommendations for Preventive Pediatric Care: 0-21 Years of Age | American Academy of Pediatrics |
USPSTF: A & B Recommendations | U.S. Preventive Services Task Force |
Vision Screening (Adult) |
Comprehensive Adult Eye & Vision Examination American Optometric Association |
Vision Screening (Pediatric) |
Comprehensive Pediatric Eye and Vision Examination American Optometric Association |
Other Health Resources
Health Condition | Clinical Guideline |
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ADHD: Pediatrics | Centers for Disease Control and Prevention |
Cancer Care | The National Comprehensive Cancer Network® (NCCN®), a not-for-profit alliance of 27 of the world’s leading cancer centers devoted to patient care, research, and education, is dedicated to improving the quality, effectiveness, and efficiency of cancer care so that patients can live better lives. |
Cardiovascular Health and Risk Reduction in Children & Adolescents | National Heart, Lung & Blood Institute |
Contraceptive Use: U.S. Medical Eligibility Criteria | Centers for Disease Control and Prevention |
DiabetesPro® | |
Domestic Violence | Centers for Disease Control & Prevention |
Infant Mortality | National Center for Health Statistics |
LactMed® Drugs & Lactation Database | National Library of Medicine |
Maternal Mortality | Centers for Disease Control and Prevention |
MedlinePlus® | U.S. National Library of Medicine MedlinePlus directs you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. MedlinePlus also contains extensive information about drugs and supplements, an illustrated medical encyclopedia, the latest health news, and surgery videos. |
Preconception & Prenatal Care | Eunice Kennedy Shriver National Institute of Child & Human Development |
Pregnancy: Safer Medication Use | Centers for Disease Control and Prevention |
Behavioral Health Guidelines
Health Condition | Clinical Guideline |
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ADHD | American Academy of Pediatrics |
Autism | American Academy of Pediatrics |
Dementia | Alzheimer’s Association The Alzheimer’s Association is not responsible for information or advice provided by others, including information or advice provided by others, including information on websites that link to Association sites and on third party sites to which the Association links. Please direct any questions to weblink@alz.org |
Depression | Veteran’s Affairs/Department of Defense Clinical Practice Guidelines |
Depression Adolescent | |
Opioid Use Disorder | The American Society of Addiction Medicine |
Behavioral Health Resources
Health Condition | Clinical Guideline |
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Depression Screening Tool: PHQ-9 | |
Depression Screening Tool: PHQ-9 (Spanish) | |
Depression Screening Tool: Pregnancy/Postpartum |
Edinburgh Postnatal Depression Scale The 10-question Edinburgh Postnatal Depression Scale (EPDS) is a valuable and efficient way of identifying patients at risk for “perinatal” depression. |
Opioid Tool Kit | Opioid Tool Kit |
Mental Health and Substance Use Disorders Practitioner Training
Source | Practitioner Training Description |
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SAMHSA – Substance Abuse and Mental Health Services Administration | SAMHSA’s practitioner training offers tools, training, and technical assistance to practitioners in the fields of mental health and substance use disorders. |
MHFA – Mental Health First Aid |