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For Our Providers | Clinical Practice Guidelines

DC Chartered Health Plan is committed to partnering with our network practitioners and providers to provide quality medical care and customer service. Chartered Health Plan reviews and updates clinical practice guidelines annually.

The guidelines meet the following criteria:

1.
Evidence based, as the guidelines are adopted from recognized professional organizations or involve clinical practitioners from the appropriate specialties when guidelines are developed that are not from recognized professional sources.
2. Relevant to the beneficiaries of DC Chartered Health Plan.
3.
Adopted in consultation with network health care professionals who treat populations with illnesses or diseases covered in the guidelines

All guidelines were reviewed and approved by members of the Quality Management
Committee. Upon request, the complete guidelines are available for review and use by
the practitioner network. Should you need the guidelines in hard copy, please contact the
Sr. Director for Quality Improvement Activities at 202-326-8983.

With the goal of reducing/eliminating health disparities and improving health outcomes
within the member population of the Health Plan, it is imperative to encompass care
standards that ensure the appropriate course of action and/or interventions and improve
the quality of clinical care as well as maintain compliance with prudent practice
measures.

The following guidelines are posted in PDF format in full content for use and review:

Guideline Source/Development
Asthma
click here to download
National Asthma Education and Prevention Program, Expert Panel Report 2, National Institute of Health, National Heart, Lung and Blood Institute.
NIH Publication; No 97-4051, July 1997.
Attention Deficit/Hyperactivity Disorder
click here to download
American Academy of Pediatrics,
Subcommittee on Attention Deficit/
Hyperactivity Disorder, Committee
On Quality Improvement,
Pediatrics, Vol. 108, No 4, Oct.2001
Pg. 1033-1044
Depression Management Tool Kit
click here to download

MacArthur Initiative on Depression and
Primary Care at Dartmouth & Duke, v 1.3,
June, 2004

Diabetes
click here to download

Standards of Medical Care in Diabetes, 2007
American Diabetes Association

Hypertension
click here to download

The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. National Institutes of Health, National Heart, Lung and Blood Institute.
NIH Publication No. 04-5230, August 2004.

Childhood Immunization Guidelines /
Childhood and Adolescent Immunization
Schedule Delayed Immunizations
click here to download

Advisory Committee Immunization Practices. The American Academy of Pediatrics and The American Academy of Family Physicians. December 2006

Prenatal/PostPartum/High Risk Management
click here to download

Routine Prenatal Care
click here to download

Bloomington (MN): Institute for Clinical
Systems Improvement (ICSI); 2005, Aug.
80p; Perinatal Care, American Academy of
Pediatrics and the American College of
Obstetrics and Gynecologist, 5th edition

 

Note: The entire prenatal care guideline is cited on the website, however, Chartered Health Plan advocates the Prenatal/PostPartum/Risk Stratification Guideline-At-A-Glance as the core standard of care.

The Guide to Clinical Preventive                    Agency for Healthcare Research and Quality
Services: 2006
Recommendations of the U.S.
Preventive Services Task Force

Additional guidelines are available upon request for the following medical conditions:

Chronic Renal Disease
click here to download
HIV Disease
click here to download
Congestive Heart Failure
click here to download
Otitis Media
click here to download
Coronary Artery Disease
click here to download
Obesity
click here to download
Hyperlipidemia
click here to download
Sickle Cell Disease
click here to download

Summary information for select clinical guidelines are available on the website. This material is for Informational purposes only. As these guidelines are neither comprehensive nor are they intended to serve as a substitute for individualized practitioners’ clinical judgment and decision-making in the care of the members. All care-related decisions are the sole responsibility of each practitioner.

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