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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 practitioner's clinical judgment and decision-making in the care of the members. All care-related decisions are the sole responsibility of each practitioner.

* This document is presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or get Accessibility Information for PDF files.

Attention Providers: Click here for New Obstetrical Authorization Form effective 5/1/10

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