Clinical Guidelines

The Care Support Program takes a proactive approach in the identification and management of chronic illnesses. Contact is made with all members who have a condition managed through our program. Depending on the member's stratification level, contact may be either a mailing or a phone call from a licensed healthcare professional.

Our goal is to help members better manage their conditions, consistent with their physicians' instructions. We respect the patient/physician relationship; as always, treatment decisions remain between you and your patients.

Evidence-based clinical guidelines are the basis for all of our programs. Guidelines selected are developed by professional organizations and national guideline clearinghouses are searched annually to ensure the most relevant and current guidelines are used for our programs. We want physicians and other health care professionals to have access to the guidelines used to support our program; therefore, listed below are several of the actual evidence-based clinical practice guidelines used in our program development. Links are navigational tools only. Please read the Legal Terms & Conditions regarding links to other Web sites.

Asthma
  National Heart, Lung & Blood Institute of the National Institutes of Health. Click Education, then refer to the Clinical Practice Guidelines section and select Guidelines for the Diagnosis and Treatment of Asthma. This site also contains additional information for asthma management.

American Lung Association
  American Lung Association. Click on the Asthma tab for guidelines related to the evaluation and management of asthma, clinical research and additional information for health professionals.

Chronic Kidney Disease
  Kidney Disease Outcome Quality Initiative. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification.

Chronic Obstructive Pulmonary Disease
  Initiative for Chronic Obstructive Lung Disease (GOLD), World Health Organization (WHO) and National Heart, Lung and Blood Institute (NHLBI). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease.

Congestive Heart Failure
  Guidelines for Evaluation and Management of Heart Failure from the American Heart Association. Click Science and Professionals, AHA Scientific Statements, then the guideline. 

Coronary Artery Disease
  American College of Physicians. Primary care management of chronic stable angina and asymptomatic suspected or known coronary artery disease.

Crohn's Disease
  American Gastroenterological Association medical position statement: Crohn’s disease

Depression
  American Psychiatric Association. Practice guideline for the treatment of patients with major depressive disorder.

Diabetes
  American Diabetes Association (ADA). Standards of medical care in diabetes.

High Risk Maternity
 

American College of Obstetrics and Gynecologists.
Antepartum fetal surveillance.
Management of preterm labor.
Diagnosis and management of preeclampsia.

HIV/AIDS
  HIV Medicine Association of the Infectious Diseases Society of America. Primary care guidelines for the management of persons infected with human immunodeficiency virus

Low Back Pain
  Institute for Clinical Systems Improvement (ICSI). Adult low back pain. 

Multiple Sclerosis
 

National Institute for Clinical Excellence. Multiple Sclerosis: National clinical guideline for diagnosis and management in primary and secondary care.

Specialized Wound
  American Medical Directors Association. Pressure ulcer therapy companion. Wound, Ostomy and Continence Nurses Society (WOCN). Guideline for prevention and management of pressure ulcers.