WPS Health Insurance

Clinical Practice Guidelines

Dear Colleagues:

Clinical practice guidelines offer providers consistent and appropriate guidance for prevention, diagnosis and treatment of specific conditions or diseases. Clinical guidelines are evidence based, reflect the current literature and research about treatment protocols, and reflect best practices.

The clinical guidelines we have chosen here present an opportunity to significantly reduce variation in the clinical setting and provide part of a framework necessary for measuring and improving the quality of care.

We view all caregivers as active participants in the monitoring and feedback of the effectiveness of these guidelines and welcome provider feedback and suggestions.


Sincerely,

Michael Ostrov MD MS
Chief Medical Officer
WPS Health Solutions

Topic Guideline Source
Preventive Care For All Ages
Includes:
children up to 24 months;
children 2-19;
adults 20-64;
adults 65 and older) and perinatal care guidelines
Summary of Recommendations for Clinical Preventive Services
American Academy of Family Practice (AAFP)
U.S. Preventive Services Task Force (USPSTF) A and B recommendations - all ages

CDC Immunization Schedules:
Children 0-18 years
Catch up schedule for infants and children
Adults
CDC Vaccine Information Statements (VIS)

AAFP
USPSTF
CDC

 

Adult Depression In Primary Cares Major Depression in Adults in Primary Care
Common Mental Health Disorders: Identification and Pathways to Care
Institute for Clinical Systems Improvement Health Care Guideline (ICSI)
NICE Clinical Guideline CG123
Asthma Diagnosis and Management of Asthma
Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (Landmark Report)

ICSI

NHLBI/NIH

ADHD-Pediatric Diagnosis, Evaluation, and Treatment of Attention Deficit Hyperactivity Disorder in Children and Adolescents
and Supplement:
Implementing the Key Action Statements: An Algorithm and Explanation for Process of Care for the Evaluation, Diagnosis, Treatment, and Monitoring of ADHD in Children and Adolescents

AAP
(ICSI Endorsed Guideline)

Chronic Heart Failure in Adults Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults
Heart Failure in Adults Guideline

ACC/AHA

ICSI

COPD Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease
Diagnosis and Management of Chronic Obstructive Pulmonary Disease-includes clinical algorithm

ACP

ICSI Endorsed VA/ DoD Clinical Practice Guidelines

Controlling Blood Pressure 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)

NIHLB/NIH
(ICSI Endorsed JNC 8)

 

Coronary and Other Atherosclerotic Vascular Disease (CAD) Secondary Prevention for Patients with Coronary and Other Atherosclerotic Vascular Disease

ACC/AHA
(ICSI Endorsed JNC 8)

Diabetes Diabetes Mellitus in Adults

American Diabetes Assoc.

Diagnosis and Treatment  of Low Back Pain Diagnosis and Treatment of Low Back Pain (Landmark Guideline)

ACP & American Pain Society

Prenatal Care American Academy of Family Practice Update on Prenatal Care AAFP