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Clinical Care Guidelines

Health Partners Plans’ Quality Management department develops and monitors systems that support our commitment to providing quality care and services to our members. This includes evaluating our performance based on clinical standards. We encourage our participating providers to take an active role in the ongoing management of member care, particularly members with chronic conditions.

Condition

Reference

Clinical Evidence

ADHD

Institute for Clinical Systems Improvement

ADHD Diagnosis of Attention Deficit Hyperactivity Disorder in Primary Care for School Age Children and Adolescents (2014)

Adult Well Care

Institute for Clinical Systems Improvement

Preventive Services for Adults (2014)

Asthma

National Heart, Lung and Blood Institute

Guidelines for the Diagnosis and Management of Asthma (Expert Panel Report 3 / EPR3)

Breast Cancer Screening American Cancer Society Breast Cancer Screening Guide (2015)
Child and Adolescent Well Care Institute for Clinical Systems Improvement Preventive Services for Children and Adolescents (2013)

Chronic Obstructive Pulmonary Disease

Institute for Clinical Systems Improvement

Diagnosis and Management of Chronic Obstructive Pulmonary Disease (2016)

Diabetes (1 of 3)

American Diabetes Association

Standards of Medical Care in Diabetes (2016)

Diabetes (2 of 3) 

Institute for Clinical Systems Improvement

Diagnosis and Management of Diabetes Mellitus in Adults, Type 2 (2014)

Diabetes (3 of 3)

American Diabetes Association

Nutrition Therapy Recommendations for the Management of Adults with Diabetes (2014)

Heart Failure 

  

American College of Cardiology/American Heart Association

ACC/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines (2016)

High Blood Cholesterol in Adults

American College of Cardiology/American Heart Association

2013 ACC/AHA Guidelines on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults (2013)

HIV

National Institutes of Health

Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents (2016)

Hypertension (1 of 2)

Institute for Clinical Systems Improvement

Hypertension Diagnosis and Treatment (2014)

Hypertension (2 of 2)

U.S. Preventive Services Task Force Hypertension Diagnosis and Treatment (2014)

Hypertension Child/Adolescent (1 of 2)

National Institute of Health

Expert Panel On Integrated Guidelines for Cardiovascular Risk Reduction in Children and Adolescents: Summary Report (2011)

Hypertension Child/Adolescent
(2 of 2)

National Heart, Lung and Blood Institute Expert Panel On Integrated Guidelines for Cardiovascular Risk Reduction in Children and Adolescents: Summary Report (2011)

Childhood Obesity

Institute for Clinical Systems Improvement

Prevention and Management of Obesity for Children and Adolescents (2013)

Obesity in Adults

Institute for Clinical Systems Improvement

Prevention and Management of Obesity for Adults (2013)

Prenatal Care (1 of 3)

Institute for Clinical Systems Improvement Routine Prenatal Care (2012)

Prenatal Care (2 of 3)

American Congress of Obstetricians and Gynecologists Method for Estimating Due Date (2014)

Prenatal Care (3 of 3)

National Institute of Health Recommendations for Use of Anti-retroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States (2016)

Sexually Transmitted Diseases

Centers for Disease Control

STD Treatment Guidelines (2015)

Smoking Cessation (1 of 3)

Agency for Healthcare Research and Quality

Treating Tobacco Use and Dependence (2008)

Smoking Cessation (2 of 3)

American Diabetes Association Foundations of Care: Education, Nutrition, Physical Activity, Smoking Cessation, Psychosocial Care, and Immunization (2015)

Smoking Cessation (3 of 3)

U.S. Preventive Services Task Force

Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions (2015)

Zika

Centers for Disease Control and Prevention (CDC)

Interim Guidelines for Pregnant Women During a Zika Virus Outbreak — United States (2016)

These clinical care guidelines are reviewed at least annually, and are approved by our Quality Management Committee. To request printed copies of any guidelines, please call our Provider Services Helpline at 888-991-9023 or 215-991-4350. 

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