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Preventive Care Guidelines

The Health Partners Plans Quality Management department is responsible for developing and monitoring 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. We also seek to ensure the coordination of care across specialties and care settings. Health Partners Plans encourages our practitioners to discuss preventive care with their patients. The below grid demonstrates examples of evidence based guidelines.

Preventive Care Resources

Social Determinants of Health:

Maintenance Flow Sheets:

Record Keeping:

Immunizations:

Depression:

U.S. Preventive Services Task Force:

Other Resources:

Preventive Care Guidelines

Condition Reference Clinical Evidence
ADHD Agency for Healthcare Research and Quality (AHRQ) Attention Deficit Hyperactivity Disorder: Diagnosis and Treatment in Children and Adolescents
Adult Well Care U.S. Preventive Services Task Force (USPSTF) Adult Preventive Health Care Schedule
Breast Cancer Screening
American Cancer Society (ACS) Breast Cancer Screening for Women at Average Risk
American College of Radiology (ACR) Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations From the ACR
Cervical Cancer Screening Centers for Disease Control and Prevention (CDC) Cervical Cancer Screening Guidelines
National Institute of Health: National Institute of Cancer ACS’s Updated Cervical Cancer Screening Guidelines
Child and Adolescent Well Care Bright Futures/American Academy of Pediatrics (AAP) Bright Futures/AAP Periodicity Grid
Colorectal Cancer Screening American Cancer Society ACS Guidelines for Colorectal Cancer Screening
Depression Screening, Adults U.S. Preventative Services Task Force Depression in Adults Screening
Depression Screening, Children and Adolescents Agency for Healthcare Research and Quality Depression in Children and Adolescents Screening
Obesity Screening, Adults U.S. Preventative Services Task Force Screening for and Management of Obesity in Adults
Obesity Screening, Children and Adolescents Agency for Healthcare Research and Quality Obesity in Children and Adolescents: Screening
Pediatric Oral Health Various Sources Pediatric Oral Health Resources
Prostate Cancer Screening U.S. Preventative Services Task Force Prostate Cancer: Screening
Sexually Transmitted Infections (STI) Counseling, Adolescents and Adults Agency for Healthcare Research and Quality Sexually Transmitted Infections: Behavioral Counseling
STI/Chlamydia Screening U.S. Preventive Services Task Force Chlamydia and Gonorrhea: Screening
Suicide Screening, Adolescents, Adults and Older Adults U.S. Preventive Services Task Force Suicide Risk Screening
Upper Respiratory Infections, Adults and Children Centers for Disease Control and Prevention Adult Treatment Recommendations
Centers for Disease Control and Prevention Pediatric Treatment Recommendations
Well Elderly American Academy of Family Physicians Geriatric Assessment: An Office-Based Approach

These 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 1-888-991-9023 or 215-991-4350.