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Blue Choice

Practice Guidelines

We are committed to supporting our providers in the care of our members by making clinical best practice references available.

Clinical Practice Guidelines

We have adopted the recommendations of the following organizations as our practice guidelines. With permission from these organizations, BlueChoice HealthPlan has created direct links from our Web site to these guidelines.

BlueChoice HealthPlan's Clinical Quality Improvement Committee (CQIC) reviews and adopts all guidelines at least annually and more frequently if necessary to review new scientific evidence or national standards as they are published.

While we review the guidelines annually, you should not construe them as a legal or required standard of care, or as an indication they will always apply in every medical situation. These are recommendations only, and do not guarantee any medical results or indicate coverage for such services by any given plan or policy.

We hope these guidelines will be a convenient resource in helping you care for your patients.

Asthma
National Institutes of Health: National Heart, Lung and Blood Institute

Back Pain
American Physical Therapy Association

Behavioral Health
Attention Deficit Hyperactivity Disorder

American Academy of Pediatrics (AAP)


Clinical Practice Guideline: Treatment of the School-Aged Child With Attention-Deficit/Hyperactivity Disorder
(PEDIATRICS Vol. 108 No. 4 October 2001, pp. 1033-1044)


Cancer (Supportive Care in Oncology)
National Comprehensive Cancer Network (NCCN)
National Comprehensive Cancer Network Clinical Practice Guidelines 

Chlamydia
Centers for Disease Control and Prevention (CDC)
Sexually Transmitted Diseases - Treatment Guidelines 2006 (Chlamydial Infections) 

Chronic Heart Failure (CHF) (in the Adult)
American College of Cardiology/American Heart Association
2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult (Journal of the American College of Cardiology 2005; 46:1116-43) (Adobe PDF document) 
2009 Focused Update

Chronic Kidney Disease
National Kidney Foundation (NKF)
Kidney Disease Quality Outcomes Initiative (KDQOI) Clinical Practice Guidelines 

Chronic Obstructive Pulmonary Disease (COPD)
Congestive Heart Failure (CHF)
American College of Cardiology Foundation/American Heart Association

Coronary Artery Disease (CAD)
American College of Cardiology Foundation & American Heart Association
American Heart Association
American Heart Association/American College of Cardiology


Diabetes
American Diabetes Association (ADA)
Standards of Medical Care in Diabetes

High Blood Cholesterol
American College of Cardiology/American Heart Association
2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults (2013)
National Institutes of Health: National Heart, Lung and Blood Institute

Hypertension (High Blood Pressure)
National Institutes of Health: National Heart, Lung and Blood Institute
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 (JNC8) (2014) 

Immunization Guidelines
Center for Disease Control and Prevention
American Academy of Pediatrics

Maternity/Perinatal Guidelines
US Preventive Services Task Force
American Congress of Obstetricians and Gynecologists

Metabolic Syndrome
American Heart Association/National Heart, Lung and Blood Institute 

Migraine
American Academy of Neurology
International Headache Society

Obesity and Overweight: Adults
Office of Disease Prevention and Health Promotion
American Heart Association/American College of Cardiology
National Institutes of Health: National Heart, Lung, and Blood Institute

Obesity and Overweight: Children
Office of Disease Prevention and Health Promotion 
National Institutes of Health: National Heart, Lung and Blood Institute
American Academy of Pediatrics (AAP)
AAP Publications Retired or Reaffirmed, October 2006 (PEDIATRICS Vol. 119 No. 2 February 2007, pp. 405)
Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity (AAP Policy Statement. Pediatrics, Vol. 117 No. 5 May 2006, pp. 1834-1842)
Dietary Recommendations for Children and Adolescents: A Guide for Practitioners (AAP Policy Statement. Pediatrics, Vol. 117 No. 2 February 2006, pp. 544-559)
Prevention of Pediatric Overweight and Obesity (AAP Policy Statement. PEDIATRICS, Vol. 112 No. 2 August 2003, pp. 424-430.) A Statement of Reaffirmation for this policy was published on February 1, 2007.


Physical Activity Guidelines
U.S. Department of Health and Human Services

Prediabetes
American Diabetes Association 

Preventive Guidelines 
U.S Preventive Services Task Force (USPSTF)
American Academy of Family Physicians

Stress Management Guidelines
National Institutes of Health
U.S. Department of Veterans Affairs

Tobacco Cessation Guidelines
Agency for Healthcare Research and Quality (AHRQ)
U.S. Department of Health and Human Services
Treating Tobacco Use and Dependence: 2008 Update (2008)
  • Preventive Health Guidelines

    We have adopted the recommendations of the U.S. Department of Health and Human Services through the Public Health Service, the Office of Public Health and Science, and the Office of Disease Prevention and Health Promotion as our preventive health guidelines for adults, children and adolescents. With permission from these organizations, BlueChoice HealthPlan has created direct links from our Web site to these guidelines.

    While we review the guidelines annually, you should not construe them as a legal or required standard of care, or as an indication they will always apply in every medical situation. These are recommendations only, and do not guarantee any medical results or indicate coverage for such services by any given plan or policy.

    We hope these guidelines will be a convenient resource in helping you care for your patients.

    The Clinician's Handbook of Preventive Services is part of Put Prevention into Practice, an Agency for Healthcare Research and Quality (AHRQ) national program to improve delivery of appropriate clinical preventive services. You can order a copy of the book from the AHRQ Publications Clearinghouse at P.O. Box 8547, Silver Spring, MD 20907 or by calling 1-800-358-9295. You can also order a free information packet of Put Prevention Into Practice materials.

    Last updated January 2009