Health Care Links

Clinical Practice Guidelines

Ë¿¹Ï¶ÌÊÓƵ PASSE™ approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members.  CPGs are identified through member review of member population demographics and state/national priorities. Review occurs every two years by our Provider Advisory Committee and CPGs are updated as necessary. 

The use of these guidelines allows Ë¿¹Ï¶ÌÊÓƵ PASSE to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market Ë¿¹Ï¶ÌÊÓƵ PASSE Provider Advisory Committee (PAC). The Ë¿¹Ï¶ÌÊÓƵ PASSE Enterprise PAC and Quality Enterprise Committee (QEC) are notified of guideline approval. Ë¿¹Ï¶ÌÊÓƵ PASSE identifies guideline topics through analysis of member population demographics and national or state priorities. Guidelines may include, but are not limited to:

  • Behavioral health (e.g., depression)
  • Adult health (e.g., hypertension and diabetes)
  • Population health (e.g., obesity and tobacco cessation)

We may share guidelines with providers through one or more of the following: newsletters, our website, direct mailings, provider manual, and through focused meetings with Ë¿¹Ï¶ÌÊÓƵ PASSE Provider Engagement Specialists. A broad range of wellness, preventive health and chronic disease management tools are also available on the Ë¿¹Ï¶ÌÊÓƵ member website, newsletters or upon request.

If you would like more information on Ë¿¹Ï¶ÌÊÓƵ PASSE quality improvement, please call Provider Services.

Clinical Practice Guidelines

Health ConditionClinical Guideline
Asthma

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

Blood Cholesterol

The American Heart Association, American College of Cardiology, American Association of Cardiovascular & Pulmonary Rehabilitation, American Academy of Physician Assistants, Association of Black Cardiologists, American College of Preventive Medicine, et al.

The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

Chronic Obstructive Pulmonary Disease (COPD)

Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD)

Coronary Artery Disease

American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines

The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

Dental Health

The American Dental Association (ADA)

ADA is a registered trademark of the American Dental Association and ADA.org is a service mark of the American Dental Association. Links may be made to ADA.org provided the links do not use trademarks or service marks of the American Dental Association or its affiliated entities.

Diabetes


American Diabetes Association

Geriatric Medicine

American Academy of Family Physicians (AAFP)

Heart Failure

HIV/AIDS

Centers for Disease Control and Prevention

CDC.gov is your online source for credible health information and is the official web site of the Centers for Disease Control and Prevention (CDC)

Hepatitis C VirusNavigate Hepatitis C Virus Infection Care Pathway

A Report from the American Gastroenterological Association Institute HCV Care Pathway Work Group

Hypertension

American Heart Association

The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

Navigate Hypertension Clinical Practice Guidelines Flier

Infant Mortality

Centers for Disease Control & Prevention

Kidney DiseaseNavigate 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease

Kidney Disease Outcomes Quality Initiative (KDOQI)

Navigate U.S. Commentary on the 2012 Kidney Disease: Improving Global Initiatives (KDIGO) Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (CKD)
The National Kidney Foundation

Lead Toxicity

The American Academy of Pediatrics, Council on Environmental Health

The mission of the American Academy of Pediatrics is to attain optimal physical, mental and social health and well-being for all infants, children, adolescents and young adults.

Interpregnancy CareNavigate Obstetric Care Consensus, Interpregnancy Care

The American College of Obstetricians and Gynecologists

The American College of Obstetricians and Gynecologists is a membership organization dedicated to the advancement of women’s health care through continuing medical education, research and practice.

Maternal CareNavigate Obstetric Care Consensus, Levels of Maternal Care

The American College of Obstetricians and Gynecologists

Maternal HealthNavigate Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities

The American College of Obstetricians and Gynecologists, ACOG Committee Opinion

Pregnancy: Postpartum CareNavigate ACOG Committee Opinion, Optimizing Postpartum Care

The American College of Obstetrics and Gynecologists

The American College of Obstetrics and Gynecologists

Sickle Cell Disease

National Heart, Lung and Blood Institute (NHLBI)

Sickle Cell Disease: Pediatric

American Academy of Pediatrics

Preventive Health Guidelines

Health ConditionClinical Guideline
0-18 Years of Age Immunization Schedule

Centers for Disease Control and Prevention

≥ 19 Years of Age Immunization Schedule

Centers for Disease Control and Prevention

Periodicity Schedule

American Academy of Pediatrics

Recommendations for Preventive Pediatric Care: 0-21 Years of Age

American Academy of Pediatrics

USPSTF: A & B Recommendations

U.S. Preventive Services Task Force

Vision Screening (Adult)Navigate Comprehensive Adult Eye & Vision Examination

American Optometric Association

Vision Screening (Pediatric)Navigate Comprehensive Pediatric Eye and Vision Examination

American Optometric Association

Health Resources

Health ConditionClinical Guideline
ADHD: Pediatrics

Centers for Disease Control and Prevention

Cancer Care

Cardiovascular Health and Risk Reduction in Children & Adolescents

National Heart, Lung & Blood Institute

Contraceptive Use: U.S. Medical Eligibility Criteria

Centers for Disease Control and Prevention

DiabetesPro®
Domestic Violence

Centers for Disease Control & Prevention

Infant Mortality

National Center for Health Statistics

LactMed® Drugs & Lactation Database

National Library of Medicine

Maternal Mortality

Centers for Disease Control and Prevention

MedlinePlus®

U.S. National Library of Medicine

MedlinePlus directs you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. MedlinePlus also contains extensive information about drugs and supplements, an illustrated medical encyclopedia, the latest health news, and surgery videos.

Preconception & Prenatal Care

Eunice Kennedy Shriver National Institute of Child & Human Development

Pregnancy: Safer Medication Use

Centers for Disease Control and Prevention

Behavioral Health Guidelines

Health ConditionClinical Guideline
ADHD

American Academy of Pediatrics

Navigate ADHD Clinical Practice Guidelines Flier

Autism

American Academy of Pediatrics

Dementia

Alzheimer’s Association

The Alzheimer’s Association is not responsible for information or advice provided by others, including information or advice provided by others, including information on websites that link to Association sites and on third party sites to which the Association links. Please direct any questions to weblink@alz.org

Depression

Veteran’s Affairs/Department of Defense Clinical Practice Guidelines

Depression Adolescent

Opioid Use Disorder

The American Society of Addiction Medicine

Social Behavior

American Academy of Child Adolescent Psychiatry

Behavioral Health Resources

Health ConditionClinical Guideline
Depression Screening Tool: PHQ-9
Depression Screening Tool: PHQ-9 (Spanish)
Depression Screening Tool: Pregnancy/PostpartumNavigate Edinburgh Postnatal Depression Scale

The 10-question Edinburgh Postnatal Depression Scale (EPDS) is a valuable and efficient way of identifying patients at risk for “perinatal” depression.

Opioid Tool KitOpioid Tool Kit

Mental Health and Substance Use Disorders Practitioner Training

SourcePractitioner Training Description
SAMHSA – Substance Abuse and Mental Health Services Administration SAMHSA’s practitioner training offers tools, training, and technical assistance to practitioners in the fields of mental health and substance use disorders.
MHFA – Mental Health First Aid