providers
Guidelines for Clinical Practice
The guidelines for approving all preventative health and clinical guidelines is developed by the Quality Executive Committee (QEC) using established criteria used by professional organizations nationwide.
Guidelines for Preventative Health
CareFirst CHPDC follows the same adult immunization schedule approved by Advisory Committee on Immunization Practices (ACIP), the American Academy of Family Physicians (AAFP), and the American College of Obstetricians and Gynecologists (ACOG). We have also adopted the Guide to Clinical Preventative Services published by the US Preventative Services Task Force (USPTF).
For more information on these guidelines visit:
- The Center for Disease Control (CDC): Contains detailed information on all recommended vaccines and immunizations.
Additional Clinical Guidelines
The below table highlights some of the clinical guidelines utilized for common ailments and conditions.
| Condition | Evidence-Based Guideline | ||
|---|---|---|---|
| Pediatric Asthma |
Global Initiative for Asthma (GINA) |
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| Diabetes |
American Diabetes Association: Clinical Practice Recommendations 2015 |
||
| ADHD |
American Academy of Pediatrics (AAP) |
||
| Depression in Primary Care (Adult) |
Institute for Clinical Systems Improvement (ICSI) |
||
| Depression in people with Diabetes |
American Diabetes Association: Clinical Practice Recommendations 2015
|
||
| Sickle-Cell Disease |
National Heart, Lung, and Blood Institute |
||
| Opioid Pain Management |
Department of Health Care Finance (DHCF) |
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| Preventative Measure | Evidence-Based Guideline | ||
| Perinatal Care |
American College of Obstetricians and Gynecologists (ACOG) Clinical Guidelines
|
||
| Children up to 24 months |
DC HealthCheck Resources: DC Medicaid Healthcheck Periodicity Schedules
|
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| Children ages 0-20 |
DC HealthCheck Resources: DC Medicaid Healthcheck Periodicity Schedules
|
||
| A1C Testing for Diabetes and Pre-Diabetes in Adults 20+ |
American Diabetes Association: Clinical Practice Recommendations 2015 |
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| Cervical Cancer Screening for Women ages 21-64 |
US Preventive Services Task Force Recommendations for Primary Care Practice |
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| Adult Vaccinations 21-64 |
Centers for Disease Control- Advisory Committee on Immunization Practices |
||
| Colonoscopy for Adults ages 50+ |
US Preventive Services Task Force Recommendations for Primary Care Practice |
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