Practice Guidelines
Preventive and clinical practice guidelines are based on the health needs and opportunities for improvement identified as part of the Quality Assurance Program Improvement (QAPI) program. Whenever possible, Nebraska Total Care adopts preventive and clinical practice guidelines that are published by nationally recognized organizations or government institutions as well as state-wide collaborative and/or a consensus of healthcare professionals in the applicable field.
Preventative Care
Adult
- American Cancer Society Guidelines for the Early Detection of Cancer (Revised October 2015) - American Cancer Society (ACS)
- Morbidity and Mortality Weekly Report (MMWR) (Last updated June 9, 2016) - Centers for Disease Control and Prevention (CDC)
- U.S. Preventive Services Task Force Recommendations - U.S. Preventive Services Task Force (USPSTF)
Child/Adolescent
- Guidelines on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents (Revised 2013) - American Academy of Pediatric Dentistry
- Periodicity Schedule: Recommendations for Preventive Pediatric Health Care (2015) - American Academy of Pediatrics (AAP)
Immunizations
- Adult Immunization Schedule - United States 2016 Advisory Committee on Immunization Practices (ACIP)
- Birth-18 Years & "Catch-up" Immunization Schedules - United States, 2016 Advisory Committee on Immunization Practices (ACIP)
- Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP) - United States, 2015-16 Influenza Season Advisory Committee on Immunization Practices (ACIP)
Chlamydia Screening
- Final Recommendation Statement Gonorrhea and Chlamydia: Screening, September 2014 - U.S. Preventive Services Task Force (USPSTF)
Lead Screening
- Lead Toxicity: How should patients exposed to lead be evaluated? (August 20, 2007) - Agency for Toxic Substances and Disease Registry (ATSDR)
- Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention Report of the Advisory Committee on Childhood Lead Poisoning Prevention of the Centers for Disease Control and Prevention (January 4, 2012) - Advisory Committee for Childhood Lead Poisoning Prevention
- Recommendations for Blood Lead Screening of Medicaid-Eligible Children Aged 1-5 Years: an Updated Approach to Targeting a Group at High Risk (Last Reviewed 07/28/2009) - Advisory Committee on Childhood Lead Poisoning, Division of Environmental and Emergency Health Services, and National Center for Environmental Health
Perinatal Care
- AFP by Topic: Prenatal (2016) - American Academy of Family Physicians (AAFP)
- Guidelines for Perinatal Care, Seventh Edition (October 2012) - The American College of Obstetricians and Gynecologists Available online for ACOG members only.
Disease Management
Asthma
- U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute
- Asthma Care Quick Reference Diagnosing and managing asthma. Guidelines from the National Asthma Education and Prevention Program. Expert Panel Report 3 (Revised 2012)
- Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (Full Report July 2007)
- Changes to the Guidelines (August 2008)
- Global Strategy For Asthma Management and Prevention (Updated 2016) - Global Initiative for Asthma (GINA)
Back pain
- Adult Acute Low Back Pain (Updated November 2012) - Institute for Clinical Improvement (ISCI)
- Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society (October 2, 2007) - American College of Physicians; American Pain Society
- Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association (April 2012) - American Physical Therapy Association (APTA)
COPD
- Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (Updated 2016) - The Global Initiative for Chronic Obstructive Lung Disease (GOLD)
CHF/Heart Failure
- ACCF/AHA Practice Guideline 2013 ACCF/AHA Guideline for the Management of Heart Failure (Circulation. 2013; 128: e240-e327) - American College of Cardiology Foundation and American Heart Association Task Force on Practice Guidelines
- AHA Scientific Statement: Exercise and Heart Failure (Circulation. 2003; 107:1210-1225) - American Heart Association Committee on Exercise, Rehabilitation, and Prevention
- HFSA 2010 Comprehensive Heart Failure Practice Guideline (June 2010; 16: e1-e194) - Heart Failure Society of America
- Updated Clinical Practice Guidelines on Heart Failure: An International Alignment (May 2016) - American Heart Association, American College of Cardiology Foundation, Heart Failure Society of American, and the Heart Failure Association and the European Society of Cardiology
Coronary Artery Disease
- Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents. The Report of the Expert Panel (Last Updated January 2013) - U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
- ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk (Circulation. 2014; 129:S49-S73) (Published online November 12, 2013) - American College of Cardiology and American Heart Association Task Force
- AHA Scientific Statement: Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease (Circulation. 2003; 107:3109-3116) - The Council on Clinical Cardiology and the Council on Nutrition, Physical Activity, and Metabolism
- AHA Scientific Statement: Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults (Circulation. 2013; 128:2422-2446) American Heart Association
- AHA/ACC/ASH Scientific Statement Treatment of Hypertension in Patients with Coronary Artery Disease (Circulation 2015;131:e435-e470) - American Heart Association, American College of Cardiology, and American Society of Hypertension
- AHA/ACCF Guideline: AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease, 2011 Update (Circulation. 2011; 124: 2458-2473) - American Heart Association and American College of Cardiology Foundation
- The Primary and Secondary Prevention of Coronary Artery Disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition) (June 2008) - American College of Chest Physicians
Diabetes
- AACE/ACE Guidelines: American Association of Clinical Endocrinologists and American College of Endocrinology- Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan (Endocrine Practice 2015, Volume 21, S1-87) - American Association of Clinical Endocrinologists and American College of Endocrinology
- Clinical Practice Recommendations – 2015. Standards of Medical Care in Diabetes (Diabetes Care 2016, Volume 39, S1-S112) - American Diabetes Association (ADA)
- Standards of Medical Care in Diabetes (Diabetes Care January 2016, 39: 1175-1395) - American Diabetes Association (ADA)
Hyperlipidemia
- ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults (Circulation 2014; 129:S1-S45) - American College of Cardiology/American Heart Association Task Force on Practice Guidelines
- Management of Blood Cholesterol in Adults: Systematic Evidence Review from the Cholesterol Expert Panel (2013) - U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
- Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) - Final Report September 2002 National Institute of Health and National Heart, Lung, and Blood Institute
Hypertension
- 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 (JNC 8) (JAMA. 2014;311(5):507-520. doi:10.1001/jama.2013.284427) - The Journal of the American Medical Association (JAMA)
- Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC7) (August 2004) - U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute
Respiratory Illness
- Adult and Pediatric treatment recommendations (Last updated April 17, 2015) - Centers for Disease Control and Prevention (CDC)
- Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America (Clin Infect Dis 2012; 55: e86-e102.) First published online Sept. 9, 2012. - Infectious Disease Society of America (IDSA)
- Upper Respiratory Tract Infections (Publication dates vary) - American Academy of Family Physicians (AAFP)
- Diagnosis and Treatment of Respiratory Illness in Children and Adults (Updated January 2013) - Institute for Clinical Systems Improvement (ICSI)
Sickle Cell
- Evidence-Based Management of Sickle Cell Disease. Expert Panel Report, 2014 - U.S. Department of Health and Human Services; National Institutes of Health; National Heart, Lung, and Blood Institute
- Sickle Cell Disease, Recommendations (Last updated September 14, 2015) - Centers for Disease Control and Prevention (CDC)
- The Management of Sickle Cell Disease, Fourth Edition (2004) National Institutes of Health; National Heart, Lung, and Blood Institute
Weight Management
- Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity (Pediatrics Vol. No.5 May 1, 2006 pp.1834-1842) - American Academy of Pediatrics (AAP)
- Adult Weight Management (AWM) Guideline (2014) - Academy of Nutrition and Dietetics
- Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel (2013) - U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
- Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report (December 2007) - American Academy of Pediatrics (AAP)
- Final Recommendation Statement Obesity in Children and Adolescents: Screening, January 2010 - U.S. Preventive Services Task Force (USPSTF)
- The Practical Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (NIH Publication Number 00-4084 October 2000) - National Institute of Health; National Heart, Lung, and Blood Institute; North American Association for the Study of Obesity
Behavioral Health
ADHD
- ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-deficit/Hyperactivity Disorder in Children and Adolescents (Published online October 16, 2011; DOI: 10.1542/peds.2011-2654) - 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 1, 2001 pp. 1033 -1044) - American Academy of Pediatrics (AAP)
- Practice Parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder (AACAP Revised: 7/2007) - American Academy of Child and Adolescent Psychiatry (AACAP)
Anxiety Disorder
- Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders (Revised: 2/2007) - American Academy of Child and Adolescent Psychiatry (AACAP)
Bipolar Disorder
- Practice Guideline for the Treatment of Patients with Bipolar Disorder. Second Edition. (April 2002) and Guideline Watch (November 2005) - American Psychiatric Association (APA)
- Practice parameter for the assessment and treatment of children and adolescents with bipolar disorder (Revised: 1/2007) - American Academy of Child and Adolescent Psychiatry (AACAP)
Major Depressive Disorder
- Practice Guideline for the Treatment of Patients With Major Depressive Disorder Third Edition. (2010) - American Psychiatric Association (APA)
- Practice parameter for the assessment and treatment of children and adolescents with depressive disorders (Revised 11/2007) - American Academy of Child and Adolescent Psychiatry (AACAP)
Oppositional Defiant Disorder
- Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder (1/2007) - American Academy of Child and Adolescent Psychiatry (AACAP)
Panic Disorder
- Practice Guideline for the Treatment of Patients with Panic Disorder. Second Edition. (January 2009) - American Psychiatric Association (APA)
Pediatric Medical and Psychiatric Management
- Practice parameter for the psychiatric assessment and management of physically ill children and adolescents (February 2009) - American Academy of Child and Adolescent Psychiatry (AACAP)
Schizophrenia
- The Practice Guideline for the Treatment of Patients With Schizophrenia Second Edition. (April 2004) and Guideline Watch (September 2009) - American Psychiatric Association (APA)
Stress Disorder
- The Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder. (November 2004) and Guideline Watch (March 2009) - American Psychiatric Association (APA)
Substance Use Disorder
- Practice Guideline for the Treatment of Patients With Substance Use Disorders (May 2006) and Guideline Watch (April 2007) - American Psychiatric Association (APA)
Tobacco Cessation
- Smoking Cessation During Pregnancy (Obstet Gynecol 2010; 116: 1241-4) - American College of Obstetricians and Gynecologists
- Treating Tobacco Use and Dependence: 2008 update (May 2008) - U.S. Department of Health and Human Services; Public Health Service
Use of Psychotropic Medication
- Practice parameter for the use of psychotropic medication in children and adolescents (9/2009) - American Academy of Child and Adolescent Psychiatry (AACAP)