UCare’s clinical practice guidelines includes the primary source with a direct link to online content, modifications (if needed) for our unique populations, rationale for modifications and additional references if available.
MEDICAL
UCare, through the Quality Improvement Advisory and Credentialing Committee (QIACC), adopts medical clinical practice guidelines from nationally or locally recognized sources. Sources may include medical specialty societies and other professional organizations. The guidelines are based on reasonable medical evidence or a consensus on clinical treatment patterns by physicians in the selected field of practice.
Asthma, Diagnosis and Management
Primary Source: Global Initiative for Asthma
Diabetes, Type 2; Diagnosis and Management
Primary Source: American Diabetes Association
Management of Heart Failure in Adults
Primary Source: Journal of the American College of Cardiology (JACC)
Obesity in Adults; Prevention and Management
Primary Source: American Academy of Family Physicians
Prenatal Care
Primary Source: American Academy of Family Physicians
Preventive Services for Adults
Primary Source: American Academy of Family Physicians
Preventive Services for Children and Adolescents
(Approval: December 19, 2019)
Primary Source: American Academy of Pediatrics Bright Futures (AAP)
BEHAVIORAL HEALTH
UCare adopted five behavioral health clinical practice guidelines to support good decision-making by patients and clinicians, improve member health outcomes and meet NCQA accreditation standards. Adult guidelines are adopted from American Psychiatric Association (APA). Child and adolescent guidelines are adopted from the Journal of the American Academy of Child Adolescent Psychiatry.
Assessment and Treatment of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder
(Approval: September 17, 2020)
Primary Source: American Academy of Child and Adolescent Psychiatry
Assessment and Treatment of Children and Adolescents with Depressive Disorders
(Approval: September 17, 2020)
Primary Source: American Academy of Child and Adolescent Psychiatry
Treatment of Patients with Major Depressive Disorder
(Approval: September 17, 2020)
Primary Source: American Psychiatric Association
Treatment of Patients with Schizophrenia
(Approval: September 17, 2020)
Primary Source: American Psychiatric Association
Treatment of Patients with Substance Use Disorders (SUD)
(Approval: September 17, 2020)
Primary Source: American Psychiatric Association