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    • Introduction
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    • Physician Compliance
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    • Appendix: CT
    • Appendix: MA
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    • Glossary










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    • Commercial - Health Management Programs

      Clinical Practice Guidelines

      Clinical practice guidelines for the conditions addressed by our Health Management Programs are distributed to selected participating practitioner populations and some are also made available on the member website.  You may also call us at 1-800-390-3522 to request a printed copy.  Guidelines are reviewed annually and updated as necessary.

      Note: Diversity plays a significant role in the delivery of health care. Individuals with special needs, as well as individuals from various cultures, ethnic backgrounds or races may be predisposed to specific medical conditions that warrant specialized care. ConnectiCare encourages all practitioners to be aware of the needs of diverse populations and to provide care that addresses each individual's unique circumstances.

       

      Guideline

      Description

      Reference

      Asthma

      Effective 3/1997
      Updated 9/1997; 12/2002; 7/2008

      These guidelines are distributed to participating primary care physicians, allergists, and pulmonologists as part of our BREATHE Health Management Program. They are for the management of chronic asthma in adults and children.

      National Heart, Lung & Blood Institute

      Chronic Obstructive Pulmonary Disease

      Effective 6/2006
      Updated 12/2009, 9/2011

      Distributed to primary care physicians and pulmonologists as part of our BREATH-COPD Program, these guidelines address the diagnosis, staging and treatment of COPD.

      GOLD (Global Initiative for Chronic Obstructive Lung Disease)

      Diabetes

      Effective 3/2001
      Updated 4/2003; 4/2004; 5/2005; 6/2006; 8/2008; 5/2010

      These guidelines are distributed to primary care physicians as part of the DiabetiCare Program. They address appropriate frequency of A1C, lipid and microalbumin testing, as well as office visits, foot exams, drug therapy, home glucose monitoring, eye exams, and other recommended testing.

      American Diabetes Association

      Coronary Artery Disease

      Effective 5/2002
      Updated 6/2006, 11/2011

      Developed for the HeartCare Program, these guidelines are distributed to primary care physicians and cardiologists. They address the management of coronary artery disease.

      American College of Cardiology; American Heart Association

      Heart Failure

      Effective 5/1996
      Updated 7/2000; 9/2005; 6/2006; 9/2009;

      Also part of the HeartCare Program, these guidelines were developed and distributed to primary care physicians and cardiologists. They include an enhanced classification system that identifies patients who are at risk for developing heart failure due to risk factors, including coronary artery disease, diabetes, and hypertension.

      American College of Cardiology; American Heart Association

       

      PPM/4.12

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