Clinical practice guidelines

For ConnectiCare members with:

  • Diabetes: ConnectiCare provides education and information based on the recommendations from the American Diabetes Association including recommended tests and screenings, dietary instruction, medication review, and guidance toward developing self-management skills such as monitoring their blood sugar. Diabetes guidelines
  • Coronary Artery Disease: ConnectiCare offers support and education-based on the recommendations from the American Heart Association and the American College of Cardiology Foundation with the emphasis on the importance of medication compliance to control cholesterol and hypertension and appropriate treatment regimens after cardiac events. CAD guidelines
  • Heart Failure: ConnectiCare contacts members regularly and educates them about the symptoms of worsening heart failure and how to reduce the further deterioration of their condition by following an appropriate treatment regimen recommended by the American Heart Association and the American College of Cardiology Foundation.
  • Asthma: Nurse care managers educate members about their condition and the latest recommendations from the National Heart, Lung and Blood Institute. The nurse monitors members’ progress, suggests a doctor visit when necessary and teaches them about asthma medications and avoidance of common triggers. Asthma guidelines 12 and up | Asthma 5-11 | Asthma 0-4
  • COPD: Through regular telephone contact, ConnectiCare nurse care managers provide members with information and recommendations from the Global Initiative for Chronic Obstructive Lung Disease. Members are educated about how to better control their condition, avoid triggers, better understand their medications, and know what questions to ask their doctor. COPD guidelines

Clinical practice guidelines for some of the more common chronic conditions addressed by our Total Population Health Management Programs are reviewed annually and updated as necessary. You may request printed copies of the guidelines by calling 1-800-390-3522.

 

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.

 

PPM/9.19


Clinical practice guidelines

Clinical practice guidelines for the conditions addressed by our Chronic Care Improvement Programs are distributed to selected participating practitioner populations and some are also made available online. You may also call us at 1-800-829-0696 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

Chronic Obstructive Pulmonary Disease

Effective 6/2006
Updated 12/2009

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

Developed for the HeartCare Program, these guidelines are distributed to primary care physicians and cardiologists. They address the management of coronary artery disease, as well as post-discharge care for patients diagnosed with myocardial infarction.

Agency for Health Care Policy & Research; National Cholesterol Education Program - Adult Treatment Panel III; Joint National Committee-VII; Framingham Tables

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

 

Medicare PPM/2.11

For more information, please refer to the clinical practice guidelines of our parent company, EmblemHealth.