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, Louisiana Healthcare Connections 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. Printed hard copies are available upon request.

Medical Practice Guidelines

Adult Preventive Care

• American Cancer Society Guidelines for the Early Detection of Cancer (Revised May 2018) - American Cancer Society
• Morbidity and Mortality Weekly Report (MMWR) - Centers for Disease Control and Prevention
• Recommendations for Primary Care Practice - US Preventive Services Task Force

Asthma

• Asthma Care Quick Reference: Diagnosing and Managing Asthma (Revised 2012) - National Heart, Lung, and Blood Institute
• Guidelines for the Diagnosis and Management of Asthma (EPR-3) (Full Report July 2007, Revised August 2008) - National Heart, Lung, and Blood Institute
• 2018 GINA Report, Global Strategy for Asthma Management and Prevention - Global Initiative for Asthma (GINA)

Back Pain

• Adult Acute Low Back Pain (Updated March 2018) - Institute for Clinical Systems Improvement (ICSI)
• Clinical Practice Guideline for Diagnosis and Treatment of Low Back Pain. (2017).  Department of Veterans Affairs and the Department of Defense (VA/DoD)
• Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and American Pain Society (October 2, 2007) - American College of Physicians & American Pain Society
• Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians (April 4, 2017) - American College of Physicians

Chlamydia Screening

Final Recommendation Statement - Chlamydia and Gonorrhea: Screening (September 2014) - US Preventive Services Task Force

COPD

• Global Initiative for Chronic Obstructive Lung Disease (2018 Report) - The Global Initiative for Chronic Obstructive Lung Disease
• Clinical Practice Guideline for the Management of Chronic Obstructive Pulmonary Disease. (2014 – update in progress). - United States Department of Veteran Affairs (VA) and the Department of Defense (DoD)

Coronary Artery Disease

• Integrated Guidelines for Cardivascular Health and Risk Reduction in Children and Adolescents (October 2012) - National Heart, Lung, and Blood Institute
• Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults (Circulation. 2013; 128:2422-2446) - American Heart Association
• 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 Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2011 Update (PDF) (Circulation. 2011; 124: 2458-2473) - American Heart Association and American College of Cardiology Foundation
• ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. (Circulation. 2014; 129:S49-S73) (Published online Nov. 2013) –American College of Cardiology (ACC) and American Heart Association (AHA) Task Force
• Routine Assessment and Promotion of Physical Activity in Healthcare Settings; A scientific statement from the American heart association (Circulation. 2018; 137:e495–e522) American Heart Association (AHA)
• 2019 AHA/ACCF Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. (Correction 2019; 140:e649-e650, Correction 2020; 141:e60, Correction 2020; 141:e774) American Heart Association (AHA) and American College of Cardiology Foundation (ACC)

Critical Care

Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2016 - Society of Critical Care Medicine and European Society of Intensive Care
Medicine

Diabetes

• Consensus Statement: Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm - 2018 Executive Summary (Endocrine Practice 2018; Volume 24, No.1) - American Association of Clinical Endocrinologists and American College of Endocrinology
• Standards of Meidcal Care in Diabetes (Diabetes Care 2018, Volume 41, Supplement 1) - American Diabetes Association

Heart Failure

• 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America (Circulation. 2017; CIR.0000000000000509, originally published April 28, 2017) - American College of Cardiology (ACC) Foundation, American Heart Association (AHA) Task Force on Practice Guidelines and the Heart Failure Society of America (HFSA)

Hypertension

• 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults (May 2018) - Journal of the American College of Cardiology

Immunizations

• Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States 2018 - Advisory Committee on Immunization Practices
• Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2018 - Advisory Committee on Immunization Practices
• Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2017–18 Influenza Season - Advisory Committee on Immunization Practices

Lead Poisoning

• CDC's Childhood Lead Poisoning Prevention Program - Advisory Committee on 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 (Reviewed 07/28/2009) - Advisory Committee on Childhood Lead Poisoning, Division of Environmental and Emergency Health Services, and National Center for Environmental Health

Pediatric Preventive Care

• 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 - American Academy of Pediatrics

Perinatal Care

• Prenatal Care (2017) - American Academy of Family Physicians
• Guidelines for Perinatal Care, Seventh Edition (October 2012) - The American College of Obstetricians and Gynecologists
• AFP by Topic: Labor, Delivery, and Post-Partum Issues  (Publication dates vary)

Respiratory Illness

• Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America (PDF) (Clin Infect Dis 2012; 55: e86-e102.) First published online Sept. 9, 2012. - Infectious Disease Society of America
• Upper Respiratory Tract Infections (Publication dates vary) - American Academy of Family Physicians
• Diagnosis and Treatment of Respiratory Illness in Children and Adults (Updated September 2017) - Institute for Clinical Systems Improvement

Sickle Cell

• Sickle Cell Disease, Recommendations (Last updated September 14, 2015) - Centers for Disease Control and Prevention
• Evidence-Based Management of Sickle Cell Disease: Expert Panel report, 2014 National Institutes of Health Heart, Lung, and Blood Institute

Weight Management

• 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
• Final Recommendation Statement Obesity in Children and Adolescents: Screening, June 2017 - US Preventive Services Task Force
• Clinical Report: Preventing Obesity and Eating Disorders in Adolescents. (Pediatrics Vol. 138 Iss.3 Sept. 2016 pp.1834-1842) American Academy of Pediatrics (AAP)
• Clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents (March 2018) American Psychological Association (APA)

Cancer

• ASCO Guidelines by Clinical Area American Society of Clinical Oncology
• ASTRO Guidelines by Clinical Area American Society for Radiation Oncology (ASTRO)
• NCCN Guidelines® & Clinical Resources National Comprehensive Cancer Network (NCCN)

Congenital Disorders

• The Care of Children With Congenital Heart Disease in Their Primary Medical Home. (2017).  American Academy of Pediatrics (AAP) and the American College of Cardiology (ACC)
• Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. (2018) American Heart Association (AHA) and the American College of Cardiology Foundation. (ACC)

Coronavirus Disease 2019 (COVID-19)

Overview of Testing for SARS-CoV-2 (COVID-19) (Updated March 2021) Centers for Disease Control and Prevention (CDC) 

Epilepsy

Guidelines by Topic: Epilepsy American Academy of Neurology and American Epilepsy Society

Frailty and Special Populations

• American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. American Geriatrics Society (AGS)
• Managing Medicines for Adults Receiving Social Care in the Community. (2017) National Institute for Health and Care Excellence (NICE) 

General Evidence Based Medicine

Choosing Wisely; American Board of Internal Medicine Foundation

Hemophilia

NHF‐McMaster Guideline on Care Models for Hemophilia Management. (2017). National Hemophilia Foundation (NHF)

HIV/AIDS

• Human Immunodeficiency Virus (HIV) Infection: Screening. (2019). United States Preventive Services Task Force (USPSTF)
• Prevention of Human Immunodeficiency Virus (HIV) Infection: Preexposure Prophylaxis. (2019). United States Preventive Services Task Force (USPSTF)
• Routine Human Immunodeficiency Virus Screening. (2014). American College of Obstetricians and Gynecologists (ACOG)
• Recommendations for the Use of Antiretroviral Drugs in Pregnant Women with HIV Infection and Interventions to Reduce Perinatal HIV Transmission in the United States. (2021). National Institutes of Health (NIH)
• Diagnosis and Management of Acute HIV Infection. (2018). AIDS Institute

Hyperlipidemia

• Lipid Management in Adults (February 2017) Institute for Clinical Systems Improvement (ICSI)
• 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, Circulation 2014; 129:S46-S48, Circulation 2015; 132:e396,)  American College of Cardiology (ACC), American Heart Association (AHA) Task Force on Practice Guidelines

Long Term Care

Transitions of Care in the Long-Term Care Continuum Clinical Practice Guidelines 2010 American Medical Directors Association

Opioids for Chronic Pain

CDC Guideline for Prescribing Opioids for Chronic Pain Centers for Disease Control and Prevention (CDC)

Osteoporosis

Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal Osteoporosis. (2020 Update). American Association of Clinical Endocrinologists (AACE) 

Palliative Care

Palliative Care for Adults. (Revised: January 2020/Sixth edition). Institute for Clinical Systems Improvement (ICSI)

Pneumonia

• Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. (2016). Infectious Diseases Society of America (IDSA)
  
• The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. (2011). Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA)

Rheumatoid Arthritis

American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis. (2021- Update in progress). American College of Rheumatology (ACR)  

Tobacco Cessation

• Tobacco and Nicotine Cessation During Pregnancy (May 2020) American College of Obstetricians and Gynecologists (ACOG)
• Smoking and Tobacco Use Cessation Centers for Disease Control and Prevention (CDC) 
• Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons (2021). United Preventive Services Task Force (USPSTF)
• Prevention and Cessation of Tobacco Use in Children and Adolescents: Primary Care Interventions (April 2020) United Preventive Services Task Force (USPSTF)

Traumatic Brain Injury (TBI)

Management of Concussion-mild Traumatic Brain Injury (mTBI). (2016- update in progress) United States Department of Veteran Affairs (VA) and the Department of Defense (DoD)

Zika Virus

For Healthcare Providers: New Zika and Dengue Testing Guidance (November 2019) Centers for Disease Control and Prevention (CDC)

Behavioral Health Practice Guidelines

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

Anxiety Disorder

Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders (PDF) (Revised: 2/2007) - American Academy of Child and Adolescent Psychiatry

Major Depressive Disorder

Management of Major Depressive Disorder (2016) United States Department of Veteran Affairs (VA) and the Department of Defense (DoD)

Schizophrenia

The Practice Parameter for the Assessment and Treatment of Children and Adolescents with Schizophrenia (PDF) (September 2013) - American Academy of Child and Adolescent Psychiatry

Substance Use Disorders

Clinical Practice Guideline for the Management of Substance Use Disorders (2015- update in progress) Department of Veterans Affairs

Tobacco Cessation 

• Smoking Cessation During Pregnancy (Obstet Gynecol 2010; 116;1241-4) - American College of Obstetricians and Gynecologists
• Smoking and Tobacco Use Cessation - Centers for Disease Control and Prevention 

Autism

Practice Parameter for the Assessment and Treatment of Children and Adolescents With Autism Spectrum Disorder (2014)
American Academy of Child and Adolescent Psychiatry (AACAP)

Gender Reassignment and Transgender Issues

Guidelines for Psychological Practice with Transgender and Gender Nonconforming People (2015) American Psychiatric Association (APA)

Obsessive Compulsive Disorder (OCD)

Obsessive Compulsive Disorder. (Published 2007, Updated 2013)
American Psychiatric Association (APA)

Opioid Use Disorder and Treatment

National Practice Guideline For the Treatment of Opioid Use Disorder (2020) American Society of Addiction Medicine (ASAM)

Federal Guidelines for Opioid Treatment Programs (March 2015)
Substance Abuse and Mental Health Services Administration (SAMHSA)

Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants (January 2018)
Substance Abuse and Mental Health Services Administration (SAMHSA)

VA/DoD Clinical Practice Guideline for Opioid Therapy for Chronic Pain (2017)
United States Department of Veteran Affairs (VA) and the Department of Defense (DOD) (PDF)

Posttraumatic Stress Disorder and Acute Stress Disorder

Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder United States Department of Veteran Affairs (VA) and the Department of Defense (DOD)(PDF)

Suicidal Behavior

Assessment and Management of Patients at Risk for Suicide (2019)
Department of Veterans Affairs and the Department of Defense (VA/DoD)