Quality

Nothing matters more to Arise Health Plan than providing quality service to members. Our guiding principle is to provide services that are safe, timely, effective, efficient, equitable, and member-centered. We’re dedicated to maintaining an active quality improvement program that includes both clinical and service quality initiatives.

Clinical Practice Guidelines

Dear Colleague:

Clinical guidelines offer providers consistent and appropriate guidance for prevention, diagnosis, and treatment of specific conditions or diseases. Arise Health Plan's clinical guidelines are evidence-based, reflect the current literature and research about treatment protocols, and reflect best practices.

Arise Health Plan's clinical guidelines present an opportunity to significantly reduce variation in the clinical setting and provide part of a framework necessary for measuring and improving the quality of care.

The Health Plan views all caregivers as active participants in the monitoring and feedback of the effectiveness of these guidelines and welcomes provider feedback and suggestions.  

Sincerely,

Michael Ostrov, M.D. M.S.
Chief Medical Officer
Arise Health Plan

 

Clinical Practice Guidelines

Topic Guideline Source

Preventive Care For All Ages  

Includes: 
children up to 24 months; 
children 2-19; 
adults 20-64; 
adults 65 and older) and perinatal care  guidelines

Summary of Recommendations for Clinical Preventive Services
American Academy of Family Practice (AAFP)
 Update Sept 2015

U.S Preventive Services Task Force (USPSTF) A and B recommendations- all ages

Immunization Schedules:

Children 0-18 years

Catch up schedule for infants and children

Adults

CDC Vaccine Information Statements (VIS)  site

AAFP

 

USPSTF

Adult Depression In Primary Care

Major Depression in Adults in Primary Care

Common Mental Health Disorders: Identification and Pathways to Care

Institute for Clinical Systems Improvement Health Care Guideline (ICSI)

NICE Clinical Guideline CG123

Asthma 

Diagnosis and Management of Asthma

Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (Landmark Report)

ICSI

NHLBI/NIH

ADHD – Pediatric

Diagnosis, Evaluation, and Treatment of Attention Deficit Hyperactivity Disorder in Children and Adolescents

And  Supplement:

Implementing the Key Action Statements: An Algorithm and Explanation for Process of Care for the Evaluation, Diagnosis, Treatment, and Monitoring of ADHD in Children and Adolescents

Diagnosis and Management of Attention Deficit Hyperactivity Disorder in Primary Care for School-Age Children and Adolescents

AAP

AAP

ICSI

Chronic Heart Failure in Adults  

Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults

Heart Failure in Adults Guideline

ACC/AHA

ICSI

COPD

Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease

Diagnosis and Management of Chronic Obstructive Pulmonary Disease- includes clinical algorithm

ACP

ICSI

Controlling Blood Pressure 

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)

Hypertension Diagnosis and Treatment

NIHLB/NIH

ICSI

CAD - Coronary & Other Atherosclerotic Vascular Disease

Secondary Prevention for Patients with Coronary and Other Atherosclerotic Vascular Disease

Stable Coronary Artery Disease

ACC/AHA

ICSI

Diabetes

Standards of Medical Care in Diabetes

Diagnosis and Management of Type 2 Diabetes Mellitus in Adults

American Diabetes Assoc.

ICSI

Diagnosis & Treatment  of Low Back Pain

Diagnosis and Treatment of Low Back Pain (Landmark Guideline)

Adult Acute and Subacute Low Back Pain

ACP & American Pain Society

ICSI
Primary Prevention of Chronic Disease Risk Factors

Healthy Lifestyles

ICSI

Prenatal Care American Academy of Family Practice Update on Prenatal Care 2014

AAFP