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Clinical Practice Guideline Update
The clinical guidelines are developed by UW Health’s Center for Clinical Knowledge Management (CCKM), as a collaborative effort of expert clinicians and quality improvement staff representing area health systems and payers.  The goal is for clinical guidelines to be current, evidence-based and meet the needs of our population.  New and existing CPGs are reviewed and adopted at least every two years.

 

Coverage of services mentioned in the guidelines may differ depending on the individual’s specific health plan.  Please contact Quartz Customer Service to confirm coverage by calling 800.362.3310.

The following Clinical Practice Guidelines were recently updated and are available on QuartzBenefits.com/clinicalguidelines.


Clinical Practice Guideline Summaries –

Preventive Health Care – Adult / Pediatric – Ambulatory

Some of the updates include:

  • Use of aspirin for primary prevention of cardiovascular disease.
  • Various options for Colorectal Cancer Screening.
  • Hepatitis B screening for patients at increased risk.
  • Tuberculosis screening for adults.

Asthma: Diagnosis and Management – Adult / Pediatric – Inpatient / Ambulatory / Emergency Department

Updates to this guideline include:

  • Continued endorsement of the 2017 GINA guideline.
  • For patients age six and older with persistent disease, recommendation to test lung function at least once and annually thereafter.
  • For children on inhaled corticosteroid treatment (ICS), recommendation to measure and record children’s height at least yearly, as growth rate may be lower in the first 1one to two years of life on ICS treatment.
  • Reorganization of medication tables to include select rescue and controller medications for use in ambulatory care.

Diabetes

Updates to this guideline include:

  • For asymptomatic adults, if test results are normal, do not repeat testing more frequently than every three years. 
  • The physical activity recommendation for most adults was updated to
    • engaging in at least 150 minutes per week of moderate to vigorous intensity physical activity,
    •  at a frequency of three days / week with no more than two consecutive dates without exercise. 
  • Because long-term use of metformin therapy, (≥ 5 years) may be associated with vitamin B12 deficiency,  periodic measurements should be considered. 
  • Insulin is the preferred treatment for hyperglycemia in gestational diabetes.
  • Blood pressure targets were updated for adults and pre­­­gnant women.
  • Lipid screening should occur at first diagnosis, initial medical evaluation and every five years thereafter (or more frequently if indicated).