Medical Practice Guidelines

Maintaining the highest health status possible for our Members is the goal of Health Right, Inc. This can be achieved through collaboration between you, our clinicians, and the staff of Health Right, Inc.

The Health Right, Inc. Clinical Guidelines are created to assist you in making appropriate clinical decisions for your patients. These statements and protocols represent a compilation of what is considered standard of care. The guidelines are agreed upon by our Quality Advisory Committee. Our vision is to provide the mechanism to evaluate our delivery system and to identify opportunities to enhance quality of care and service, thus improving the healthcare of our beneficiaries.

Medical Practice Guidelines - 2009

Adult Medicine

Asthma
Guidelines for the Diagnosis and Management of Asthma
National Asthma Education and Prevention Program
National Institutes of Health
National Heart, Lung, and Blood Institute
http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf

Diabetes - Standards of Care
Standards of Medical Care in Diabetes: 1. Classification and Diagnosis
American Diabetes Association (ADA).
http://www.guidelines.gov/summary/pdf.aspx?doc_id=12180&stat=1&string=Diabet+es+AND+Mellitus

Standards of Medical Care in Diabetes: 5. Diabetes Care American Diabetes Association (ADA).
http://www.guidelines.gov/summary/summary.aspx?doc_id=12184&nbr=006281&string=Diabet es+AND+Mellitus

Hypercholesterolemia
Third Report of the National Cholesterol Education Program Expert
Panel on Detection, Evaluation, and Treatment of High Blood
Cholesterol in Adults
National Cholesterol Education Program and National Heart, Lung,
and Blood Institute
http://www.guidelines.gov/summary/summary.aspx?doc_id=5503&nbr=3746&string=adult+AN D+obesity

Hypertension
Seventh Report of the Joint National Committee on Prevention,
Detection, Evaluation, and Treatment of High Blood Pressure
U.S. Department of Health and Human Services
Public Health Service
National Institutes of Health
National Heart, Lung, and Blood Institute
http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=4771&nbr=3450

Obesity Screening
Screening for Obesity in Adults: Recommendations and Rationale; U.S. Preventive Services Taskforce
http://www.guideline.gov/summary/summary.aspx?doc_id=4118&nbr=003163&string=Obesity +AND+Screening

Sexually Transmitted Diseases Treatment Guidelines
Sexually Transmitted Diseases Treatment Guidelines 2006
Centers for Disease Control
http://www.cdc.gov/std/treatment/2006/toc.htm

Congestive Heart Failure
ACC/AHA 2005 guideline update for the diagnosis and management of chronic heart failure in the adult. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
American College of Cardiology Foundation (ACCF)
http://www.guideline.gov/summary/pdf.aspx?doc_id=7664&stat=1&string=congesti+ve+AND+heart+AND+failure


Obstetrics and Gynecology

Cervical Cancer Screening Guidelines Screening for Cervical Cancer: Recommendations and Rationale; U.S. Preventive Services Task Force
http://www.guideline.gov/summary/summary.aspx?doc_id=3532&nbr=002758&string=abnorma l+AND+pap+AND+smear

Prenatal Care
DoD/VA Clinical Practice Guideline for Management of Uncomplicated Pregnancy
Department of Defense
Department of Veterans Affairs
http://www.guideline.gov/summary/summary.aspx?doc_id=3847&nbr=003062&string=prenatal +AND+care


Pediatrics

Asthma
Guidelines for the Diagnosis and Management of Asthma
National Asthma Education and Prevention Program
National Institutes of Health
National Heart, Lung, and Blood Institute
http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf

Obesity and Overweight
EPSDT - Bright Future Guidelines
http://www.brightfutures.org/healthcheck/screenings/nutrition.html

Well-Child Care
EPSDT - Bright Future Guidelines
http://www.brightfutures.org/healthcheck/overview/epsdt.html http://www.brightfutures.org/healthcheck/resources/index.html



"An accreditation status of 'Commendable' from NCQA is a sign that a health plan is awarded to plans whose service and clinical quality meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement."

Margaret E. O'Kane
President of NCQA