This Quality
Improvement Guidelines manual is intended to serve as a resource
for Humana health care providers. Quality improvement guidelines
represent a series of recommendations for diagnosing, managing,
or treating a clinical condition or accomplishing a clinical service.
They have been developed through a process of peer review, including
extensive review of medical literature and existing specialty society
guidelines.
They can be
valuable tools in identifying clinical areas for quality improvement.
Guidelines are not a substitute for a provider's clinical judgment
and are not always applicable to an individual. Following a guideline
will not guarantee a specific outcome for every patient, although
following the guideline should result in the best available outcome
for a majority of patients.
Benefit coverage
of particular services may vary by product. A particular service
mentioned in a guideline may not be a covered benefit. Providers
and members must refer only to their certificate of coverage for
specific benefit information.
Humana's vision
is to improve the health of our members, and provide value to our
customers, partners and shareholders.
Please send comments regarding these quality improvement guidelines to:
Humana Clinical Protocols Committee
Humana, 10th Floor
500 West Main Street
Louisville, KY 40202