Clinical practice guidelines

Clinical practice guidelines are resources* for Humana-contracted physicians. The following guidelines are approved by Humana's medical directors:

Adult immunizations – recommended immunization schedule for adults aged 19 years and older
Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Adults Aged 19 Years and Older — United States, 2013

Asthma care
Global Initiative for Asthma Pocket Guide for Asthma Management and Prevention (updated December 2012)

Atherosclerotic cardiovascular disease
American Heart Association (AHA)/American College of Cardiology (ACC) Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease: 2011 Update; Sidney C. Smith, MD, FAHA, FACC; Emelia J. Benjamin, MD, ScM, FAHA, FACC; Robert O. Bonow, MD, FAHA, FACC; Lynne T. Braun, PhD, ANP, FAHA; Mark A. Creager, MD, FAHA, FACC; Barry A. Franklin, PhD, FAHA; Raymond J. Gibbons, MD, FAHA, FACC; Scott M. Grundy, MD, PhD, FAHA; Loren F. Hiratzka, MD, FAHA, FACC; Daniel W. Jones, MD, FAHA; Donald M. Lloyd-Jones, MD, ScM, FAHA, FACC; Margo Minissian, ACNP, AACC, FAHA; Lori Mosca, MD, PhD, MPH, FAHA; Eric D. Peterson, MD, MPH, FAHA, FACC; Ralph L. Sacco, MD, MS, FAHA; John Spertus, MD, MPH, FAHA, FACC; James H. Stein, MD, FAHA, FACC; Kathryn A. Taubert, PhD, FAHA

Copyright notice:

Childhood immunizations – recommended immunization schedules for persons aged 0 through 18 years Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Persons Aged 0 Through 18 Years — United States, 2013

Chronic obstructive pulmonary disease (COPD)
Global Initiative for Chronic Obstructive Lung Disease (GOLD)'s Global Strategy for Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease (COPD), January 2014

American Diabetes Association (ADA), Executive Summary: Standards of Medical Care in Diabetes – January 2014

Heart failure
2013 ACCF (American College of Cardiology Foundation)/AHA (American Heart Association) Guideline for the Management of Heart Failure: Executive Summary; Clyde W. Yancy, MD, MSc, FACC, FAHA; Mariell Jessup, MD, FACC, FAHA; Biykem Bozkurt, MD, PhD, FACC, FAHA; Javed Butler, MBBS, FACC, FAHA; Donald E. Casey, MD, MPH, MBA, FACP, FAHA; Mark H. Drazner, MD, MSc, FACC, FAHA; Gregg C. Fonarow, MD, FACC, FAHA; Stephen A. Geraci, MD, FACC, FAHA, FCCP; Tamara Horwich, MD, FACC; James L. Januzzi, MD, FACC; Maryl R. Johnson, MD, FACC, FAHA; Edward K. Kasper, MD, FACC, FAHA; Wayne C. Levy, MD, FACC; Frederick A. Masoudi, MD, MSPH, FACC, FAHA; Patrick E. McBride, MD, MPH, FACC; John J.V. McMurray, MD, FACC; Judith E. Mitchell, MD, FACC, FAHA; Pamela N. Peterson, MD, MSPH, FACC, FAHA; Barbara Riegel, DNSc, RN, FAHA; Flora Sam, MD, FACC, FAHA; Lynne W. Stevenson, MD, FACC; W. H. Wilson Tang, MD, FACC; Emily J. Tsai, MD, FACC; Bruce L. Wilkoff, MD, FACC, FHRS

Copyright notice:

National Heart, Lung and Blood Institute (NHLBI) Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7), 2004
(Source: National Heart, Lung, and Blood Institute; National Institutes of Health; U.S. Department of Health and Human Services)

Kidney disease
National Kidney Foundation Guidelines and Commentaries

Medical records documentation guidelines
Humana has adopted guidelines based on federal and state medical record documentation requirements.

Obesity screening in adults
Screening for Obesity in Adults; U.S. Preventive Services Task Force (USPSTF) – November 2003

Obesity screening in children
Screening for Obesity in Children and Adolescents: U.S. Preventive Services Task Force (USPSTF) January 2010

Preventive care
USPSTF (U.S. Preventive Services Task Force) A-Z Topic Guide

Valvular heart disease
2008 Focused Update Incorporated into the ACC (American College of Cardiology)/AHA (American Heart Association) 2006 Guidelines for the Management of Patients with Valvular Heart Disease

Additional preventive care guidelines from specialty organizations

Atrial fibrillation guidelines
2011 ACCF (American College of Cardiology Foundation)/AHA (American Heart Association)/HRS (Heart Rhythm Society) Focused Update on the Management of Patients With Atrial Fibrillation (Updating the 2006 Guideline)

Cancer screening guidelines (all types)
American Cancer Society Guidelines for the Early Detection of Cancer (updated April 2013)

Primary prevention of cardiovascular disease and stroke
American Heart Association (AHA) Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update

Colorectal cancer screening guidelines
American Cancer Society Guidelines for colorectal cancer early detection (August 2013)

Humana periodically monitors compliance with nationally recognized clinical practice guidelines to identify opportunities for improvement.