Clinical practice guidelines
Clinical practice guidelines are resources* for Humana-contracted physicians. Humana has adopted the following guidelines.
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, 2014
Global Initiative for Asthma Pocket Guide for Asthma Management and Prevention (updated December 2014)
Atherosclerotic cardiovascular disease
AHA (American Heart Association)/ACCF (American College of Cardiology Foundation)- 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: http://content.onlinejacc.org/SS/ConditionsofUse.aspxChildhood immunizations
Recommended immunization schedules for persons aged 0 through 18 years (2014)
2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
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
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: http://content.onlinejacc.org/SS/ConditionsofUse.aspx
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)
National Kidney Foundation Guidelines and Commentaries – Evidence-based clinical practice guidelines for all stages of chronic kidney disease
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
USPSTF (U.S. Preventive Services Task Force) recommendations
Valvular heart disease
AHA/ACC Guideline: 2014 AHA (American Heart Association)/ACC (American College of Cardiology) Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary; A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
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
Clinical toolkit – atrial fibrillation
The Cardiosource® site produced by the American College of Cardiology Foundation
Colorectal cancer screening guidelines
American Cancer Society guidelines for colorectal cancer early detection
Primary prevention of cardiovascular disease and stroke
ACC (American College of Cardiology)/AHA (American Heart Association) Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk – A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
Treating Tobacco Use and Dependence: 2008 Update — Clinical Practice Guideline
Humana periodically monitors compliance with nationally recognized clinical practice guidelines.
* Note: Humana publishes medical guidelines from a number of well-respected national sources. These guidelines may have some differences in recommendations. Information contained in the guidelines is not a substitute for a physician’s or other health care professional's clinical judgment and is not always applicable to an individual. Therefore, the physician or health care professional and patient should work in partnership in the decision-making process regarding the patient's treatment. Furthermore, using this information will not guarantee a specific outcome for each patient. None of the information in the guidelines is intended to interfere with or prohibit clinical decisions made by a treating physician or other health care professional regarding medically available treatment options for patients.
Publication of these guidelines is not a promise or guarantee of coverage. Individuals should review their coverage to determine benefits.
Links to other websites are provided for your convenience only and do not constitute or imply endorsement by Humana of these sites, products or services described on these sites, or of any other material contained therein. Humana disclaims responsibility for their content and accuracy.