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
http://www.cdc.gov/mmwr/preview/mmwrhtml/su6201a3.htm

Asthma care
Global Initiative for Asthma Pocket Guide for Asthma Management and Prevention (updated December 2012)
http://www.ginasthma.org/documents/1

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
http://content.onlinejacc.org/article.aspx?articleid=1147807

Copyright notice: http://content.onlinejacc.org/SS/ConditionsofUse.aspx

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
http://www.cdc.gov/mmwr/preview/mmwrhtml/su6201a2.htm?s_cid=su6201a2_w

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
http://www.goldcopd.org/guidelines-global-strategy-for-diagnosis-management.html

Diabetes
American Diabetes Association (ADA), Executive Summary: Standards of Medical Care in Diabetes – January 2014
http://care.diabetesjournals.org/content/37/Supplement_1/S5.full

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
http://content.onlinejacc.org/article.aspx?articleid=1695826

Copyright notice: http://content.onlinejacc.org/SS/ConditionsofUse.aspx

Hypertension
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)
http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.htm

Kidney disease
National Kidney Foundation Guidelines and Commentaries
http://www.kidney.org/professionals/kdoqi/guidelines_commentaries.cfm

Medical records documentation guidelines
Humana has adopted guidelines based on federal and state medical record documentation requirements.
http://apps.humana.com/marketing/documents.asp?file=1885858

Obesity screening in adults
Screening for Obesity in Adults; U.S. Preventive Services Task Force (USPSTF) – November 2003
http://www.uspreventiveservicestaskforce.org/3rduspstf/obesity/obesrr.htm

Obesity screening in children
Screening for Obesity in Children and Adolescents: U.S. Preventive Services Task Force (USPSTF) January 2010
http://www.uspreventiveservicestaskforce.org/uspstf10/childobes/chobesrs.htm

Preventive care
USPSTF (U.S. Preventive Services Task Force) A-Z Topic Guide
http://www.uspreventiveservicestaskforce.org/uspstopics.htm#A-Z

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
http://circ.ahajournals.org/content/118/15/e523

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)
http://circ.ahajournals.org/content/123/1/104.full

Cancer screening guidelines (all types)
American Cancer Society Guidelines for the Early Detection of Cancer (updated April 2013)
http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer

Primary prevention of cardiovascular disease and stroke
American Heart Association (AHA) Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update
http://circ.ahajournals.org/content/106/3/388

Colorectal cancer screening guidelines
American Cancer Society Guidelines for colorectal cancer early detection (August 2013)
http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations

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