Practice Guidelines
Guideline Adoption and Recommended Use
PacificSource adopts guidelines to assist providers and members in making decisions about appropriate healthcare. Derived from nationally recognized sources, these guidelines are based on recent medical evidence and/or consensus among physicians regarding clinical treatment patterns. They are not intended to be a substitute for professional medical advice.
In all cases, benefit determinations should be based on the applicable contract coverage. Should there be any discrepency between these guidelines and the contract language, the contract language will take precedence.
Alcohol abuse screenings and references
Alcohol Use Disorders Identification Test (AUDIT) - Interview Form - PacificSource covers the use of this screening tool. Please use CPT code 99408.
Alcohol Use Disorders Identification Test (AUDIT) - Self-Report Form
AUDIT: Guidelines for Use in Primary Care, Second Edition (PDF) - World Health Organization, Department of Mental Health and Substance Dependence
A Pocket Guide for Alcohol Screening and Brief Intervention - National Institute on Alcohol Abuse and Alcoholism, 2005
National Institute on Alcohol Abuse and Alcoholism (NIAA) Web site
American Psychiatric Association Practice Guideline for Substance Use Disorders, Second Edition - APA, May 2006
Alcohol Alert from the NIAAA: Publications - National Institute on Alcohol Abuse and Alcoholism, 2005
Helping Patients Who Drink Too Much: A Clinician’s Guide - National Institute on Alcohol Abuse and Alcoholism, 2005, updated in 2007
Behavioral health and chemical dependency
Practice Guidelines - American Psychiatric Association
Guidelines for Adolescent Depression in Primary Care (GLAD-PC) Toolkit - AHRQ Healthcare Innovations Exchange
Coronary artery disease
Third Report of the Expert Panel on Detection, Evaluation, and Treatment of the High Blood Cholesterol in Adults (Adult Treatment Panel III): Executive Summary - NHLBI, 2004
AHA/ACC Guidelines for Secondary Prevention for Patients with Coronary and Other Atherosclerotic Vascular Disease: 2006 Update - AHA, 2006
Implications of Recent Clinical Trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines - AHA, 2004
Depression screening and references
American Psychiatric Association Practice Guidelines for Treatment of Patients with Major Depressive Disorder
The MacArthur Initiative on Depression and Primary Care Tool Kit
Patient Health Questionnaire (PHQ9) Overview
Diabetes
Diabetes Care 2010 Clinical Practice Recommendations- American Diabetes Association, 2010
Immunizations and screenings
Screening for Lipid Disorders in Adults – AHRQ, June 2008
Recommended Child & Adolescent Immunization Schedules Ages 0 to 6 - CDC, 2011
Recommended Child & Adolescent Immunization Schedules Ages 7 to 18 - CDC, 2011
Catch up schedule - CDC, 2011
Recommended Adult Immunization Schedule - CDC, 2011
Selected Preventive Screening Recommendations - CDC, 2010
Obesity: recommendations for children and adolescents
Identifying and preventing overweight in childhood. Clinical practice guideline – National Association of Pediatric Nurse Practitioners - AHRQ, 2006
Dietary Recommendations - October 4, 2010 American Heart Association
Active Healthy Living: Prevention of Childhood Obesity through Increased Physical Activity - American Academy of Pediatrics, 2006