ManagingManagedCare.com
Learn and discuss how to improve Manged Care

home > Guidelines

Clinical Practice Guidelines

(First, there are over 120 references to the word "guideline" on this site; do a simple or advanced search under "Discussions" or go to Google as a starter on your search)

WWW ManagingManagedCare.com

 

Clinical Practice Guidelines: How to Use Them
from the Centres for Health Evidence and JAMA

Quality Management in Health Care

Disease and Case Managers
You may want to explore this link as it includes important information on vendors, information gaps, and pharmaceutical industry partners.

See also, "DM Program Parts for Sale (Some Assembly Required)" where the by line is "Some HMOs have created a third way when confronted with the question of building or buying a disease management program". ... "Whole or part?" "Kaplan... . contends that hybrids predominate. 'Even large carriers... . do not have specialized expertise and so, disease management programs are often outsourced."

Managed Care. June 1998. ©1998 Stezzi Communications by Frank Diamond, Sr. Editor DM Program Parts for Sale (Some Assembly Required) 21k

History of Mananged Care in a compilation (Primary Source: The American College of Physician Executives (Word document).

60% of American adults are overweight or obese
16 million have diabetes; 50-60 million have hypertension; greater than 1 in 5 have the so-called "Metabolic Syndrome" combination--beer belly, high blood pressure/sugar, and poor cholesterol levels. Therefore, we offer a freebee on Obesity:

Obesity Management procedures
InteliHealth
The NHLB Guideline
The Physiology of Weight Change, Nicola Scopinaro, M.D (Genoa)
Obesity: The Last Bastion Of Prejudice by Sahale A. Flanagan
Obesity On-Line with sections on Physiology Internal Medicine Psychology Surgery Essay Literature - Books Education - Training Centres Patient Information

"30% of children reporting asthma symptoms—wheezing, problems sleeping at night, coughing—never had been diagnosed before"
(click) on "Asthma Overview"

"Action Against Asthma"  by InteliHealth


ATAQ--Merck's Asthma Therapy Assessment Questionnaire

Reports from 3M: Asthma and Diabetes (Adobe Acrobat, required)

Hospitalists have been a successful addition to the medical armamentarium to the point where patient acceptance and doctor lifestyle impact are overwhelmingly supportive of these programs.

The successes of hospitalist programs can be compared to the failure of "micromanagement" in the same context.

See: Hospitalist Document; Hospitalist Contract

 Structure, Process and Outcome

"The Growing Case for Using Physician Incentives to Improve Health Care Quality" from the National Health Care Purchasing Institute (NHCPI)
A functional and practical Report Card
Links: Diabetes Mellitus, Cost-Effectiveness Studies
Physician Non-compliance, Anti-kickback Laws

Body Mass Index (BMI)

Bowel Disease and Discomfort by InteliHealth

The Genes of Breast & Ovarian Cancer

Common Colds and Over-treatment

Cardiac

Congestive Health Failure - CHF Questionnaire

CHF Readmissions and How to Prevent That (includes the relevance of Depression)

Undercoding, Missing Data and Codes: CAD and CHF

CHF  Parameters / Outcome Measurement

Depression

Diabetes, An Outreach Program

The National Diabetes Education Initiative (NDEI) Slide Library, case studies, clinical trials, treatment guidelines and CME offerings

See also, "DM Program Parts for Sale (Some Assembly Required)" where the by line is "Some HMOs have created a third way when confronted with the question of building or buying a disease management program". ... "Whole or part?" "Kaplan... . contends that hybrids predominate. 'Even large carriers... . do not have specialized expertise and so, disease management programs are often outsourced."
Managed Care. June 1998. ©1998 Stezzi Communications by Frank Diamond, Sr. Editor DM Program Parts for Sale (Some Assembly Required) 21k

Health Maintenance

Hypertension? Home BP Monitoring & automated reporting--BPLink

Heart Attacks and Low Molecular Weight Heparin

Inflammatory Bowel Disease

Pain? - go to InteliHealth's for "The Seven Therapies Of A Pain Doctor"

For Back Pain

For Achilles tendonitis,
remember to do gentle and progressive stretching.

Joints: To be safe, when you have troubling, unusual or persistent joint pain see a doctor or physical therapist. They may recommend for non-swollen or inflamed joints, stopping the movements that may have caused or aggravated the problem for a while, ice, and anti-inflammatory medications like ibuprofen (over the counter) or prescription meds that are often the same ingredient in higher dose or taken less times per day), then range of motion exercises and muscle strengthening. Don't forget to ask a professional what may have caused this pain in the first place, for example, knee pain can come from new or changed footwear, exercise habits or activities.

Community-acquired pneumonia (CAP)
Afflicts approximately4 million adults/year, of which
600,000 are hospitalized.

As "It is generally felt that a large number of these hospitalizations can be avoided with adequate risk assessment," for educational purposes, only, here is the "Community Acquired Pneumonia CAP Prognostic Calculator (using Fine's Prediction Criteria)": CAP Prognostic Calculator

Ref.:
Fine et al. A prediction rule to identify low-risk patients with community acquired pneumonia. NEJM 336: 243-250, 1997.
Ewig et al. Comparative validation of prognostic rules for community-acquired pneumonia in an elderly population. Eur. Respir J. 14: 370-375, 1999.
Flanders et al. Validation of the Pneumonia Severity Index. Importance of study-specific recalibration. J. Gen Intern Med 14: 333-340, 1999.

Sinusitis Protocol (GIF file) (JPG file) that saves 53 fold in Rx costs [Abstract]

Search Function

Go to eMedicine or search with Google

MMC is responsive

Tell me what you think or need. I'll respond, quicky. I keep about 120 guidelines, policies and procedures in my files. Simply E-Mail your request indicating clearly, the disease of condition and what you want the guideline to address, e.g., managing obesity.