UnitedHealthcare Community Plan
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Clinical Practice Guidelines

UnitedHealthcare has identified and adopted evidence-based clinical guidelines to guide our quality and health management programs. Click here (PDF 180.17 KB) to view the guidelines. 

Utilization Management Committee Approval - May 19, 2016   

Abuse and Neglect Identification-

 http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion202.page

Alcohol Abuse Prevention and Treatment-

http://www.psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/substanceuse.pdf

Disease Management (CHF, COPD, DM, and depression)-

American College of Cardiology/American Heart Association

http://circ.ahajournals.org/content/128/16/e240.full.pdf

American Diabetes Association

http://professional.diabetes.org/ResourcesForProfessionals.aspx?cid=84160

American Psychiatric Association  Depression

http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf

Global Initiative for Chronic Obstructive Lung Disease (GOLD)

http://www.goldcopd.org/uploads/users/files/GOLD_Report_2015_Apr2.pdf

Management of Dementia-

http://www.psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/alzheimers.pdf


Nursing Facility Utilization

Assessment of function. In: Evidence- based geriatric nursing protocols for best practice. http://www.guideline.gov/search/search.aspx?term=geriatric+nursing+protocols

 

Assessing cognitive functioning. In: Evidence-based geriatric nursing protocols for best practice. 2003 (revised 2012). NGC:009705
Hartford Institute for Geriatric Nursing - Academic Institution.

Function-focused care (FFC) interventions. In: Evidence-based geriatric nursing protocols for best practice. 2012. NGC:009730
Hartford Institute for Geriatric Nursing - Academic Institution.

Comprehensive assessment and management of the critically ill. In: Evidence-based geriatric nursing protocols for best practice. 2008 (revised 2012). NGC:009707
Hartford Institute for Geriatric Nursing - Academic Institution.

Family caregiving. In: Evidence-based geriatric nursing protocols for best practice. 2008 (revised 2012). NGC:009713
Hartford Institute for Geriatric Nursing - Academic Institution.

Assessment of physical function. In: Evidence-based geriatric nursing protocols for best practice. 2003 (revised 2012). NGC:009706
Hartford Institute for Geriatric Nursing - Academic Institution.

Transitional care. In: Evidence-based geriatric nursing protocols for best practice. 2012. NGC:009728
Hartford Institute for Geriatric Nursing - Academic Institution.