Practice Guidelines
Preventive and clinical practice guidelines are based on the health needs and opportunities for improvement identified as part of the Quality Assurance Program Improvement (QAPI) program. Whenever possible, Sunflower Health Plan adopts preventive and clinical practice guidelines that are published by nationally recognized organizations or government institutions as well as state-wide collaborative and/or a consensus of healthcare professionals in the applicable field.
Preventative Care
- Morbidity and Mortality Weekly ReportExternal Link (MMWR) - Centers for Disease Control and Prevention (CDC)
- U.S. Preventive Services Task Force RecommendationsExternal Link - U.S. Preventive Services Task Force (USPSTF)
- Adult Preventive ScreeningsExternal Link - United States Preventive Services Task Force (USPSTF)
- Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and AdolescentsExternal Link (Revised 2022) - American Academy of Pediatric Dentistry (AAPD)
- Periodicity Schedule: Recommendations for Preventive Pediatric Health CareExternal Link (2022) - Bright Futures/American Academy of Pediatrics
- American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older AdultsExternal Link - American Geriatrics Society (AGS)
- Managing Medicines for Adults Receiving Social Care in the CommunityExternal Link (2017) National Institute for Health and Care Excellence (NICE)
- Adult Immunization ScheduleExternal Link - Advisory Committee on Immunization Practices (ACIP). Recommended adult immunization schedule for ages 19 years and older, United States 2023
- Child and Adolescent Immunization ScheduleExternal Link - Advisory Committee on Immunization Practices (ACIP). Recommendations for Ages 18 years or younger, United States, 2023
- Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP)External Link - United States, 2022-2023 Influenza Season - Advisory Committee on Immunization Practices (ACIP)
Final Recommendation Statement Gonorrhea and Chlamydia: ScreeningExternal Link, September 2021 - U.S. Preventive Services Task Force (USPSTF)
- CDC Childhood Lead Poisoning Prevention ProgramExternal Link Advisory Committee On Childhood Lead Poisoning Prevention (ACCLPP)
- Guideline for clinical management of exposure to leadExternal Link (2021) - World Health Organization (WHO)
- AFP by Topic: PrenatalExternal Link (Publication dates vary) - American Academy of Family Physicians (AAFP)
- AFP by Topic: Labor, Delivery, and Post-Partum IssuesExternal Link (Publication dates vary) - American Academy of Family Physicians (AAFP)
- Guidelines for Perinatal Care, Eighth EditionExternal Link (2017) - The American College of Obstetricians and Gynecologists Available online for ACOG members only.
Disease Management
- U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute
- Asthma Care Quick Reference Diagnosing and managing asthma. Guidelines from the National Asthma Education and Prevention Program. Expert Panel Report 3External Link (Revised 2012)
- Expert Panel Report 3: Guidelines for the Diagnosis and Management of AsthmaExternal Link (Full Report July 2007) and 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group (December 2020)
- 2022 GINA Report, Global Strategy For Asthma Management and PreventionExternal Link - Global Initiative for Asthma (GINA)
- Diagnosis and Treatment of Low Back Pain (PDF)External Link (2020) - North American Spine Society (NASS)
- VA/DoD Clinical Practice Guideline for Diagnosis and Treatment of Low Back PainExternal Link (2022) - Department of Veterans Affairs and the Department of Defense (VA/DoD)
- Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of PhysiciansExternal Link (April 2017) - American College of Physicians
- Low Back Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and HealthExternal Link (2012) - Journal of Orthopaedic and Sports Physical Therapy
- ASCO Guidelines by Clinical AreaExternal Link - American Society of Clinical Oncology
- ASTRO Guidelines by Clinical AreaExternal Link - American Society for Radiation Oncology (ASTRO)
- NCCN Guidelines® & Clinical ResourcesExternal Link - National Comprehensive Cancer Network (NCCN)
- The Care of Children With Congenital Heart Disease in Their Primary Medical HomeExternal Link (2017) - American Academy of Pediatrics (AAP) and the American College of Cardiology (ACC)
- Guideline for the Management of Adults with Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesExternal Link. (2018) - American Heart Association (AHA) and the American College of Cardiology Foundation. (ACC)
- Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary DiseaseExternal Link (2023 Report) - The Global Initiative for Chronic Obstructive Lung Disease (GOLD)
- Pharmacologic Management of Chronic Obstructive Pulmonary Disease. An Official American Thoracic Society Clinical Practice GuidelineExternal Link. (2020) - American Thoracic Society
- Clinical Practice Guideline for the Management of Chronic Obstructive Pulmonary DiseaseExternal Link (2021) - United States Department of Veteran Affairs (VA) and the Department of Defense (DoD)
- Overview of Testing for SARS- CoV-2 (COVID-19)External Link (Updated September 2022) - Centers for Disease Control and Prevention (CDC)
- Coronavirus Disease 2019 (COVID-19) Treatment GuidelinesExternal Link. (Updated regularly) - National Institutes of Health (NIH)
- Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents. The Report of the Expert Panel (PDF)External Link (October 2012) - U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
- ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. External Link (Circulation. 2014; 129:S49-S73) (Published online November 2013) - American College of Cardiology and American Heart Association Task Force
- Routine Assessment and Promotion of Physical Activity in Healthcare Settings; A scientific statement from the American heart associationExternal Link (Circulation. 2018; 137:e495–e522) - American Heart Association (AHA)
- AHA Scientific Statement: Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older AdultsExternal Link (Circulation. 2013; 128:2422-2446) American Heart Association
- AHA/ACC/ASH Scientific Statement Treatment of Hypertension in Patients with Coronary Artery DiseaseExternal Link (Circulation 2015;131:e435-e470) and (Correction 2016;134:e260) - American Heart Association, American College of Cardiology, and American Society of Hypertension
- AHA/ACCF Guideline: AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular DiseaseExternal Link, 2011 Update (Circulation. 2011; 124: 2458-2473) and (Correction 2015; 131: e048) - American Heart Association and American College of Cardiology Foundation
- 2019 AHA/ACCF Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesExternal Link (Circulation 2019; 2019;140:e596–e646) and (Correction 2020; 141:e60, Correction 2020; 141:e774) - American Heart Association (AHA) and American College of Cardiology Foundation (ACC)
- 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice GuidelinesExternal Link. (Published Dec. 2021) (Circulation. 2022;145:e18–e114) - American College of Cardiology/American Heart Association
- Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021External Link - Society of Critical Care Medicine and European Society of Intensive Care Medicine.
- The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)External Link - Journal of the American Medical Association
- American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan—2022 UpdateExternal Link - American Association of Clinical Endocrinologists and American College of Endocrinology
- Standards of Care in Diabetes - 2023External Link (Volume 46, Issue Supplement 1) - American Diabetes Association (ADA)
Guidelines by Topic: EpilepsyExternal Link (Publication Dates Vary) - American Academy of Neurology and American Epilepsy Society
Choosing WiselyExternal Link - Choosing Wisely; American Board of Internal Medicine Foundation
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice GuidelinesExternal Link - American College of Cardiology (ACC) Foundation, American Heart Association (AHA) Task Force on Practice Guidelines and the Heart Failure Society of America (HFSA)
NHF‐McMaster Guideline on Care Models for Hemophilia Management (2016)External Link - National Hemophilia Foundation (NHF)
- Human Immunodeficiency Virus (HIV) Infection: Screening (2019)External Link - United States Preventive Services Task Force (USPSTF)
- Prevention of Human Immunodeficiency Virus (HIV) Infection: Preexposure Prophylaxis (2023)External Link - United States Preventive Services Task Force (USPSTF)
- Routine Human Immunodeficiency Virus ScreeningExternal Link (2014 - reaffirmed 2020) - American College of Obstetricians and Gynecologists (ACOG)
- Guide for HIV/AIDS Program Clinical Care (PDF)External Link (2014) - U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA)
- Federally Approved Clinical Practice Guidelines for HIV/AIDSExternal Link - U.S. Department of Health and Human Services (HHS) National Institutes of Health (NIH)
- ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in AdultsExternal Link. (Circulation 2014; 129:S1-S45, Circulation 2014; 129:S46-S48, Circulation 2015; 132:e396) - American College of Cardiology (ACC), American Heart Association (AHA) Task Force on Practice Guidelines
- ACC/AHA/AAPA/ABC/ACPM/AG S/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in AdultsExternal Link - American College of Cardiology (ACC), American Heart Association (AHA) Task Force on Clinical Practice Guidelines
- 2018 AHA/ACC/AACVPR/AAPA/ABC/ ACPM/ADA/AGS/APhA/ASPC/NL A/PCNA Guideline on the Management of Blood CholesterolExternal Link - American College of Cardiology (ACC), American Heart Association (AHA) Task Force on Clinical Practice Guidelines
- 2017 ACC/AHA/AAPA/ABC/ACPM/ AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults; A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesExternal Link - Journal of the American College of Cardiology (ACC)
- 2020 International Society of Hypertension Global Hypertension Practice GuidelinesExternal Link - American Heart Association (AHA) International Society of Hypertension (ISH)
Transitions of Care in the Long-Term Care Continuum Clinical Practice GuidelinesExternal Link - American Medical Directors Association (AMDA) The Society for Post-Acute and Long-Term Care Medicine
CDC Guideline for Prescribing Opioids for Chronic PainExternal Link - United States, 2022 - Centers for Disease Control and Prevention (CDC)
- Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal OsteoporosisExternal Link (2020 Update) - American Association of Clinical Endocrinologists (AACE) and American College of Endocrinology (ACE)
- ACOG Practice Bulletin N. 1. Osteoporosis Prevention, Screening, and DiagnosisExternal Link (2021) - American College of Obstetricians and Gynecologists (ACOG)
Clinical Practice Guidelines for Quality Palliative Care 4th EditionExternal Link - National Coalition for Hospice and Palliative Care
- Management of Adults with Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society (PDF)External Link (2016) - Infectious Diseases Society of America (IDSA)
- Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Practice Guideline of the American Thoracic Society and Infectious Diseases Society of AmericaExternal Link. (Published 2019) - American Thoracic Society (ATS), Infectious Diseases Society of America (IDSA)
- The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of AmericaExternal Link (2011) - Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA)
- Adult and Pediatric treatment recommendationsExternal Link - Centers for Disease Control and Prevention (CDC)
- AFP by Topic: Upper Respiratory Tract InfectionsExternal Link (Publication dates vary) - American Academy of Family Physicians (AAFP)
2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis (PDF)External Link - American College of Rheumatology (ACR)
- Sickle Cell Disease, RecommendationsExternal Link (Last reviewed October 21, 2021) - Centers for Disease Control and Prevention (CDC)
- Evidence-Based Management of Sickle Cell Disease. Expert Panel ReportExternal Link, 2014 - National Institutes of Health Heart, Lung, and Blood Institute
- ASH Clinical Practice Guidelines on Sickle Cell DiseaseExternal Link (2016) - American Society of Hematology
National Standards for Systems of Care for Children and Youth with Special Health Care Needs (PDF)External Link (2017) - Association Of Maternal And Child Health Programs and the National Academy For State Health Policy
- Tobacco and Nicotine Cessation During PregnancyExternal Link. Committee Opinion No. 807 (April 2020, Reaffirmed 2023) - American College of Obstetricians and Gynecologists (ACOG)
- Cessation Materials for State Tobacco Control ProgramsExternal Link - Centers for Disease Control and Prevention (CDC)
- Tobacco Smoking Cessation in Adults, Including Pregnant Persons: InterventionsExternal Link (2021) - United Preventive Services Task Force (USPSTF)
- Tobacco Use in Children and Adolescents: Primary Care InterventionsExternal Link (April 2020) - United Preventive Services Task Force (USPSTF)
Management of Concussion-mild Traumatic Brain Injury (mTBI)External Link (2021) - United States Department of Veteran Affairs (VA) and the Department of Defense (DoD)
- Adult Weight Management (AWM) GuidelineExternal Link (2021-22) - Academy of Nutrition and Dietetics
- American Association of Clinical Endocrinologists and American College of Endocrinology Comprehensive Clinical Practice Guidelines For Medical Care of Patients with ObesityExternal Link - American Association of Clinical Endocrinologists and American College of Endocrinology
- 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in AdultsExternal Link - American College of Cardiology (ACC) and the American Heart Association (AHA)
- Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With ObesityExternal Link (2023) - American Academy of Pediatrics (AAP)
- Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert PanelExternal Link (2013) - U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute
- Final Recommendation Statement Obesity in Children and Adolescents: ScreeningExternal Link, June 2017 (Update in progress) - U.S. Preventive Services Task Force (USPSTF)
- Clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents (PDF)External Link (March 2018) - American Psychological Association (APA)
For Healthcare Providers: New Zika and Dengue Testing GuidanceExternal Link (November 2019) - Centers for Disease Control and Prevention (CDC)
Behavioral Health
Clinical Practice Guideline for Multicomponent Behavioral Treatment of Obesity and Overweight in Children and Adolescents (PDF)External Link (March 2018) - American Psychological Association (APA)
Guidance on Strategies to Promote Best Practice in Antipsychotic Prescribing for Children and Adolescents (PDF)External Link (March 2019) - Substance Abuse and Mental Health Services Administration (SAMSHA)
Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention- Deficit/Hyperactivity Disorder in Children and AdolescentsExternal Link (Correction March 1, 2020) - American Academy of Pediatrics
- Generalized Anxiety Disorder and Panic Disorder in Adults: ManagementExternal Link (Updated June 2020) - National Institute for Health and Care Excellence (NICE)
- Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Anxiety DisordersExternal Link (May 2020) - American Academy of Child and Adolescent Psychiatry (AACAP)
- Practice Parameters for the Assessment and Treatment of Children and Adolescents With Autism Spectrum Disorder (February 2014)External Link - American Academy of Child and Adolescent Psychiatry (AACAP)
- Identification, Evaluation, and Management of Children with Autism Spectrum DisorderExternal Link (2020) - American Academy of Pediatrics
- Applied Behavioral Analysis Treatment of Autism Spectrum Disorder, Practice Guidelines for Healthcare Funders and Managers, Second Edition (PDF)External Link (2020) - The Council of Service Providers (CASP)
- Practice Parameters for Telehealth - Implementation of Applied Behavior Analysis, Second Edition (PDF)External Link (2021) - The Council of Service Providers (CASP)
- Management of Major Depressive Disorder, 2022External Link - United States Department of Veteran Affairs and the Department of Defense (VA/DoD)
- Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts, 2019External Link - American Psychological Association
- Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Major and Persistent Depressive DisordersExternal Link (May 2023) - American Academy of Child and Adolescent Psychiatry (AACAP)
Guidelines for Psychological Practice with Transgender and Gender Nonconforming People, December 2015External Link - American Psychiatric Association (APA)
- VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders (PDF)External Link (2015) - Department of Veterans Affairs
- American Society of Addiction Medicine. ASAM Criteria 3rd EditioExternal Linkn (2013) - American Society of Addiction Medicine (ASAM)
- Clinical Practice review for OCDExternal Link (2015) - Anxiety and Depression Association of America (ADAA)
- Practice Parameter for the Assessment and Treatment of Children and Adolescents with Obsessive-Compulsive DisorderExternal Link (2012) - American Academy of Child and Adolescent Psychiatry (AACAP)
- National Practice Guideline for the Treatment of Opioid Use DisorderExternal Link (2020) - American Society of Addiction Medicine (ASAM)
- Federal Guidelines for Opioid Treatment ProgramsExternal Link (March 2015) - Substance Abuse and Mental Health Services Administration (SAMHSA)
- Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants (PDF)External Link (January 2018) - Substance Abuse and Mental Health Services Administration (SAMHSA)
- VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder (PDF)External Link (2017) (Update in progress) - United States Department of Veteran Affairs (VA) and the Department of Defense (DOD)
- Practice Parameter for the Assessment and Treatment of Children and Adolescents with Posttraumatic Stress Disorder (PDF)External Link (April 2010) - American Academy of Child & Adolescent Psychiatry (AACAP)
- Practice Guideline for the Treatment of Patients with SchizophreniaExternal Link. Third Edition (2020) - The American Psychiatric Association American Academy of Child and Adolescent Psychiatry (AACAP)
- Practice Parameter for the Assessment and Treatment of Children and Adolescents with SchizophreniaExternal Link (2013) - American Academy of Child And Adolescent Psychiatry (AACAP)
- VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for SuicideExternal Link (2019) - Department of Veterans Affairs and the Department of Defense (VA/DoD)
- Suicide PreventionExternal Link (2022) - National Institute of Mental Health (NIH)
- Suicide PreventionExternal Link (February 2023) - American Psychiatric Association (APA)