Clinical Practice Guidelines

Clinical Practice Guidelines are based on established evidence-based standards of care from specialty societies and national clinical organizations. The guidelines inform our quality and health management programs and support decision-making in patient care. 

Our Clinical Quality Committee reviews and updates the guidelines at least every two years and when new significant findings or major advancements in evidence-based practices and standards of care are established. 

The guidelines aren’t intended to substitute for clinical judgment in individual cases. Providers are encouraged to make decisions based on their own judgment and the most current evidence-based information available.  

Recommendations from national entities may vary. At this time, we endorse the American Academy of Family Physicians and American College of Physicians criteria for defining high blood pressure.  

Here are our current guidelines:  

Related Resources:

 

The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. References to other third party sources or organizations are not a representation, warranty or endorsement of such organization. Any questions regarding those organizations should be addressed to them directly. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.