2018 Clinical Practice Guidelines

Revised January 29, 2018 2018 Clinical Practice Guidelines Asthma Global Initiative for Asthma (GINA) – National Heart, Lung, and Blood Institute (NHLBI) Global Strategy for Asthma Management and Prevention, 2017 Full report: http://ginasthma.org/2017-gina-report-globalstrategy-for-asthma-management-and-prevention/ Pocket guide: http://ginasthma.org/2017-pocket-guide-forasthma-management-and-prevention/ American Academy of Family Physician (AAFP) Management of Acute Asthma Exacerbations http://www.aafp.org/afp/2011/0701/p40.pdf Atrial Fibrillation American Heart Association (AHA) 2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation: Executive Summary http://content.onlinejacc.org/article.aspx?articleid=1854230 American College of Chest Physicians (CHEST) Executive Summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed.: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines http://journal.chestnet.org/article/S0012-3692(12)60114-7/pdf (link updated) Back Pain American College of Physicians Diagnosis and Treatment of Low Back Pain: A Joint Clinical Guideline from the American College of Physicians and the American Pain Society, October 2007 http://annals.org/article.aspx?articleid=736814&issueno=7&atab =10 or http://annals.org/aim/fullarticle/2603228/noninvasivetreatments-acute-subacute-chronic-low-back-pain-clinicalpractice Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians, April 2017 Case Management Case Management Society of America (CMSA) Standards of Practice for Case Management, Revised 2016 http://www.cmsa.org/portals/0/pdf/memberonly/StandardsOfPra ctice.pdf Cholesterol American Heart Association (AHA) 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines http://circ.ahajournals.org/content/early/2013/11/11/01.cir.00004 37738.63853.7a.full.pdf http://www.aafp.org/afp/2014/0815/p260.html ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD Risk Revised January 29, 2018 Chronic Kidney Disease Kidney Disease – Improving Global Outcomes (KDIGO) 2012 Clinical Practice Guidelines for the Evaluation and Management of Chronic Kidney Disease http://www.kdigo.org/clinical_practice_guidelines/pdf/CKD/KDIG O_2012_CKD_GL.pdf COPD Global Initiative for Chronic Obstructive Lung Disease (GOLD) GOLD Global Strategy for Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease, 2017 http://goldcopd.org/gold-2017-global-strategy-diagnosismanagement-prevention-copd/ American College of Physicians (ACP) Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society, August 2011 http://annals.org/article.aspx?articleid=479627 American Thoracic Society (ATS) Standards for Diagnosis and Management of Patients with COPD http://www.thoracic.org/statements/resources/copd/179full.pdf Community Acquired Pneumonia American Academy of Family Physicians (AAFP) Diagnosis and Management of CommunityAcquired Pneumonia in Adults, 2011 http://www.aafp.org/afp/2011/0601/p1299.pdf or https://www.nice.org.uk/guidance/cg191/resources/pneumoniain-adults-diagnosis-and-management-35109868127173 Pneumonia in adults: diagnosis and management, Dec, 2014 Infectious Diseases Society of America (IDSA) – American Thoracic Society (ATS) Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults, 2007 http://www.thoracic.org/statements/resources/mtpi/idsaatscap.pdf Revised January 29, 2018 Cardiovascular Disease American Heart Association (AHA) 2014 ACC/AHA/AATS/PCNA/SCAI/STS Focused Update of the Guideline for the Diagnosis and Management of Patients with Stable Ischemic Heart Disease http://circ.ahajournals.org/content/130/19/1749.full.pdf+html American Heart Association (AHA) 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease. http://circ.ahajournals.org/content/126/25/3097 American Heart Association (AHA) – American College of Cardiology Foundation (ACCF) AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease, 2011 Update http://circ.ahajournals.org/content/124/22/2458.full.pdf Diabetes American Diabetes Association (ADA) Standards of Medical Care in Diabetes, 2018 https://professional.diabetes.org/content-page/standardsmedical-care-diabetes Falls The American Geriatrics Society (AGS) ABS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons, Oct 2010 http://www.bgs.org.uk/fallsresources307/subjectreference/fallsandbones/bgsagsfalls2010 CHF American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America http://www.onlinejacc.org/content/70/6/776 Hypertension ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/AS H/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 Guidelines, 2017 http://www.onlinejacc.org/content/early/2017/11/04/j.jacc.2017.1 1.006 Revised January 29, 2018 Obesity U.S. Preventive Services Task Force (USPSTF) Screening for and Management of Obesity in Adults, June, 2012 http://www.uspreventiveservicestaskforce.org/uspstf/uspsobes. htm or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/obesity-in-adults-interventions1 Update in Progress: Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral and Pharmacotherapy Interventions American College of Physicians (ACP) Pharmacologic and Surgical Management of Obesity in Primary Care: A Clinical Practice Guideline from the American College of Physicians, April, 2005 http://annals.org/article.aspx?articleid=718309 American Heart Association (AHA) 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults http://circ.ahajournals.org/content/early/2013/11/11/01.cir.00004 37739.71477.ee Osteoporosis National Osteoporosis Foundation (NOF) 2014 Clinician’s Guide to Prevention and Treatment of Osteoporosis https://my.nof.org/file/bonesource/Clinicians-Guide.pdf Peripheral Arterial Disease Journal of the American College of Cardiology (JACC) 2011 ACCF/AHA Focused Update of the Guideline of the Management of Patients With Peripheral Artery Disease http://content.onlinejacc.org/article.aspx?articleid=1146931 American Heart Association (AHA) Measurement and Interpretation of the AnkleBrachial Index: A Scientific Statement From the American Heart Association, 2012 http://circ.ahajournals.org/content/early/2012/11/15/CIR.0b013e 318276fbcb.full.pdf Myocardial Infarction American College of Cardiology (ACC) – American Heart Association (AHA) 2012 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction http://circ.ahajournals.org/content/early/2012/07/16/CIR.0b013e 318256f1e0.full.pdf+html American College of Cardiology (ACC) – American Heart Association (AHA) 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction Full report: http://circ.ahajournals.org/content/127/4/e362.full.pdf+html Executive summary: http://circ.ahajournals.org/content/127/4/529.full.pdf+html Revised January 29, 2018 Preventive Care Agency for Healthcare Research and Quality (AHRQ) - U.S. Preventive Services Task Force (USPSTF) The Guide to Clinical Preventive Services 2014 http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/cli nicians-providers/guidelinesrecommendations/guide/cpsguide.pdf American Academy of Family Physicians (AAFP) Summary of Recommendations for Clinical Preventive Services, January 2017 http://www.aafp.org/dam/AAFP/documents/patient_care/clinical _recommendations/cps-recommendations.pdf Centers for Disease Control and Prevention (CDC) 2017 Adult Immunization Schedules 2017 Immunization Schedules, Birth through 18 Years and “Catch Up”, effective February 1, 2017 https://www.cdc.gov/vaccines/schedules/hcp/adult.html http://www.cdc.gov/vaccines/schedules/hcp/childadolescent.html American Academy of Pediatrics (AAP) 2017 Immunization Schedules http://www.cispimmunize.org/ Depression American Psychiatric Association (APA) Practice Guideline for the Treatment of Patients with Major Depressive Disorder, Third Edition https://www.guideline.gov/summaries/summary/24158 U.S. Preventive Services Task Force (USPSTF) Screening for Depression in Adults: USPSTF Recommendation Statement, January 2016 https://www.uspreventiveservicestaskforce.org/Page/Document/ RecommendationStatementFinal/depression-in-adultsscreening1 Dementia/ Neurocognitive Disorders American Psychiatric Association (APA) Practice Guideline for Persons with Alzheimer’s Disease and Other Dementias 2007/ Updated Guideline Watch 2014 http://focus.psychiatryonline.org/doi/abs/10.1176/appi.focus.151 06?journalCode=foc American Psychiatric Association (APA) Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia, May 2016 https://psychiatryonline.org/doi/book/10.1176/appi.books.97808 90426807 Substance Use Disorder American Psychiatric Association (APA) Practice Guideline for the Treatment of Patients With Substance Use Disorders, Second Edition http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guid elines/guidelines/substanceuse.pdf Guideline Watch (April 2007): APA Practice Guideline for the Treatment of Patients With Substance Use Disorders, 2nd Edition http://focus.psychiatryonline.org/doi/abs/10.1176/foc.5.2.foc163 ?journalCode=foc American Psychiatric Association (APA) Performance in Practice: Physician Practice Assessment Tools for the Screening, Assessment, and Treatment of Adults with Substance Use Disorder, 2011 http://focus.psychiatryonline.org/doi/abs/10.1176/foc.9.1.foc31?j ournalCode=foc or https://www.psychiatry.org/psychiatrists/education/signatureinitiatives/model-curriculum-project-for-substance-use-disorders Model Curriculum Project for Substance Use Disorders Revised January 29, 2018 Schizophrenia Guideline Watch (September 2009): APA Practice Guideline for the Treatment of Patients with Schizophrenia https://www.psychiatry.org/psychiatrists/practice/clinicalpractice-guidelines or https://psychiatryonline.org/pb/assets/raw/sitewide/practice_gui delines/guidelines/schizophrenia-watch.pdf American Psychiatric Association (APA) Practice Guideline for the Treatment of Patients With Acute Stress Disorder and Posttraumatic Stress Disorder http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guid elines/guidelines/acutestressdisorderptsd.pdf American Psychiatric Association (APA) Practice Guidelines for the Treatment of Patients With Bipolar Disorder, Second Edition http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guid elines/guidelines/bipolar.pdf Guideline Watch: APA Practice Guideline for the Treatment of Patients with Bipolar Disorder, 2nd Edition http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guid elines/guidelines/bipolar-watch.pdf Smoking Cessation U.S. Preventive Services Task Force (USPSTF) USPSTF Guidelines-Smoking Cessation (Adult), Sept 2015 https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/tobacco-use-in-adults-and-pregnantwomen-counseling-andinterventions1?ds=1&s=Smoking%20Cessation U.S. Preventive Services Task Force (USPSTF) Guidelines-Smoking Cessation (Child and Adolescent), August 2013 https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/tobacco-use-in-children-andadolescents-primary-careinterventions?ds=1&s=Smoking%20Cessation or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/tobacco-and-nicotine-use-prevention-inchildren-and-adolescents-primary-care-interventions Update in progress: Tobacco and Nicotine Use Prevention in Children and Adolescents: Primary Care Interventions Tuberculosis CDC TB Testing and Diagnosis, April 2016 http://www.cdc.gov/tb CDC TB Core Curriculum-Providers https://www.cdc.gov/tb/education/corecurr/index.htm Preventive Care Illinois Handbook for Providers of Healthy Kids Services, 2017 https://www.illinois.gov/hfs/SiteCollectionDocuments/hk200.pdf CMS Screening Compendium-Birth to 5: Watch Me Thrive, March 2014 https://www.acf.hhs.gov/sites/default/files/ecd/screening_compe ndium_march2014.pdf Revised January 29, 2018 Family Planning and Reproductive Health CDC-Providing Quality Family Planning Services, April 2014 https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6304a1.htm American Academy of Family PracticeSummary of Recommendations for Clinical Preventive Services, Jan. 2017 http://www.aafp.org/dam/AAFP/documents/patient_care/clinical _recommendations/cps-recommendations.pdf American Academy of Family Practice-Adult Immunizations Centers for Disease Control and Prevention (CDC) 2017 Adult Immunization Schedules https://www.aafp.org/patient-care/publichealth/immunizations/schedules/adult-schedule.html or https://www.cdc.gov/vaccines/schedules/hcp/adult.html U.S. Preventive Services Task Force (USPSTF) Breast Cancer Screening, Jan, 2016 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/breast-cancerscreening1?ds=1&s=breast-cancer-screening U.S. Preventive Services Task Force (USPSTF) Breast Cancer BRCA Testing Dec, 2013 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/brca-related-cancer-risk-assessmentgenetic-counseling-and-genetic-testing?ds=1&s=breast-cancerscreening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/brca-related-cancer-risk-assessmentgenetic-counseling-and-genetic-testing1 Update in Progress: BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing, March 2017 U.S. Preventive Services Task Force (USPSTF) Cervical Cancer screening http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/cervical-cancerscreening?ds=1&s=cervical-cancer-screening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/cervical-cancer-screening2 Update in Progress: Cervical Cancer: Screening October 2017 U.S. Preventive Services Task Force (USPSTF) HIV Screening Age 15-35, April 2013 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/human-immunodeficiency-virus-hivinfection-screening?ds=1&s=HIV-Screening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/human-immunodeficiency-virus-hivinfection-screening?ds=1&s=HIV-Screening Topic being updated: Split into •Human Immunodeficiency Virus (HIV) Infection in Non-pregnant Adolescents and Adults: Screening June 2017 •Human Immunodeficiency Virus (HIV) Infection in Pregnant Women: Screening June 2017 Revised January 29, 2018 Family and Reproductive Health U.S. Preventive Services Task Force (USPSTF) Hepatitis B Screening In Pregnant Women, June 2009 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/hepatitis-b-in-pregnant-womenscreening?ds=1&s=Hep-B-Screening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/hepatitis-b-virus-infection-in-pregnantwomen-screening Update in Progress: Hepatitis B Virus Infection in Pregnant Women: Screening July 2017 U.S. Preventive Services Task Force (USPSTF) Bacterial Vaginosis Screening and Pre-Term Deliveries, February 2008 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/bacterial-vaginosis-in-pregnancy-toprevent-preterm-delivery-screening?ds=1&s=BacterialVaginosis-Screening U.S. Preventive Services Task Force (USPSTF) Adult Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening, January 2013 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/intimate-partner-violence-and-abuse-ofelderly-and-vulnerable-adults-screening?ds=1&s=IntimatePartner-Violence-Screening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/intimate-partner-violence-and-abuse-ofelderly-and-vulnerable-adults-screening1 Update in Progress: Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening, May, 2016 U.S. Preventive Services Task Force (USPSTF) Breastfeeding Counseling-Primary Care Interventions, October 2016 https://www.uspreventiveservicestaskforce.org/Page/Document/ RecommendationStatementFinal/breastfeeding-primary-careinterventions then http://jamanetwork.com/journals/jama/fullarticle/2571249 ACOG Opinion CO-629 Clinical Guidelines and Standardization of Practice To Improve Outcomes, April 2015 https://www.acog.org/Clinical-Guidance-andPublications/Committee-Opinions/Committee-on-Patient-Safetyand-Quality-Improvement/Clinical-Guidelines-andStandardization-of-Practice-to-Improve-Outcomes Pharmacy Services AHRQ Medicines optimization: the safe and effective use of medicines to enable the best possible outcomes, March 2015 http://www.guideline.gov/content.aspx?id=49116&search=medi cines+optimizations U.S. Preventive Services Task Force (USPSTF) Depression Screening in Children and Adolescents, February 2016 http://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/depression-in-children-and-adolescentsscreening1?ds=1&s=Pediatric-Depression-Screening AHRQ- Bipolar disorder: the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care, Revised Sept, 2014 http://www.guideline.gov/content.aspx?id=48565&search=bipol ar Revised January 29, 2018 Psychiatry AHRQ- Practice guidelines for the psychiatric evaluation of adults, third edition. Revised 2015 https://www.guideline.gov/summaries/summary/49527 Stress APA Practice Guideline Watch: Acute Stress Disorder, March 2009 http://psychiatryonline.org/guidelines U.S. Preventive Services Task Force (USPSTF) Illicit Drug Use Screening, January 2008 https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/drug-use-illicitscreening?ds=1&s=Illicit%20Drug%20Use%20Screening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/drug-use-in-adolescents-and-adultsincluding-pregnant-women-screening Update in Progress: Drug Use in Adolescents and Adults, Including Pregnant Women: Screening, August 2016 U.S. Preventive Services Task Force (USPSTF) Drug Use, Illicit: Primary Care Interventions for Children and Adolescents, March 2014 https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/drug-use-illicit-primary-careinterventions-for-children-andadolescents?ds=1&s=Pediatric%20Substance%20Abuse U.S. Preventive Services Task Force (USPSTF) Alcohol Misuse Screening and Counseling, May 2013 https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryFinal/alcohol-misuse-screening-andbehavioral-counseling-interventions-in-primarycare?ds=1&s=Alcohol%20Screening or https://www.uspreventiveservicestaskforce.org/Page/Document/ UpdateSummaryDraft/unhealthy-alcohol-use-in-adolescentsand-adults-including-pregnant-women-screening-andbehavioral-counseling-interventions Update in Progress: Unhealthy Alcohol Use in Adolescents and Adults, Including Pregnant Women: Screening and Behavioral Counseling Interventions, August 2016 The Clinical Practice Guidelines were adopted February 22, 2016 and Medicare Medicaid Plans were incorporated October 14, 2016. Guidelines were reapproved: January 29, 2018. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., Cigna HealthCare of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2018 INT_18_63711 02282018