Actively practicing in-plan practitioners are involved in the development and adoption of clinical practice guidelines.  These guidelines are reviewed and approved by the Upper Peninsula Health Plan Clinical Advisory Committee at least biennially or as new scientific evidence or national standards are published.  Guidelines will be consistent with member education and utilization management criteria.  Practitioner performance will be measured against at least two important aspects of four guidelines annually.  These measures will be either practitioner based or population based.  Guidelines are also available from Customer Service at 800-835-2556.

Advance Care Planning

   Advance Care Planning
       Michigan Quality Improvement Consortium Guideline, January 2012
       (Adopted March 2012.)

Attention-Deficit/Hyperactivity Disorder (ADHD)

American Academy of Pediatrics Clinical Practice Guidelines
(Adopted September 2002. Reviewed March 2012.)

   Diagnosis, Evaluation, and Treatment of ADHD in Children and
       Adolescents, November 2011

   ADHD  Process of Care Algorithm, November 2011
       (Reviewed March 2012.)

   UPHP Addendum
       (Adopted September 2008. Reviewed March 2012.)

Asthma
  (Adopted June 2003. Revised December 2010.)

   Management of Asthma
        Michigan Quality Improvement Consortium Guidelines, July 2010

   General Principles for the Diagnosis and Management of Asthma
   Management of Asthma in Children 0 to 4 Years
        (Revised October 2010.)
   Management of Asthma in Children 5 to 11 Years
   Management of Asthma in Youth 12 Years and Older and Adults

   Asthma Action Plan
       (Adopted June 2003. Revised June 2011.)

COPD

   Chronic Obstructive Pulmonary Disease
       UPHP Treatment Guideline for Chronic Obstructive Pulmonary Disease
       (Adopted March 2009. Revised March 2011.)

Heart Failure

   Adults With Systolic Heart Failure
       Michigan Quality Improvement Consortium, January 2011
       (Adopted June 2007. Revised March 2011.)

Hypercholesterolemia

Hypertension

   Medical Management of Adults With Hypertension
       Michigan Quality Improvement Consortium, August 2011
       (Adopted June 2010. Revised September 2011.)

Kidney Disease

   Diagnosis and Management of Adults With Chronic Kidney Disease
       Michigan Quality Improvement Consortium, November 2010
       (Adopted September 2010. Revised March 2011.)

Low Back Pain

   Management of Acute Low Back Pain
       Michigan Quality Improvement Consortium, December 2011.
       (Adopted September 2009. Reviewed December 2011.)

Opioid Therapy in Chronic Pain Management

Management of Opioid Therapy for Chronic Pain
U.S. Veterans Administration and Department of Defense
Clinical Practice Guideline Working Group
Office of Quality and Performance Publication IDQ-CPG/OT-03
Washington, D.C.:  U.S. Department of Veterans Affairs and
Department of Defense, May 2010
(Adopted June 2004. Reviewed and approved September 2010.)

     Opioid Therapy in Chronic Pain Management Algorithm

Osteoarthritis

   Medical Management of Adults With Osteoarthritis
       Michigan Quality Improvement Consortium, August 2011
       (Adopted September 2010. Revised September 2011.)

Osteoporosis

   Management and Prevention of Osteoporosis
       Michigan Quality Improvement Consortium, January 2012
       (Adopted September 2010. Reviewed March 2012.)

Overweight Persons and Obesity

   Prevention and Identification of Childhood Overweight and Obesity
       Michigan Quality Improvement Consortium, June 2010
       (Adopted March 2009. Reviewed September 2010.)

Pharyngitis

   Acute Pharyngitis in Children
       Michigan Quality Improvement Consortium, January 2011
       (Adopted September 2009. Revised March 2011.)

Prenatal and Postpartum Care

   Routine Prenatal and Postnatal Care
       Michigan Quality Improvement Consortium, June 2011
       (Adopted September 2008. Revised September 2011.)

    Preconception Screening and Counseling Checklist

Prevention of Falls in Older Persons

   Prevention of Falls in Older Persons Summary Guide
       The American Geriatrics Society and British Geriatrics Society Update 2010
       (Adopted December 2010.)

Preventive Services for Adults

   Adult Preventive Services (Ages 18–49)
       Michigan Quality Improvement Consortium, January 2012
       (Adopted March 2012.)

   Adult Preventive Services (Ages 50–65+)
       (Adopted September 2010. Revised September 2011.)

Respiratory Tract Infections

   Adult Appropriate Antibiotic Use Summary
       (Adopted September 2007. Reviewed September 2011.)

     Pediatric Appropriate Antibiotic Use Summary
       (Adopted September 2007. Reviewed September 2011.)

Tobacco Cessation

   Treatment Guideline for Medical Management of Tobacco Cessation Control
       (Adopted December 2006.  Revised December 2010.)

Urinary Incontinence in Adults