Clinical Practice Guidelines

Tufts Health Plan clinical practice guidelines help ensure quality preventive care and care management

We adopt and develop our clinical practice guidelines from national organizations and/or in cooperation with specialty organizations and collaborative groups. We periodically update our clinical practice guidelines to include new information about treatments, medications, and technology that reflect best practices. Please note that these clinical practice guidelines are separate and independent from coverage criteria, which vary by product and may differ from these guidelines. In order to determine whether a treatment or service is covered under a particular plan, please review the plan document and coverage criteria specific to that plan.

Behavioral Health Guidelines

Acute Stress Disorder

• Practice Guideline for the Treatment of Patients With Acute Stress Disorder and Posttraumatic Stress Disorder
• Guideline Watch (March 2009) Practice Guideline for the Treatment of Patients With Acute Stress Disorder and Posttraumatic Stress Disorder

APA Practice Guidelines

• APA Practice Guidelines for Psychiatric Evaluation of Adults

Attention deficit hyperactivity disorder (ADHD)

• ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
• Clinical Practice Pathways for Evaluation and Medication Choice for Attention Deficit/Hyperactivity

Atypical Antipsychotic Medications in Children and Adolescents

• Practice Parameter for the Use of Atypical Antipsychotic Medications in Children and Adolescents

Autism Spectrum Disorder (ASD)

• Autism A.L.A.R.M. Guidelines
• Practice Parameter for the Assessment and Treatment of Children and Adolescents With Autism Spectrum Disorder

Bipolar Disorder

• Practice Guideline for the Treatment of Patients With Bipolar Disorder
• Guideline Watch: Practice Guideline for the Treatment of Patients with Bipolar Disorder

Depression

• Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Parts I and Part II.Treatment and Ongoing Management
  • Part I
  • Part II
• Practice Guideline for Treatment of Patients With Major Depressive Disorder
• Deprression In Primary Care

Eating Disorders

• Practice Guideline for the Treatment of Patients With Eating Disorders
• Guideline Watch (August 2012): Practice Guideline for the Treatment of Patients with Eating Disorders

Elder Abuse and Neglect

• Elder Abuse and Neglect: In Search of Solutions

Opioid Prescribing

• CDC Guideline for Prescribing Opioids for Chronic Pain
• Guidelines for the Chronic Use of Opioid Analgesics
• The ASAM National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use
• Cautious, Evidence-Based Opioid Prescribing Physicans for Responsible Opioid Prescribing

Panic Disorder

• Practice Guideline for the Treatment of Patients With Panic Disorder

Schizophrenia

• Practice Guideline for the Treatment of Patients With Schizophrenia Second Edition
• Guideline Watch (September 2009): Practice Guideline for the Treatment of Patients With Schizophrenia

Substance Use Disorders

• Alcohol Use Screening and Assessment for Older Adults
• Practice Guideline for the Treatment of Patients With Substance Use Disorders
• Guideline Watch (April 2007): Practice Guideline for the Treatment of Patients With Substance Use Disorders
• Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants

Tobacco

• Treating Tobacco Use and Dependence: 2008 Update

Medical Guidelines

Alzheimer's

• Diagnostic Criteria and Guidelines
• Alzheimer’s Association Recommendations for Operationalizing the Detection of Cognitive Impairment During the Medicare Annual Wellness Visit in a Primary Care Setting

Antibiotics

• Adult Treatment Recommendations
• Pediatric Treatment Recommendations

Asthma

• Asthma Action Plans
• Asthma Care Quick Reference Guide

Cholesterol Management

• 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol

Chronic Kidney Disease

• Guidelines and Commentaries

Chronic Obstructive Pulmonary Disease (COPD)

• Global Strategy for Diagnosis, Management, and Prevention of COPD

Coronary Artery Disease

• Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease

Dementia

• Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and Functional Symptoms
• Alzheimer’s Association Dementia Care Practice Recommendations

Diabetes

• Standards of Medical Care In Diabetes
• Guidelines Abstracted from the American Geriatrics Society Guidelines for Improving the Care of Older Adults with Diabetes Mellitus

Heart Failure

• Guideline for the Management of Heart Failure
• Focused Update on New Pharmacological Therapy for Heart Failure

Hepatitis C

• Recommendations for Testing, Managing, and Treating Hepatitis C

Human Immunodeficiency Virus (HIV)

• Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV

Hypertension

• Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

Immunization

• Immunization Schedules

Medication Reconciliation

• WHO Standard Operating Procedure on Medication Reconciliation
• IHI guideline on Medication Reconciliation

Multimorbidity

• Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians

Neonatal

• Clinical Guidelines

Obesity

• Clinical Practice Guidelines for Comprehensive Medical Care of Patients With Obesity
• Pediatric Obesity—Assessment, Treatment, and Prevention

Osteoporosis

• Clinician's Guide to Prevention and Treatment of Osteoporosis
• FRAX ® Fracture Risk Assessment Tool

Perinatal

• Guidelines for Perinatal Care

Prevention of Falls

• Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations

Preventive

• Adults: US Preventive Services Task Force
• Children: Bright Futures Guidelines

Urinary incontinence

• Nonsurgical Management of Urinary Incontinence in Women: A Clinical Practice Guideline From the American College of Physicians
• Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline