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Care guidelines

Protecting patients and providers

HAP adopts and supports clinical practice or care guidelines for the treatment of a variety of medical and behavioral conditions. Care Guidelines help caregivers provide the right care at the right time using the most current evidence to result in the best outcomes. HAP’s clinical and medical policy team continue to evaluate scientific data, published evidence, and directives from trustworthy health care organizations to promote and establish clinical guidelines. These guidelines are used in combination with your clinical judgement and knowledge as a physician.

These guidelines are researched, developed, and approved in partnership with the http://www.mqic.org/. HAP is a key participant in the Michigan Quality Improvement Consortium (MQIC)— an organization of health plans focused on the health of our members in Michigan. MQIC is led by physicians and other clinical team members who evaluate scientific data and develop guidelines to help support the work of primary care physicians.  MQIC’s goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP is helping these efforts. MQIC review the guidelines every two years or as needed. For more information, see the guidelines here.

HAP’s medical director team continually evaluates the clinical guidelines established by the nation’s most prominent primary care and value-based associations to promote guidelines that support the overall physical and mental health of our members. Below are several of the organizations that our clinical teams review in order to promote the most updated clinical practice guidelines to promote healthy outcomes for HAP members:

  1. To help patients engage their health care provider in these conversations and empower them to ask questions about what tests and procedures are right for them, patient-friendly materials were created based on the physician association lists of recommendations of appropriate tests and treatments.
  2. -Choosing Wisely: https://www.choosingwisely.org/patient-resources/

  3. Helpful materials on healthcare for Children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children
  4. -Patient Care Materials from American Academy of Pediatrics:https://www.aap.org/en/patient-care/

  5. Clinical Practices Guidelines, based on updated evidence to inform clinicians in the delivery of adult care from the American College of Physicians, the largest physician association of physicians who care for adults.
  6. -Clinical Guidelines and Recommendations: https://www.acponline.org/clinical-information/guidelines

  7. Clinical Practice Guidelines from the American College of Obstetricians and Gynecology, the largest physician organization dedicated to women’s health and well-being:
  8. -Clinical Practice Guidelines: https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline

  9. Clinical Practice Guidelines from the American Academy of Family Physicians, one the largest physician organizations focused on primary care for the entire family:
  10. -Clinical Practice Guidelines: https://www.aafp.org/family-physician/patient-care/clinical-recommendations.html