Providers: Provider Resources: Clinical Guidelines
Clinical Guidelines
SFHP's Adult and Pediatric Preventive Health Care Guidelines have recently been updated and re-designed. They will be distributed to SFHP Primary Care Providers and OB/GYNs in May 2008.
SFHP:
- SFHP Adult Preventive Health Care Guidelines (Black and White)
- SFHP Adult Preventive Health Care Guidelines (Color)
- SFHP Pediatric Preventive Health Care Guidelines (Black and White)
- SFHP Pediatric Preventive Health Care Guidelines (Color)
Other Useful Links:
- CDC Immunization Guidelines- Children and Adult Guidelines
- San Francisco City Clinic's STD Prevention Guidelines
- Tuberculosis Screening Guidelines and TB Treatment
- Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women
- 2008 Lead Screening Guidelines
CHDP and many health plans including Blue Cross and SFHP have different periodicity for well checks for children and adolescents. The chart below illustrates those differences and can be downloaded and printed for your convenience.
SFHP:
SFHP’s new clinical practice guidelines and patient education tools for the management of patients with Diabetes have been approved by SFHP’s Physician Advisory and Quality Improvement and Pharmacy and Therapeutics Committees.
Other Useful Links:
- For more information, see the Diabetes Association Standards of Care 2009
- Type II Diabetes Clinical Practice Guidelines -- under revision
- Comprehensive Care for Type II Diabetes -- under revision
- American Diabetes Association Clinical Practice Guidelines
Additional useful links and SFHP endorsed guidelines:
- Strep Test for Pharyngitis
- Avoid Antibiotic Resistance
- JNC7 Guidelines for Hypertension
- ATPIII Guidelines for Hypercholesterolemia
The following guidelines are used to determine authorization status for out-of-network referrals for the Community Health Network (CHN) medical group only. These guidelines apply to Medi-Cal, Healthy Workers, Healthy Families and Healthy Kids only:
- CHN Out-of-Network Criteria for Breast MRI
- CHN Out-of-Network Criteria for Dexa Scan
- CHN Criteria for Colonoscopy Within Medical Group
- CHN Out-of-Network Criteria for Nuchal Translucency Screening
- Criteria for Approval of Pediatric Orthopedics and Orthopedic DME
- Criteria for Occupational, Physical and Speech Therapy
- Criteria for Obesity and Weight Management
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