Practice Guidelines, Managed Care, and Utilization Review

"While you were Wheezing"



 

DEFINITIONS

  • Clinical Practice Guidelines/Critical Pathways - Clinical Practice guidelines are nationally standardized recommendations for health care developed by a formal process that incorporates the best scientific evidence of effectiveness with expert opinion.  They are intended to specify recommendations for treatment methods regarding diagnoses and procedures.  They differ from standards in that they are not applied rigidly and followed in virtually all cases.  Practice guidelines are designed to be flexible, depending on patient needs and clinical judgment.
     
  • Primary Care Guidelines - Primary Care Guidelines were developed to assist the Primary Care Physician through the treatment process for patients with related diagnoses and deciding when consultation is appropriate.

We invite you to study the UTMB Clinical Practice Guidelines (CPG's) and Primary Care Guidelines (PCG's) related to pediatric asthma.  Go to www.utmb.edu/cpg. Note on the sidebar the two Pediatric options:    Pedi CPGs  and  Pedi PCGs.
There are seven Clinical Practice Guidelines

Asthma Pediatric - Assessment Tools
Asthma Pediatric - Medication Dosages
Asthma Pediatric - Home Management
Asthma Pediatric - Emergency Department Management
Asthma Pediatric - Observation Management
Asthma Pediatric - Hospital Admission Management
Asthma Pediatric - Pediatric Intensive Care Unit Management

and four Pediatric Primary Care Guidelines

Asthma, Diagnosis of Pediatric Patients with
Asthma, Classification and Treatment of Pediatric Patients
Asthma, Medical History
Asthma, (Respiratory Screening Tool)

We also introduce you to practice guidelines for asthma developed by the National Heart, Lung and Blood Institute and posted on the NHLBI website. (Note: to remember this site, know that NHLBI is part of NIH, which is a governmental  agency, hence www.nhlbi.nih.gov/guidelines

   

 

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