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Practice Guidelines

Preventive and clinical practice guidelines are based on the health needs and opportunities for improvement identified as part of the Quality Assurance Program Improvement (QAPI) program. Whenever possible, Sunshine Health adopts preventive and clinical practice guidelines that are published by nationally recognized organizations or government institutions as well as state-wide collaborative and/or a consensus of healthcare professionals in the applicable field.

Sunshine Health has adopted:

The American Cancer Society’s Guidelines for the Early Detection of Cancer (2018). 

Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report. This site provides a series of public health information and recommendations as well as State Health Statistics that can be very useful in the preventative care of adults.

The U.S. Preventive Services Task Force is an independent panel of experts in primary care and prevention who systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services. These reviews are published as U.S. Preventive Services Task Force Recommendations on the Task Force website.  You will be leaving the Sunshine Health internet site to access.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute Asthma Care Quick Reference Diagnosing and Managing Asthma (PDF). Guidelines from the National Asthma Education and Prevention Program. Expert Panel Report 3. (Current as of February 2018)

U.S. Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute  Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (Full Report July 2007) and  Changes to the Guidelines (August 2008)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Institute for Clinical Systems Improvement (ICSI) Adult Acute Low Back Pain (Updated March 2018)

Sunshine Health has adopted:

U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement Gonorrhea and Chlamydia: Screening, September 2014

This guideline was approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (PDF)

This guideline was approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents. The Report of the Expert Panel (Last Updated January 2013)

American College of Cardiology and American Heart Association Task Force ACC/AHA Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. (Circulation. 2014; 129:S49-S73) (Published online November 12, 2013)

American Heart Association AHA Scientific Statement: Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults. (Circulation. 2013; 128:2422-2446)

American Heart Association, American College of Cardiology, and American Society of Hypertension AHA/ACC/ASH Scientific Statement Treatment of Hypertension in Patients with Coronary Artery Disease. (Circulation 2015;131:e435-e470)

American Heart Association and American College of Cardiology Foundation AHA/ACCF Guideline: AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease, (PDF) 2011 Update (Circulation. 2011; 124: 2458-2473) 

2019 AHA/ACCF Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines 

Routine Assessment and Promotion of Physical Activity in Healthcare Settings; A scientific statement from the American Heart Association (Circulation. 2018; 137:e495–e522)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

Society of Critical Care Medicine and European Society of Intensive Care Medicine. Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2016 

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

AACE/ACE Consensus Statement: Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Comprehensive Type 2 Diabetes Management Algorithm-2018 Executive Summary (Endocrine Practice 2018; Volume 24, No.1)

American Diabetes Association (ADA) Clinical Practice Recommendations – 2018. Standards of Medical Care in Diabetes (Diabetes Care 2018, Volume 41, Supplement 1)

American Association of Clinical Endocrinologists and American College of Endocrinology AACE/ACE Guidelines (PDF): American Association of Clinical Endocrinologists and American College of Endocrinology- Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan (Endocrine Practice 2015, Volume 21, S1-87).

American Diabetes Association (ADA) Clinical Practice Recommendations – 2015. Standards of Medical Care in Diabetes (Diabetes Care 2016, Volume 39, S1-S112)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

American Academy of Child and Adolescent Psychiatry (AACAP) Practice parameter for the assessment and treatment of children and adolescents with eating disorders (PDF) (May 2015)

American Academy of Pediatrics (AAP) Addressing early childhood emotional and behavioral problems (December 2016)

Sunshine Health has adopted:

American College of Cardiology Foundation and American Heart Association Task Force on Practice Guidelines ACCF/AHA Practice Guideline 2013 ACCF/AHA Guideline for the Management of Heart Failure A Report of the ACC, AHA and HFSA (Circulation. 2017; CIR.0000000000000509, originally published April 28, 2017) 

American Heart Association (AHA), American College of Cardiology (ACC) Foundation, Heart Failure Society of American (HFSA), and the Heart Failure Association and the European Society of Cardiology Updated Clinical Practice Guidelines on Heart Failure: An International Alignment (April 2017)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

Institute for Clinical Systems Improvement (ICSI) Lipid Management in Adults (February 2017) 

National Institute of Health and National Heart, Lung, and Blood Institute Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report September 2002

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

Journal of the American College of Cardiology 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/AP hA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults; A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines 

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

Advisory Committee on Immunization Practices (ACIP) Adult Immunization Schedule, United States 2019

Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2019

Advisory Committee on Immunization Practices (ACIP) Prevention and Control of  Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP) — United States, 2018–19 Influenza Season

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 93/16/2019.

Sunshine Health has adopted:

Advisory Committee On Childhood Lead Poisoning Prevention (ACCLPP) CDC’s Childhood Lead Poisoning Prevention Program

Advisory Committee on Childhood Lead Poisoning, Division of Environmental and Emergency Health Services, and National Center for Environmental Health Recommendations for Blood Lead Screening of Medicaid-Eligible Children Aged 1-5 Years: an Updated Approach to Targeting a Group at High Risk (Last Reviewed 07/28/2009)

All children enrolled in a Florida Medicaid health plan are required to have at least one blood lead screening before 2 years of age.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

American Academy of Pediatrics (AAP) Periodicity Schedule: Recommendations for Preventive Pediatric Health Care (2018)

American Academy of Pediatric Dentistry Guidelines on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents (Revised 2018)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

American Academy of Family Physicians (AAFP) AFP by Topic: Prenatal (2016)

The American College of Obstetricians and Gynecologists Guidelines for Perinatal Care, Eighth Edition (2017). Available online for ACOG members only.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/20198.

American Psychiatry Association (APA) Practice guidelines for the psychiatric evaluation of adults, Third edition (PDF) (August 2015)

Sunshine Health has adopted:

University of South Florida, College of Behavioral & Community Sciences Florida Medicaid Drug Therapy Program for Behavioral Health: Psychotherapeutic Medication Treatment Guidelines. BH Disorders covered; Medication Guidelines for multiple BH diagnosis, Bipolar, Anxiety, Schizophrenia, Psychosis, Autism, Mood disorders ect.

The guideline was approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

Centers for Disease Control and Prevention (CDC) Adult and Pediatric treatment recommendations.  (Last updated April 17, 2015)

American Academy of Family Physicians (AAFP) Upper Respiratory Tract Infections (Publication dates vary)

Institute for Clinical Systems Improvement (ICSI) Diagnosis and Treatment of Respiratory Illness in Children and Adults. (Updated September 2017)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019                                                                                                                           

Sunshine Health has adopted:

Casey Family Programs (casey.org) Addressing Child Sex Trafficking from a Child Welfare Perspective (PDF) (September 2014)

National Academies of Sciences, Engineering, and Medicine Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States (PDF) (2013)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

Centers for Disease Control and Prevention (CDC) Sickle Cell Disease, Recommendations (PDF) (Last updated Aug. 9, 2017)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

Centers for Disease Control and Prevention (CDC) Smoking and Tobacco Use Cessation 

American College of Obstetricians and Gynecologists (ACOG) Committee Opinion 721: Smoking Cessation During Pregnancy (October 2017)

Tobacco Free Florida 

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/16/2019.

Sunshine Health has adopted:

National Child Traumatic Stress Network CPP: Child-Parent Psychotherapy (April 2012)

National Child Traumatic Stress Network Trauma-Focused Cognitive Behavioral Therapy (April 2012)

FSU Center for Prevention and Early Intervention Policy Trauma-informed Practices for Pediatricians (PDF) (2016)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.

Sunshine Health has adopted:

Academy of Nutrition and Dietetics Adult Weight Management (AWM) Guideline (2014)

U.S. Department of Health and Human Services, National Institute of Health, National Heart, Lung, and Blood Institute Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel (2013)

U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement Obesity in Children and Adolescents: Screening, January 2010

American Academy of Pediatrics (AAP) Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity. (Pediatrics Vol. No.5 May 1, 2006 pp.1834-1842)

American Academy of Pediatrics (AAP) Clinical Report: Preventing Obesity and Eating Disorders in Adolescents. (Pediatrics Vol. 138 Iss.3 Sept. 2016 pp.1834-1842) 

American Psychological Association (APA) Clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents (PDF) (March 2018) 

Centers for Disease Control and Prevention (CDC) Childhood Obesity Prevention (2018) 

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 3/7/2018.