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 following:

ADHD:  Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management
Pediatrics, originally published online October 16, 2011;
DOI: 10.1542/peds.2011-2654

Clinical Practice Guideline: Treatment of the School-Aged Child with Attention-Deficit/Hyperactivity Disorder
Subcommittee on Attention-Deficit/Hyperactivity Disorder Committee on Quality Improvement
Pediatrics Oct 2001, 108 (4) 1033-1044;
DOI: 10.1542/peds.108.4.1033

Practice Parameter for the Assessment and Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder
Pliszka, Steven
Journal of the American Academy of Child & Adolescent Psychiatry, Volume 46 , Issue 7 , 894 - 921

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

The American Cancer Society’s Guidelines for the Early Detection of Cancer (2015). 

Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report. [You will be leaving the Sunshine Health internet to access the CDC.] 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 9/28/2016.

Sunshine Health has also adopted:

American Academy of Family Physicians (AAFP) Antepartum Fetal Testing By Topic: Prenatal (2016). You will be leaving the Sunshine Health internet site access.

Sunshine Health has developed Perinatal Care Guidelines based on the Guidelines for Perinatal Care, 7th Edition from the American College of Obstetricians and Gynecologists (2012). You will be leaving the Sunshine Health internet site to access.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

Asthma Care Quick Reference: Diagnosing and Managing Asthma
U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute
NHLBI Publication No. 12–5075
Originally Printed June 2002
Revised September 2012

The Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma
U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute
Asthma Clinical Practice Guidelines, 2007

The Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2016. Available from: www.ginasthma.org You will be leaving the Sunshine Health internet site to access.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

Goertz M, Thorson D, Bonsell J, Bonte B, Campbell R, Haake B, Johnson K, Kramer C, Mueller B, Peterson S, Setterlund L, Timming R. Institute for Clinical Systems Improvement. Adult Acute and Subacute Low Back Pain. Updated November 2012.

Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, et al. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147:478-491. DOI: 10.7326/0003-4819-147-7-

National Guideline Clearinghouse (NGC). Guideline summary: Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 Apr 01. [cited 2017 Feb 01]. Available: https://www.guideline.gov You will be leaving the Sunshine Health internet site to access.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/16.

Sunshine Health has adopted:

Final Recommendation Statement: Chlamydia and Gonorrhea: Screening. U.S. Preventive Services Task Force. December 2016. You will be leaving the Sunshine Health internet site to access.

This guideline was approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

The Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017. Available from: http://goldcopd.org. You will be leaving the Sunshine Health internet site to access.

This guideline was approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report
U.S. Department of Health and Human Services, National Institutes of Health, National Heart Lung and Blood Institute
NIH Publication No. 12-7486
October 2012

2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk
David C. Goff, Donald M. Lloyd-Jones, Glen Bennett, Sean Coady, Ralph B. D’Agostino, Raymond Gibbons, Philip Greenland, Daniel T. Lackland, Daniel Levy, Christopher J. O’Donnell, Jennifer Robinson, J. Sanford Schwartz, Susan T. Shero, Sidney C. Smith, Paul Sorlie, Neil J. Stone and Peter W.F. Wilson
Circulation. 2013;01.cir.0000437741.48606.98, originally published November 12, 2013
https://doi.org/10.1161/01.cir.0000437741.48606.98

Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease
Paul D. Thompson, David Buchner, Ileana L. Piña, Gary J. Balady, Mark A. Williams, Bess H. Marcus, Kathy Berra, Steven N. Blair, Fernando Costa, Barry Franklin, Gerald F. Fletcher, Neil F. Gordon, Russell R. Pate, Beatriz L. Rodriguez, Antronette K. Yancey and Nanette K. Wenger
Circulation. 2003;107:3109-3116, originally published June 24, 2003
https://doi.org/10.1161/01.CIR.0000075572.40158.77

Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults
Jerome L. Fleg, Daniel E. Forman, Kathy Berra, Vera Bittner, James A. Blumenthal, Michael A. Chen, Susan Cheng, Dalane W. Kitzman, Mathew S. Maurer, Michael W. Rich, Win-Kuang Shen, Mark A. Williams and Susan J. Zieman
Circulation. 2013;128:2422-2446, originally published November 25, 2013
https://doi.org/10.1161/01.cir.0000436752.99896.22

Treatment of Hypertension in Patients With Coronary Artery Disease
Clive Rosendorff, Daniel T. Lackland, Matthew Allison, Wilbert S. Aronow, Henry R. Black, Roger S. Blumenthal, Christopher P. Cannon, James A. de Lemos, William J. Elliott, Laura Findeiss, Bernard J. Gersh, Joel M. Gore, Daniel Levy, Janet B. Long, Christopher M. O’Connor, Patrick T. O’Gara, Olugbenga Ogedegbe, Suzanne Oparil and William B. White
Hypertension. 2015;HYP.0000000000000018, originally published March 31, 2015
https://doi.org/10.1161/HYP.0000000000000018

AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2011 Update
Sidney C. Smith, Emelia J. Benjamin, Robert O. Bonow, Lynne T. Braun, Mark A. Creager, Barry A. Franklin, Raymond J. Gibbons, Scott M. Grundy, Loren F. Hiratzka, Daniel W. Jones, Donald M. Lloyd-Jones, Margo Minissian, Lori Mosca, Eric D. Peterson, Ralph L. Sacco, John Spertus, James H. Stein and Kathryn A. Taubert
Circulation. 2011;124:2458-2473, originally published November 3, 2011
https://doi.org/10.1161/CIR.0b013e318235eb4d

The Primary And Secondary Prevention Of Coronary Artery Disease*: American College Of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition) You will be leaving the Sunshine Health internet site to access.
Becker RC, Meade TW, Berger PB, et al.
Chest. 2008;133(6_suppl):776S-814S.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

2013 ACCF/AHA Guideline for the Management of Heart Failure
Clyde W. Yancy, Mariell Jessup, Biykem Bozkurt, Javed Butler, Donald E. Casey, Mark H. Drazner, Gregg C. Fonarow, Stephen A. Geraci, Tamara Horwich, James L. Januzzi, Maryl R. Johnson, Edward K. Kasper, Wayne C. Levy, Frederick A. Masoudi, Patrick E. McBride, John J.V. McMurray, Judith E. Mitchell, Pamela N. Peterson, Barbara Riegel, Flora Sam, Lynne W. Stevenson, W.H. Wilson Tang, Emily J. Tsai and Bruce L. Wilkoff
Circulation. 2013;128:e240-e327, originally published October 14, 2013
https://doi.org/10.1161/CIR.0b013e31829e8776 You will be leaving the Sunshine Health Internet site to access.

Exercise and Heart Failure
Ileana L. Piña, Carl S. Apstein, Gary J. Balady, Romualdo Belardinelli, Bernard R. Chaitman, Brian D. Duscha, Barbara J. Fletcher, Jerome L. Fleg, Jonathan N. Myers and Martin J. Sullivan
Circulation. 2003;107:1210-1225, originally published March 4, 2003
https://doi.org/10.1161/01.CIR.0000055013.92097.40

Heart Failure Society of America 2010 Comprehensive Heart Failure Practice Guidelines. You will be leaving the Sunshine Health internet site to access.

2016 ACC/AHA/HFSA Focused Update on New Pharmacological Therapy for Heart Failure: An Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure You will be leaving the Sunshine Health internet site to access.
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Colvin MM, Drazner MH, Filippatos G, Fonarow GC, Givertz MM, Hollenberg SM, Lindenfeld J, Masoudi FA, McBride PE, Peterson PN, Stevenson LW, Westlake C. 2016 ACC/AHA/HFSA focused update on new pharmacological therapy for heart failure: an update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Card Fail. 2016.
DOI: http://dx.doi.org/10.1016/j.cardfail.2016.07.001

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults
Neil J. Stone, Jennifer Robinson, Alice H. Lichtenstein, C. Noel Bairey Merz, Conrad B. Blum, Robert H. Eckel, Anne C. Goldberg, David Gordon, Daniel Levy, Donald M. Lloyd-Jones, Patrick McBride, J. Sanford Schwartz, Susan T. Shero, Sidney C. Smith, Karol Watson and Peter W.F. Wilson
Circulation. 2013;01.cir.0000437738.63853.7a, originally published November 12, 2013
https://doi.org/10.1161/01.cir.0000437738.63853.7a

2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults
Neil J. Stone, Jennifer G. Robinson, Alice H. Lichtenstein, C. Noel Bairey Merz, Conrad B. Blum, Robert H. Eckel, Anne C. Goldberg, David Gordon, Daniel Levy, Donald M. Lloyd-Jones, Patrick McBride, J. Sanford Schwartz, Susan T. Shero, Sidney C. Smith, Karol Watson, Peter W.F. Wilson
Journal of the American College of Cardiology Jul 2014, 63 (25 Part B) 2889-2934; DOI: 10.1016/j.jacc.2013.11.002

National Institutes of Health, National Heart, Lung, and Blood Institute, National Cholesterol Education Program.
Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report [Internet]. 2002 Available from: http://circ.ahajournals.org/content/106/25/3143.long

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, Lackland DT, LeFevre ML, MacKenzie TD, Ogedegbe O, Smith SC, Svetkey LP, Taler SJ, Townsend RR, Wright JT, Narva AS, Ortiz E.
2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the Eighth Joint National Committee
(JNC 8). JAMA. 2014;311(5):507-520.
doi:10.1001/jama.2013.284427

U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute, National High Blood Pressure Education Program.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.
NIH Publication. 2004 Aug [cited 2013 Feb 27]; No. 04-5230. First published in JAMA 2003;289(19):2560–2571. doi:10.1001/jama.289.19.2560.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health had adopted:

The Centers for Disease Control and Prevention (CDC)’s Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention, Report of the Advisory Committee on Childhood Lead Poisoning Prevention (January 2012).

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 9/28/2016.

Sunshine Health has adopted:

American Psychiatric Association’s (APA) Practice Guideline for the Treatment of Patients with Major Depressive Disorder. Third Edition. (November 2010).

Practice Parameter for the Assessment and Treatment of Children and Adolescents With Depressive Disorders
Birmaher, Boris et al.
Journal of the American Academy of Child & Adolescent Psychiatry , Volume 46 , Issue 11 , 1503 - 1526

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

American Academy of Pediatric Dentistry Guidelines on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling and Oral Treatment for Infants, Children and Adolescents (2013).

2016 Recommendations for Preventive Pediatric Health Care
COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE and, BRIGHT FUTURES PERIODICITY SCHEDULE WORKGROUP
Pediatrics Dec 2015, peds.2015-3908; DOI: 10.1542/peds.2015-3908

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

Florida Medicaid Drug Therapy Management Program for Behavioral Health: Psychotherapeutic Medication Treatment Guidelines. You will be leaving the Sunshine Health internet site to access.
The University of South Florida College of Behavioral & Community Sciences

The guideline was approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

Practice Parameter on the Use of Psychotropic Medication in Children and Adolescents
Walkup, John
Journal of the American Academy of Child & Adolescent Psychiatry, Volume 48 , Issue 9 , 961 - 973

The guideline was approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

Get Smart: Know When Antibiotics Work: Outpatient Healthcare Professionals. You will be leaving the Sunshine Health internet site to access.
Adult and Pediatric Treatment Recommendations
Centers for Disease Control and Prevention

Health Care Guideline Diagnosis and Treatment of Respiratory Illness in Children and Adults
Snellman L, Adams W, Anderson G, Godfrey A, Gravley A, Johnson K, Marshall P, Myers C, Nesse R, Short S. Institute for Clinical Systems Improvement. Diagnosis and Treatment of Respiratory Illness in Children and Adults. Updated January 2013.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.                                                                                                                             

Sunshine Health has adopted:

Evidence-Based Management of Sickle Cell Disease: Expert Panel Report, 2014
U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute

The Center for Disease Control and Prevention Sickle Cell Disease, Recommendations (2015). You will be leaving the Sunshine Health internet site to access.

The Management of Sickle Cell Disease
National Institutes of Health, National Heart, Lung and Blood Institute Management of Sickle Cell Disease
NIH PUBLICATION
NO. 02-2117
REVISED JUNE 2002
(FOURTH EDITION)

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

The American Psychiatric Association: Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder (November 2009).

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

American Psychiatric Association (APA). Practice Guideline for the Treatment of Patients with Substance Use Disorders: Second Edition. 2010.

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

American College of Obstetricians and Gynecologists. Smoking Cessation During Pregnancy. Washington, DC: ACOG; 2010.

Treating Tobacco Use and Dependence: 2008 Update. Content last reviewed June 2015. Agency for Healthcare Research and Quality, Rockville, MD. 

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.

Sunshine Health has adopted:

The Academy of Nutrition and Dietetics. Adult Weight Management (2014).
The guideline information is divided into several sections:

  • Executive Summary - major recommendations and ratings by Nutrition Care Process category.
  • Introduction - Guideline Overview; Scope, Statement of Intent and Patient Preference, Guideline Methods, Implementation of the Guideline; Benefits and Harms of Implementing the Recommendations
  • Major Recommendations - Guideline recommendations with conditional statements and strength rating

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

Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report
Sarah E. Barlow
Pediatrics Dec 2007, 120 (Supplement 4) S164-S192; DOI: 10.1542/peds.2007-2329C

Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement
American Academy of Pediatrics’ Active Healthy Living: Prevention of Childhood Obesity through Increased Physical Activity (2006).
PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275).
Published in the public domain by the American Academy of Pediatrics
doi:10.1542/peds.2009-2037

These guidelines were approved by the Sunshine Health Quality Improvement Committee on 9/28/2016.