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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Quality Improvement<br />

Clinical Practice<br />

Guidelines<br />

Institute for Clinical Systems Improvement (ICSI)<br />

Website Website Address<br />

ACS: Diagnosis <strong>and</strong> Treatment<br />

<strong>of</strong> Chest Pain <strong>and</strong> Acute<br />

Coronary Syndrome<br />

Diagnosis <strong>and</strong> Management <strong>of</strong><br />

Asthma<br />

ADHD, Attention Deficit<br />

Hyperactivity Disorder in<br />

Primary Care for Children <strong>and</strong><br />

Adolescents<br />

At <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> <strong>and</strong> <strong>Blue</strong> Plus, we<br />

believe that the use <strong>of</strong> clinical practice guidelines is a key<br />

component <strong>of</strong> Quality Improvement. Each year our Quality<br />

Council approves the adoption <strong>of</strong> select guidelines that are used to<br />

support various programs <strong>and</strong> initiatives. The guidelines do not<br />

substitute for sound clinical judgment; however, they are intended<br />

to assist clinicians in underst<strong>and</strong>ing key processes for<br />

improvement efforts.<br />

Please note that some treatment <strong>and</strong> management options<br />

recommended in clinical practice guidelines may not be covered<br />

benefits under a <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> <strong>and</strong><br />

<strong>Blue</strong> Plus member’s health plan.<br />

http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/cardi<br />

ovascular/acs_acute_coronary_syndrome/acs__acute_coro<br />

nary_syndrome_<strong>and</strong>_chest_pain__diagnosis_<strong>and</strong>_treatme<br />

nt_<strong>of</strong>__full_version_.html<br />

http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/respi<br />

ratory/asthma__outpatient/asthma__diagnosis_<strong>and</strong>_outpa<br />

tient_management_<strong>of</strong>_12572.html<br />

http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/beha<br />

vioral_health/adhd/adhd_in_primary_care_for_children_<br />

__adolescents__diagnosis_<strong>and</strong>_management_<strong>of</strong>_.html<br />

Colorectal Cancer Screening http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/preve<br />

ntive_health_maintenance/colorectal_cancer_screening/col<br />

orectal_cancer_screening_6.html<br />

Diagnosis <strong>and</strong> Management <strong>of</strong><br />

Chronic Obstructive<br />

Pulmonary Disease (COPD) by<br />

ICSI<br />

Major Depression in Adults in<br />

Primary Care<br />

Diagnosis <strong>and</strong> Management <strong>of</strong><br />

Diabetes in Adults, type 2<br />

http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/respi<br />

ratory/chronic_obstructive_pulmonary_disease/chronic_o<br />

bstructive_pulmonary_disease__guideline_.html<br />

http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/beha<br />

vioral_health/depression_5/depression__major__in_adults<br />

_in_primary_care_4.html<br />

http://www.icsi.org/guidelines_<strong>and</strong>_more/gl_os_prot/other<br />

_health_care_conditions/diabetes_mellitus__type_2/diabet<br />

es_mellitus__type_2__management_<strong>of</strong>___6.html<br />

3-16 <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (08/11/11)

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