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Clinical Practice Guidelines

Florida

  • Providers •
  • Florida: Clinical Practice Guidelines

A clinical practice guideline is a document that seeks to guide decisions about the diagnosis and treatment of certain health conditions. Clinical practice guidelines are based on scientific evidence, review of medical literature, or appropriately established authority. All recommendations are based on published, agreed-upon guidelines and do not favor any particular treatment based solely on cost considerations.

NovumHealth encourages the use of evidence-based Clinical Practice Guidelines by our providers and has adopted Practice Guidelines for prevention, diagnosis, and management for several behavioral health conditions. These guidelines are developed by the nationally recognized National Committee for Quality Assurance (NCQA) to monitor and evaluate the quality of care provided to our members. The American Psychiatric Association (APA) and the American Academy of Child and Adolescent Psychiatry (AACAP) have published statements on their respective websites in support of these new standards.

NovumHealth promotes implementation of these Practice Guidelines via dissemination among providers and uses numerous performance measures to provide feedback to achieve consistent and high-quality health outcomes for our members.

Guidelines are reviewed at a minimum of once every two years. The Quality Improvement Committee, which includes the Medical Director and other practitioners, participate in this review and approve any changes. Paper copies of the guidelines themselves are available on request at 702-857-8800, as well as below at the links provided.

The practice guidelines are not intended to be required treatment protocols. Physicians and other health professionals must rely on their own expertise in evaluating and treating individuals. Practice guidelines are not a substitute for the best professional judgment of physicians and other health professionals.

Each year, NovumHealth measures provider’s adherence to at least 3 Clinical Practice Guidelines via medical records. Our most recent include:

  • Practice Guidelines for the Treatment of Patients with Substance Use Disorders.
  • Practice Parameter for the Assessment and Treatment of Children and Adolescents with Posttraumatic Stress Disorder, American Academy of Child and Adolescent Psychiatry.
  • Treating Major Depressive Disorder in Adults, American Psychiatric Association.
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