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Health Partners is the Philadelphia area’s only health plan owned by a partnership of local hospitals.
 
Health Partners: Service. Benefits. Respect.		  
NCQA Accreditation: Health Partners Medical Assistance Plan.
 
 
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Monday, January 05, 2009
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Clinical/Preventive Care Guidelines
The Health Partners Quality Management department is responsible for developing and monitoring systems that support the organization's commitment to provide quality care and service to our members. This includes (but is not limited to) ongoing evaluation of performance against clinical and preventive health standards, reasons for appeals and grievances, member satisfaction, medical record documentation, practitioner office site review and member access to providers by telephone and appointment availability. All Health Partners participating providers are expected to participate in the Quality Management program as identified in the provider contracts. This means taking an active role in the ongoing management of member care, including appropriate management of members with chronic conditions. It also means ensuring timely and age-appropriate preventive screenings as well as continuity and coordination of care across specialties and care settings.
  Summary of Guideline Revisions (4/08)
 
Preventive Guidelines
  Pediatric Preventive Care Guideline (4/08)

  Childhood and Adolescent Immunization Schedules

  Adolescent Preventive Health Guideline (4/08)

  Adult Preventive Care Guideline (4/08)

  Adult Preventive Immunization Schedule

  Well Elderly Guideline (4/08)

  Obstetric Guideline (4/08)
 
Clinical Guidelines
  PAAA Pediatric Asthma Action Plan (English)

  PAAA Pediatric Asthma Action Plan (Spanish)

  Pediatric Asthma Guidelines

  Adult Hypertension Clinical Guidelines

  Adult Congestive Heart Failure Guidelines

  Diabetes Clinical Guideline

  Pediatric/Adolescent Diabetes Clinical Guideline

  Adult Asthma Clinical Guideline

  Sexually Transmitted Diseases Treatment Recommendations

  HIV/AIDS Clinical Guidelines/Information
 
HealthChoices Clinical Guidelines
  Adult HIV Clinical Practice Guideline
 
215-991-4350 • Provider Helpline • 1-888-991-9023
 
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