Antibiotic stewardship is a pressing health issue in our time. There are four reasons for this growing concern:
- Harm associated with unnecessary antibiotic use
- Antibiotic resistance which is linked to overutilization of antibiotics
- Very few new antibiotics available in pharmaceutical industry.
- Financial waste
Patient education fact sheets:
Because a primary care provider is most often the first place a patient seeks help, the Quick Reference Behavioral Health Cards show which providers are available for patient referral.
Colon MD: Clinicians’ Information Source
The American Cancer Society offers free materials and information to help providers continue to encourage colorectal cancer screening among patients 50 and older. Health care professionals play the most important role in getting people screened for colorectal cancer. If your patients don’t hear about screening from you, they may not think they need it. The clear, concise materials offered to providers can help in understanding screening guidelines and explaining colorectal cancer tests to your patients.
Clinical Practice Guidelines
Sanford Health Plan is responsible for adopting and distributing clinical practice guidelines for acute, chronic and behavioral health care services that are relevant to our membership. Clinical practice guidelines are systematically developed statements that help practitioners and members make decisions about appropriate health care for specific clinical circumstances. These guidelines can improve health care and reduce unnecessary variations in practice patterns. Practice guidelines are based on reasonable medical evidence, such as clinical literature and expert consensus. The Plan's multi-specialty physician committee, the Physician Quality Committee, has reviewed and approved practice guidelines for numerous conditions. Where links are provided, Sanford Health Plan has adopted the clinical practice guidelines exactly as they are written by the respective organizations. If you have any questions or suggestions regarding these guidelines or would like to request a copy of the guidelines, please visit the mySanfordHealthPlan provider portal or call the Health Plan at (800) 601-5086 or (605) 328-6877.
Clinical Practice Guidelines Adopted from Sanford Health
The following guidelines in this section were developed by the Sanford Clinical Practice Committee and adopted by Sanford Health Plan's Physician Quality Committee.
- Sanford Clinic Attention Deficit Hyperactivity Disorder (ADHD) (Age 6-18) Practice Guideline for Primary Care, Revised 04/06/2016
Appropriate Antibiotic Utilization
- Pediatric Acute Bacterial Sinusitis (ABS) Guideline, Revised 02/06/2014
- Pediatric Pharyngitis Guideline (Age 5-15 Years), Revised 12/22/2015
- Pediatric Acute Otitis Media (AOM) Guideline (Children >2 Months of Age), Revised 07/28/2014
- Adult Acute Bacterial Rhinosinusitis (ABRS) Guideline, Revised 02/05/2014
- Adult Acute Pharyngitis Guideline (Age 16 Years and Older), Revised 03/05/2014
- Adult Acute Bronchitis Guideline, Revised 03/05/2014
- Adult Acute Exacerbation of Chronic Bronchitis (AECB) Outpatient Guideline, Revised 04/16/2014
- Sanford Clinic Adult Asthma Practice Guidelines (age 12 and older), Revised 06/19/2013
- Sanford Clinic Asthma Practice Guidelines (age 5-11), Revised 06/19/2013
- Sanford Clinic Asthma Practice Guidelines (age 0-4), Revised 06/19/2013
- Sanford Clinic Breast Density Mammogram Guideline, Revised 05/06/2015
- Sanford Clinic Breast Cancer Screening Guideline, Revised 05/23/2016
Cervical Cancer Screening
- Cervical Cancer Screening
- Sanford Clinic Cervical Cytology Screening Guideline, Revised 08/22/2012
- Sanford Clinic Adult (Age ≥ 18) Heart Failure (HF) Guideline, Revised 12/04/2013 ARR
- Sanford Clinic Adult Obstructive Pulmonary Disease (COPD) Practice Guideline, Revised 03/05/2014 ARR
- Sanford Clinic Major Depression (Age ≥ 12) Practice Guideline, Revised 08/05/2014 ARR
- Sanford Clinic Diabetes Practice Guideline, Revised 04/06/2016 ARR
- Sanford Clinic Adult Obesity (Age ≥ 18) Practice Guideline, Revised 08/07/2013 ARR
- Sanford Clinic Pediatric (Ages 3-17) Obesity Guideline, Revised 08/12/2013 ARR
Cultural & Linguistics
Communication between patients and providers is key to enhancing overall quality of patient care as well as improving health outcomes. Multicultural Health Care: A Quality Improvement Guide, was created by NCQA (the National Committee for Quality Assurance) in collaboration with Lilly USA, LLC, to promoted culturally and linguistically appropriate services and to reduce disparities in clinical care. Topics include the steps to quality improvement and a resource library.
Immunization Schedules from birth to 18
Each year, the Advisory Committee on Immunization Practices (ACIP) publishes immunization schedules for persons age birth through age 18. These schedules summarize recommendations for routine vaccines for children age 18 and younger. There is also a catch-up immunization schedule available.
HPV (human papillomavirus) immunization resources
- Elements of a Successful and Unsuccessful Vaccine Visit:
http://www.vimeo.com/avwired/aap, with password: aap2015. It’s a 52-minute video about teenage HPV vaccine hesitancy and research conducted in South Carolina and Oklahoma.
- CME Course on Adolescent Immunizations: Strongly Recommending the HPV Vaccine:
http://shop.aap.org/Adolescent-Immunizations-Strongly-Recommending-the-HPV-Vaccine, free CME worth 1 hour. It discusses strategies for strongly recommending the HPV Vaccine and offers information to help pediatricians address their patients’ concerns about the vaccine.
- Immunization: You Call the Shots Module Eight - HPV, 2016:
https://www2a.cdc.gov/nip/isd/ycts/mod1/courses/hpv/ce.asp, free CME worth 1.25 hours. Eighth in the series on immunizations by the CDC. It's mostly useful for the new provider, or the medical or nursing student. It can also work well for the seasoned health care provider wanting a refresher.
- You are the Key to HPV Cancer Prevention:
http://www.cdc.gov/vaccines/ed/hpv/index.html, free CME worth 0.75 hours. Helps the provider explain in plain language the importance of HPV vaccination for cancer prevention and the rationale for vaccinating at ages 11 or 12. Also provides an effective recommendation for receiving the vaccination. This helps practitioners answer parents’ questions.
- HPV Vaccine Video for Health Care Providers:
http://www.health.state.mn.us/divs/idepc/immunize/hcp/adol/hpvvideos.html, No CME available. The Minnesota Department of Health has created a 12-minute video for providers on HPV vaccine communication. Clinical encounters are given and can help providers demonstrate low-stress ways of recommending HPV vaccine. The video also has answers to many parents’ questions.
Univadis is an advertisement-free medical portal designed specifically for U.S. health care providers. This website provides breaking medical news, a wide range of scientific educational resources and diagnostic tools all at no cost to providers.
Prevention of medical errors and adverse outcomes is an essential part of high quality health care. While health care providers have an obligation to practice patient safety, patients and their advocates play an essential role in this too. Many tools are available for physicians and other practitioners to use with patients. In addition, Sanford Health Plan encourages members to learn about the risks of medical procedures and therapies, to take precaution with medications, and to question anything they do not understand.
For More Information
Tobacco Cessation Resources
- What to tell your patients about smoking
- Helping Smokers Quit - A Guide for Clinicians
- Cessation Best Practices