All Ambulatory Care Providers
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Clinical practice: Acute low back pain
Adult patients presenting to Banner Health Network (BHN) primary care offices with a diagnosis of acute low back pain not associated with trauma or systemic illness will receive assessment and treatment consistent with evidence-based practice. Includes guidelines for assessment, use of diagnostic imaging and testing, and therapies.
- Clinical practice: Acute low back pain (loaded 07/12)
Clinical practice: Type II diabetes care in the primary care setting
Adult patients (ages 18-75) with Type 2 diabetes presenting to primary care offices within the Banner Health Network (BHN) and Banner Medical Group (BMG) will be regularly screened for complications of their diabetes and will receive assistance in managing any associated hypertension, dyslipidemia, obesity and tobacco use.
Clinical practice: Pediatric asthma – inpatient and outpatient management
Pediatric asthma patients (age < 18) will be identified in any Ambulatory Care setting, Emergency Department, General Pediatric Ward or Pediatric Intensive Care Unit (PICU) or throughout the continuum of hospital stay and have standardized interventions of time-sensitive therapy utilizing an asthma severity score to identify patients with mild, moderate, or severe asthma. The clinical approach to asthma in our pediatric population will focus on four components of asthma care: measures to assess (utilizing an asthma severity score) and monitor asthma, patient and family education, control of environmental factors and other conditions that can worsen asthma, and medications. For chronic asthma care, management will be based on the 2007 National Health Lung and Blood Institute (NHLBI) recommendations, using a stepwise approach to assess asthma severity, in which rescue and controller medication doses or types are stepped up as needed and stepped down when possible. All patients in the ambulatory setting and inpatient setting should be discharged with a standardized Home Management Plan of Care.
Clinical practice: Depression screening (adults and adolescents in primary care settings)
It is an expected clinical practice that patients > 12 years of age presenting to primary care offices will be screened for depression using an age-appropriate standardized screening tool. Positive screening results will trigger further evaluation. After diagnosis is confirmed using standard diagnostic criteria, an individual plan of care will be developed for treatment and follow-up.
- Clinical practice: Depression screening (adults and adolescents in primary care settings) (loaded 03/13)
Clinical Practice: Ambulatory Dementia Care - Adult
It is an expected clinical practice that adult outpatients at risk for dementia according to specific criteria will be screened for possible dementia; those with possible dementia will be given a comprehensive evaluation to confirm presence and severity of dementia as well as determine dementia complexity to establish provisions of care that include pharmacological, psychosocial, and calibrated specialty interventions.
- Clinical Practice: Ambulatory Dementia Care - Adult (loaded 07/13)
Clinical Practice: Ambulatory Falls Prevention
It is an expected clinical practice that all patients 65 years or older will be screened for fall risk at least once annually. Patients identified as at risk for falls will have a multifactorial falls assessment performed with interventions based on the score.
- Clinical Practice: Ambulatory Falls Prevention (loaded 07/13)
Clinical Practice: Hyperlipidemia Screening - Adult
It is an expected clinical practice that all men 35 years of age and older and women 45 years of age and older seen in primary care settings will be screened for hyperlipidemia. Positive lipid panel screening results will trigger further evaluation and contribute to risk stratification. For patients with normal lipid panels results, screening will be repeated every 5 years.
- Clinical Practice: Hyperlipidemia Screening - Adult (loaded 07/13)
Clinical practice: Preoperative testing for elective surgeries - adults
It is an expected clinical practice that all elective surgery adult patients will receive preoperative testing based only on clinical indication. Avoid routine tests unless testing for specific indications or purpose.