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Promoting consistent clinical preventive services guidelines among competing health plans
Cynthia G Ayres1, Hurdis M Griffith
1The State University of New Jersey, Rutgers College of Nursing, Newark, NJ, USA. cgayres@rutgers.edu
Summary
Conflicting clinical preventive services (CPS) guidelines hinder care delivery. A systematic consensus approach identified 17 prioritized CPS guidelines for health plans to implement, improving clinician support.
Area of Science:
- Health Services Research
- Preventive Medicine
- Clinical Practice Guidelines
Background:
- Conflicting clinical practice guidelines present a significant barrier to consistent preventive care delivery.
- Discrepancies in guidelines negatively impact the quality and accessibility of essential health services.
Purpose of the Study:
- To systematically achieve consensus among health plan medical directors on a unified set of clinical preventive services (CPS) guidelines.
- To establish a prioritized list of CPS guidelines for consistent implementation across health plans.
Main Methods:
- A systematic approach was employed to facilitate consensus-building among medical directors from various health plans.
- The process focused on identifying a core set of evidence-based clinical preventive services.
Main Results:
- A consensus was reached on a consistent set of 17 clinical preventive services (CPS) guidelines.
- These 17 CPS guidelines were identified as a priority for implementation by all participating health plans.
Conclusions:
- The developed consensus approach provides a viable template for national health plans to align on critical CPS guidelines.
- Standardizing CPS guidelines can effectively support clinicians and enhance the delivery of preventive care services nationwide.
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