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Practice Guidelines

Our Best Practice Guidelines have been developed by experts to assist providers, interdisciplinary care teams and members in making care decisions. These guidelines should be applied collaboratively and are not meant to replace judgment calls by our providers and Community Care care teams.

For a full description of “Goals of Care” and its application to guidelines, see Community Care Goals of Care

Community Care promotes the application of best practice standards of care by directing care providers to resources containing evidence-based clinical and long-term care practice guidelines developed by experts and professional organizations. While every effort is made to assure the reliability of resources, Community Care does not take responsibility or attest to the accuracy of all external website content.

Partnership Special Needs Plan Model of Care

Behavioral Health Resources

Link Behavioral Support Plan - Tools and Tips
PDF Guidelines for the Review and Approval of Mental Health and Substance Abuse Services
PDF Handbook on Guardianship of Adults, WI DHS-Division of Long Term Care

Clinical Practice Guidelines

PDF National PACE Association Preventive Care Guidelines
PDF Community Care PACE & Partnership Diabetes Mellitus Primary Care Guidelines
PDF Community Care PACE & Partnership Pressure Injury Guidelines
PDF Community Care PACE & Partnership Would and Skin Care Guidlines
PDF Centers for Disease Control (CDC) Recommended Adult Immunization Schedule 2017
PDF High Risk Medications in Older Adults - Beers Criteria
PDF PACE Primary Care Assessment and Screening Guidelines
Partnership Primary Care Assessment and Screening Guidelines
 Link American Geriatric Society Clinical Practice Recommendations 
Link CDC STD Treatment Guidelines
Link U.S. Preventive Services Task Force

Dementia Resources

Link Dementia Care & Treatment
PDF   Wisconsin Dementia Care Guiding Principles
Link  Caregiver's Guide to Understanding Dementia Behaviors
Link  Wisconsin DHS Dementia Family Caregiver Training

Disabilities Resources

Link US Department of Labor - Communicating With and About People with Disabilities
Alzheimer's Association

State of Wisconsin Competitive Integrated Employment Webpage

Falls Prevention Resources
Link National Council on Aging - Falls Prevention Programs
Link American Geriatric Society - Falls Prevention Guidelines
Link Preventing Serious Falls: Tips for Older Adults and Their Loved Ones
Link Video Series on: Falls Assessment, Falls Prevention, Canes, Walkers, and Home Safety
Link Wisconsin DHS - Older Adult Falls Prevention

Health Tips and Resources from

Link Avoiding Overmedication and Harmful Drug Reactions
Link Ten Medications Older Adults Should Avoid or Use with Caution
Link Safe Travel Tips for Older Adults
Link Home Safety Tips for Older Adults
Link Driving Safety & Older Adults: The Research from the Journal of the American Geriatrics Society
Link Hot Weather Safety Tips for Older Adults

Restrictive Measures Resources

PDF CCI Restrictive Measures Provider Requirements
PDF Bed & Side Rail Safety Brochure

Other State of Wisconsin Resources

Link Aging and Disability Resource Center
Link Wisconsin Department of Health Services - Family Care
Link Home Site for Wisconsin DHS Division of Long Term Care
Link Wisconsin Immunization Registry: Provider Benefits of the WIR
Link Wisconsin Council on Physical Disabilities
Governor's Autism Council (Wisconsin)
Link Assisted Living Resources - WI Department of Health Services

Additional Evidence-Based Resources and Practice Guidelines

Link National Guideline Clearing House
Link American College of Physicians/American Society of Internal Medicine
Link Agency for Healthcare Quality and Research
Link Choosing Wisely (Lists)
Link Clinical Practice Guidelines for Quality Palliative Care, 3rd Edition
Link Institute for Clinical Systems Improvement (ICSI)


USPSTF Recommendations

Primary Care Clinicians: Identify services appropriate for your patients. Use the ePSS widget below to search for USPSTF recommendations from here.

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