Clinical Care Guidelines

Welcome to the Clinical Care Guidelines page. These guidelines and the accompanying materials are to assist Michigan Medicine physicians in providing optimal care for patients in a cost-effective manner. The guidelines focus on important clinical decisions and actions in the context of overall case management. The guidelines are based on empirical evidence, other evidence-based guidelines prepared by nationally recognized groups, and expert consensus about practical considerations in providing care. Begin by selecting an Ambulatory or an Inpatient Guideline topic from the list below.

This site maintains the current version of the guidelines. To access a previous version or one of the retired guidelines, please contact [email protected]

Ambulatory Care

Due to the Michigan Medicine Economic Recovery Plan, UMHS Leadership Team recommended that the Quality Department discontinue the Ambulatory Guideline program. The guidelines will be removed from this site when they are outdated (4 years from publication date), or if clinical content no longer remains relevant. The Inpatient Guidelines program will continue.

 

Asthma

    1. Asthma Guideline
    2. Patient Education Materials
    3. Cover Memo/Key Points:
  • CME Self-Study Activity
  • MQIC Guideline:
    1. Other Tools for Clinicians:

    Attention Deficit/Hyperactivity Disorder

    1. Attention Deficit/Hyperactivity Disorder Guideline
    2. Patient Education Materials
    3. External sites and materials:
  • Tools for Clinicians:
    • Appendices:
    • Appendix A1. Behavioral Rating Scales
    • Appendix A2. Tips for Parents
    • Appendix A3. ADHD and Educational Rights
    • Appendix A4. Special Education and Evaluation Terms
    • Appendix B1. Definitions of Selected Psychiatric Disorders
    • Appendix B2. Conditions That May Be Confused with ADHD
    • Appendix B3. Special Patient Populations
    • Appendix B4. Overview of CAM
  • Cover Memo/Key Points:
  • CME Self-Study Activity
  • MQIC Guideline:

    • Hypertension

    Chronic Non-Terminal Pain, Managing Patients with

    1. Pain Guideline
    2. Patient Education Materials:
  • Cover Memo/Key Points:
  • CME Self-Study Activity

    • Inpatient Care

    Adult Inpatient Bladder Instillation

    Alcohol Withdrawal in Hospitalized Patients

    1. Alcohol Withdrawal in Hospitalized Patients 
    2. Cover Memo/Key Points:
    • Alcohol Withdrawal in Hospitalized Patients -- Cover Memo
    • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Gen Alcohol Withdrawal Syndrome- Mild/Mod”, “Gen Alcohol Withdrawal Syndrome/Adjunctive Therapy”, and “Gen Alcohol Withdrawal Syndrome/Severe” in the order set search box.

    Atrial Fibrillation and Atrial Flutter

    1. Management of Acute Atrial Fibrillation and Atrial Flutter in Non-Pregnant Hospitalized Adults
    2. Cover Memo/Key Points:
  • CME Self-Study Activity
  • Order Set.
    • There is now an evidence-based order set for atrial fibrillation available in MiChart. This order set supports the recommendations made in the UM Medical Group Guideline on “Management of Acute Atrial Fibrillation and Atrial Flutter in Non-Pregnant Hospitalized Adults”. This order set contains decision-support to facilitate optimal care for patients with atrial fibrillation. It can be accessed in MiChart by typing “atrial” in the order set search box.

    • COPD - Inpatient Management of Acute Exacerbations

    1. Guideline:
    1. CME Self-Study Activity
    2. VTE-Cover-Memo
    3. Information on the COPD Transitions Clinic
    4. Also see the Ambulatory guideline on "Chronic Obstructive Pulmonary Disease (COPD)"
      • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Gen COPD Exacerbation” in the order set search box.

    Cirrhosis (Alternative format guidance)

    1. Cirrhosis (alternative format guideline)
      • Note:There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Hepatic encephalopathy”, and “Treatment of Spontaneous Bacterial Peritonitis” in the order set search box.

    Clostridium difficile Infection

    1. Guideline
  • Cover Memo/Key Points:practiceguid
  • Methodological Appendix
  • CME Self-Study Activity
      • Note There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Treatment of Clostridium difficile colitis” in the order set search box.

    Cholecystitis, choledocholithiasis, and other gallstone-related diseases

    1. Evaluation and Management of Gallstone-Related Diseases in Non-Pregnant Adults
    2. Cover Memo/Key Points:
  • CME Self-Study Activity
    • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “cholecystitis” or “cholangitis” in the order set search box.

    Diuretic Guideline for Patients with Acute Decompensated Heart Failure

    Family-Centered Rounds

    Neonatal Hyperbilirubinemia

      1. Guideline
  • Cover Memo/Key Points:
  • Methodological Appendix
  • CME Self-Study Activity

      • Note: There are Michart order sets that corresponds to this guideline. They can be accessed in MiChart by typing “Neonatal Hyperbilirubinemia” in the order set search box.

     

    For questions or suggestions regarding the guidelines, please contact: Ellen Patrick for Ambulatory Guidelines or April Proudlock for Inpatient Guidelines