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VA/DoD Clinical Practice Guidelines

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VHA, in collaborations with the Department of Defense (DoD) and other leading professional organizations, has been developing clinical practice guidelines since the early 1990s. In 2010 the Institute of Medicine identified VA/DoD as leaders in clinical practice guideline development.

Implementation of evidence-based clinical practice guidelines is one strategy VHA has embraced to improve care by reducing variation in practice and systematizing “best practices”. Guidelines address patient cohorts, serve to reduce errors, and provide consistent quality of care and utilization of resources throughout and between the VA and DoD health care systems. Guidelines are also cornerstones for accountability and facilitate learning and the conduct of research. The guidelines on this site are those endorsed by the VA/DoD Evidence Based Practice Work Group.

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Clinical practice guidelines are used in health care to improve patient care as a potential solution to reduce inappropriate variations in care. Guidelines should be evidence based, incorporate patient input, as well as explicit criteria to ensure internal validity.

The use of guidelines must always be in the context of a health care provider's clinical judgment in the care of a particular patient. For this reason, the guidelines may be viewed as an educational tool to provide information in shared decision making.

Chronic Disease in Primary Care Mental Health Military Related
Asthma
Chronic Kidney Disease (CKD) Updated!
Chronic Obstructive Pulmonary Disease (COPD) Updated!
Diabetes Mellitus (DM) *
New! The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)
Dyslipidemia (LIPIDS) Updated!
Hypertension (HTN) Updated!
Obesity and Overweight (OBE) Updated!
New! Assessment and Management of Patients at Risk for Suicide
Bipolar Disorder in Adults (BD)
Major Depressive Disorder (MDD) *
Post-Traumatic Stress Disorder (PTSD) *
Substance Use Disorder (SUD) Updated!
Nuclear, Chemical and Biological Illness (NBC)
Management of Chronic Multisymptom Illness (CMI) Updated!
Formerly known as Medically Unexplained Symptoms (MUS)
* Update of CPG in Progress
Pain Rehabilitation Women's Health
Opioid Therapy (OT) for Chronic Pain *
Lower Back Pain (LBP) *
Concussion-mTBI *
Lower Limb Amputation *
Stroke Rehabilitation
New!  The Management of Upper Extremity Amputation Rehabilitation (UEAR)
Pregnancy
* Update of CPG in Progress
Retired CPG's can be found on our archive page

What's New in VA/DoD CPGWhat's New!

Clinical practice guidelines are increasingly being used in health care to improve patient care and as a potential solution to reduce inappropriate variations in care. Guidelines should be evidence-based as well as based upon explicit criteria to ensure consensus regarding their internal validity.

The use of guidelines must always be in the context of a health care provider's clinical judgment in the care of a particular patient. For that reason, the guidelines may be viewed as an educational tool to provide information and assist decision making.

Chronic Disease in Primary Care Mental Health Military Related
Asthma
Updated! Chronic Kidney Disease (CKD)
Updated!  Chronic Obstructive Pulmonary Disease (COPD)
Diabetes Mellitus (DM) *
New! The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)
Updated! Dyslipidemia (LIPIDS)
Updated! Hypertension (HTN)
Updated!  Obesity and Overweight (OBE)
Tobacco Use (MTU)
New! Assessment and Management of Patients at Risk for Suicide
Bipolar Disorder in Adults (BD)
Major Depressive Disorder (MDD) *
Post-Traumatic Stress Disorder (PTSD) *
Substance Use Disorder (SUD) *
Nuclear, Chemical and Biological Illness (NBC)
Updated!  Management of Chronic Multisymptom Illness (CMI)
Formerly known as Medically Unexplained Symptoms (MUS)
* Update of CPG in Progress
Pain Rehabilitation Women's Health Retired CPGs
Opioid Therapy (OT) for Chronic Pain *
Lower Back Pain (LBP) *
Concussion-mTBI *
Lower Limb Amputation *
Stroke Rehabilitation
New!  The Management of Upper Extremity Amputation Rehabilitation (UEAR)
Pregnancy
Chronic Heart Failure (CHF)
Ischemic Heart Disease (IHD)
Post-Deployment Health (PDH)
Post-Operative Pain (POP)
* Update of CPG in Progress

CPG resources CPG Resources

Evidence Based Practice Program Bibliography
Evidence-Based Synthesis Program
Guide to US Preventive Service Task Force
Pharmacy Benefits Management (VA)
VHA Preventive Health

The following sites provide additional information on evidence-based clinical practice:

QUERI - VA/HSR&D Quality Enhancement Research Initiative - which works to improve the quality of health care for veterans by implementing research findings into routine practice
National Guideline Clearinghouse* is a public resource for disseminating evidence-based clinical practice guidelines
MyHealthE Vet is the VA on-line personal health record that allows veterans to access their own health information as well as a wealth of patient education materials
U.S. Army Medical Command, Quality Management Office* is the world-wide contact point for clinical guidelines used by all branches of the service.

* Links will take you outside the VA/DoD CPG web site. VA does not endorse and is not responsible for content on the linked sites.