Medical Mutual - Health Plans for Life

Clinical Quality Improvement Documents

All documents listed in the table below may be viewed or downloaded. Clinical Practice Guidelines can be viewed by accessing Care Management, Quality Improvement and then Guidelines. To request Medical Mutual materials, please check you selections, complete the Identification Information form and select submit. For questions, contact the Clinical Quality Improvement department at (800)586-4523.


COLD AND FLU

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Cold and Flu

Patient educational handout describing appropriate antibiotic use for adults and children

Z6130-CMT

CARDIOVASCULAR

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Heart Health

Patient educational booklet with facts and recommendations

Z6232-CMT

Blood Pressure Measurement Guide

C1151-CMT

CONTINUITY

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Continuity of Care Summary Communication Form

Standards for timely written communication between referring and consulting physicians including a sample patient summary form

Z5417-CMT

BEHAVIORAL HEALTH

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Behavioral Health Summary Communication Form

Form to send referring providers a written summary of behavioral health consultations

Z5443-CMT

Depression and Alcohol Screening

Provider educational handout regarding standardized depression and alcohol screening tools

X9211-CMT

DIABETES

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Diabetic Eye Examination Report

Form for provider to provider communication regarding diabetic eye exam requests and results

Z7075-CMT

Diabetes Eye Exam Sample

This is the tear-off card included in a mailer to diabetic members so they can easily share their eye exam results with their primary care physician

X9926

PREVENTIVE

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BMI Calculator Wall Chart Tool

Calculates BMI based upon height and weight

Z7521-CMT

RESPIRATORY

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Tobacco Dependence Information Sheet

Patient educational handout with facts about tobacco

Z5509

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