Clinical Practice Guidelines

The Alliance uses clinical practice guidelines to help providers make decisions about appropriate care for specific clinical circumstances. These clinical practice guidelines are also used by the Alliance in related programs such as disease and population management.

Practice guidelines are developed from scientific evidence or a consensus of health care professionals in the particular field. The Alliance’s Health Care Quality Committee (HCQC) reviews and adopts practice guidelines that define standards of practice as they pertain to improving health care quality for major diseases/diagnoses.

Practice guidelines are reviewed and updated at least every two years and more frequently when updates are released by the issuing entity. The Alliance monitors compliance and member outcomes related these clinical guidelines for quality improvement initiatives.

These clinical practice guidelines are intended to assist providers in clinical decision-making and attempt to define clinical practices that apply to most patients in most circumstances.

The guidelines are not intended to replace clinical judgment but are provided to assist Alliance providers with making decisions about a range of clinical conditions. The treating practitioner should make the ultimate decision in determining the appropriate treatment for each patient.

Adopted Guidelines

Preventive Care Guidelines

Recommended Preventive Guidelines

The following guidelines were approved by the Health Care Quality Committee of Alameda Alliance for Health (Alliance) in August 2017.  The Alliance recommends its provider network follow the most current versions of the following preventive guidelines.  The Alliance recognizes that these guidelines are continually updated; therefore providers need a reasonable amount of time for implementation of any updates. 

Asymptomatic Healthy Adults

For Asymptomatic Healthy Adults, the Alliance follows the current edition of the Guide to Clinical Preventive Services of the U.S. Preventive Services of the U.S. Preventive Services Task Force (USPSTF), specifically USPSTF Grade “A” and “B” recommendations for providing preventive screening, testing and counseling services.

Members Under 21 Years of Age

For members under 21 years of age, the Alliance adheres to the most recent American Academy of Pediatrics (AAP)/Bright Futures age-specific guidelines and periodicity schedule for preventive services.  Search for “Periodicity Schedule” at:

Perinatal Services

For pregnant members, the Alliance provides perinatal services according to the most current standards or guidelines of the American College of Obstetrics (ACOG).


For all members, the Alliance provides immunizations according to the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) Immunization Schedules.

Child and Adolescent Immunization Schedule:

Adult Immunization Schedule:


Other Clinical Resources and Supporting Tools

The following resources and tools are also available to providers:

U.S. Preventive Services Task Force (USPSTF) Recommendations 

Recommendations for screening tests, counseling, immunizations, and preventive medication.

If you would like to request a paper copy of the Clinical Practice Guidelines we adopted, please call Provider Services at (510) 747-4510.