Clinical Practice Guidelines

A self-managed system relies on educated providers who understand and operate in tandem with Trillium Clinical Objectives and the Clinical Design Plan.

Our goal is to develop a system where the structure, requirements, and expectations are so well known, that extensive management and intervention by Trillium is not required.

This model includes the engagement of our providers in the management of the system and relies on their involvement in the development of strategies to meet quality and performance goals and develop solutions for systemic problems. Providers participate with Trillium through the Trillium Provider Council and the Clinical Advisory Committee. Provider participation in the ongoing operations of the Trillium system is critical in the efficient and effective identification of strategies that will ensure success in achieving our goals.

Our joint purpose is to assure easy access, appropriate, high-quality services for members, and the elimination of ineffective and poor outcome services and practices.

To that end, Trillium Network Providers are required to know and are monitored for compliance with, all applicable NC DHHS Clinical Coverage Policies. Additionally, providers are expected to maintain and/or advance the quality of services through the demonstration of practice consistent with pertinent Clinical Guidelines and Best Practices.

• NC DHHS Clinical Coverage Policies
• Clinical Practice Guideline - Metabolic Monitoring
• Trillium Best Practice