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APPENDIX B 146 EXAMPLE 4 HARVARD COMMUNITY HEALTH PLAN Dysuria Algorithm The Harvard Community Health Plan (HCHP) is a multisite, group-model HMO. Over the past several years, HCHP has developed an extensive series of computer-accessible algorithms for ambulatory care management. Each algorithm is developed by a task force of clinicians based on a thorough review of the scientific literature. The task forces operate under the guidance of a research faculty and staff who are experienced in algorithm development. Each algorithm is followed by explanatory notes regarding options, patients at special risk, and recommended medications and dosages. Some algorithms are several pages long. The HCHP dysuria algorithm is reproduced below.
APPENDIX B 147