J Clin Outcomes Manage
Developing and disseminating a model to improve depression care in primary care practices
Korsen N, Cartwright C
Abstract Objective: To develop, disseminate, and sustain an evidence-based model of care for people with depression in primary care practices associated with an integrated health system in southern and central Maine. Methods: Twenty-two primary care practices and a home health agency participated in 2 Learning Collaboratives over a 24-month period. An evidence-based model of depression care based on Wagner’s chronic care model was employed. Process and outcome measures were used to track progress. A Web-based registry was available to teams to document and report their data. Results: Practices were able to successfully implement this care model during the Learning Collaboratives and sustained many of the changes made. There was variation in the degree of adoption across practices. Lessons learned included engage leaders, take advantage of emergent change, involve a variety of staff, and expect competing demands. Conclusion: Primary care practices were able to introduce and sustain a redesign of their system of care for depression with the support of a health system’s quality improvement infrastructure.
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