TY - JOUR
KW - Depression
KW - measurement-based care
KW - Mental Health
KW - primary care
KW - Screening
AU - M. H. Trivedi
AU - M. K. Jha
AU - F. Kahalnik
AU - R. Pipes
AU - S. Levinson
AU - T. Lawson
AU - A. J. Rush
AU - J. M. Trombello
AU - B. Grannemann
AU - C. Tovian
AU - R. Kinney
AU - E. W. Clark
AU - T. L. Greer
A1 - 
AB - Major depressive disorder affects one in five adults in the United States. While practice guidelines recommend universal screening for depression in primary care settings, clinical outcomes suffer in the absence of optimal models to manage those who screen positive for depression. The current practice of employing additional mental health professionals perpetuates the assumption that primary care providers (PCP) cannot effectively manage depression, which is not feasible, due to the added costs and shortage of mental health professionals. We have extended our previous work, which demonstrated similar treatment outcomes for depression in primary care and psychiatric settings, using measurement-based care (MBC) by developing a model, called Primary Care First (PCP-First), that empowers PCPs to effectively manage depression in their patients. This model incorporates health information technology tools, through an electronic health records (EHR) integrated web-application and facilitates the following five components: (1) Screening (2) diagnosis (3) treatment selection (4) treatment implementation and (5) treatment revision. We have implemented this model as part of a quality improvement project, called VitalSign(6), and will measure its success using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. In this report, we provide the background and rationale of the PCP-First model and the operationalization of VitalSign(6) project.
BT - Pharmaceuticals (Basel, Switzerland)
C5 - HIT & Telehealth; Measures
CP - 2
CY - Switzerland
IS - 2
JF - Pharmaceuticals (Basel, Switzerland)
N2 - Major depressive disorder affects one in five adults in the United States. While practice guidelines recommend universal screening for depression in primary care settings, clinical outcomes suffer in the absence of optimal models to manage those who screen positive for depression. The current practice of employing additional mental health professionals perpetuates the assumption that primary care providers (PCP) cannot effectively manage depression, which is not feasible, due to the added costs and shortage of mental health professionals. We have extended our previous work, which demonstrated similar treatment outcomes for depression in primary care and psychiatric settings, using measurement-based care (MBC) by developing a model, called Primary Care First (PCP-First), that empowers PCPs to effectively manage depression in their patients. This model incorporates health information technology tools, through an electronic health records (EHR) integrated web-application and facilitates the following five components: (1) Screening (2) diagnosis (3) treatment selection (4) treatment implementation and (5) treatment revision. We have implemented this model as part of a quality improvement project, called VitalSign(6), and will measure its success using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. In this report, we provide the background and rationale of the PCP-First model and the operationalization of VitalSign(6) project.
PP - Switzerland
PY - 2019
SN - 1424-8247; 1424-8247
SP - 10.3390/ph12020071
T1 - VitalSign(6): A Primary Care First (PCP-First) Model for Universal Screening and Measurement-Based Care for Depression
T2 - Pharmaceuticals (Basel, Switzerland)
TI - VitalSign(6): A Primary Care First (PCP-First) Model for Universal Screening and Measurement-Based Care for Depression
U1 - HIT & Telehealth; Measures
U2 - 31091770
VL - 12
VO - 1424-8247; 1424-8247
Y1 - 2019
ER -