TY - JOUR
KW - PHQ9
KW - Veterans
KW - measurement-based care
KW - primary care–mental health integration
KW - Quality Improvement
AU - M. J. Brown
AU - S. M. Adams
AU - D. Vanderhoef
AU - R. Schipani
AU - A. Taylor
A1 - 
AB - INTRODUCTION: Measurement-based care (MBC) uses standardized measurement to systematically monitor treatment response over time. Although MBC is underutilized in mental health settings, primary care-mental health integration (PC-MHI) settings are expected to provide MBC. This article describes a quality improvement (QI) process to increase Patient Health Questionnaire-9 (PHQ9) utilization within a PC-MHI setting. AIMS: Pre-intervention, rates of baseline and follow-up PHQ9 administration for veterans with a depressive disorder were 76% and 35%, respectively. This article describes a QI process to increase PHQ9 utilization rates within a PC-MHI setting, with the goal to improve provider PHQ9 utilization rates at baseline and within 4-week follow-up to 90%. METHOD: An educational intervention and weekly motivational enhancement sessions were implemented in 2017. Chart review data compared PHQ9 utilization rates from fall 2016 and 2017. RESULTS: Following intervention, provider PHQ9 utilization rates increased to 98% and 88% at baseline and follow-up. CONCLUSIONS: These findings demonstrate that a brief education-based intervention can increase clinician use of MBC within a PC-MHI setting. Meaningful use of MBC to inform treatment was not evaluated in this QI project and is an area for future investigation.
AD - Margaret J. Brown, DNP, PMHNP-BC, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.; Susie M Adams, PhD, PMHNP, FAANP, FAAN, Vanderbilt University, Nashville, TN, USA.; Dawn Vanderhoef, PhD, DNP, PMHNP, FAANP, Vanderbilt University, Nashville, TN, USA.; Rosanne Schipani, MD, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.; Ashley Taylor, LICSW, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
BT - Journal of the American Psychiatric Nurses Association
C5 - Measures
CP - 2
CY - United States
DO - 10.1177/1078390319865331
IS - 2
JF - Journal of the American Psychiatric Nurses Association
LA - eng
M1 - Journal Article
N2 - INTRODUCTION: Measurement-based care (MBC) uses standardized measurement to systematically monitor treatment response over time. Although MBC is underutilized in mental health settings, primary care-mental health integration (PC-MHI) settings are expected to provide MBC. This article describes a quality improvement (QI) process to increase Patient Health Questionnaire-9 (PHQ9) utilization within a PC-MHI setting. AIMS: Pre-intervention, rates of baseline and follow-up PHQ9 administration for veterans with a depressive disorder were 76% and 35%, respectively. This article describes a QI process to increase PHQ9 utilization rates within a PC-MHI setting, with the goal to improve provider PHQ9 utilization rates at baseline and within 4-week follow-up to 90%. METHOD: An educational intervention and weekly motivational enhancement sessions were implemented in 2017. Chart review data compared PHQ9 utilization rates from fall 2016 and 2017. RESULTS: Following intervention, provider PHQ9 utilization rates increased to 98% and 88% at baseline and follow-up. CONCLUSIONS: These findings demonstrate that a brief education-based intervention can increase clinician use of MBC within a PC-MHI setting. Meaningful use of MBC to inform treatment was not evaluated in this QI project and is an area for future investigation.
PP - United States
PY - 2020
SN - 1532-5725; 1078-3903
SP - 206
EP - 211
EP - 
T1 - Improving PHQ9 Utilization Rates in a Primary Care-Mental Health Integration Setting
T2 - Journal of the American Psychiatric Nurses Association
TI - Improving PHQ9 Utilization Rates in a Primary Care-Mental Health Integration Setting
U1 - Measures
U2 - 31342836
U3 - 10.1177/1078390319865331
VL - 26
VO - 1532-5725; 1078-3903
Y1 - 2020
Y2 - Mar/Apr
ER -