TY - JOUR KW - Adult KW - Cooperative Behavior KW - Depression/drug therapy KW - Electronic Health Records KW - Female KW - Humans KW - Male KW - Medical Audit KW - Middle Aged KW - New Orleans KW - Patient-Centered Care/standards KW - Poverty KW - Quality Improvement KW - Retrospective Studies AU - E. G. Price-Haywood AU - D. Dunn-Lombard AU - J. Harden-Barrios AU - J. J. Lefante A1 - AB - Little is known about how to integrate primary care with mental/behavioral services outside of clinical trials. The authors implemented a collaborative care model (CCM) for depression in a safety net patient-centered medical home. The model focused on universal screening for symptoms, risk stratification based on symptom severity, care management for intensive follow-up, and psychiatry consultation. CCM increased rates of primary care physician encounters, timely follow-up for monitoring symptoms of depression, and documentation of treatment response. Contextual factors that facilitated or hindered practice redesign included clinic leadership, quality improvement culture, staffing, technology infrastructure, and external incentives/disincentives for organizational change. BT - Population health management C5 - Education & Workforce; Medical Home CP - 1 CY - United States DO - 10.1089/pop.2015.0016 IS - 1 JF - Population health management N2 - Little is known about how to integrate primary care with mental/behavioral services outside of clinical trials. The authors implemented a collaborative care model (CCM) for depression in a safety net patient-centered medical home. The model focused on universal screening for symptoms, risk stratification based on symptom severity, care management for intensive follow-up, and psychiatry consultation. CCM increased rates of primary care physician encounters, timely follow-up for monitoring symptoms of depression, and documentation of treatment response. Contextual factors that facilitated or hindered practice redesign included clinic leadership, quality improvement culture, staffing, technology infrastructure, and external incentives/disincentives for organizational change. PP - United States PY - 2016 SN - 1942-7905; 1942-7891 SP - 46 EP - 55 EP - T1 - Collaborative Depression Care in a Safety Net Medical Home: Facilitators and Barriers to Quality Improvement T2 - Population health management TI - Collaborative Depression Care in a Safety Net Medical Home: Facilitators and Barriers to Quality Improvement U1 - Education & Workforce; Medical Home U2 - 26087153 U3 - 10.1089/pop.2015.0016 VL - 19 VO - 1942-7905; 1942-7891 Y1 - 2016 ER -