TY - JOUR
KW - Ambulatory Care/organization & administration
KW - Community Mental Health Services/organization & administration
KW - Data Mining
KW - Depression/therapy
KW - Disease Management
KW - Electronic Health Records/instrumentation/organization & administration
KW - Hospitals, Veterans
KW - Humans
KW - Primary Health Care/organization & administration
KW - Quality Assurance, Health Care
KW - Registries
KW - Veterans
KW - Wisconsin
AU - N. Serrano
AU - R. Molander
AU - K. Monden
AU - A. Grosshans
AU - D. D. Krahn
A1 - 
AB - PURPOSE: Depression care management as part of larger efforts to integrate behavioral health care into primary care has been shown to be effective in helping patients and primary care clinicians achieve improved outcomes within the primary care environment. Central to care management systems is the use of registries which enable effective clinic population management. The aim of this article is to detail the methods and utility of technology in depression care management processes while also highlighting the real-world variations and barriers that exist in different clinical environments, namely a federally qualified health center and a Veterans Administration clinic. METHODS: We analyzed descriptive data from the registries of Access Community Health Centers and the William S. Middleton Veterans Administration clinics along with historical reviews of their respective care management processes. RESULTS: Both registry reviews showed trend data indicating improvement in scores of depression and provided baseline data on important system variables, such as the number of patients who are not making progress, the percentage of patients who are unreachable by phone, and the kind of actions needed to ensure evidence-based and efficient care. Both sites also highlighted systemic technical barriers to more complete implementation of care management processes. CONCLUSIONS: Care management processes are an effective and efficient part of population-based care for depression in primary care. Implementation depends on available resources including hardware, software, and clinical personnel. Additionally, care management processes and technology have evolved over time based on local needs and are part of an integrated method to support the work of primary care clinicians in providing care for patients with depression.
BT - WMJ : official publication of the State Medical Society of Wisconsin
C5 - HIT & Telehealth
CP - 3
CY - United States
IS - 3
JF - WMJ : official publication of the State Medical Society of Wisconsin
N2 - PURPOSE: Depression care management as part of larger efforts to integrate behavioral health care into primary care has been shown to be effective in helping patients and primary care clinicians achieve improved outcomes within the primary care environment. Central to care management systems is the use of registries which enable effective clinic population management. The aim of this article is to detail the methods and utility of technology in depression care management processes while also highlighting the real-world variations and barriers that exist in different clinical environments, namely a federally qualified health center and a Veterans Administration clinic. METHODS: We analyzed descriptive data from the registries of Access Community Health Centers and the William S. Middleton Veterans Administration clinics along with historical reviews of their respective care management processes. RESULTS: Both registry reviews showed trend data indicating improvement in scores of depression and provided baseline data on important system variables, such as the number of patients who are not making progress, the percentage of patients who are unreachable by phone, and the kind of actions needed to ensure evidence-based and efficient care. Both sites also highlighted systemic technical barriers to more complete implementation of care management processes. CONCLUSIONS: Care management processes are an effective and efficient part of population-based care for depression in primary care. Implementation depends on available resources including hardware, software, and clinical personnel. Additionally, care management processes and technology have evolved over time based on local needs and are part of an integrated method to support the work of primary care clinicians in providing care for patients with depression.
PP - United States
PY - 2012
SN - 1098-1861; 1098-1861
SP - 112
EP - 118
EP - 
T1 - Exemplars in the use of technology for management of depression in primary care
T2 - WMJ : official publication of the State Medical Society of Wisconsin
TI - Exemplars in the use of technology for management of depression in primary care
U1 - HIT & Telehealth
U2 - 22870556
VL - 111
VO - 1098-1861; 1098-1861
Y1 - 2012
ER -