Name
H08 - Improving Clinical Outcomes by Increasing PHQ-9 Repeat Screening – Better Outcome Measures and Better Patient Monitoring through Better Operational Practices
Description

Focused on quality improvement using PDSA cycles within a real-world health care setting, Swedish Medical Group launched a pilot program within their Primary Care Behavioral Health (PCBH) program. We sought to automate PHQ-9 repeat screening at 4 – 8 months to better capture evidence of depression treatment response and reengage patients in care if needed. Pilot results successfully demonstrated capture of treatment response (50% reduction in PHQ-9) and remission (PHQ-9 < 5), as well as insights pertaining to improved patient experience. Leaders of clinical operations and behavioral health integration programs will learn how to design and implement similar efforts in their clinics and organizations to better capture data related to depression treatment response within their clinical settings.

Date & Time
Friday, October 25, 2024, 4:00 PM - 5:00 PM
Speakers
Daniel Kuzmycz, Care Manager for Behavioral Health Integration, Swedish Medical Group
Jenni O'Donnell, Medical Director Behavioral Health, Swedish Medical Group
Nicole Stuart Pesevic, Executive Director Clinical Operations RN, Providence Health & Services
Daniel Kuzmycz Nicole Stuart Pesevic
Co-Authors
Dana Marie Banda, Clinical Program Manager, Providence St. Joseph Health, Seattle ,WA
Content Level
Advanced
Tags
Outcomes, Quality improvement programs, Research and evaluation (e.g. data analysis methods)
Session Type
Concurrent
SIG or Committee
PCBH
Location Name
Travis D
Objective 1
Identify best practices for increasing utilization of PHQ-9 repeat screening to better capture clinical quality metrics pertaining to depression treatment response within their clinical settings.
Objective 2
Describe new epic workflows &amp; workbench reports designed to increase recapture of PHQ9 screeners.
Objective 3
Discuss lessons learned toward improving a measurement-based approach in improving depression treatment response.
Content Reference 1
Korsen N, Gerrish S. Use of PHQ-9 for monitoring patients with depression in integrated primary care practices. Ann Fam Med. 2022 Apr 1;20(20 Suppl 1):2769. doi: 10.1370/afm.20.s1.2769. PMID: 36693193; PMCID: PMC10548895.
Content Reference 2
National Committee for Quality Assurance. “HEDIS Depression Measures Specified for Electronic Clinical Data Systems.” NCQA. September 23, 2023. https://www.ncqa.org/hedis/the-future-of-hedis/hedis-depression-measures-specified-for-electronic-clinical-data/
Content Reference 3
National Committee for Quality Assurance. “The Future of Healthcare Quality.” NCQA. January 14, 2021. https://www.ncqa.org/hedis/the-future-of-hedis/.
Content Reference 4
Costantini L, Pasquarella C, Odone A, Colucci ME, Costanza A, Serafini G, Aguglia A, Belvederi Murri M, Brakoulias V, Amore M, Ghaemi SN, Amerio A. Screening for depression in primary care with Patient Health Questionnaire-9 (PHQ-9): A systematic review. J Affect Disord. 2021 Jan 15;279:473-483. doi: 10.1016/j.jad.2020.09.131. Epub 2020 Oct 6. PMID: 33126078.
Content Reference 5
National Committee for Quality Assurance. “Depression Remission or Response for Adolescents and Adults (DRR).” NCQA. September 23, 2023. https://www.ncqa.org/hedis/measures/depression-remission-or-response-for-adolescents-and-adults/