Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease

Rebecca C. Rossom, Leif I. Solberg, Sanne Magnan, A. Lauren Crain, Arne Beck, Karen J. Coleman, David J Katzelnick, Mark D Williams, Claire Neely, Kris Ohnsorg, Robin Whitebird, Emily Brandenfels, Betsy Pollock, Robert Ferguson, Steve Williams, Jürgen Unützer

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: The spread of evidence-based care is an important challenge in healthcare. We evaluated spread of an evidence-based large-scale multisite collaborative care model for patients with depression and diabetes and/or cardiovascular disease (COMPASS). Methods: Primary care patients with depression and comorbid diabetes or cardiovascular disease were recruited. Collaborative care teams used care management tracking systems and systematic case reviews to track and intensify treatment for patients not improving. Targeted outcomes were depression remission and response (assessed with the Patient Health Questionnaire-9) and control of diabetes (assessed by HbA1c) and blood pressure. Patients and clinicians were surveyed about satisfaction with care. Results: Eighteen care systems and 172 clinics enrolled 3609 patients across the US. Of those with uncontrolled disease at enrollment, 40% achieved depression remission or response, 23% glucose control and 58% blood pressure control during a mean follow-up of 11 months. There were large variations in outcomes across medical groups. Patients and clinicians were satisfied with COMPASS care. Conclusions: COMPASS was successfully spread across diverse care systems and demonstrated improved outcomes for complex patients with previously uncontrolled chronic disease. Future large-scale implementation projects should create robust processes to identify and reduce expected variation in implementation to consistently provide improved care.

Original languageEnglish (US)
JournalGeneral Hospital Psychiatry
DOIs
StateAccepted/In press - Mar 2 2016

Fingerprint

Patient Care
Cardiovascular Diseases
Depression
Blood Pressure
Primary Health Care
Chronic Disease
Delivery of Health Care
Glucose
Health

Keywords

  • Collaborative care
  • Depression
  • Diabetes
  • Heart disease
  • Primary care

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease. / Rossom, Rebecca C.; Solberg, Leif I.; Magnan, Sanne; Crain, A. Lauren; Beck, Arne; Coleman, Karen J.; Katzelnick, David J; Williams, Mark D; Neely, Claire; Ohnsorg, Kris; Whitebird, Robin; Brandenfels, Emily; Pollock, Betsy; Ferguson, Robert; Williams, Steve; Unützer, Jürgen.

In: General Hospital Psychiatry, 02.03.2016.

Research output: Contribution to journalArticle

Rossom, RC, Solberg, LI, Magnan, S, Crain, AL, Beck, A, Coleman, KJ, Katzelnick, DJ, Williams, MD, Neely, C, Ohnsorg, K, Whitebird, R, Brandenfels, E, Pollock, B, Ferguson, R, Williams, S & Unützer, J 2016, 'Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease', General Hospital Psychiatry. https://doi.org/10.1016/j.genhosppsych.2016.05.006
Rossom, Rebecca C. ; Solberg, Leif I. ; Magnan, Sanne ; Crain, A. Lauren ; Beck, Arne ; Coleman, Karen J. ; Katzelnick, David J ; Williams, Mark D ; Neely, Claire ; Ohnsorg, Kris ; Whitebird, Robin ; Brandenfels, Emily ; Pollock, Betsy ; Ferguson, Robert ; Williams, Steve ; Unützer, Jürgen. / Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease. In: General Hospital Psychiatry. 2016.
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