The COMPASS initiative: description of a nationwide collaborative approach to the care of patients with depression and diabetes and/or cardiovascular disease

Karen J. Coleman, Sanne Magnan, Claire Neely, Leif Solberg, Arne Beck, Jim Trevis, Carla Heim, Mark Williams, David Katzelnick, Jürgen Unützer, Betsy Pollock, Erin Hafer, Robert Ferguson, Steve Williams

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Objective To describe a national effort to disseminate and implement an evidence-based collaborative care management model for patients with both depression and poorly controlled diabetes and/or cardiovascular disease across multiple, real-world diverse clinical practice sites. Methods Goals for the initiative were as follows: (1) to improve depression symptoms in 40% of patients, (2) to improve diabetes and hypertension control rates by 20%, (3) to increase provider satisfaction by 20%, (4) to improve patient satisfaction with their care by 20% and (5) to demonstrate cost savings. A Care Management Tracking System was used for collecting clinical care information to create performance measures for quality improvement while also assessing the overall accomplishment of these goals. Results The Care of Mental, Physical and Substance-use Syndromes (COMPASS) initiative spread an evidence-based collaborative care model among 18 medical groups and 172 clinics in eight states. We describe the initiative's evidence-base and methods for others to replicate our work. Conclusions The COMPASS initiative demonstrated that a diverse set of health care systems and other organizations can work together to rapidly implement an evidence-based care model for complex, hard-to-reach patients. We present this model as an example of how the time gap between research and practice can be reduced on a large scale.

Original languageEnglish (US)
Pages (from-to)69-76
Number of pages8
JournalGeneral Hospital Psychiatry
Volume44
DOIs
StatePublished - Jan 1 2017

Keywords

  • Cardiovascular disease
  • Collaborative care
  • Depression
  • Implementation
  • Integrated behavioral health

ASJC Scopus subject areas

  • Psychiatry and Mental health

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