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Related Experiment Videos

Applying depression-specific change concepts in a collaborative breakthrough series.

David J Katzelnick1, Michael Von Korff, Henry Chung

  • 1Madison Institute of Medicine, Inc., Madison Wisconsin, USA. dkatzelnick@healthtechsys.com

Joint Commission Journal on Quality and Patient Safety
|September 1, 2005
PubMed
Summary
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The Institute for Healthcare Improvement (IHI) Breakthrough Series (BTS) project improved depression care in primary health care settings. This collaborative model successfully disseminated evidence-based depression treatment strategies, enhancing patient outcomes.

Area of Science:

  • Healthcare Improvement
  • Primary Care
  • Depression Management

Background:

  • Twenty diverse healthcare organizations participated in an Institute for Healthcare Improvement (IHI) collaborative Breakthrough Series (BTS) project focused on depression.
  • Fifteen of these were Bureau of Primary Health Care centers, indicating a focus on accessible healthcare delivery.

Purpose of the Study:

  • To evaluate the effectiveness of the IHI BTS collaborative model in disseminating evidence-based depression care.
  • To assess the impact of the BTS project on depression treatment initiation and patient outcomes in primary care settings.

Main Methods:

  • Participating teams attended three learning sessions focused on the chronic illness care model and depression management.
  • Teams were trained to initiate plan-do-study-act cycles for quality improvement.

Related Experiment Videos

  • Essential change concepts included patient registries, care coordination, diagnostic assessment, and proactive follow-up.

    • Main Results:

    • Seventeen of 20 organizations achieved a high faculty assessment score (≥4 out of 5) for improvement.
    • Over 2000 patients initiated depression treatment and were enrolled in registries.
    • Key patient outcomes included 56% symptom improvement at 12 weeks, 87% follow-up completion, 54% on antidepressants for ≥10 weeks, and 90% receiving diagnostic assessment.

    Conclusions:

    • Establishing patient registries, care coordination, diagnostic assessment, and proactive follow-up were essential for successful depression care.
    • Many participating centers expanded their depression treatment programs post-project.
    • The IHI BTS model is a viable method for disseminating evidence-based depression care.