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Implementation of an EHR-integrated web-based depression assessment in primary care: PORTAL-Depression
Melissa I Franco1, Erin M Staab1, Mengqi Zhu1
1Department of Medicine, University of Chicago, Chicago, IL 60637, United States.
JAMIA Open
|October 30, 2024
Summary
The PORTAL-Depression project integrated adaptive depression testing into EHRs for better care. While adopted quickly, long-term sustainability faced challenges due to resource limitations.
Area of Science:
- Health Information Technology
- Quality Improvement
- Mental Health Integration
Background:
- Depression care requires efficient assessment and integration into clinical workflows.
- Electronic Health Records (EHRs) offer potential for improving mental health screening.
- The Patient Outcomes Reporting for Timely Assessment of Life with Depression (PORTAL-Depression) project aimed to address these needs.
Purpose of the Study:
- To integrate a computerized adaptive test for depression into the EHR.
- To establish systems for in-clinic and patient portal depression assessments.
- To improve the overall quality of depression care.
Main Methods:
- A 30-month quality improvement project in a primary care clinic.
- Integration of 5 health IT innovations into the EHR.
- Utilized administrative, survey, and outcome data for evaluation.
Main Results:
- Physicians received training on new depression assessment workflows.
- Key implementation strategies included stakeholder engagement and iterative processes.
- The intervention was adopted quickly by the clinic.
Conclusions:
- The PORTAL-Depression project was complex and resource-intensive.
- Quick adoption was observed, but long-term sustainability was limited.
- Financial and personnel constraints impacted sustained implementation.
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