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Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
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Improving Depression Management in Primary Care.

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    Summary

    Implementing a depression clinical pathway protocol (DCPP) improved depression screening and follow-up care. Providers found the DCPP easy to use and time-saving, potentially bridging gaps in mental health management.

    Keywords:
    PHQ-2PHQ-9clinical pathwayclinical quality measures (CQMs)depressionintegrated carenursingprotocolquality improvement project

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    Area of Science:

    • Primary Care Medicine
    • Mental Health Services
    • Quality Improvement Science

    Background:

    • Depression is a prevalent mental illness impacting many individuals.
    • Primary care settings are crucial for identifying and managing depression.
    • Standardized protocols can enhance the consistency of depression care.

    Purpose of the Study:

    • To implement and evaluate a depression clinical pathway protocol (DCPP) in a multisite federally qualified health center.
    • To assess the impact of the DCPP on depression screening and follow-up rates.
    • To gather provider feedback on the usability and efficiency of the DCPP.

    Main Methods:

    • An evidence-based quality improvement project utilizing an integrated team approach.
    • Implementation of a DCPP across a faith-based, federally qualified health center.
    • Measurement of clinical quality metrics related to depression screening and follow-up.

    Main Results:

    • Demonstrated improvement in the clinical quality measure for depression screening and follow-up.
    • Providers reported the DCPP was time-saving and user-friendly.
    • Qualitative feedback indicated positive provider experiences with the protocol.

    Conclusions:

    • The depression clinical pathway protocol (DCPP) shows promise in enhancing depression care in primary settings.
    • Integrated team approaches and standardized protocols can improve mental health screening and management.
    • The DCPP may effectively address gaps in depression screening and follow-up care within federally qualified health centers.