From: Organizational factors and depression management in community-based primary care settings
Factor | Â | Responses | Practices | % |
---|---|---|---|---|
Staff Performance | Â | Â | Â | Â |
 | How often do providers in office regularly meet | Weekly | 2/27 | 7.4 |
 |  | Monthly | 22/27 | 81.5 |
 |  | Quarterly | 3/27 | 11.1 |
Mental health integration | Â | Â | Â | Â |
 | Coordination |  |  |  |
 | Primary locus of depression care | For patients without comorbidities |  |  |
 |  |    PCP in Office | 23/27 | 85.2 |
 |  |    MHS in PCP Office | 0/27 | 0.0 |
 |  |    Sent to MHS | 3/27 | 11.1 |
 |  |    Don't know | 1/27 | 3.7 |
 |  | For patients with substance use disorder |  |  |
 |  |    PCP in Office | 14/27 | 51.9 |
 |  |    MHS in PCP Office | 2/27 | 7.4 |
 |  |    Sent to MHS | 10/27 | 37.0 |
 |  |    Don't know | 1/27 | 3.7 |
 |  | For patients with psychiatric comorbidities |  |  |
 |  |    PCP in Office | 14/27 | 51.9 |
 |  |    MHS in PCP Office | 0/27 | 0.0 |
 |  |    Sent to MHS | 12/27 | 44.4 |
 |  |    Don't know | 1/27 | 3.7 |
 |  | For patients with major medical comorbidities |  |  |
 |  |    PCP in Office | 20/27 | 74.1 |
 |  |    MHS in PCP Office | 0/27 | 0.0 |
 |  |    Sent to MHS | 6/27 | 22.2 |
 |  |    Don't know | 1/27 | 3.7 |
 | Diagnostic, CPT codes used for depression diagnosis and treatment (multiple codes per practice) | ICD9 Codes |  |  |
 |  |    Depression-related | 27/42 | 64.3 |
 |  |    Non-depression related | 15/42 | 35.7 |
 |  | CPT Codes |  |  |
 |  |    99213 billing code | 24/58 | 41.4 |
 |  |    Median time: 25 minutes |  |  |
 | Difficulty in arranging an appointment for patients with a mental health specialist (MHS) | Not Applicable | 18/27 | 66.7 |
 |  | Never | 4/9 | 44.4 |
 |  | Rarely | 1/9 | 11.1 |
 |  | Sometimes | 1/9 | 11.1 |
 |  | Often | 1/9 | 11.1 |
 |  | Always | 2/9 | 22.2 |
 | Communication |  |  |  |
 | Typical mode of communication | No Communication | 0/27 | 0.0 |
 |  | Yes (various forms) | 27/27 | 100.0 |
 | How often PCP communicates with MHS | Never | 0/27 | 0.0 |
 |  | Rarely | 3/27 | 11.1 |
 |  | Sometimes | 15/27 | 55.6 |
 |  | Often | 3/27 | 11.1 |
 |  | Always | 5/27 | 18.5 |
 |  | Don't know | 1/27 | 3.7 |
 | Does PCP hear whether patient made MH appointment (choose all that apply) | Yes |  |  |
 |  |    PCP Calls | 1/27 | 3.7 |
 |  |    PCP Asks Patient | 14/27 | 51.9 |
 |  |    Other | 9/27 | 33.3 |
 |  | No | 5/27 | 18.5 |
 |  | Don't know | 1/27 | 3.7 |
 | Comprehensiveness: |  |  |  |
 | Presence of mental health specialist in | Any MHS | 2/27 | 7.4 |
 |    PCP office | None | 25/27 | 92.6 |
 | Case management for depression | Yes | 7/27 | 25.9 |
 |  | No | 20/27 | 74.1 |
Factor | Â | Responses | Offices | % |
Mental health integration | Â | Â | Â | Â |
 | Coordination |  |  |  |
 | Access to mental health specialist | Yes, < 4 blocks | 6/49 | 12.2 |
 |  | Yes, > 4 blocks | 26/49 | 53.1 |
 |  | No | 17/49 | 34.7 |
Information technology performance | Â | Â | Â | Â |
 | IT implementation scale (maximum = 20) | (N = 49 offices) |  |  |
 |  | IT Score Mean ± SD | 10.7 ± 4.2 |  |
 |  | Range | 3 to 17 |  |