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Table 1 Depression care organizational survey elements.

From: Organizational factors and depression management in community-based primary care settings

Framework domain Key variablesa Responses Referenceb
Organizational structure    
Staffing Staffing volume and mix Total # of staff; Ratio of (NP+PA) to MDs Yano 2000 [9]
Finances Financial stress Worry about finances a little or a lot; No worry Meredith 1999 [31]
Turnover Proportion of staff who were not working in office 2 years ago % Rost 2001 [55]
   Quality improvement capability Office ever implemented a quality improvement program for a chronic condition Yes; No; Don't know Casalino 2003 [32]
  Clinical reminders for depression care Yes; No; Don't know Casalino 2003 [32]
  Formal screening method for depression Yes; No; Don't know Casalino 2003 [32]
   Information technology infrastructure Use of electronic medical record Yes; No Casalino 2003 [32]
  Registry for depressed patients Yes; No Casalino 2003 [32]
   Performance incentives Types of financial and non-financial incentives used in general and for depression care Quality or Productivity bonus; Compensation at risk; Publicizing performance; Insurance Casalino 2003 [32]
Organizational process    
   Staff performance How often do providers in office regularly meet Weekly; Biweekly; Monthly; Rost 2001 [55]
   Quarterly; No regular meetings  
   Mental health integration    
Coordination Access to mental health specialist Yes: < 4 blocks; Yes: > 4 blocks; No Yano 2000 [9]
  Primary locus of depression care for patients without comorbidities; with substance use disorder; with psychiatric comorbidities; and with major medical comorbidities   Yano 2000 [9]
  Diagnostic, CPT codes used for depression diagnosis and treatment Depression-related; Non-depression related; Total time Rost 1994 [56]
  Difficulty in arranging an appointment for patients with a mental health specialist (MHS) Never; Rarely; Sometimes; Often; Always Yano 2000 [9]
Communication Typical mode of communication No communication; Morrissey and Burns
   Yes (e.g., by telephone, letter, referral form) 1990 [57]; Shortell 1991 [43]
  How often PCP communicates with MHS Never; Rarely; Sometimes; Often; Always Miles 2003 [58]
  Does PCP hear whether patient made MH appt Yes; No Miles 2003 [58]
Comprehensiveness Presence of psychologist, psychiatrist, psychiatric social worker, psychiatric nurse, or other mental health specialist in office Any MHS; None Yano 2000 [9]
  Case management for depression Yes; No Yano 2000 [9]
Information technology
Information technology implementation scale Summary score Doebbeling 2004 [52]
Contextual factors    
  Practice size # Offices in practice Casalino 2003 [32]
  Office location (urban, non-urban) Urban: in Pittsburgh; Suburban: outside Pittsburgh Yano 2000 [9]
  Academic affiliation (i.e., office involved in resident or medical school teaching) Yes; No Yano 2000 [9]
  1. aVariables are included if they are: important (to primary care organization or patient care), measurable, and mutable (able to be modified at the primary care office level).
  2. bIncludes references for measures that have been applied to primary care settings directly or can potentially be derived for use in primary care settings.