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Table 4 Organizational process.

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

Factor   Responses Practices %
Staff Performance     
  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     
  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   Responses Offices %
Mental health integration     
  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     
  IT implementation scale
(maximum = 20)
(N = 49 offices)   
   IT Score Mean ± SD 10.7 ± 4.2  
   Range 3 to 17