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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

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