Sustainability of collaborative care management for depression in primary care settings with academic affiliations across New York State

Table 1 Implementation-end fidelity metrics in sustaining vs. opt-out clinics

Metric (median, [IQR])	Sustaining clinics (n = 26)	Opt-out clinics (n = 6)	P value
Total census at clinic	5669 [7635]	2686 [1829]	0.06
% screened per calendar year¹	96.5% [13.0]	87.0 [41.0]	0.51
Depression care manager full-time equivalent	1.00 [0.75]	0.50 [0]	0.002
Number of participants enrolled/FTE²	137.8 [89.0]	58.0 [61.0]	0.07
% of depressed patients in calendar year enrolled into collaborative care program³	43.0% [45.0]	34.0% [13.0]	0.22
% currently enrolled in third quarter with psychiatry consultation⁴	100% [44.0]	90% [100]	0.53
% enrolled for 6 months and still on med/therapy (%)⁵	15.0% [21.0]	42.0% [85.0]	0.77
% of patients enrolled in collaborative care ≥ 16 weeks with PHQ9 < 10⁶	46.0% [53.0]	7.5% [23.0]	0.004

¹% unique adult patients per year from the outpatient site who received a PHQ-2 or PHQ-9 over number of patients
²Number of patients currently enrolled in collaborative care Quarter 3 per depression care manager Full Time Equivalent
³% unique adult patients per year from the outpatient site screening positive for depression who enrolled in physical-behavioral health care coordination program (Collaborative Care Initiative) per year
⁴% of unique adult patients enrolled in the Collaborative Care Initiative for which a psychiatric consultation occurred during this reporting period
⁵% of unique adult patients enrolled in the Collaborative Care Initiative still receiving medication and/or psychotherapy six (6) months after enrollment
⁶% unique patients enrolled in the Collaborative Care Initiative ≥ 16 weeks whose PHQ-9 < 10
p<0.05 was considered statistically significant

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