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

Table 2 New York State Collaborative Care Medicaid Program Reporting Metrics (2015–2017): year 1 and year 2 sustainability (vs. baseline) in 26 clinics opting to sustain CC after a 2-year implementation initiative (We used quarter 3 data for each year to ensure comparable results (e.g., some metrics reported for calendar year and others for a given quarter))

Metric (median, [IQR])	Implementation end (2014)^†	Baseline sustainability (2015)^†	P value (2015 vs. 2014)	Year 1 sustainability (2016)	P value (2016 vs. 2015)	Year 2 sustainability (2017)	P value (2017 vs. 2015)
% screened	96.5% [13.0]	88.5% [19.0]	< 0.001	86.0% [31.0]	0.38	91.0% [18.0]	0.01 ^††
Depression care manager full-time equivalent	1.00 [0.75]	1.00 [1.00]]	0.08	1.00 [1.00]	0.79	2.00 [1.00]	0.09^††
Number of participants enrolled/FTE		56.0 [36.0]	N/A	44.6 [18.0]	0.23	36.5 [37.5]	0.004
Number of participants screening positive for depression/FTE		297 [354]	N/A	281 [204]	0.17	337 [294]	0.81
Median Patient Health Questionnaire of current enrollees		10.5 [5.0]	N/A	9.75 [6.0]	0.41	10.0 [3.0]	0.23
% enrolled with ≥ 3 contacts		29.0% [33.0]	N/A	24.0% [33.0]	0.17	40.5% [24.0]	0.03
% enrolled 70 days with improvement (PHQ < 10 or 50% reduction)		33.0% [22.0]	N/A	49.0% [25.0]	0.009	58.0% [19.0]	0.004
% not improved after 70 days with psychiatry consult		55.0% [47.0]	N/A	57.5% [29.0]	1.00	80.5% [49.0]	0.11
% not improved after 70 days with treatment change		48.0 [36.0]	N/A	54.0% [39.0]	1.00	73.0% [53.0]	0.33

^†Only 3 comparable metrics were available for implementation and the sustainability initiatives. It is unclear whether clinics were reporting enrollment rates similarly between implementation and sustainability phases (calendar year vs. per quarter)
^††Compared to implementation phase, year 2 sustainability saw significantly higher DCM FTE (p = 0.004) and lower screening rates (p = 0.03)
p<0.05 was considered statistically significant

ISSN: 1748-5908