title: Implementation of a care management model for depression at two primary care clinics.
abstract: The Mayo clinic participated in the Depression Improvement Across Minnesota, Offering a New Direction model at two Mayo Family Clinics, that is, the Rochester Northwest and Northeast sites. Although the Northwest and Northeast clinics demonstrated the best 6-month remission rates in the state during the first year of implementation, they were retrospectively found to differ on several process issues and on measures related to the populations served. Six-month remission rates were significantly better at Northwest clinic; yet, Northeast clinic had more patient contacts. Differences in rates of activation into care management, care management accessibility, and differences in maintaining contact with patients at 6 months may explain some of these results.
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA. williams.mark@mayo.edu
authors.forename: Mark
authors.initials: M
authors.lastname: Williams
authors.forename: Kurt
authors.initials: K
authors.lastname: Angstman
authors.forename: Isaac
authors.initials: I
authors.lastname: Johnson
authors.forename: David
authors.initials: D
authors.lastname: Katzelnick
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D019090:Case Management / Q000458:organization & administration* / Q000592:standards; D003299:Cooperative Behavior; D003863:Depression / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D008875:Middle Aged; D008910:Minnesota; D017146:Models, Organizational; D011320:Primary Health Care; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D012189:Retrospective Studies; D011795:Surveys and Questionnaires