PEDIATRICS, Год журнала: 2024, Номер 154(5)

Опубликована: Окт. 24, 2024

BACKGROUND Prompt follow-up for positive depression screen results is important in providing high-quality care adolescents. We sought to improve within 30 days adolescents (≥12 years) with Patient Health Questionnaire-9 scores ≥10, or those a question 9, from 25% 40%. METHODS conducted quality improvement project at 6 primary locations serving ∼33,300 patients (70% Black, 7.3% Hispanic, 80% Medicaid-enrolled). Our team identified key drivers and iteratively tested interventions, including contacting after antidepressant medication initiation, scheduling during index visits, collaborating integrated psychologists expedite therapy higher-risk patients, reaching out without scheduled follow-ups. RESULTS Pre-intervention, 13.3% (589 of 4427) adolescent encounters met the criteria days, 25.8% had documented days. During intervention period, 12.3% (764 6224) mean rate increased 43.1%. By monitoring process measures, we visits 18.9% encounter. Outreach remainder led 32.6% these completing follow-up. balancing measure psychology visit volumes remained stable. CONCLUSIONS The application methods practices frequency high-risk screen.

Язык: Английский