Not Missing the Opportunity: Improving Depression Screening and Follow-Up in a Multicultural Community

摘要: Background Screening for depression and documenting follow-up is a National Quality Forum–endorsed measure. Yet only seven states report screening follow-up, making it the fourth-least-reported measure on Medicaid Adult Core Set. In 2016 multicultural health center found that 9.1% of clients were screened followed up depression. This quality improvement project was conducted to increase efficacy Screening, Brief Intervention, Referral Treatment (SBIRT) 75% screen-positive clients. Methods Four Plan-Do-Study-Act (PDSA) cycles in 90-day period focused screening, patient engagement, population management, team building used. The package interventions—use written standardized Patient Health Questionnaire (PHQ) tools six languages, Option Grid™ with positive PHQ screens, "right care" tracking log those clients, meetings in-services support capacity building—were operationalized using point-of-care notebook created physical reminder trigger use intervention tools. Surveys, charts, registry data analyzed evaluate impact interventions. Results Provision evidence-based care increased 71.4%, adherence from 33.3% 60.0%. client's preferred language rate 85.2%, identifying incidence 45.5%. Conclusion Rapid-cycle focus demonstrated improved within community center. Outcomes attributed engagement These processes can be applied other primary settings.