Karen J Coleman1, Tani Hemmila2, Mark D Valenti3, Nasya Smith4, Rachel Quarrell4, Lynnice K Ruona5, Emily Brandenfels6, Barbara Hann7, Todd Hinnenkamp8, Margarita D Parra9, Jeyn Monkman2, Sue Vos8, Rebecca C Rossom10. 1. Department of Research and Evaluation, Kaiser Permanente Southern California (KPSC), 100 S. Los Robles Ave., 2nd Floor, Pasadena, CA 91101-2453, USA. Electronic address: Karen.J.Coleman@kp.org. 2. Institute for Clinical Systems Improvement (ICSI), 8009 34th Ave. S., Suite 1200, Bloomington, MN 55425-1624, USA. 3. Pittsburgh Regional Health Initiative (PRHI), 650 Smithfield St., Centre City Tower, Suite 2400, Pittsburgh, PA 15222-3900, USA. 4. Mount Auburn Cambridge IPA (MACIPA), 1380 Soldiers Field Rd., Floor 2, Brighton, MA 02135-1023, USA. 5. Institute for Health Research (KPCO), Kaiser Permanente Colorado, P.O. Box 378066, Denver, CO 80237-8066, USA. 6. Community Health Plan of Washington (CHPW), 720 Olive Way, Suite 300, Seattle, WA 98101-1830, USA. 7. Mayo Clinic Health System, 1000 First Dr. N.W., Austin, MN 55912-2941, USA. 8. Essentia Health-Duluth Clinic, 420 E. First St., Duluth, MN 55805-1901, USA; Michigan Center for Clinical Systems Improvement (Mi-CCSI), 233 E. Fulton St., Suite 20, Grand Rapids, MI 49503-3261, USA. 9. Department of Research and Evaluation, Kaiser Permanente Southern California (KPSC), 100 S. Los Robles Ave., 2nd Floor, Pasadena, CA 91101-2453, USA. 10. HealthPartners Institute (HPI), 8170 33rd Ave. S., MS23301A, Bloomington, MN 55425, USA.
Abstract
OBJECTIVE: To understand how care managers implemented COMPASS and if this was related to patient health outcomes. METHODS: A total of 96 COMPASS care managers were approached to participate in the online survey and 93 (97%) provided responses. Correlations were generated between key survey responses and the average number of care management contacts, patient depression, blood pressure and glycosylated hemoglobin outcomes. RESULTS: Patients of care managers who reported spending more time on COMPASS-related tasks had higher rates of depression improvement (r=0.34; P=.002) and remission (r=0.27; P=.02) as well as higher rates of blood pressure control (r=0.29; P=.03). CONCLUSIONS: To improve the effectiveness of care management in collaborative care models, particularly for patients with comorbid conditions and complex nonmedical needs, care managers need the support of social work and administrative support staff. Care managers for this patient population would also benefit from more intensive training in nonpharmacological depression treatment, such as motivational interviewing and behavioral activation. Additionally, systems support is needed such as education for primary care teams and psychiatry on the value of collaborative care models and integration of population management tools into electronic medical records.
OBJECTIVE: To understand how care managers implemented COMPASS and if this was related to patient health outcomes. METHODS: A total of 96 COMPASS care managers were approached to participate in the online survey and 93 (97%) provided responses. Correlations were generated between key survey responses and the average number of care management contacts, patientdepression, blood pressure and glycosylated hemoglobin outcomes. RESULTS:Patients of care managers who reported spending more time on COMPASS-related tasks had higher rates of depression improvement (r=0.34; P=.002) and remission (r=0.27; P=.02) as well as higher rates of blood pressure control (r=0.29; P=.03). CONCLUSIONS: To improve the effectiveness of care management in collaborative care models, particularly for patients with comorbid conditions and complex nonmedical needs, care managers need the support of social work and administrative support staff. Care managers for this patient population would also benefit from more intensive training in nonpharmacological depression treatment, such as motivational interviewing and behavioral activation. Additionally, systems support is needed such as education for primary care teams and psychiatry on the value of collaborative care models and integration of population management tools into electronic medical records.
Authors: Shawna N Smith; Daniel Almirall; Katherine Prenovost; Celeste Liebrecht; Julia Kyle; Daniel Eisenberg; Mark S Bauer; Amy M Kilbourne Journal: Med Care Date: 2019-07 Impact factor: 2.983
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Authors: Brenna N Renn; Patricia A Areán; Patrick J Raue; Eugene Aisenberg; Emily C Friedman; Zoran Popović Journal: Res Soc Work Pract Date: 2020-10-13