Report
Primary Care Productivity: Findings from the Literature and Perspectives from a Stakeholder Panel
To advance understanding of primary care clinic productivity, the authors reviewed relevant literature and convened stakeholders to explore definitions, identify relevant tools, and establish consensus on key aspects of primary care productivity.
Feb 17, 2021
Journal Article
Rates and Impact of Adherence to Recommended Care for Unhealthy Alcohol Use
The objectives of this study were to describe quality of care for unhealthy alcohol use among patients visiting primary care settings and to determine whether better quality of alcohol care was linked to reduced alcohol consumption 6 months later.
Mar 7, 2019
Journal Article
Eight Priorities for Improving Primary Care Access Management in Healthcare Organizations: Results of a Modified Delphi Stakeholder Panel
The panel achieved consensus on definitions of optimal access and access management, on eight urgent and important priorities for guiding access management improvement, and on 1–3 recommendations per priority. Each recommendation is supported by referenced, panel-approved suggestions for implementation.
2019
Journal Article
Elusive Search for Effective Provider Interventions: A Systematic Review of Provider Interventions to Increase Adherence to Evidence-Based Treatment for Depression
Low quality of evidence and lack of replication of specific intervention strategies across studies limit conclusions that can be drawn from the existing research about the effectiveness of interventions to improve adherence to antidepressant medications.
Dec 20, 2018
Report
Access Management in Primary Care: Perspectives from an Expert Panel
This report outlines evidence-based access management priorities for health care organizations as they undertake initiatives to improve access to primary care.
Sep 5, 2018
Journal Article
Communication Among Team Members Within the Patient-centered Medical Home and Patient Satisfaction With Providers: The Mediating Role of Patient-Provider Communication
To examine the relationship between intrateam communication in a PCMH and patients' satisfaction with assigned PCPs, and whether patient-provider communication mediates this relationship.
Jun 1, 2018
Journal Article
Care Coordination and Provider Stress in Primary Care Management of High-risk Patients
Providing adequate support to PCPs and nurses may help reduce the stress they experience when coordinating care for high-risk patients.
Dec 7, 2017
Journal Article
Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey
Sharing responsibility among a PCMH team for behavioral counseling and self-management education may reduce primary care physician burnout.
Dec 7, 2017
Journal Article
Partnering to Improve Care: The Case of the Veterans' Health Administration's Quality Enhancement Research Initiative
Understanding the respective experiences and perspectives of researchers and operations partners (i.e., policymakers, managers, clinical leaders) can help improve research partnership success.
May 30, 2017
Journal Article
Quality of Care Measures for the Management of Unhealthy Alcohol Use
Proposed quality of care measures for unhealthy alcohol use focus on screening, assessment, treatment, and follow-up in outpatient care.
Mar 13, 2017
Journal Article
Primary Care-Mental Health Integration in the VA: Shifting Mental Health Services for Common Mental Illnesses to Primary Care
As assessed in 29 Southern California Veterans Affairs clinics, primary care—mental health integration programs can help ensure that primary care is providing evidence-based stepped care and that patients with more intensive mental health concerns (e.g., psychosis) are appropriately referred to specialty services.
2017
Journal Article
Application of a Nonrandomized Stepped Wedge Design to Evaluate an Evidence-Based Quality Improvement Intervention: A Proof of Concept Using Simulated Data on Patient-Centered Medical Homes
This project evaluated a method ("stepped-wedge" design) for assessing the implementation of quality improvement interventions.
Nov 23, 2016
Journal Article
Impact of Medical Home Implementation Through Evidence-Based Quality Improvement on Utilization and Costs
Use of the evidence-based quality improvement approach to enhance medical home implementation in Veterans Affairs practices reduced ambulatory care and increased telephone-based care, but did not affect total costs relative to comparison practices.
Jun 27, 2016
Journal Article
Depression Quality of Care: Measuring Quality Over Time Using VA Electronic Medical Record Data
Analysis of administrative data showed that VA improved depression follow-up between FY2000 and FY2010, and that treatment rates compared favorably with non-VA benchmarks
May 19, 2016
Journal Article
Patient Engagement in the Process of Planning and Designing Outpatient Care Improvements at the Veterans Administration Health-care System: Findings from an Online Expert Panel
There is a strong interest in the Veterans Administration (VA) Health-care System in promoting patient engagement to improve patient care.
Mar 2, 2016
Journal Article
Differences in Depression Care for Men and Women Among Veterans with and Without Psychiatric Comorbidities
VA is providing appropriate care for depression to both men and women, with no significant gender differences.
2016
Journal Article
Fostering Evidence-Based Quality Improvement for Patient-Centered Medical Homes: Initiating Local Quality Councils to Transform Primary Care
Primary care quality councils – consisting of local leaders from medicine, nursing, administration, and a local Veteran patient representative – successfully cultivated quality improvement leadership in 6 VA patient-centered medical homes.
2016
Journal Article
Development of the Quality Improvement Minimum Quality Criteria Set (QI-MQCS): A Tool for Critical Appraisal of Quality Improvement Intervention Publications
Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies.
Dec 23, 2015
Journal Article
The Minimum Quality Criteria Set (QI-MQCS) for Critical Appraisal: Advancing the Science of Quality Improvement
This meeting abstract documents expert panel deliberations intended to develop a critical appraisal instrument to promote identification, dissemination and implementation of findings from high quality improvement initiative evaluations.
Nov 2, 2015
Journal Article
The Relationship Between Same-Day Access and Continuity in Primary Care and Emergency Department Visits
This study examines how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care.
Oct 29, 2015
Journal Article
Emotional Exhaustion in Primary Care During Early Implementation of the VA's Medical Home Transformation: Patient-Aligned Care Team (PACT)
Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies.
Mar 1, 2015
Journal Article
Early Changes in VA Medical Home Components and Utilization
We evaluated changes in reported implementation of PCMH components in all VA primary care clinics, and patients' utilization of acute and non-acute care and total costs after 2 years.
2015
Journal Article
Patient Aligned Care Teams (PACT): VA's Journey to Implement Patient-Centered Medical Homes
In 2010, the US Department of Veterans Affairs (VA) launched national implementation of patient-centered medical homes (PCMH) through the Patient Aligned Care Teams (PACT) initiative.
Jul 1, 2014
Journal Article
Prevalence and Correlates of Smoking Status Among Veterans Affairs Primary Care Patients with Probable Major Depressive Disorder
The present study examined smoking prevalence and the demographic, clinical and psychosocial characteristics associated with smoking among a sample of Veterans Affairs primary care patients with probable major depression.
Mar 1, 2014
Journal Article
Guidance for Research-Practice Partnerships (R-PPs) and Collaborative Research
The purpose of this paper is to provide evidence based guidance to researchers and practice personnel about forming and carrying out effective research partnerships.
2014
Journal Article
Huddle Up! The Adoption and Use of Structured Team Communication for VA Medical Home Implementation
In order to improve the impact of huddles on patient care, practice leaders should clearly communicate the goals, requirements, and benefits of huddling and provide adequate time and resources to ensure that frontline teams use huddle time to improve patient care.
2014
Journal Article
A Patient-Centered Primary Care Practice Approach Using Evidence-Based Quality Improvement: Rationale, Methods, and Early Assessment of Implementation
Healthcare systems and their primary care practices are redesigning to achieve goals identified in Patient-Centered Medical Home (PCMH) models such as Veterans Affairs (VA)'s Patient Aligned Care Teams (PACT).
2014
Journal Article
How Can We Recognize Continuous Quality Improvement?
Continuous quality improvement (CQI) methods are foundational approaches to improving healthcare delivery.
2014
Journal Article
Incorporating Evidence Review Into Quality Improvement: Meeting the Needs of Innovators
Achieving quality improvement (QI) aims often requires local innovation.
Nov 1, 2013
Journal Article
Machine Learning Methods in Systematic Reviews: Identifying Quality Improvement Intervention Evaluations
Electronic searches typically yield far more citations than are relevant, and reviewers spend a substantial amount of time screening titles and abstracts to identify potential studies eligible for inclusion in a review.
Sep 1, 2012
Journal Article
Relationships Between Mood and Employment Over Time Among Depressed VA Primary Care Patients
Veterans being treated for depression were more likely to become employed, and remain employed when their depression status improved, highlighting the need to prevent socioeconomic deterioration among working-aged veterans of Operation Enduring Freedom and Operation Iraqi Freedom.
Jul 6, 2012
Journal Article
Conducting Online Expert Panels: A Feasibility and Experimental Replicability Study
It is feasible to conduct online expert panels intended to facilitate consensus finding among geographically distributed participants. The online approach may be practical for engaging large and diverse groups of stakeholders around a range of health services research topics and can help conduct multiple parallel panels to test for the reproducibility of panel conclusions.
Dec 1, 2011
Journal Article
Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign
Collaborative care models for depression designed and implemented by VA primary care practices using evidence based quality improvement increased patients' use of antidepressants.
Oct 1, 2011
Journal Article
Identifying Quality Improvement Intervention Publications - a Comparison of Electronic Search Strategies
This review of search strategies for quality improvement interventions found that consensus development for QI medical subject headings is urgently needed.
Aug 1, 2011
Journal Article
What Context Features Might Be Important Determinants of the Effectiveness of Patient Safety Practice Interventions?
Four domains of contextual features seem important for implementing patient safety practices: safety culture and teamwork, structural organization, external factors such as regulation, and availability of implementation and management tools.
Jul 1, 2011
Journal Article
Preventing Pressure Ulcers in Hospitals: A Systematic Review of Nurse-Focused Quality Improvement Interventions
This article describes results of a systematic literature review focused on which interventions can be integrated into routine care to prevent pressure ulcers.
Jun 1, 2011
Journal Article
The Role of Theory in Research to Develop and Evaluate the Implementation of Patient Safety Practices
Describing the theoretical basis for understanding why a given patient safety intervention works would help efforts to generalize evaluation results from one context to another.
May 1, 2011
Journal Article
Advancing the Science of Patient Safety
This article describes findings from a group of experts assembled to help improve the science of patient safety.
2011
Journal Article
A Framework for Classifying Patient Safety Practices: Results from an Expert Consensus Process
This article describes a theoretical framework, derived from the literature, for classifying diverse patient safety practices.
2011
Journal Article
How Does Context Affect Interventions to Improve Patient Safety? An Assessment of Evidence from Studies of Five Patient Safety Practices and Proposals for Research
This study concluded that little evidence exists about the influence of context on patient safety interventions, but found significant gaps in the research that should be addressed by future work.
2011
Journal Article
Identifying Continuous Quality Improvement Publications: What Makes an Improvement Intervention 'CQI'?
Continuous quality improvement (CQI) refers to a method for improving care, but no consensus definition exists. As a step toward improving CQI evidence reviews, this study identified CQI definitional features and tested an instrument for identifying articles with key features.
2011
Journal Article
Suicide Risk Management: Development and Analysis of a Telephone-Based Approach to Patient Safety
A telephone screener for suicide risk can be used during data collection interviews with depressed patients to identify those who need clinical intervention.
2011
Journal Article
Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria
This report addresses the need for clearer understanding of the evidence base regarding the effectiveness and context-sensitivity of patient safety practices and presents recommendations for future research on this topic.
Dec 1, 2010
Journal Article
Identifying Quality Improvement Intervention Evaluations: Is Consensus Achievable?
The variety of quality improvement interventions has impeded the use of evidence review to advance quality improvement activities. Addressing this problem will require development of a generalizable framework for identifying evaluations of quality improvement initiatives.
Aug 1, 2010
Journal Article
Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists
Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.
Feb 16, 2010
Journal Article
Factors Associated with Clinician Intention to Address Diverse Aspects of Pain in Seriously Ill Outpatients
This study of the factors associated with clinician's intention to treat pain symptoms suggests that useful targets for improving pain management include bolstering clinicians? confidence in their own pain management skills and improving their trust in pain ratings.
2010
Journal Article
Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists
Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.
2010
Journal Article
Nursing Staff, Patient, and Environmental Factors Associated with Accurate Pain Assessment
Although pain is a common reason for seeking medical care, pain screening at intake is often inaccurate.
2010
Journal Article
A Social Marketing Approach to Implementing Evidence-Based Practice in VHA QUERI: The TIDES Depression Collaborative Care Model
This study found that social marketing, which applies marketing techniques to promote behavioral change, is a promising approach for promoting implementation of evidence-based interventions in integrated healthcare systems.
Sep 28, 2009
Journal Article
Clinic-level Process of Care for Depression in Primary Care Settings
Multi-component models for improving depression care target primary care (PC) clinics, yet few studies document usual clinic-level care.
2009
Journal Article
Dual Use of VA and Non-VA Services Among Primary Care Patients with Depression
Assesses levels of non-Veterans Health Administration (VA) use among depressed primary care patients by service type and examine patient factors associated with non-VA use.
2009
Journal Article
Early Identification of Co-Occurring Pain, Depression and Anxiety
This research sought to determine aspects of pain related to psychological distress, and, among distressed patients, to determine whether pain factors are related to provider identification of distress.
2009
Journal Article
Organizational Cost of Quality Improvement for Depression Care
The authors documented organizational costs for depression care quality improvement (QI) to develop an evidence-based, Veterans Health Administration (VA) adapted depression care model for primary care practices that performed well for patients
2009
Journal Article
Developing National Dissemination Plan for Collaborative Care for Depression: QUERI Series
Describes processes undertaken and tools developed by the U.S. Department of Veterans Affairs (VA) Mental Health Quality Enhancement Research Initiative (MH-QUERI) to guide its efforts to partner with clinical leaders to prepare for national dissemination and implementation of collaborative care for depression..
Dec 31, 2008
Research Brief
The Societal Promise of Improving Care for Depression: Nine Years Out
This research highlight updates the cumulative effects of a study of a collaborative care-based quality-improvement treatment program for depression after nine years.
Nov 19, 2008
Journal Article
Finding Order in Heterogeneity: Types of Quality-Improvement Intervention Publications
Explores the heterogeneity in clinical quality improvement intervention publications. A classification framework was developed, and experts discussed unique issues and established standards relevant to each category to work toward synthesis.
2008
Journal Article
The SQUIRE (Standards for QUality Improvement Reporting Excellence) Guidelines for Quality Improvement Reporting: Explanation and Elaboration
The SQUIRE statement consists of a checklist of 19 items that authors need to consider when writing articles that describe formal studies of quality improvement. This Explanation and Elaboration document (E & E) is a companion to the SQUIRE statement.
2008
Journal Article
Variations in Practice Guideline Adherence for Abnormal Cervical Cytology in a County Healthcare System
The objective of this study was to determine variations in guideline adherence for women requiring abnormal cervical cytology follow-up.
2008
Draft
Enhancing Public Health Preparedness: Exercises, Exemplary Practices, and Lessons Learned, Phase III: Task B2: Final Report: Promoting Emergency Preparedness and Readiness for Pandemic Influenza (PREPARE for PI): Pilot Quality Improvement Learning Collaborative
Describes a pilot program for using quality improvement techniques in the area of public health -- specifically to prepare for a flu pandemic.
Jul 25, 2007
Journal Article
Balancing Participation and Expertise: A Comparison of Locally and Centrally Managed Health Care Quality Improvement Within Primary Care Practices
The authors evaluated two health care QI methods that emphasized either participation (local approach) or expertise (central approach).
2007
Journal Article
Career and Time Management Strategies for Clinical and Health Services Researchers
Increased competition for research funding requires that clinical and health services researchers be focused and efficient.
2007
Journal Article
The Effect of Adherence to Practice Guidelines on Depression Outcomes
Few studies have assessed clinician adherence to depression practice guidelines and relationship between clinician adherence and depression outcomes
2007
Journal Article
Effect of Mental Health Care and Shared Decision Making on Patient Satisfaction in a Community Sample of Patients with Depression
Contrary to expectations, patient gender made no difference in the effects of quality of care on patient satisfaction.
2007
Journal Article
The Evolution of Changes in Primary Care Delivery Underlying the Veterans Health Administration's Quality Transformation
Investment in primary care development may have served as an essential substrate for many VA quality gains.
2007
Journal Article
Predicting Outcomes of Primary Care Patients with Major Depression: Development of a Depression Prognosis Index
The ability of the DPI to predict six-month outcomes compares favorably to that of prognostic indices for general medical problems.
2007
Journal Article
Prevalence of Depression-PTSD Comorbidity: Implications for Clinical Practice Guidelines and Primary Care-Based Interventions
PTSD is more common among depressed primary care patients than previously thought.
2007
Journal Article
Teaching Systems-Based Practice to Primary Care Physicians to Foster Routine Implementation of Evidence-Based Depression Care
The authors believe the best way to enhance effectiveness is to build education into the system rather than rely on a separate system for education.
2007
Journal Article
Time Allocation and Caseload Capacity in Telephone Depression Care Management
Documents time allocated to care management activities and care manager workload capacity using data collected for studies of telephone care management of depression.
2007
Research Brief
Effects of Medicare's Prospective Payment System on the Quality of Hospital Care
This research brief summarizes a study of how Medicare's prospective payment system (PPS) affected the quality of care for hospitalized Medicare patients.
Jun 13, 2006
Research Brief
The First National Report Card on Quality of Health Care in America
This research brief summarizes the largest and most comprehensive examination ever conducted of health care quality in the United States.
Apr 11, 2006
Journal Article
California Acupuncturists Comment on Their Training
This article provides information derived from the findings of The Licensed Acupuncture Collaborative (LAC) Study conducted in California during 2002-2003.
2006
Journal Article
Community-research Collaboration Between Researchers and Acupuncturists : Integrating a Participatory Research Approach in a Statewide Survey of Licensed Acupuncturists in California
The Licensed Acupuncture Collaborative Study design used a project-management approach based on the core principles of community-based participatory research and provides a model for building community-research partnerships between university researchers
2006
Journal Article
Impacts of Evidence-Based Quality Improvement on Depression in Primary Care: A Randomized Experiment
The modest improvements, along with qualitative data, identify potential future directions for improving CGI research and practice.
2006
Journal Article
Improving Care for Depression: There's No Free Lunch
Primary care clinicians know depression well, yet diagnostic and treatment failures are common.
2006
Journal Article
Primary Care Patients' Involvement in Decision-Making Is Associated with Improvement in Depression
Interventions to increase patient involvement in decision-making may be an important means of improving care for and outcomes of depression.
2006
Journal Article
Strategies for Promoting Organizational and Practice Change by Advancing Implementation Research
Interest in developing more effective methods to get evidence into practice.
2006
Research Brief
Improving Quality of Care: How the VA Outpaces Other Systems in Delivering Patient Care
The Department of Veterans Affairs (VA), the country’s largest health care provider, has been recognized as a leader in improving the quality of health care.
Nov 25, 2005
Journal Article
Quality Improvement for Depression in Primary Care: Do Patients with Subthreshold Depression Benefit in the Long Run?
The utility of including patients with subthreshold depression in quality improvement programs is unclear.
2005
Journal Article
Five-year Impact of Quality Improvement for Depression: Results of a Group-Level Randomized Controlled Trial
QI programs for depressed primary care patients can improve health outcomes for 6 to 28 months; effects for longer than 28 months are unknown.
2004
Journal Article
Comparison of Quality of Care for Patients in the Veterans Health Administration and Patients in a National Sample
The Veterans Health Administration (VHA) has introduced an integrated electronic medical record, performance measurement, and other system changes directed at improving care.
2004
Report
Differences in Quality of Care for Hospitalized Elderly Men and Women
Differences in Quality of Care for Hospitalized Elderly Men and Women
2004
Journal Article
Geographic Variation Across Veterans Affairs Medical Centers in the Treatment of Early Stage Prostate Cancer
Geographic variation persists in patterns of care in men with early stage prostate cancer.
2004
Report
Hospital Characteristics and Quality of Care
This study compares quality of care measured by explicit criteria, implicit review, and sickness-adjusted outcomes at different types of hospitals.
2004
Journal Article
Lipid Screening in HIV-infected Veterans
Lipid screening is recommended for patients taking protease inhibitors (PIs).
2004
Journal Article
A New Instrument to Measure Appropriateness of Services in Primary Care
To develop a new instrument for judging the appropriateness of three key services as delivered in primary care outpatient visits.
2004
Journal Article
Profiling Quality of Care: Is There a Role for Peer Review?
The authors sought to develop a more reliable structured implicit chart review instrument for use in assessing the quality of care for chronic disease and to examine if ratings are more reliable for conditions in which the evidence base for practice is more developed.
2004
Journal Article
Variations in Nurse Practitioner Use in Veterans Affairs Primary Care Practices
Staffing models in VA PC practices have, in fact, changed, with NPs having a greater presence.
2004
Report
Watching the Doctor-Watchers: How Well do Peer Review Organization Methods Detect Hospital Care Quality Problems?
Watching the Doctor-Watchers: How Well do Peer Review Organization Methods Detect Hospital Care Quality Problems?
2004
Journal Article
The Acceptability of Treatment for Depression Among African-American, Hispanic, and White Primary Care Patients
Ethnic minority patients are less likely than white patients to receive guideline-concordant care for depression.
2003
Journal Article
Adherence to Pressure Ulcer Prevention Guidelines: Implications for Nursing Home Quality
The low level of adherence and high level of variation to many best-care practices for PU prevention indicate a continued need for quality improvement
2003
Report
Interventions that Increase the Utilization of Medicare-Funded Preventive Services for Persons Age 65 and Older
Reviews the evidence for effectiveness of the screening/vaccination programs currently covered by Medicare: influenza and pneumonia vaccinations, screening mammography, cervical smear cytology, and colon cancer screening.
2003
Journal Article
Primary Care Patients with Depression Are Less Accepting of Treatment Than Those Seen by Mental Health Specialists
Patients with depression treated by primary care providers have attitudes and beliefs more averse to care than those seen by mental health specialists
2003
Journal Article
Quality Improvement Implementation in Nursing Home
Quality improvement implementation is most likely to be successful in those VA nursing homes with an underlying culture that promotes innovation.
2003
Report
Outpatient Care: A Conceptual Framework and a Form for Structured Implicit Review
Outpatient Care: A Conceptual Framework and a Form for Structured Implicit Review
2002
Journal Article
Do Family Physicians and Internists Differ in Knowledge, Attitudes, and Self-Reported Approaches for Depression?
Strategies to improve mental health care should account for the orientation of primary care physicians to mental health issues.
2002
Journal Article
Evaluating Quality of Nursing Care: The Gap Between Theory and Practice
Findings show variations in the quality of nursing care and support continued development of nursing quality assessment and improvement initiatives.
2002
Journal Article
Interventions That Increase Use of Adult Immunization and Cancer Screening Services: A Meta-Analysis
On the relative effectiveness of the diverse approaches used to promote preventive care activities, such as cancer screening and adult immunization.
2002
Journal Article
Primary Care Practice Management in Rural and Urban Veterans Health Administration Settings
Limited access to specialty care in rural settings may result in more expectations of primary care providers and a higher demand for primary care.
2002
Report
Quality Improvement for Depression Enhances Long-term Treatment Knowledge for Primary Care Clinicians
Quality Improvement for Depression Enhances Long-term Treatment Knowledge for Primary Care Clinicians
2002
Journal Article
Understanding Team-Based Quality Improvement for Depression in Primary Care
The CT approach is more likely to succeed than the LT approach when local practice conditions are not optimal.
2002
Journal Article
What Patient Population Does Visit Based Sampling in Primary Care Settings Represent?
Consecutive visit-based sampling actually selected patients with a visit pattern more typical of the patient population visiting 4+ times a year.
2002
Journal Article
Cost-effectiveness of Practice-Initiated Quality Improvement for Depression: Results of a Randomized Controlled Trial
Depression is a leading cause of disability worldwide, but treatment rates in primary care are low
2001
Report
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
2001
Journal Article
Long-term Effectiveness of Disseminating Quality Improvement for Depression in Primary Care
Addresses whether dissemination of short-term quality improvement interventions for depression to primary care practices improves patients' clinical outcomes and health-related quality of life over 2 years, relative to usual care.
2001
Journal Article
The Quality Improvement for Depression Collaboration: General Analytic Strategies for a Coordinated Study of Quality Improvement in Depression Care
This paper summarizes the interventions the four projects tested, characterizes commonalities and heterogeneity.
2001
Periodical
RAND Review: Vol. 25, No. 3, Fall 2001
Presents eight commentaries outlining complementary strategies for the long-term war against terrorism; also discusses how American arts organizations can adapt to shifting audiences and how improvements in depression care pay for themselves.
2001
Report
Structured Implicit Review: A New Method for Monitoring Nursing Care Quality
Structured Implicit Review: A New Method for Monitoring Nursing Care Quality
2001
Journal Article
Two-year Effects of Quality Improvement Programs on Medication Management for Depression
Significant underuse of evidence-based treatments for depression persists in primary care.
2001
Report
Clinician Guide to Depression Assessment and Management in Primary Care
Clinician Guide to Depression Assessment and Management in Primary Care
2000
Report
Guidelines and Resources for the Depression Nurse Specialist
This manual contains all the information required for the Depression Nurse Specialist (DNS) to perform key functions.
2000
Report
Guidelines for the Study Therapist
This manual contains all the information required for the therapist to perform key functions.
2000
Report
Training Agendas and Materials for Expert Leaders, Depression Nurse Specialists, and Psychotherapists
These training materials will help plan educational sessions for clinicians in a practice, and training sessions for the individuals who will implement the quality improvement programs.
2000
Report
Improving Depression Outcomes in Primary Care: A User’s Guide to Implementing the Partners in Care Approach
The User's Guide describes each component of the Partners in Care quality-improvement kit, its implementation, and its design features.
2000
Report
Partners in Care Package
Partners in Care is a real-world trial to determine whether diverse primary care practices can implement previously tested, effective models of care for depression.
2000
Journal Article
Appropriateness of the Decision to Transfer Nursing Facility Residents to the Hospital
Inappropriate transfers are a potentially large problem. Some inappropriate transfers may be associated with poor quality of care in SNFs.
2000
Journal Article
From Understanding Health Care Provider Behavior to Improving Health Care: The QUERI Framework for Quality Improvement
Basic science and health care research provide the evidence base for the scientific practice of medicine.
2000
Research Brief
Partners in Care: Hope for Those Who Struggle with Hope
This research brief describes work documented in the Partners in Care Program.
2000
Journal Article
Quality Enhancement Research Initiative in Mental Health
VA recently introduced its Quality Enhancement Research Initiative (QUERI) to facilitate the translation of best practices into usual clinical care.
2000
Journal Article
The Role of Competing Demands in the Treatment Provided Primary Care Patients with Major Depression
Interventions may be needed to ensure patients with chronic physical problems receive high-quality mental health care in the primary care setting.
2000
Journal Article
Who Is at Risk of Nondetection of Mental Health Problems in Primary Care?
Patients' race, gender, and coexisting medical conditions affected physician awareness of mental health problems.
2000
Journal Article
Does What Nurses Do Affect Clinical Outcomes for Hospitalized Patients? A Review of the Literature
Some nursing care processes affect health-related patient outcomes, the full extent of nursing process-outcome links is relatively understudied.
1999
Report
Evidence-Based Care for Depression in Managed Primary Care Practices
This paper evaluated whether externally designed, evidence-based interventions for improving care for depression can be locally implemented in managed care organizations.
1999