Navigation Links
Payment innovation cuts depression time in half
Date:4/20/2012

When 25 percent of the payments to community health clinics were based on quality of care, patients received better care and had better depression outcomes. The results of this initiative will be published in the April 19 issue of the American Journal of Public Health in the paper, "Quality Improvement with Pay-for-Performance Incentives in Integrated Behavioral Health Care."

University of Washington researchers examined records from almost 8,000 patients treated for depression in 29 community health clinics in the Washington State Mental Health Integration Program before and after the implementation of a pay-for-performance incentive. After the incentive was started, patients were seen more quickly and were more likely to receive consultation from a psychiatrist. They were also more likely to show improvements in their depression.

"The time for depression to improve in the majority of patients was cut by more than half, from over 60 weeks to less than 25 weeks," said Dr. Jrgen Untzer, professor and vice chair of the UW Department of Psychiatry and Behavioral Sciences, the lead author of the study.

The Washington State Mental Health Integration Program provides medical and mental health services for low-income adults who are temporarily disabled due to a physical or mental health condition and expected to be unemployed for at least 90 days. This program is funded by the State of Washington and administered by the Community Health Plan of Washington, a non-profit managed care plan.

In King County the program also covers military veterans and their family members, the uninsured, low-income mothers and their children, and low-income older adults. Services in King County are also funded by a voter-approved levy that is administered by Public Health Seattle & King County.

Treatment for depression and other common mental disorders is provided through an innovative team approach in which primary care providers are supported by a trained mental health care coordinator and a consulting psychiatrist.

Expert faculty members from the UW's Advancing Integrated Mental Health Solutions (AIMS) Center provide training, technical assistance, and a web-based tracking system to support systematic outcome tracking and quality improvement.

Untzer said he was struck by the program's effectiveness with this highly vulnerable group of patients.

"Most of the program participants were unemployed due to a medical or a mental health problem and more than half had problems with stable housing," he said. "Despite these challenges, we found that the majority of program participants achieved improvements in their depression."

Untzer pointed to the Mental Health Integration Program and its pay-for-performance component as a prime example of achieving the healthcare "triple aim." The triple aim seeks to enhance the patients' experience of care and improve health outcomes while containing or reducing healthcare costs.

Each year more than 20 million Americans suffer from depression. The World Health Organization ranks depression among the leading causes of disease burden worldwide. Most patients with depression seek help in primary care clinics, but in many cases their depression is not recognized or treated effectively.

Ineffectively treated depression leads to tremendous suffering in patients and their loved ones, increased mortality and higher healthcare costs. The researchers noted that today's study demonstrates that with the right incentives and support community health clinics can substantially improve care and clinical outcomes for vulnerable patients with depression.


'/>"/>

Contact: Leila Gray
leilag@u.washington.edu
206-685-0381
University of Washington
Source:Eurekalert  

Related medicine news :

1. Payments for Physical Therapy Services to be Drastically Cut by Anthem Blue Cross of California
2. Pelosi Statement on Additional Aid to States In Medicare Part D Payments
3. National Healthcare Leaders in San Francisco to Address Health Reform and Payment Reform
4. Lakeside Medical Group, Heritage Provider Network, CEO Dr. Richard Merkin, Featured on Several Segments of Fox National News and Fox Business Channel on Current Healthcare Payment Structures to Physicians
5. New Free Webinars Announced to Discuss the Latest Federal Court Overpayment Lawsuit Ruling and New Obama Health Laws for the Skyrocketing $6 Trillion Overpayment Recoupment Market
6. Medicare 21 percent physician payment cut to go into effect April 15
7. The StoneEagle Group Upgrades Claims Authorization and Payment Process for SEcureCard and Vpay™ Solutions, Significantly Reducing Payment Time
8. Insightful Case Study Details How Electronic Payment Exchange Saved a Global Firm More Than $3 Million in PCI-Related Costs
9. Electronic Payment Exchange Enters its Tenth Year of Issuing Tokens for Securing Credit Card and ACH Transaction Data
10. Center for Medicare and Medicaid Innovation must implement payment reforms rapidly
11. Datatel's Hosted Pay-by-Phone Credit Card Payment IVR Gateway Receives Heartland Payment Systems Certification
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Payment innovation cuts depression time in half
(Date:2/23/2017)... ... 23, 2017 , ... On April 13, 2017, The ... “Doping in Sport: How the Culture Might Change,” in conjunction with Pepperdine ... will be held at Pepperdine University in Malibu, California. , Sir Philip Craven, ...
(Date:2/23/2017)... , ... February 23, 2017 , ... ... uncertainty in clinical trials, today announced that Premier Research, a leading clinical development ... , Clinical trials are becoming increasingly complex, due in part to an array ...
(Date:2/23/2017)... ... February 23, 2017 , ... ... partnership with the Rhode Island Consortium for Autism Research and Treatment (RI-CART) and ... children with autism spectrum disorder (ASD) to see films in an environment that ...
(Date:2/23/2017)... (PRWEB) , ... February 23, 2017 , ... Top cosmetic ... Smiling Patriot program today with a new Indiegogo campaign . Individuals are ... homeless veterans in the Los Angeles area, either as a participating patient or through ...
(Date:2/23/2017)... ... 23, 2017 , ... Thomas Vas-Don suffered from severe injury due ... was able to successfully recover. In “ Origin & Insertion Charts for Massage Therapists ... the principals of massage, anatomy , trigger points and referral pain patterns ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... Februar 2017 Im Rahmen seiner Schlüsselwachstumsstrategie ... in der südwestlichen chinesischen Provinz Guizhou, 2017 mit dem Angebot ... aktiv an der Entwicklung einer eingebetteten Hightech-Schlüsselindustrie. Foto ... Reading ... ...
(Date:2/23/2017)... 23, 2017 Regulus Therapeutics Inc . ... development of innovative medicines targeting microRNAs, today announced it ... results on Thursday, March 2, 2017 after the market ... and webcast on March 2, 2017 at 5:00 p.m. ... 2016 financial results and provide a general business update.  ...
(Date:2/23/2017)... ... Research and Markets has announced the addition of the "Global ... report to their offering. The Global Antifungal Drugs Market ... next decade to reach approximately $12.8 billion by 2025. ... the given segments on global as well as regional levels presented in ...
Breaking Medicine Technology: