SIM practices acknowledge value of depression screenings

We've got data
As we implement the Colorado State Innovation Model (SIM) and collect data from cohort 1 practices and community mental health centers that are integrating behavioral health and primary care, the SIM team will share actionable information and use the data to influence future SIM practice cohorts.

The team is preparing to release its application for cohort 2 this winter and will start to publish actionable information about what it takes to integrate care to help stakeholders learn from the SIM initiative, which is funded by the Centers for Medicare & Medicaid Services. Follow SIM on social channels (Twitter and LinkedIn) to get the latest information.

The SIM initiative, which started implementation efforts in February, ultimately requires providers to report on 15 clinical quality measures to help assess outcomes. In other words, how does the work that providers do to integrate care, which requires infrastructure and staff changes, affect patient outcomes? Clinical quality measures help us answer that question.

However, we realize that reporting clinical quality measures takes time, and that not all practices that have the ability to collect data can report it or analyze it. As a result, we started with three required clinical quality measures and are asking practices to phase in additional measures with practice facilitators and clinical health information technology advisors (CHITAs), who are helping SIM providers enhance their data collection, reporting and analytical skills.

Depression screening
This month the SIM team received the first rapid cycle report that will be used to track progress, analyze practical challenges to SIM implementation and highlight opportunities to support practice efforts.

One of the SIM clinical quality measures is a depression screening, and out of the 93 practices that are participating in cohort 1, 69 practices (59 adult and 10 pediatric practices) reported on this measure. A recommended resource for this screening is the PHQ9 screening.

A few of the statistics that support the importance of screening patients for depression:

We plan to publish additional data and details about SIM implementation in this newsletter, on the SIM website and through SIM social media channels. Stay tuned for more information.