Table 1.
Construct | Instrument / Data Source | Baseline | 12 mos | 18 mos |
---|---|---|---|---|
Baseline data | ||||
Depression screen | PHQ-2 / VHA Electronic Health Record | ✓ | ||
Demographics | VHA Electronic Health Record | ✓ | ||
Physical comorbidity | ICD-10 / VHA Electronic Health Record | ✓ | ||
Depression history | ICD-10 / VHA Electronic Health Record | ✓ | ||
Mental health diagnoses | ICD-10 / VHA Electronic Health Record | ✓ | ||
Implementation outcomes (Aim 1) | ||||
Reach | Visit codes / VHA Electronic Health Record | ✓ | ✓ | |
Adoption | Provider file, pharmacy file, consult file & stop code / Behavioral Health Laboratory & VHA Electronic Health Record | ✓ | ✓ | |
Effectiveness outcomes (Aim 2) | ||||
Depressive symptoms | PHQ-9 / Behavioral Health Laboratory | ✓ | ✓ | ✓ |
Suicidal ideation | C-SSRS/ Behavioral Health Laboratory | ✓ | ✓ | ✓ |
Budget impact data (Aim 3) | ||||
VHA service utilization | Outpatient & pharmacy / MCA | ✓ | ✓ | ✓ |
VHA costs | Outpatient & pharmacy / MCA | ✓ | ✓ | ✓ |
C-SSRS Columbia – Suicide Severity Rating Scale, ICD International Classification of Diseases, MCA Managerial Cost Accounting, PHQ Patient Health Questionnaire, VHA Veterans Health Administration