Table 1.

Evidence-Based Quality Improvement (EBQI) Team Design and Implementation of Depression Care Model Components

Depression Care Model Components	Major Care Model Components Planned or Implemented by Each Practice
	KP Practices				VA Practices
	#1	#2	#3	#4	#1	#2
Provider education and decision support
Presentations, seminars, written materials	√	√	√	√	√	√
Face-to-face detailing on depression care	—	—	—	√	√	—
Individual provider feedback on performance	—	—	—	—	√	—
Patient education
Patient education classes	√	√	—	√	—	—
Written materials	√	√	√	√	√	√
Screening/detection
Nurses flag charts for suspected depression	—	—	P	P	—	P
Annual screening policy with computer reminders	—	—	—	—	√	√
Monitoring/enforcement activities carried out	—	—	—	—	√	—
Assessment
Provider depression assessment worksheet	√	√	—	—	√	—
Provider assessment reminders	—	—	√	—	√	—
Care management
By a non-MD clinician	√	√	√	—	—	—
Collaboration with mental health specialists
Improved referral process to mental health specialty	—	—	—	—	I	I
Psychiatrists give feedback to primary care	P	P	—	—	—	P

P, planned but not implemented; √, planned and implemented; I, implemented but not planned.