Table 1.
Goals and Metrics for the Kaiser Permanente Southern California (KPSC) Depression Care Management (DCM) Initiative
| Goal | Metric numerator | Metric denominator |
|---|---|---|
| Use the PHQ-9 when diagnosing patients with a first/new episode of depression (Goal>=50%) | No. of patients with first/new episode of depression and a PHQ-9 | No. of patients with first/new episode of depression |
| Enroll patients with a first/new episode of depression with PHQ-9 10–19 in the DCM program (Goals>=50%) | No. of patients with first/new episode of depression and a PHQ-9 10–19 enrolled in treatment | No. of patients with first/new episode of depression and a PHQ-9 |
| Panel size at any time in active treatment in the DCM program per full-time treatment specialist (Goal>=120) | 120 | – |
| Patients in active treatment who are engaged (panel size × PHQ-9 administration rate in treatment) (Goal>=96 [120*80%]) | 96 | – |
| Administer PHQ-9 for patients in active treatment every month (Goal>=80%) | No. of patients in active treatment with a PHQ-9 for the reporting month | No. of patients in active treatment |
| Outreach patients in active treatment every month (contact attempt) (Goal>=95%) | No. of patients in active treatment with a telephone or in-person visit scheduled for the reporting month | No. of patients in active treatment |
| Average months in treatment after discharge (Goal=3-6 months) | 3–6 months | – |
| Patients achieving remission (Goal>=25%) | Patients discharged from at least 3 months of treatment with an enrollment PHQ-9 total score 10+ whose last PHQ-9 total score < 5 | Patients discharged from at least 3 months of treatment with an enrollment PHQ-9 total score 10+ |
| Patients achieving improvement (Goal>=50%) | Patients discharged from at least 3 months of treatment with an enrollment PHQ-9 total score 10+ whose last PHQ-9 total score ≥ 50% lower than enrollment PHQ-9 total score | Patients discharged from at least 3 months of treatment with an enrollment PHQ-9 total score 10+ |
| Administer a follow-up PHQ-9 6 months after discharge (Goal>=70%) | Patients discharged from treatment < 12 months from reporting date with a PHQ-9 total score between 4 and 8 months after discharge | Patients discharged from treatment < 12 months from reporting date |