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Title

A Practice Improvement Education Program Using a Mentored Approach to Improve Nursing Facility Depression Care -- Preliminary Data (Journal of the American Geriatrics Society)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Screening for Early Disease Detection; Use of Health Services; Chronic Condition Prevalence; Mental and Emotional Health

Publication Type

Journal Article

Publication Date

2015-10-27T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1374&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1374&RootFolder=*">Joshua Chodosh</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=496&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=496&RootFolder=*">Daphna Gans, PhD</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=40&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=40&RootFolder=*">Janet C. Frank, DrPH</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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Abstract

​The objective of the program was to increase nursing home (NH) capability in using quality improvement (QI) processes and to improve depression assessment and management among residents in nursing facilities through focused mentorship and team building.
 
This was a 6-month intervention with five components: facilitated collection of Minimum Data Set (MDS) 3.0 nine-item Patient Health Questionnaire (PHQ-9) and medication data for diagnostic interpretation; education and modeling on QI approaches, team building, and nonpharmacological depression care; mentored team meetings; educational webinars; and technical assistance. Competency self-ratings improved on four depression care measures. Mentors observed improvement in team process and enthusiasm during team meetings. For 336 residents with PHQ-9 and medication data, depression scores did not change while medication use declined, from 37.2% of residents at baseline to 31.0% at 9 months.
 
This structured mentoring program improved care processes, achieved medication reductions, and was well received. Application to other NH-prevalent syndromes is possible.
 

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Journal Article: A Practice Improvement Education Program Using a Mentored Approach to Improve Nursing Facility Depression Care -- Preliminary Data

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Created at 7/27/2016 10:51 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 7/27/2016 10:53 AM by i:0#.f|uclachissqlmembershipprovider|celeste