scholarly journals A Community-Partnered, Participatory, Cluster-Randomized Study of Depression Care Quality Improvement: Three-Year Outcomes

2017 ◽  
Vol 68 (12) ◽  
pp. 1262-1270 ◽  
Author(s):  
Michael K. Ong ◽  
Loretta Jones ◽  
Wayne Aoki ◽  
Thomas R. Belin ◽  
Elizabeth Bromley ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Randomized Study ◽  
Care Quality ◽  
Depression Care ◽  
Cluster Randomized

scholarly journals Community Engagement and Planning versus Resources for Services for Implementing Depression Quality Improvement: Exploratory Analysis for Black and Latino Adults

2019 ◽  
Vol 29 (2) ◽  
pp. 277-286
Author(s):  
Nicolás E. Barceló ◽  
Alma Lopez ◽  
Lingqi Tang ◽  
Maria Gabriela Aguilera Nunez ◽  
Felica Jones ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Quality Improvement ◽  
Community Engagement ◽  
Technical Assistance ◽  
Care Quality ◽  
Depression Care ◽  
Latino Adults ◽  
Mental Wellness ◽  
Black And Latino

Objective: Racial/ethnic minorities experi­ence disparities in depression1 and there is a paucity of evidence-based interventions to improve depression care access and outcomes. Community Partners in Care (CPIC) is a community-partnered study of depression care quality improvement (QI) in under-resourced, urban communities: Community Engagement and Planning (CEP) for multi-sector coalitions, and Resources for Services (RS) for program technical assistance.2 CEP demonstrated benefits for the overall CPIC study population; effects for Black and Latino sub-populations are unknown.Methods: This sub-analysis examines outcomes for 409 Latino and 488 Black (non-Latino) adults recruited from 90 pro­grams who completed baseline or 6-month follow-up. Regression analyses were used to estimate CEP vs RS intervention effects on primary (Mental Health Related Quality of Life [MHRQL], Patient Health Question­naire-9 [PHQ-9]) and community-priori­tized (mental wellness, physical activity, risk for homelessness) outcomes at 6-months.Results: Baseline characteristics did not differ significantly by intervention in either group. In the adjusted analysis for Black adults, CEP resulted in decreased odds of poor MHRQL (OR: .62, 95% CI=.41- .94, P=.028) with a trend for reducing homelessness risk (OR: .60, .35-1.05, P=.69). For Latino adults, CEP resulted in greater probability of mental wellness (OR: 1.81, 1.05-3.13, P=.034) and a trend for increased physical activity (OR: 1.52, .93- 2.49, P=.091).Conclusions: Exploratory analyses of CEP for depression quality improvement sug­gests significant 6-month benefits in mental health outcomes for Black and Latino participants and trends for improvement in community-prioritized outcomes for both groups. Findings may inform research in multi-sector coalitions to promote equity in depression care. Ethn Dis. 2019;29(2):277- 286; doi:10.18865/ed.29.2.277

scholarly journals Participation in Training for Depression Care Quality Improvement: A Randomized Trial of Community Engagement or Technical Support

2015 ◽  
Vol 66 (8) ◽  
pp. 831-839 ◽  
Author(s):  
Bowen Chung ◽  
Victoria K. Ngo ◽  
Michael K. Ong ◽  
Esmeralda Pulido ◽  
Felica Jones ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Randomized Trial ◽  
Community Engagement ◽  
Technical Support ◽  
Care Quality ◽  
Depression Care

scholarly journals Assessing organizational readiness for depression care quality improvement: relative commitment and implementation capability

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Lisa V Rubenstein ◽  
Marjorie S Danz ◽  
A Lauren Crain ◽  
Russell E Glasgow ◽  
Robin R Whitebird ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Care Quality ◽  
Organizational Readiness ◽  
Depression Care

Patient-Centered, Integrated Health Care Quality Measures Could Improve Health Literacy, Language Access, and Cultural Competence

2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Literacy ◽  
Cultural Competence ◽  
Health Care Quality ◽  
Care Quality ◽  
National Committee ◽  
Patient Centered ◽  
Organizational System ◽  
Language Access

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.

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