Rossom RC, et al. – In this study, the researchers assessed the spread of an evidence–based large–scale multisite collaborative care model for patients with depression and diabetes and/or cardiovascular disease (COMPASS). They concluded that COMPASS was successfully spread across diverse care systems and showed improved results for complex patients with the previously uncontrolled chronic disease.

Methods

• Participants were primary care patients with depression and comorbid diabetes or cardiovascular disease.
• Collaborative care teams utilized care management tracking systems and systematic case reviews to track and intensify treatment for patients not improving.
• Depression remission and response (assessed with the Patient Health Questionnaire-9) and control of diabetes (assessed by HbA1c) and blood pressure were the targeted outcomes.
• Patients and clinicians were studied about satisfaction with care.

Results

• Eighteen care systems and one hundred seventy two clinics selected three thousand six hundred nine patients across the US.
• Of those with uncontrolled disease at enlistment, 40% achieved depression remission or response, 23% glucose control and 58% blood pressure control during a mean follow-up of 11 months.
• Notably, there were large variations in results across medical groups.
• According to the findings obtained, patients and clinicians were satisfied with COMPASS care.