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Implementation of a Care Management Model for Depression at Two Primary Care Clinics

Williams, Mark MD; Angstman, Kurt MD; Johnson, Isaac; Katzelnick, David MD

Journal of Ambulatory Care Management: April/June 2011 - Volume 34 - Issue 2 - p 163–173
doi: 10.1097/JAC.0b013e31820f63cb

The Mayo clinic participated in the Depression Improvement Across Minnesota, Offering a New Direction model at two Mayo Family Clinics, that is, the Rochester Northwest and Northeast sites. Although the Northwest and Northeast clinics demonstrated the best 6-month remission rates in the state during the first year of implementation, they were retrospectively found to differ on several process issues and on measures related to the populations served. Six-month remission rates were significantly better at Northwest clinic; yet, Northeast clinic had more patient contacts. Differences in rates of activation into care management, care management accessibility, and differences in maintaining contact with patients at 6 months may explain some of these results.

Author Affiliations: Department of Psychiatry and Psychology (Drs Williams and Katzelnick and Mr Johnson) and Department of Family Medicine (Dr Angstman), Mayo Clinic, Rochester, Minnesota.

David Katzelnick is a shareholder of Healthcare Technology Systems, Inc.

Correspondence: Mark Williams, MD, Department of Psychiatry and Psychology, Mayo Clinic, 200 First St, SW Rochester, MN 55905 (

© 2011 Lippincott Williams & Wilkins, Inc.