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  • 1.  How does your primary care clinics use the PHQ2/PHQ9 screening tools?

    Posted 10 hours ago

    Our practice consists of 9 clinics in the greater metro area of Kansas City.  We have discovered some practice inconsistencies in the use of the PHQ2 and PHQ9 tool/s.  Please share how your practices use the tools, when they use them for example what appointment type, or if you do not use these screeners what screening tools do you use for mental health?

     Thank you in advance!



    ------------------------------
    Cie Cascone, MSN, RN
    Corporate Clinical Educator
    Spira Care, LLC
    2300 Main St.
    Kansas City, MO 64108
    816-395-2062 OFFICE
    816-365-3368 MOBILE
    Cie.Cascone@SpiraCare.com
    Pronouns: She, Her, Hers
    ------------------------------


  • 2.  RE: How does your primary care clinics use the PHQ2/PHQ9 screening tools?

    Posted 9 hours ago

    Hello Cie,

    Our organization uses the PHQ-2/9 and requires it to be completed at least every 6 months, regardless of the reason for the visit, based on past medical history and a previous screening score. We use Epic, so the rules, alerts, and hard stops are all built in the background. It is set up so that staff cannot get out of the chart at all without either completing the questionnaire or overriding it for 1 of 4 reasons: Functionally unable to communicate, Patient refuses, Medically urgent appointment, or Other (with comments). We can also review the reasons why staff are not completing the questionnaire to ensure validity.

     

    Our clinical education team provides training on the PHQ along with tips for addressing the topic, especially if the patient is coming in for a sick visit.

    Feel free to reach out if you have any questions!

     

    Thank you,

     

    Sharon J.J. Peacock, MSN-Ed., RN, NPD-BC, AMB-BC

    Nursing Professional Development, Sentara Ambulatory Services Division

    Chair, AAACN Staff and Patient Education SIG

     

    Office: 434-654-4529    Email: SJPEACOC@sentara.com

    590 Peter Jefferson Parkway, Suite 323, Charlottesville, VA 22911

     

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  • 3.  RE: How does your primary care clinics use the PHQ2/PHQ9 screening tools?

    Posted 7 hours ago

    Previously, we included PHQ2 in our standard rooming process for all adult pts and then asked the PHQ9 if pts answered yes to either question. Recently, though, we've decided to use PH9 exclusively (because the PHQ2 doesn't screen for suicidality) and it's asked according to the care gaps (every three months for those with a depressive dx and annually for those without a depressive dx). 

    There was pushback initially about having additional question, but since they're asking it less often, the average number of questions asked per day is about the same. Providing scripting and opportunities to practice was also very important for our staff. 



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    Ashley Martin, MPH, RN, BSN
    Clinical Education Specialist
    Lower Lights Christian Health Center
    Columbus, OH
    ashley.martin@llchc.org
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  • 4.  RE: How does your primary care clinics use the PHQ2/PHQ9 screening tools?

    Posted 5 hours ago
    Cie,

    Great topic!

    Our organization has worked to improve Depression Screening processes for several years; here are our top strategies:
    • Capture at every opportunity - every visit
    • Use front office staff to assist with completion while waiting
    • Same-day clinics and urgent care locations (not all) screen adolescent populations
    PHQ-2 is used for all adults, if positive the PHQ-9 is completed
    PHQ-9: Some locations use strictly
    PHQ-A is used for adolescents

    Hope this helps!


    Thank you,

    Cindy

    Cindy Garrett, RN, MBA, BSN, AMB-BC
    VP Ambulatory Quality

    Dignity Health Medical Foundation

    Dignity HealthⓇ
    A member of CommonSpirit


    CA Region Ambulatory Quality
    CommonSpirit Health™

    530.919.5467 (mobile)

    Executive Assistant:  Lori Balcoff

    916.379.2902

    Lori.Balcoff@commonspirit.org


    Quality Assistant:  Courtney Cardenas

    Courtney.Cardenas@commonspirit.org


    DHMF CSPS Connections Page

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