Planning integrated depression care for Medicare enrollees in primary, disability, and specialty care settings

The Foundation's program, Depression in Primary Care: Linking Clinical and System Strategies, was designed to increase the use of effective treatment models in primary care settings for patients with depression.The purpose of this project is to build upon the existing partnership between the University of Michigan Health System (UMHS) and Ford Motor Company that created Partnership Health, an innovative hybrid fee-for-service health plan. The demonstration project will be conducted in two health plans closely linked to each of the partners, Partnership Health and M-Care, and will include patients receiving both primary and specialty care within the University of Michigan Faculty Group Practice. The primary objective is to align clinical processes and economic incentives to enable coordinated best practice treatment of depression across primary care, specialty care, and disability management settings. By the end of this project, the partnership will have implemented a single set of clinical processes for use across all health plans that will: (1) provide care management services matched to level of depression severity; (2) provide ongoing disease monitoring and clinician feedback at the individual patient level; (3) provide the Clinical Information System infrastructure to facilitate disease monitoring and clinical communication; (4) directly reimburse clinicians for care coordination activities; and (5) enable integration of disability management and disease management activities. For this project, UMHS has brought together evidence-based disease management, case management, and information management tools developed for Partnership Health, and has created the new Michigan Depression Outreach Collaborative Care program to integrate all components of the chronic illness care model for depression. The demonstration project is designed to demonstrate that program operation can be self-sustaining, funded by savings in direct health care and disability management costs through gain-sharing arrangements among purchaser, plan, and provider.

Grant Details

Amount Awarded $549,863.00

Awarded on: 4/1/2003

Time frame: 4/1/2003 - 6/30/2006

Grant Number: 48171


University of Michigan Medical School

Medical Science Building I
1301 Catherine Road
Ann Arbor, 48109-0624


Michael S. Klinkman
Project Director