Implementation of Harmonized Depression Outcome Measures in a Health System
Implementation of Harmonized Depression Outcome Measures in a Health System
Working with a health system, the investigators will recruit practices to participate in the
 pilot study, consent and enroll patients with major depressive disorder, and collect the
 PHQ-9 from those patients at three timepoints (baseline, 6 months post-enrollment, and 12
 months post-enrollment). The PHQ-9 will be captured either at an office visit or directly
 from patients. The investigators will build and implement an open-source SMART on FHIR app to
 collect key data from the EHR, combine that data with the PHQ-9 results, and present the
 measurements back to the clinicians. The investigators will then obtain feedback from
 clinicians on the value and usefulness of the app.
The study is a longitudinal, observational pilot study that will assess the utility and value
 displaying the harmonized outcomes data to clinicians in the clinical workflow using an
 open-source, SMART on FHIR app. The app will connect with the site EHR, aggregate EHR and PRO
 data, calculate the outcome measure results, and return the results to the EHR so that they
 are viewable within the clinician workflow. Baseline data on patient characteristics,
 treatments, and symptoms will be combined with longitudinal data on outcomes during the study
 timeframe. All data will be collected from institution electronic medical records (EMRs), PRO
 portals, and other existing data sources, as needed.
Inclusion Criteria:

 -  Patients age 18 and older

 -  Diagnosis of major depression or dysthymia

 -  Willing and able to provide informed consent

 Exclusion Criteria:

 -  There are no exclusion criteria for this study.