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Publications & News

Final Mathmatica Report (March 2017)

Mathematica Evaluation of the Institute for Clinical Systems Improvement HCIA Program.

A summary of the findings is below. See pages 85 - 112 for the full report. 

  • Many participants in ICSI’s Care of Mental, Physical and Substance Use Syndromes (COMPASS) program showed significant improvements on at least one of several measures of health status.
  • Our findings provide some preliminary evidence that the COMPASS program may have contributed to lowering rates of hospitalization and emergency department visits for participants who were enrolled in Medicare fee-for-service (FFS) systems. Future research may address this by including a comparison or control group.
  • Strong organizational leadership and physician buy-in at the partner and site levels were crucial for implementing the COMPASS program successfully.
  • Many of ICSI’s partners have sustained aspects of the COMPASS program, but the FFS payment structure has been an obstacle to sustainability.

General Hospital Psychiatry (August 2016)

The COMPASS Initiative: Implementing a Complex Integrated Care Program

This issue of General Hospital Psychiatry contains four linked articles from the COMPASS (Care Of Mental, Physical And Substance use Syndromes) Initiative [1–4], a 3-year multisite effort that builds on previous work to improve capabilities to integrate mental health services into primary care. (Editorial)

The COMPASS Initiative: Description of a Nationwide Collaborative Approach to the Care of Patients with Depression and Diabetes and/or Cardiovascular Disease

To describe a national effort to disseminate and implement an evidence-based collaborative care management model for patients with both depression and poorly controlled diabetes and/or cardiovascular disease across multiple, real-world diverse clinical practice sites.

Impact of a National Collaborative Care Initiative for Patients with Depression and Diabetes or Cardiovascular Disease

The spread of evidence-based care is an important challenge in health care. We evaluated spread of an evidence-based large-scale multisite collaborative care model for patients with depression and diabetes and/or cardiovascular disease (COMPASS).

Understanding the Experience of Care Managers and Relationship with Patient Outcomes: The COMPASS Initiative

To understand how care managers implemented COMPASS and if this was related to patient health outcomes.

Clinician Burnout and Satisfaction with Resources in Caring for Complex Patients

To describe primary care clinicians' self-reported satisfaction, burnout and barriers for treating complex patients.

Other Articles and Papers

Outreach, Monitoring Help Patients with Depression Plus Heart Disease, Diabetes
Minneapolis Star Tribune, August 28, 2016

Includes an interview with Leif Solberg, MD, of HealthPartners Institute.


Fixing Behavioral Health Care in America

2015 Kennedy Forum Issue Brief  by Jürgen Unützer


Systematic Case Review: Improving Treatment
for Complex Mental and Medical Conditions

Minnesota Physician, October 2014

Primary care clinics implementing COMPASS describe its Systematic Case Review process.


In Focus: Integrating Behavioral Health and Primary Care
Commonwealth Fund's "Quality Matters," August/September, 2014

COMPASS is highlighted in this newsletter addressing the integration of behavioral health into primary care.


Improving Primary Care, One Patient at a Time
Aligning Forces for Quality, June 2014

COMPASS is featured as a key to transforming primary care in West Michigan in this article from the Robert Wood Johnson Foundation.


Bringing Behavioral Health Care to the Front Lines
WebMD, January 2014

MD News featured COMPASS in this article, "What's Trending in 2014."

Updated 03/15/17