Rates of Follow-up After a Diagnosis of Depression Show Substantial Room for Improvement

September 22, 2020

MNCM releases its Depression Care in Minnesota: Adults and Adolescents report

MN Community Measurement, an independent nonprofit organization that empowers health care decision makers with meaningful data to drive improvement, has released a new report on outcomes for treatment of depression in Minnesota.

The Depression Care in Minnesota: Adults and Adolescents  report includes new measures of depression outcomes for adolescents, as well as updated data for adults. An appendix to the report includes detailed quality information for 112 medical groups and 734 clinics in Minnesota and neighboring states.

The data in the report were collected in early 2020, and reflect care received in 2019. Measures of depression care include how often patients who are diagnosed with depression receive follow-up care, the percentage of patients who show improvement (response to treatment), and the percentage of patients whose depression is in remission. Because of technical changes to the measure, the depression outcomes measures included in this report are not comparable to prior years.

Depression is a very common condition that has historically been underdiagnosed and undertreated. Nationally, about 15.7 percent of adolescents aged 12 to 17 and 7.8 percent of adults had a major depressive episode in 2019.

“Because depression has such a big impact on people’s lives, it’s important to understand how well our health care system is doing at helping people get better,” said Julie Sonier, MN Community Measurement President and CEO. “We still see wide variation in outcomes, and substantial room for overall improvement. That’s particularly important now, as we know many more people are experiencing symptoms of depression in today’s extraordinary circumstances.”

Recent federal survey data suggest that as many as 25 percent of American adults were experiencing symptoms of depression in mid-2020, compared to about 7 percent in 2019.

Here are some report highlights:

• For both adolescents and adults, rates of follow-up after a diagnosis of depression show substantial room for improvement. For example, only 48.5 percent of adults and 43.4 percent of adolescents were re-assessed after six months.

• Average rates of depression response and remission are low but some health care providers achieve results that are well above expected rates after accounting for differences in the characteristics of their patient populations. As an example, 19.4 percent of adults and 15.5 percent of adolescents showed improvement (response) after six months. Medical groups with the highest risk-adjusted performance on this measure achieved rates that were 1.78 times expected results for adults (Westfields Hospital and Clinic) and 1.84 times the expected rate for adolescents (Mankato Clinic, Ltd.).

• Use of screening tools and standardized tools for diagnosing depression is high. Nearly 90 percent of adolescents who had well-child visits in 2019 were screened for mental health and/or depression, and nearly 80 percent of adults and adolescents who were diagnosed with depression completed a standardized tool as part of their diagnosis.

Importance of Measurement

Measuring and reporting on health care quality is important because it helps consumers know how care varies across providers, and it helps providers to understand how their results compare to others and where their biggest improvement opportunities are. Measuring and reporting also help health plans and other purchasers better understand and improve value for money that is spent on health care.

“Minnesota is really unique in the nation in the capabilities we’ve built to measure and report on health care outcomes,” said Sonier. “The measures we track are important tools for getting better health outcomes. There continues to be wide variation in outcomes for depression care, which shows that there is still a lot of opportunity for improvement.”

Depression Care Resources

The National Alliance on Mental Illness in Minnesota has various resources for mental health support. Visit https://namimn.org/support/resources/ to learn more.

For suicide prevention, awareness and support, visit https://namimn.org/education-public-awareness/suicide-prevention/ or call 1-800-273-8255.


Posted in Press Release

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October 20, 2026
MINNEAPOLIS, Minn. — October 20, 2026 — MN Community Measurement (MNCM) today announced that it has completed its acquisition of Koble-MN's health information exchange (HIE) business line and the MNSHINE brand from The Koble Group. On November 1, MNCM will officially change its legal name to Minnesota Statewide Health Information Network and Exchange, known as MNSHINE. The transition follows a special joint meeting of MNCM's Board of Directors and members on October 12, at which the Board unanimously approved resolutions authorizing the acquisition, changing the organization's legal name, and establishing a new HIE Advisory Committee. Members unanimously adopted the name change and related amendments to the organization's Articles of Incorporation and Bylaws. An intentional decision to collaborate The transition is the result of an intentional decision by Minnesota health care leaders to collaborate on a health data landscape that makes sense: one that reduces redundancy, increases efficiency, and delivers needed information to those with legal authorization to receive it, where and when it is needed, without unnecessary administrative barriers. "This is not simply a merger of services. It is a deliberate choice to build the kind of health data infrastructure Minnesota deserves," said Liz Cinqueonce, President and CEO of MNCM. "For too long, organizations across our state have had to navigate duplicative systems and disconnected data. By bringing measurement and exchange together, we can reduce that burden and make sure the right information reaches the right people at the right time, with patient privacy protections firmly in place, so they can focus on improving care." The effort builds on months of work by the Executive Leadership Council, convened earlier this year by MNCM, the Minnesota Electronic Health Records Consortium, and Koble to explore how a sustainable, statewide health data utility could serve the public interest. "Minnesota is at its best when we take on difficult challenges together and align on solutions," said Mark Steffen, MD, Chair of the MNCM Board of Directors. "The Board's unanimous support reflects a shared conviction that our future depends on organizations keeping their unique strengths and missions while participating in shared infrastructure and governance. That balance is what enables greater coordination, transparency, efficiency, and impact." A trusted backbone for Minnesota's health data Minnesota's future health data ecosystem is one in which organizations retain their unique strengths and missions while participating in shared infrastructure and governance. The vision for MNSHINE is to become the health data utility, governed in the public interest with strong privacy protections and transparency, that serves as the trusted backbone connecting these efforts, ensuring data can be used more effectively to improve health, wellbeing, and outcomes for all Minnesotans. By bringing the measurement of health care quality, cost, and utilization together with the infrastructure that moves clinical data between organizations, MNSHINE will be positioned to support providers, payers, public health, researchers, policymakers, and communities alike, each within the limits of applicable law and participant agreements. The goal is healthier people, stronger communities, greater equity, better public decisions, smarter investments, and a health system that learns continuously. Continuity for HIE participants HIE services will continue without interruption. To ensure continuity of leadership and relationships, Chad Peterson, CEO of The Koble Group, has joined MNCM as Senior Vice President of HIE Services. “For HIE participants, this transition opens new possibilities,” said Peterson. “When exchange and measurement are guided by one mission, we can reduce duplication for providers and better support care coordination, while holding firm to the privacy protections patients expect. I’m proud to help lead that work, and I’m committed to making sure every participant feels supported as we grow.” MNCM has also established the HIE Advisory Committee as a standing committee of its Board of Directors. The committee continues the work of the Koble-MN Advisory Committee and will advise the Board on interoperability, participant relationships, privacy, security, data governance, and health equity. 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