COMPASS+ Initiative

COMPASS-PLUS stands for Collaborative Care Model for Perinatal Wellness Support Services – Population-level Equity-Centered Solutions.

COMPASS+ is a grant-funded initiative that is trying to implement the perinatal collaborative care model in 6 perinatal clinics throughout Rhode Island, with an emphasis on health equity. The work of COMPASS+ is informed by a community action and advisory board.

Aims of COMPASS+

  1. Evaluate the effect of COMPASS+ on depression symptom severity and rate of depression response and remission.
  2. To adapt, optimize, and evaluate COMPASS+ implementation strategies to the unique context of perinatal care and evaluate implementation outcomes
  3. Identify the effect of COMPASS+ on perinatal depression and implementation outcomes across racial and ethnic subgroups.

6 participating sites

  • CNE MG OBGYN Warwick
  • CNE MG Women's Care
  • Obstetrics and Gynecology Care Center at Women and Infants Hospital
  • Providence Community Health Center - Central
  • Providence Community Health Center - Prairie
  • Lifespan Center for OBGYN

Learn about Compass+’s Collaboration with RI COMSS

RI COMSS seeks to address the social determinants of health needs of pregnant patients and their families.

Learn about RI COMSS

Process

The COMPASS+ team collaborated with Care Transformation Collaborative of RI (CTC-RI)- to provide monthly practice facilitation to all sites prior to the integration of the care manager. The purpose of the practice facilitation meetings was to implement screening for depression and anxiety at every trimester and at the post-partum visit, in alignment with American College Of Obstetricians and Gynecologists recommendations, utilizing the PHQ9 and GAD-7.

Every 6 months, 1 site is randomly chosen to begin implementation of the perinatal collaborative care model. Clinical outcome data from the electronic medical record is collected before, during, and after integration of the care manager.

The perinatal collaborative care diagram depicts a care manger in the middle. There are three bidirectional arrows stemming from the care manager: one to an obstetric clinician, one to a pregnant patient, and one to a perinatal psychiatrist. There is also a bidirectional arrow connecting the obstetric clinician and the patient, representing mutual communication. There are also arrows connecting the obstetric clinician and patient to the psychiatrist who assists in modifying the patient’s treatment plan. In the top right corner, there is an image of a graph that represents the patient registry that the care manger utilizes to track patient’s symptoms. On the bottom right corner, there are icons of the obstetric provider, psychiatrist, and care manger labeled weekly team meeting. These three members participate in weekly team meetings to review the care manager’s caseload and patients needed adjustments to their treatment plans.