Implementation of a Clinical Decision Support Tool for Postpartum Depression

Implementation of a Clinical Decision Support Tool for Postpartum Depression

This study will evaluate the use of an automated process in the electronic health record (EHR) that will help providers to detect patients at risk of developing postpartum depression (PPD).

The goal of this randomized clinical trial is to assess the implementation of a clinical decision support (CDS) tool. The tool is designed to assist providers in managing patients at risk of developing of postpartum depression.

Investigators hypothesize that this tool will be acceptable and feasible for use and improve the use of mental health services for postpartum depression.

Patients in the control arm will receive usual care, while those in the intervention arm will receive CDS.

Clinicians will manage patients per usual care, including initiating PPD preventive such as conducting referrals to nutrition and behavioral health, suggest educational readings through patient portals, or no actions. Clinicians in the intervention arm will refer patients based on the CDS.

Inclusion Criteria:

• 18 years or older
• being seen at one of participating clinics
• pregnancy at 20 week gestation or more

Exclusion Criteria:

• Does not speak inclusion
• does not have internet access

Clinician eligibility:

• If they manage patients in the three clinics as a board-certified OBGYN clinician.
• No exclusion criteria apply for clinician based on their knowledge and experience in treating PPD