Table 1 Structured activities of the depression QIC

A network of multidisciplinary teams

An expert team, teaching the stepped care model;

SMART goal setting, a set of indicators to monitor results and an excel worksheet;

A training for local team coordinators on breakthrough method and data collection;

Four conference days for all improvement teams for exchange and learning;

One conference day for local team coordinators for intensive exchange with the expert team;

Five meetings between local team coordinators, with the expert team present;

Team visits of experts and national project coordinators;

Telephone contact between local and national coordinators;

Written feedback on improvement reports and data charts;

A virtual network environment for exchange of best-practices, a Toolkit of instruments and treatment protocols, online discussions and links to relevant sites;

A two days training problem solving treatment for professionals;

A workshop workflow Improvement.