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BREE
ROBERT&BREE&COLLABORATIVE
VISION&&&MISSIONTo#provide#a#mechanism#through#which#public#and#private#health#care#stakeholders#can#work#together#to#improve#quality,#health#outcomes,#and#cost#effec;veness#of#care#in#
Washington#State.PURP
OSE
Increase&the&use&of&evidence@based&pracCces&by:Goals#for#appropriate#u;liza;on;
PeerDtoDpeer#consulta;on;Provider#feedback#reports;Use#of#pa;ent#decision#aids;
Incen;ves#for#the#appropriate#use#of#health#services;Centers#of#Excellence#or#other#provider#qualifica;on#standards;
Quality#improvement#systems;#and#Service#u;liza;on#or#outcome#repor;ng.
STRA
TEGIC&GOALS
IMPR
OVE
MEN
T&AC
TIVITIES
SPINE&/&LOW&BACK&PAINPa;ent#outcomes
Inappropriate/unnecessary#care
OBSTETRICS&CAREPa;ent#outcomes
Varia;on
CARDIOLOGY&PCIData#collec;on/repor;ng
POTENTIALLY&AVOIDABLE&READMISSIONSReadmissions
ACCOUNTABLE&PAYMENT&MODELS&(THR/TKR)Pa;ent#safety
General#care/quality#improvement:#inappropriate#careCost#reduc;on
END&OF&LIFE&/&ADVANCED&PLANNINGCost#reduc;on
BREE&IMPLEMENTATION&TEAM&(BIT)General#care/quality#improvement
ADDICTION&/&DEPENDENCE&TREATMENTEvidenceDbased#prac;ce
Varia;on
BREE
No#formal#partnerships
Workgroup#includes#PSHA,)WSMA/WSMGMA,#King#County,#Costco,#Overlake#Hospital,#Virginia#Mason,#Providence,#Qualis#Health,#Regence,#and#Premera
HCAHealth#plansPurchasersProviders
Developing#a#"common#playbook"#for#episodes#of#care.#The#first#episode#selected#was#total#knee#and#total#hip#replacement#(TKR/THP).#Team#has#developed#both#a#TKR/THP#warranty#and#bundle#document#through#an#evidenceMbased#process#and#public#comment#period.
ACCO
UNTA
BLE
PAYM
ENT)MODELS Hold#providers#
accountable#for#ensuring#that#TKR/THP#care#is#safe,#highMquality,#appropriate,#and#affordable#
DESCRIPTION AUDIENCE PARTNERS OUTCOMESSP
INE)/)LO
W)BAC
K)PA
IN FHCQ#(Spine#SCOAP)
Workgroup#includes#Regence,#Virginia#Mason,#L&I,#Group#Health,#First#Choice#Health,#and#EvereW#Clinic
HCAHospitalsClinicsProvidersDOHL&IPurchasersHealth#plans
Improving#outcomes#for#low#back#pain#(LBP)#paYents#through#two#acYviYes:#developing#recommendaYons#for#prevenYng#the#transiYon#of#acute#pain#to#chronic#pain#and#recommending#that#all#hospitals#parYcipate#in#the#Spine#SCOAP#to#improve#surgical#outcomes#for#chronic#LBP#paYents.
Improve#outcomes#for#acute#and#chronic#LBP#paYents#
Reduce#unnecessary#inappropriate,#costly#care
No#formal#partnerships,#but#significant#involvement#with#WSHA#on#toolkit
Workgroup#includes#PSHA,#Qualis#Health,#and#Virginia#Mason
HCAHospitalsClinicsProvidersPurchasersPaYents
Pursuing#three#strategies:M#Alignment#with#exisYng#efforts#to#reduce#readmission#ratesM#Measurement,#transparency#and#reporYngM#Accountable#payment#models#Also#focusing#on#WSHA#Toolkit#and#the#availability#of#unblinded#30Mday,#allMcause#readmission#data.
POTE
NTIALLY)AV
OIDABL
ERE
ADMISSIONS
Reduce#readmission#rates
No#formal#partnershipsHospitalsProvidersHCA/MedicaidDOHPEBBPurchasersHealth#plans
IdenYfying#areas#in#which#OB#pracYce#variaYon#can#be#reduced#and#outcomes#improved#through#three#strategies:M#Eliminate#elecYve#deliveries#before#the#39th#weekM#Decrease#elecYve#inducYons#of#labor#between#39#and#41#weeksM#Decrease#unsupported#variaYon#among#hospitals#in#the#primary##CMsecYon#rate
OBS
TETR
ICS)CA
RE
Improve#outcomes#in#obstetrics#care#
Reduce#unsupported#variaYon#in#provider#pracYces
FHCQ#(COAP)HospitalsProvidersHCA/othersHealth#plans
Helping#document#and#disclose#data#to#determine#appropriateness#of#percutaneous#coronary#intervenYons#(PCI)#in#nonMacute#cases.#
PCI
Improve#data#documentaYon#to#determine#appropriate#PCI#care
BREE
To#be#determined;#workgroup#to#be#
convened
HCA
Health#plans
Purchasers
Providers
Convening#an#End#of#Life#(EOL)#
workgroup#focused#on#the#intensity#
of#services#at#the#end#of#life.#Report#
and#recommendaEons#expected#in#
June#2014.
END&OF&LIFE&/&
ADVA
NCE
D&PLA
NNING Reduce#cost#of#care
Promote#greater#
implementaEon#of#
advanced#planning#
for#paEents#so#that#
care#is#carried#out#in#
accordance#with#
paEent#wishes.
DESCRIPTION AUDIENCE PARTNERS OUTCOMES
BREE
&IMPL
EMEN
TATION
TEAM&(B
IT)
No#formal#partnerships
Workgroup#includes#FHCQ,&HCA,&PSHA,&WSHA,&Sport#ReacEon#Center,#Public#HealthPSeaQle#and#King#
County,#University#of#Washington,#
Governor's#Office,#Carpenters#Trusts#
of#Western#Washington,#Regence,#
Mercer,#Coordinated#Care,#and#
Point#B#
Health#plans
Purchasers
Providers
Designing#and#implemenEng#
strategies#to#achieve#the#
recommendaEons#developed#by#the#
CollaboraEve#topic#area#workgroups.#
ImplemenEng#the#evaluaEon#
framework#developed#by#
workgroups,#including#intended#
outcomes,#targets,#metrics#and#data#
collecEon#for#recommendaEons.
Design#strategies#
that#encourage#
stakeholders#to#
implement#the#
recommendaEons#
by#topic#area#
workgroups
To#be#determined;#workgroup#to#be#
convened
HCA
Health#plans
Providers
Purchasers
Convening#an#AddicEon/
Dependence#Treatment#workgroup#
focused#on#the#management#of#
chronic#pain/opioids#and#treatment#
opEons.
ADDICTION&/&DEP
ENDEN
CE&
TREA
TMEN
T
Define#evidenceP
based#standards#for#
treatment#and#
payment
Decrease#variability#
in#treatment
Increase#diagnosis