Our action items here at the Bree Collaborative are assignments to which we hold ourselves accountable. We make sure to write these down in our minutes and again over many many emails. Our action items for the rest of 2019 involve planning for implementation – including the March 17th conference, working with our pilot group of primary care clinics and the broader community to integrate behavioral health, our community assessment, and on moving the health care system to value – as well finishing our 2019 recommendations and planning for our 2020 workgroups.

As we head into the holiday season, we have action items for you!

  • – Send us your public comments on our maternity bundle and the risk of violence to others recommendations
  • – Be an implementation partner as we move to integrate behavioral health into primary care into 2020 and 2021 and support a shift from paying for volume to paying for value
  • – Help us make sure that we understand the different sides of our topics for 2020 and that we are building representative, knowledgeable workgroups.


Public comment on our draft Maternity Bundled Payment Model and Risk of Violence to Others Recommendations

Our workgroups have been working diligently since January to develop evidence-based recommendations for maternity care and for those who may be at a risk of violence to others. We have heard clearly that these issues are important to our community and we want to make sure that we are moving our whole health care system forward.

We know that pregnancy and childbirth are life-changing, monumental experiences that greatly impact the gestational parent and form the basis for a child’s future. We have spent the last eleven months drafting a payment model that includes prenatal care, labor and delivery, and postpartum care along with clinical components for internal quality tracking and performance metrics and now want to hear from you.

Action Item: Please read the Maternity Bundle here and take our survey here: www.surveymonkey.com/r/ob-bundle.

We also know that providers can assess and monitor an individual’s risk factors for violence and use clinical decision-making aimed to mitigate risk of violence, but cannot predict violent acts with certainty. Our workgroup has developed recommendations to balance high-quality patient care and the patient’s right to and expectation of confidentiality and of care in the least restrictive environment with mental health professionals’ position to take measures to protect non-patient third parties in certain circumstances.

Action Item: Please read the Risk of Violence to Others recommendations here and take our survey here: www.surveymonkey.com/r/risk-violence-others.

We estimate that the surveys will take 5-10 minutes to complete. Our workgroups will review all comments before submitting a final draft report for review and approval by the Bree Collaborative. The deadline for feedback is 5pm Friday, December 27th. For more information or to give additional feedback, please contact Ginny Weir, Director of the Bree Collaborative at GWeir@qualityhealth.org or (206) 204-7377 or visit www.breecollaborative.org


Action Item: Save the Dates!  As part of our work to implement our recommendations, we will be hosting monthly webinars around behavioral health integration.  We will also be holding an Implementation Summit on March 17th at the SeaTac Airport Conference Center. Let me know if you would like more information.Our first round of webinars will focus on the four guidelines that our pilot group will be focusing on in 2020 and 2021.  Listen in to get an overview of each guideline, learn about available implementation resources, and hear stories from our partners who have had success with implementing these guidelines into their practice.

  • – Jan 29: Behavioral Health Integration Webinar
  • – Feb 26: Suicide Care Webinar
  • – March 17: Implementation Summit
  • – March 25: Addiction and Dependence Treatment Webinar
  • – April 22: Opioid Use Disorder Webinar


Action Item: Tell us what other topics would be relevant to your work as we determine webinar content for the rest of 2020.

Workgroups for 2020

Our topics for 2020 are to develop evidence-based standards for primary care, for colorectal cancer, for chemotherapy and emergency department or other inpatient care, and for sexual and reproductive health services for people of color, immigrants and refugees, victims and survivors of violence, and people with disabilities as outlined in Senate Bill 5602.

Action Item: Would you like to share your personal experience in any of these areas? Do you have insight into examples of where health care delivery has been excellent or needs improvement? Come join our conversation – all of the meetings will be open to the public and we want to hear from you.

Ginny Weir, MPH
Director, Bree Collaborative