Accountable Payment Models

Total Knee and Total Hip Replacement Bundle and Warranty (Adopted November, 2017 Revised July, 2018)
Bariatric Surgical Bundle (Adopted November 2016)
Bariatric Surgical Warranty (Adopted November 2016)
Coronary Artery Bypass Graft Surgical Bundle (Adopted September 2015)
Coronary Artery Bypass Graft Surgical Warranty
 (Adopted September 2015)
Lumbar Fusion Surgical Bundle (Adopted September 2014)
Lumbar Fusion Warranty (Adopted September 2014)
Total Knee and Total Hip Replacement Readmission Rates in Washington State – Overall and By Hospital (Adopted October 2013)

Addiction and Dependence Treatment

Addiction and Dependence Treatment Report and Recommendations  (Adopted January 2015)

Alzheimer’s Disease and Other Dementias

Alzheimer’s Disease and Other Dementias Report and Recommendations (Adopted November 2017)

Behavioral Health Integration

Behavioral Health Integration Report and Recommendations (Adopted March 2017)

Cardiovascular Health (Cardiology)

The Bree Collaborative Cardiology Report and Recommendations (Adopted January 2013)
Appropriate Use of PCI, 2012, by hospital

End-of-Life Care

End-of-Life Care Report and Recommendations (Adopted November 2014)

Low Back Pain

The Bree Collaborative Spine and Low Back Pain Report and Recommendations
(Adopted November 2013)

Hospital Readmissions

Potentially Avoidable Hospital Readmissions Report and Recommendations
(Adopted July 2014)
Revised 30-Day Hospital Readmission Rates in Washington State – Overall and By Hospital (Adopted November 2013)


Hysterectomy Report and Recommendations (Adopted January 2018)

Obstetrics (Maternity) Care

The Bree Collaborative Obstetrics Care Report and Recommendations
(Adopted August 2012)

Oncology Care

Oncology Care Report and Recommendations (Adopted March 2016)

Opioid Prescribing

Opioid Prescribing Metrics (Adopted July 2017)
Dental Guideline on Prescribing Opioids for Acute Pain Management (Adopted September 2017) 
Prescribing Opioids for Postoperative Pain (Adopted July 2018)

Developed in partnership with the Washington Health Alliance

Provider Fact Sheet: Opioid Prescribing Guidelines
Patient Fact Sheet: Opioid Medication & Pain: What You Need to Know

Opioid Use Disorder Treatment 

Opioid Use Disorder Treatment Report and Recommendations (Adopted November 2017)

Pediatric Psychotropic Use

Pediatric Psychotropic Use Report and Recommendations (Adopted November 2016)

Prostate Cancer Screening

Prostate Cancer Screening Report and Recommendations (Adopted November 2015)


Recommending that all hospitals participate in the Spine Surgical Care and Outcomes Assessment Program (SCOAP)
Endorsing the Washington State Agency Medical Directors Group Interagency Guideline on Prescribing Opioids for Pain

Annual Reports

Annual Report, 2012
Annual Report, 2013
Annual Report, 2014
Annual Report, 2015
Annual Report, 2016
Annual Report, 2017

End of Year Reports

2016 End of Year Report
2017 End of Year Report