July 1, 2019

Developing our Maternity Bundle

Pregnancy and childbirth are life-changing, monumental experiences – for both parents and babies. This is, after all, how everyone starts out their life. All babies deserve the best start possible. But the United States is not doing all that we can. Our country has the highest maternal death rate among developed nations. More than 50,000…

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June 1, 2019

Spotlight on Current Work: Palliative Care

I often say that I’m helping to build the type of health care experience that I want. We are all going to touch this system in some way – whether giving birth, treating an illness, or getting vaccines to keep us healthy. I don’t think other industries get to be as personal and as important…

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May 1, 2019

Addressing Opioid Prescribing: Chronic Pain

The opioid epidemic was fueled by overprescribing of opioids – especially for conditions like low back pain where treatment with opioids is not best practice. Our Opioid Prescribing workgroup is focused on supporting people who have been prescribed chronic opioids – meaning prescriptions for more than 60 days. Our approach will be patient-centered and based…

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April 16, 2019

Help Us Choose New Topics for 2020

Every year we select new topic areas. This is a chance to look back at our previous work and to think about how we can continue improve health care quality, outcomes, and affordability in our community. Do you have suggestions of new topic areas for us? We want to hear from you! Email me at…

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April 1, 2019

Celebrating Public Health 

The first week of April marks public health week. This year’s theme is For science. For action. For health. Most of us who work in the health care field deal with clinical care – those important interactions that help each of us remain healthy and deal with problems when they come up. Public health focuses…

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March 1, 2019

Shared Decision Making: Plans for 2019

When I talk with my doctors about my health and especially about my daughter’s health, I want and expect them to be respectful, base what they say in available evidence, and to help me understand the pros and cons of any decisions. Lucky for us we live in Washington State where our Health Care Authority…

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February 1, 2019

Introducing our Revised Lumbar Fusion Bundled Payment Model and Warranty

For the past year, our Accountable Payment Models workgroup has been reviewing evidence, hearing from community members, and revising our Lumbar Fusion Bundled Payment Model and Warranty. At our recent Bree Collaborative January meeting, members voted to adopt the bundle and warranty. Our goal in this revision was to respond to changes in the evidence…

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January 1, 2019

New Year, New Perspectives

The final comic strip of Calvin and Hobbes speaks to the understated genius of author Bill Watterson. Calvin and the tiger Hobbes are walking in a waist-deep field of snow discussing how “the world looks brand new…like having a big sheet of white paper to draw on.” Calvin turns to Hobbes and says “It’s a…

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December 1, 2018

Behavioral Health, Equity, and Opioid Prescribing: Looking Back at 2018

Our average life expectancy in America has declined again, as it has done for the past few years. The Centers for Disease Control and Prevention recently released data showing that this trend is largely driven by increases in deaths by suicide and drug overdose. These two areas have been key parts of our work over…

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