December 2, 2016

Patient Reported Outcomes: The Missing Link for Value-Based Care

Doctors and other health care providers take many types of measurements – between vital signs, screenings, lab tests, and x-rays, it can seem like things are constantly being measured. However, there’s one significant measurement that is often missing from the picture: the patient reported outcome. Hiding in plain sight, this is information that can only…

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November 1, 2016

What Is Fee-For-Service?

Most of us see our doctors in a fee-for-service system – this is where doctors and hospitals charge fees for each separate service they provide. Office visits, tests, procedures, and even microtasks like individual screenings can be billed separately. One major drawback to fee-for-service is rewarding quantity over quality. This type of payment model can…

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October 5, 2016

Participate in Our Work – Public Comments

Getting feedback from our community is an important part of how we develop recommendations. We want to make sure that our recommendations make sense; are reasonable for patients, health care providers, clinics, hospitals, health plans, and others; are based in the best available evidence; but still push our health care system toward higher quality and…

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September 23, 2016

Looking to 2017

On Wednesday, Bree Collaborative members voted on our work for 2017. Along with re-reviewing our Total Knee and Total Hip Replacement Bundle and Warranty our members elected to create workgroups and develop evidence-based recommendations for: – Alzheimer’s Disease and Other Dementias – Hysterectomy – Opioid Use Disorder Treatment Thank you to the many community members who…

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September 6, 2016

Surveying Our Community

Since we formed in 2011, we have made recommendations, such as having goals of care conversations as a regular part of oncology care, for improving quality and value for patients in our State’s health care system. Some of these recommendations have been formally adopted into contracts.  See last month’s blog post: From Concept to Contracting:…

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August 15, 2016

Selecting New Topics for 2017

Thank you to all who gave us input on selecting new topics. We discussed all these suggestions at our July meeting, decided on six, and will narrow this down to three final topics in September. The topics coming out of July’s meeting are: – Alzheimer’s Disease and Dementia – Addiction – Blood and Blood Product…

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July 5, 2016

Why Value-Based Purchasing?

We think of value-based purchasing as a philosophy pushing our health care system to provide better care at a lower cost to help us all live healthier lives. Most of the health care that we receive today is fee-for-service, where clinicians, hospitals, and others are payed for the number of services they provide. Across the…

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June 1, 2016

Looking Back, Looking Forward

Every year our members select three new topics and each year we also spend time reflecting on our previous work, our successes, and how we can improve. This year we will be asking our members to reflect on the Bree Collaborative and would also like to hear from you! Please take a moment to fill…

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May 3, 2016

Integrating Behavioral Health

Behavioral health integration is a hot topic across the country and especially in Washington State. We were recently ranked 48th in the nation by Mental Health America’s 2015 report Parity or Disparity: The State of Mental Health in America – meaning that we have many people with mental illness but low rates of access to care….

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