February 28, 2017

What Is Public Health and Why Is It Essential

At the Bree Collaborative we talk a lot about health care procedures that we don’t need – that don’t make us any healthier and may in fact hurt us. A recent Atlantic article on the epidemic of unnecessary treatment, When Evidence Says No, but Doctors Say Yes, is an excellent study of overused treatments and…

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February 1, 2017

Seeing Our Shadow: Groundhog Day and Health Care Reform

One of my favorite movies is Groundhog Day. Bill Murray is hilarious and thought-provoking as a weatherman cursed to re-live February second over and over until he can learn to be a better person. Perhaps this is a lesson for all of us in self-improvement, paying attention to our community, colleagues, and neighbors, and making…

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January 9, 2017

The Washington Health Alliance and The Dr. Robert Bree Collaborative issue call to action to fight opioid misuse

Opioid addiction is driving the drug overdoses which are claiming too many lives in the US. In 2015 alone, 718 people in Washington state died from opioid-related overdoses. The epidemic is growing quickly, devastating Washington families and communities. There are many factors driving this crisis and nobody can solve it alone. Together the Washington Health…

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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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