Working together to improve health care quality, outcomes, affordability, and equity.
Bree Collaborative reaffirms Primary Care Report and Guidelines!
In March 2026, Bree Collaborative members reaffirmed our Primary Care report and guidelines. The report, originally written in 2020, highlights the must have and strongly encouraged elements for high quality primary care, as well as guidelines for health plans and healthcare purchasers.
Access to primary care is a function of multiple factors and circumstances, including but not limited to provider supply, insurance coverage, and geographic barriers. Primary care practices report a decline in access since the COVID-19 pandemic, but at the same time highlighted improvement in meeting must-have elements such as behavioral health integration and screening for social needs. (Mackwood et al., 2025) As the healthcare landscape continues to evolve, maintaining a clear definition of primary care and its core components is essential. A shared understanding of high‑quality primary care supports alignment across partners in the Washington healthcare ecosystem and helps ensure access to systems, providers, and healthcare teams equipped to deliver comprehensive, effective care.
Read the reaffirmed guidelines HERE, and the archived full 2020 report HERE.
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Blood Pressure Screening and Control, First Episode Psychosis, and Surgical Patient Optimization Now Published!
The Bree Collaborative has approved the final versions of their reports on Blood Pressure Screening and Control, First Episode Psychosis and Surgical Patient Optimization: Glycemic Control and Anemia! The Bree thanks all workgroup members who provided invaluable expertise and volunteered their time to make these reports and reality. Stay posted for upcoming events exploring these reports in more detail!
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Request to Submit Data on Perinatal Behavioral Health work!
The Perinatal Behavioral Health work group is interested in collecting baseline process data for 2024. Data can be submitted throughout 2025. If your organization is using or is planning on using the Bree guidelines for work on Perinatal Behavioral Health, we would like to invite you to participate in our baseline data collection effort. We will collect this data using a self-attestation score card method. Score Cards can be found HERE . Simply fill out the score card and send it to Karie Nicholas at karie.nicholas@qualityhealth.org.
We have worked on: Obstetrics – Cardiology – Hospital Readmissions – Total Knee and Total Hip Replacement – Spine Surgery – Low Back Pain Lumbar Fusion – End-of-Life Care – Addiction and Dependence Treatment – Coronary Artery Bypass Surgery – Prostate Cancer Screening – Oncology Care – Opioid Prescribing – Pediatric Psychotropic Use – Bariatric Surgery – Behavioral Health Integration – Opioid Use Disorder – Alzheimer’s Disease and Other Dementias – Hysterectomy – Suicide Care – Collaborative Care for Chronic Pain – LGBTQ Health Care – Shared Decision Making – Maternity Bundled Payment Model – Palliative Care – Risk of Violence to Others – Oncology Care: Inpatient Service Use – Colorectal Cancer Screening – Primary Care – Reproductive and Sexual Health – Telehealth – Opioids and Older Adults – Cervical Cancer Screening – Social Determinants of Health
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