Perinatal Behavioral Health Dashboard Launch

Beacon, June 2nd 2025

In 2022, the Bree Collaborative began developing strategies, tools and methodologies for the evaluation of our guidelines. In 2023, we determine that, because of the data available in the Bree sister program – OB COAP, our Perinatal Behavioral Health report was a good candidate for a state-wide evaluation. This month the Bree Collaborative has released it’s first dashboard to measure progress on the implementation and outcomes of our 2023 Perinatal Behavioral Health report. These dashboards measure process improvement among those organizations that have reported to the Bree. Organizations participating in this data collection effort were asked to report their current state of care for 2024.

There are currently four audience types that we have created dashboards for: health plans, outpatient settings, hospitals, and employers. We have not yet had reports at the provider level from perinatal care providers, pediatricians, or state agencies. The processes that dashboard measures are items such as improved coverage, provider and patient education, care team and network improvements, and increased and expanded metrics.

The outcome measures on this dashboard are collected from OB COAP and include selected hospitals and midwives in the Community Birth Data Registry (CBDR). These data can be influenced by implementation in state agencies, employers, hospital administration, and health plans which create indirect changes to the care that providers, care teams, pediatricians and other direct care audiences are able to provide. The registry collects information on patients insurance coverage and some birthing hospital processes such as screening. More information about which hospitals participate in OB COAP can be found HERE.

As our guidelines are spread throughout the health car Eco-system, we expect to see improvements across all patient care organizations (hospitals, midwives, etc.), either from direct implementation of our guidelines, or indirect influence from other organizations (health plans, HCA, etc.) that have implemented them.

How to find the dashboards on our website

Under the Bree Guidelines tab, click on Behavioral Health. Scroll down to Perinatal Behavioral Health and click on the Metrics and Evaluation Tools tab. A button for the dashboards is at the end of this section.

Alternatively, under the Evaluations tab, click on Dashboards and Reports. Under the Dashboards by Topic area, you will find a link to our new Behavioral Health dashboards page.

What’s next?

Over the next three and a half years, we would like to improve the validity of these dashboards to include organizations across Washington state. To that end, we are encouraging all organizations and audience types involved in perinatal health and pediatric health to use our score cards to report on their processes and be included in this dashboard. In 2027, the Bree will request data again from OB COAP along with metrics for 2024 and 2027 for those organizations that have reported their process measures but do not participate in OB COAP. We hope that this will provide us with a 4-year look at how our guidelines have helped change behavioral health care for birthing people in Washington State.

We invite you to join us on our quest to demonstrate that collaboration is the key to improving health care.

Karie A Nicholas, M.A., G.C., G.Dip. (she/her/hers), Evaluation and Measurements Manager, The Foundation for Health Care Quality