Foundation Program Sites

Diabetes Care


Read our Final Report and Guidelines

Implementation Support

Checklists: The checklist translates the Bree guidelines into action steps for that sector (i.e., clinician, health delivery site, public health, etc.). The action items have been arranged into levels 1, 2, and 3 to correspond to the difficulty level of implementing the action into the sectors’ setting. Bree staff co-created the checklists with report workgroup members and topic experts.


Approximately 582,000 people in Washington (9.7% of adults), have been diagnosed with diabetes, with an estimated cost of $6.7 billion each year. According to IHME data, diabetes is the 7th leading cause of death and impaired plasma glucose is the 3rd leading cause of death and disability in Washington. At the same time, Washington state performs below the NCQA 25th percentile for blood sugar testing for people with diabetes. Additionally, there are significant disparities in diabetes diagnosis and access to medication, with Black, Latinx/Hispanic, and AIAN having a higher prevalence of diabetes, and low socioeconomic status has been associated with a lower uptake of high-cost insulin.

Read our Charter


Past Meeting Materials

Date Materials
January 2023 January Agenda
Draft Charter and Roster
February February Agenda
January Minutes
Discussion Slides
Sample Goals Spreadsheet
March March Agenda
February Minutes
Workforce Wellbeing Notes
Breakout Session Discussion Guide
April April Agenda
March Minutes
Topic Prioritization
Diabetes Discussion Slides – April
May May Agenda
April Minutes
May Interim Evidence Review Report
June June Agenda
May Minutes
June Evidence Report and Discussion Worksheet
July July Agenda
June Minutes
July Evidence Report and Discussion Worksheet
Draft Recommendations on Dental Care&Diabetes
August September Agenda
August Minutes
Draft Report and Recommendations
September September Agenda
August Minutes
Draft Report and Recommendations
October October Agenda
September Minutes
Draft Report and Recommendations
November November Agenda
October Minutes
Draft Report
December December Agenda
November Minutes
January 2024 January Agenda
December Minutes
Final Draft (not yet approved)
Read our Chart

Workgroup Chair

Name Title Organization
Norifumi Kamo, MD (chair) Section Head, Adult Primary Care Virginia Mason Medical Center