Overview:
Welcome to our Bree Report and Guidelines page. Every year we choose health care services with variation in the how care is delivered, with frequent use but no impact on a person’s health, or with a patient safety or equity issue. Below is a list of all Bree reports published as of date. Please click on the report topic to learn more about the report and access the full report. The report topics are organized into different categories that align with the report’s topic of focus. The reports are listed alphabetically by category. To be directed to our Implementation Guide, please click on the category to be redirected to that page.
Definitions
- Bree Report: a multipage document on health care service identified by Bree members as needing improvement that provides information and guidelines for actions different audiences can take within the health care ecosystem (e.g., health delivery sites, health plans, purchasers) to improve the health of that chosen report topic.
- Bree Collaborative Guideline (also known as recommendation in earlier reports): actions to be taken to improve health care for a specific health care service.
- Example: “Develop an asthma management plan that includes education, trigger mitigation, and medication management.” (Bree Collaborative Pediatric Asthma Report, pg. 8)
Report Management
The Bree Collaborative has a rich history of publishing evidence-informed collective action reports and guidelines to improve the quality of healthcare delivery in our communities. Since 2011, we’ve published over 40 reports on a variety of topics from Shared Decision-Making to Alzheimer’s Disease and Other Dementias, all with the goal of leveraging the payment to delivery pipeline.
As the Collaborative expands our work in implementation and evaluation of these guidelines into practice, we aim to communicate to our external partners which reports use up-to-date evidence and reflect current and promising best practices. To do this, the Collaborative adopted a categorization method described below:
- Active: all reports under 5 years old will automatically be considered External partners should expect to undertake active implementation and evaluation efforts to improve quality of care delivered for those topics. Topics over 5 years old that are reaffirmed by a majority vote of the Bree Collaborative should have the same expectation from external partners.
- Needs Review: All reports 5 years old and over will be considered as potentially needing review. External partners should use guidelines in the report after reviewing for accuracy and alignment with most updated recommendations.
- Inactive: Reports that the Bree Collaborative has voted to inactivate. These reports and guidelines no longer reflect current evidence-based practice, or are no longer relevant to the current healthcare landscape in Washington. They will still be accessible for historical purposes on our website. External partners should not expect to utilize them in their quality improvement work.
