{"id":44,"date":"2018-12-26T18:11:24","date_gmt":"2018-12-26T18:11:24","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=44"},"modified":"2026-03-26T10:42:55","modified_gmt":"2026-03-26T17:42:55","slug":"home","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/","title":{"rendered":"Home"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row&#8221; equal_height=&#8221;yes&#8221; parallax=&#8221;content-moving&#8221; parallax_speed_bg=&#8221;1.2&#8243; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1549904936952{background-image: url(https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/12\/Front-Page-edited-1.jpg?id=6133) !important;background-position: center;background-repeat: no-repeat;background-size:contain;}&#8221;][vc_column][vc_empty_space height=&#8221;200px&#8221;][vc_column_text]<\/p>\n<h1><span style=\"font-size: 36px\">Bree Collaborative<\/span><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1564158641489{margin-top: 10px !important;}&#8221;][vc_column][vc_column_text css=&#8221;.vc_custom_1608664033791{border-radius: 0px !important;}&#8221;]<\/p>\n<h2 style=\"text-align: center\"><span style=\"color: #008080;font-family: arial, helvetica, sans-serif;font-size: 28px\">Working together to improve health care quality, outcomes, affordability, and equity.\u00a0<\/span><\/h2>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; overlay_dotted=&#8221;&#8221;][vc_column width=&#8221;1\/3&#8243; text_alignment=&#8221;text-center&#8221; css=&#8221;.vc_custom_1705958986141{padding-top: 30px !important;padding-right: 0px !important;padding-bottom: 30px !important;padding-left: 0px !important;background: #b2b2b2 url(https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/reports1.png?id=72903) !important;}&#8221;][vc_empty_space height=&#8221;28px&#8221;][vc_column_text css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/our-guidelines\/\" target=\"_blank\" class=\"csgve-btn  csgve-btn-69d9b76cde5f1\">Read Our Reports<\/a><\/p>\n<div class=\"csgve-btn-group  csgve-main-btn-69d9b76cde61a\">\n              <a href=\"https:\/\/www.qualityhealth.org\/bree\/public-comment\/\"  class=\"csgve-btn\">Public Comment<\/a>\n            <\/div>\u00a0[\/vc_column_text][vc_empty_space height=&#8221;28px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; text_alignment=&#8221;text-center&#8221; css=&#8221;.vc_custom_1609790751965{margin-right: 5px !important;margin-left: 5px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-image: url(https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/12\/Attend-a-Meeting&#8211;e1609790250464.jpg?id=68140) !important;}&#8221;][vc_empty_space][vc_empty_space][vc_empty_space height=&#8221;28px&#8221;][vc_column_text css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/events\/month\/?tribe_eventcategory=78\" target=\"_blank\" class=\"csgve-btn  csgve-btn-69d9b76cde636\">Attend a Meeting<\/a>[\/vc_column_text][vc_empty_space][\/vc_column][vc_column width=&#8221;1\/3&#8243; text_alignment=&#8221;text-center&#8221; css=&#8221;.vc_custom_1609790817305{padding-top: 20px !important;padding-bottom: 20px !important;background-image: url(https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/12\/Reproductive-and-Sexual-Health-1-e1609790665859.jpg?id=68142) !important;}&#8221;][vc_column_text css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/implementation-guide-home-page\/\" target=\"_blank\" class=\"csgve-btn  csgve-btn-69d9b76cde64d\">Implementation Resources<\/a><\/p>\n<div class=\"csgve-btn-group  csgve-main-btn-69d9b76cde661\">\n              <a href=\"https:\/\/www.qualityhealth.org\/bree\/implementation-guide-home-page\/implementation-guide-intro\/#1683735291875-7364dcf2-a61f\" target=\"_blank\" class=\"csgve-btn\">Report Use of our Guidelines<\/a>\n            <\/div>[\/vc_column_text][\/vc_column][vc_column][vc_column_text css=&#8221;&#8221;][\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"alignright\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/03\/Bree-Collaborative-Primary-Care-Guidelines.jpg\" width=\"472\" height=\"611\" \/><\/h3>\n<h2>Bree Collaborative reaffirms Primary Care Report and Guidelines!<\/h2>\n<p>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.<\/p>\n<p><strong>Access to primary care is a function of multiple factors and circumstances<\/strong>, 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\u2011quality 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.<\/p>\n<p><strong>Read the reaffirmed guidelines <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/03\/Primary-Care-Reaffirmation-2026.pdf\">HERE<\/a>, and the archived full 2020 report <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/01\/Recommendations-Primary-Care-FINAL-2021.pdf\">HERE<\/a>.<\/strong><\/p>\n<h2>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/h2>\n<h2><\/h2>\n<h2><\/h2>\n<h2>Blood Pressure Screening and Control, First Episode Psychosis, and Surgical Patient Optimization Now Published!<\/h2>\n<p>The Bree Collaborative has approved the final versions of their reports on <strong><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/BP-Control-Report-2026-0205-Final.pdf\">Blood Pressure Screening and Control<\/a>,\u00a0<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/Bree-FEP-Report-Draft-FINAL.pdf\">First Episode Psychosis<\/a> <\/strong>and <strong><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/Surgical-Optimization-FINAL-121625.pdf\">Surgical Patient Optimization: Glycemic Control and Anemia<\/a>!<\/strong> 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!<\/p>\n<h2>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/h2>\n<h2>Request to Submit Data on Perinatal Behavioral Health work!<\/h2>\n<p>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 <a href=\"https:\/\/www.qualityhealth.org\/bree\/behavioral-health\/#1682016278242-7b2eca06-a424\">HERE <\/a>. Simply fill out the score card and send it to Karie Nicholas at <a href=\"mailto:karie.nicholas@qualityhealth.org\">karie.nicholas@qualityhealth.org<\/a>.[\/vc_column_text][vc_empty_space][vc_empty_space][\/vc_column][\/vc_row][vc_row content_placement=&#8221;middle&#8221; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1608668580511{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;background-image: url(https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/12\/reports-edited.jpg?id=68060) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_class=&#8221;home-pages-middle-box-content&#8221;][vc_column width=&#8221;5\/6&#8243; css=&#8221;.vc_custom_1547478431296{padding-right: 80px !important;padding-bottom: 30px !important;padding-left: 80px !important;}&#8221;][vc_empty_space][vc_empty_space][vc_column_text][\/vc_column_text][vc_column_text]<span style=\"color: #000000;font-family: arial, helvetica, sans-serif;font-size: 16px\"><strong>We have worked on<\/strong>: Obstetrics \u2013 Cardiology \u2013 Hospital Readmissions \u2013 Total Knee and Total Hip Replacement \u2013 Spine Surgery \u2013 Low Back Pain Lumbar Fusion \u2013 End-of-Life Care \u2013 Addiction and Dependence Treatment \u2013 Coronary Artery Bypass Surgery \u2013 Prostate Cancer Screening \u2013 Oncology Care \u2013 Opioid Prescribing \u2013 Pediatric Psychotropic Use \u2013 Bariatric Surgery \u2013 Behavioral Health Integration \u2013 Opioid Use Disorder \u2013 Alzheimer\u2019s Disease and Other Dementias \u2013 Hysterectomy \u2013 Suicide Care \u2013 Collaborative Care for Chronic Pain \u2013 LGBTQ Health Care \u2013 Shared Decision Making \u2013 Maternity Bundled Payment Model \u2013 Palliative Care \u2013 Risk of Violence to Others \u2013 Oncology Care: Inpatient Service Use \u2013 Colorectal Cancer Screening \u2013 Primary Care \u2013 Reproductive and Sexual Health &#8211; Telehealth &#8211; Opioids and Older Adults &#8211; Cervical Cancer Screening &#8211; Social Determinants of Health<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_column width=&#8221;1\/2&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1547477960107{padding-right: 80px !important;padding-bottom: 30px !important;padding-left: 80px !important;}&#8221;][\/vc_column]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row full_width=&#8221;stretch_row&#8221; equal_height=&#8221;yes&#8221; parallax=&#8221;content-moving&#8221; parallax_speed_bg=&#8221;1.2&#8243; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1549904936952{background-image: url(https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/12\/Front-Page-edited-1.jpg?id=6133) !important;background-position: center;background-repeat: no-repeat;background-size:contain;}&#8221;][vc_column][vc_empty_space height=&#8221;200px&#8221;][vc_column_text] Bree Collaborative [\/vc_column_text][\/vc_column][\/vc_row][vc_row overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1564158641489{margin-top: 10px !important;}&#8221;][vc_column][vc_column_text css=&#8221;.vc_custom_1608664033791{border-radius: 0px !important;}&#8221;] Working together to improve health care quality, outcomes,&#8230;","protected":false},"author":88,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-44","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/44","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/users\/88"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=44"}],"version-history":[{"count":261,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/44\/revisions"}],"predecessor-version":[{"id":77115,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/44\/revisions\/77115"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=44"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}