{"id":71384,"date":"2023-05-08T13:39:54","date_gmt":"2023-05-08T20:39:54","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=71384"},"modified":"2026-01-07T12:14:18","modified_gmt":"2026-01-07T20:14:18","slug":"implementation-guide-intro","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/implementation-guide-home-page\/implementation-guide-intro\/","title":{"rendered":"Implementation Guide Introduction and Information"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]The Implementation Guide (IG) is designed to encompasses all stages of implementation, from exploration of a topic to evaluation of a completed project. Case studies and topic specific resources support initial steps for organizations to better understand the scope and requirements an implementation project will need such as planning, staff, time, funding, etc.\u00a0 Each of our reports includes guidelines for specific audiences, such as payor, health care organizations or practitioners.<\/p>\n<p><strong>The Bree Collaborative IG is divided into sections by topic categories which can be accessed using the blue buttons below<\/strong>. Sections are further divided into specific report topics and each topic includes the following sub-sections:<\/p>\n<ul>\n<li>Guideline information, including year published, scope, language, date for review, last date of evidence search, methods and a general description<\/li>\n<li>Read online, link to the full report<\/li>\n<li>Implementation Checklists, by audience<\/li>\n<li>Resources and Tools<\/li>\n<li>Metrics and Evaluation Tools<\/li>\n<li>Examples of Implementation<\/li>\n<li>Work Group Members<\/li>\n<li>Awards<\/li>\n<\/ul>\n<p>Continue to the bottom of this page for a detailed Overview and Introduction to the Bree collaboratives Implementation Guide[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Aging&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Faging%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Aging Include<\/strong>: Alzheimer&#8217;s Disease and Other Dementias; End-of-Life Care[\/vc_column_text][vc_btn title=&#8221;Behavioral Health&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fbehavioral-health%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Behavioral Health Include:<\/strong> Addiction and Dependence Treatment; Behavioral Health: Early Intervention for Youth; Behavioral Health Integration; Perinatal Behavioral Health; Prescribing Antipsychotics to Children and Adolescents; Risk of Violence to Others; Suicide Care; Treatment for Opioid Use Disorder[\/vc_column_text][vc_btn title=&#8221;Care Transitions&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fcare-transitions%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Care Transitions:<\/strong>\u00a0 Complex Discharge from the Hospital[\/vc_column_text][vc_btn title=&#8221;Chronic Disease Management&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fimplementation-guide-home-page%2Fchronic-disease-management%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Chronic Disease Management Include<\/strong>: Diabetes Care; Pediatric Asthma[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;General&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fgeneral%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on General Health Topics Include<\/strong>: Health Impacts of Extreme Heat and Wildfire Smoke; LGBTQ Care; Primary Care; SDOH &amp; Health Equity; Shared Decision Making; Telehealth[\/vc_column_text][vc_btn title=&#8221;Infectious Disease Management&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Finfectious-disease-management%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Infectious Disease Management Include<\/strong>: Hepatitis C Virus; Outpatient Infection Control[\/vc_column_text][vc_btn title=&#8221;Managing Pain&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fimplementation-guide-home-page%2Fmanaging-pain%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Managing Pain Include<\/strong>: Collaborative Care for Chronic Pain; Dental Opioid Prescribing; Long-term Opioid Prescribing Management; Low Back Pain Management; Opioid Prescribing Metrics;<br \/>\nOpioid Prescribing in Older Adults; Palliative Care; Prescribing for Perioperative Pain<\/p>\n<h2><\/h2>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Oncology&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fimplementation-guide-home-page%2Foncology%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Oncology Include<\/strong>: Cervical Cancer Screening; Colorectal Cancer Screening; Oncology Care: Early-Stage Testing; Oncology Care: Inpatient Services; Prostate Cancer[\/vc_column_text][vc_btn title=&#8221;Reproductive Health&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fimplementation-guide-home-page%2Freproductive-health%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Reproductive Health Include<\/strong>: Hysterectomy; Obstetrics Care; Perinatal Bundled Payment Model; Reproductive and Sexual Health[\/vc_column_text][vc_btn title=&#8221;Surgery Bundles and Payment Models&#8221; color=&#8221;primary&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fimplementation-guide-home-page%2Fsurgery%2F&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Reports on Surgery Bundles and Payment Models Include<\/strong>: Bariatric Surgery Bundle and Warranty; Cardiovascular Health; Coronary Artery Bypass Graft Surgery Bundle and Warranty; Lumbar Fusion Surgical Bundle and Warranty; Total Knee and Total Hip Replacement Surgical Bundle and Warranty<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator color=&#8221;custom&#8221; style=&#8221;double&#8221; border_width=&#8221;10&#8243; accent_color=&#8221;#145e61&#8243;][vc_tta_tour shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221;][vc_tta_section title=&#8221;Introduction&#8221; tab_id=&#8221;1683736582689-cc69816a-8d5d&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h2><strong>Welcome to the Bree Collaborative Implementation Guide (IG)<\/strong><\/h2>\n<p><strong>The purpose of this guide is to give an overview of each of our reports, and tools to support the translation of the reports into practice and evaluation.<\/strong> This implementation guide contains checklists, tools and resources, webinars, and measures to support the implementation of the Bree guidelines across all sectors of the health care eco-system (e.g., clinicians, hospitals, clinics, health plans, purchasers, etc.).<\/p>\n<p>A workgroup of subject matter experts and leaders developed the guidelines. Guidelines take into account existing quality improvement programs and the work done by other organizations. Bree Reports and Guidelines detail strategies that improve patient health outcomes, health care service quality, the affordability of health care, and health equity to promote collaborative actions that strengthen the health of Washingtonians.<\/p>\n<p>A<strong> Bree Report<\/strong> is defined as<em> a multipage document on a 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 to improve the health of that chosen report topic<\/em>.\u00a0A <strong>Bree Collaborative Guideline<\/strong> (previously called a recommendation in earlier Bree reports) is defined as<em> an action to improve health care for a specific health care service<\/em>.<\/p>\n<p>Bree staff began developing the Implementation Guide in 2023,<strong> this is a living document that will be updated over time to include further information and resources for all the published Bree reports. Please continue to check back in on the webpage to see new tools as they are developed<\/strong>. Bree staff are prioritizing the development of materials for the most recent Bree reports. To hear about new tools as they are published, please join our <a href=\"https:\/\/www.viethconsulting.com\/members\/form.php?orgcode=FHCQ&amp;fid=5378923\">listserv<\/a>.<\/p>\n<p>To learn more about the Implementation Guide, the design, and to access the Implementation Guide, please click on the information below. For more detailed information on how the guide is structured, how to use the guide and to see FAQs, please review the section &#8220;Overview of Implementation Guide.&#8221;<\/p>\n<p>What do we mean by implementation?<\/p>\n<p>&#8220;Implementation in this second sense involves the programs and activities that take guidelines out of the rather abstract phase of development and into the actual world of health care decision making and action.&#8221; <em>1<\/em><\/p>\n<p>For the purposes of awards for self-reporting your implementation project the term &#8220;implementation&#8221; can be understood to mean; use of a guideline in part or full in the course of clinical practice, health care contracting, policy making, educational programs, or other health care related activities; and\/or use of guidelines to fulfill the elements of an initiative, regulation, or requirements.<\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK234499\/\">Guidelines for Clinical Practice: From Development to Use<\/a><\/p>\n<h6><\/h6>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Bree Implementation Framework&#8221; tab_id=&#8221;1683737051963-989fa6fb-1759&#8243;][vc_column_text]<\/p>\n<h3><strong>Implementation Framework<\/strong><\/h3>\n<p>Bree Collaborative Transformation Plan is being modeled on the Knowledge to Action (KTA) framework. This means that we conceptualize the translation of the guidelines we have created as a cyclical process that includes feedback from those who are doing the work of implementation. To that end, we have designed a self-report system and case study format to provide some tools for organizations, clinicians, health plans, and other stakeholders to provide us with information on the usefulness of the checklists, tools, metrics, and other resources we have provided and on the gaps in knowledge that still exists.<\/p>\n<h3>Theory of change<\/h3>\n<p>The Bree Collaborative Primary Care Transformation implementation is designed on the assumption that individual organizations working together create systemic change. Some of our efforts involve priming the system for change by creating common metrics, providing information to regulators and legislators, and aligning our work to address the needs and gaps in the health care system through the creation of bundled payment models and guidelines to address health topics where no guidelines exist or where there is variation among providers or organizations. In this way we hope to help create an environment where multiple stakeholders can most easily act on guidelines that support systemic change.<\/p>\n<p>These assumptions are in line with Prosci\u2019s ADKAR Change Management Model. The ADKAR model consists of 5 stages<strong>:<\/strong><\/p>\n<ul>\n<li>Awareness of the need to change<\/li>\n<li>Desire to support change<\/li>\n<li>Knowledge of how to change<\/li>\n<li>Ability to demonstrate skills and behavior<\/li>\n<li>Reinforcement to make the change stick<\/li>\n<\/ul>\n<p>To support the first two items on this list, the Bree Provides webinars, Learning Collaboratives, Learning Labs, and other opportunities to raise awareness about guidelines and to inspire the desire in health system stakeholders and organizations to change. This implementation guide is designed to provide knowledge on the \u201chow\u201d of change, while our self-report system was created to allow stakeholders to demonstrate skills and behaviors. Finally, our awards program is meant to act as reinforcement to help make change stick.<\/p>\n<p>Each Bree report that was created after 2023 also has a theory of change that describes the way the work group envisions activities that will result in system-wide change, among those partners that implement it, for that specific topic.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Making Progress on Implementation&#8221; tab_id=&#8221;1670438533786-3f9fa212-dc0d&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><strong>Making progress on implementation<br \/>\n<\/strong><\/h4>\n<p><span class=\"ILfuVd\" lang=\"en\"><span class=\"hgKElc\">This guide has been designed to make sure that your team can answer the who, what, when, how, and why of an implementation project for each of our reports before moving into the execution phase. <\/span><\/span>We have employed a strategy of implementation levels in this IG in order to provide interested parties with manageable, step-wise actions to adapt guidelines into their unique context. These levels help support the five stages of implementation, which are: <span class=\"ILfuVd\" lang=\"en\"><span class=\"hgKElc\">1) exploration, 2) installation, 3) initial implementation, 4) full implementation, and 5) expansion and scale-up<\/span><\/span>. Below is a summary of the Bree Collaborative Implementation levels.<\/p>\n<h4><em>Level 1: <\/em><\/h4>\n<p>Level 1 identifies activities, processes, and competencies for <strong>each guideline<\/strong> <strong>topic<\/strong> that address a minimum standard of care. Generally speaking, these are activities, processes, and competencies that medical groups or practitioners can accomplish <strong>internally<\/strong>. These activities may be centered around things such as training, system upgrades or basic in-house programs or processes (exploration, installation, initial implementation).<\/p>\n<h4><em>Level 2: <\/em><\/h4>\n<p>Level 2 processes and activities address a standard of care for <strong>each guideline topic<\/strong> that reflects increased <strong>integration<\/strong> and <strong>coordination<\/strong> with external partners. These activities may include things such as team-based care, tracking patients, or using population health managements (full implementation).<\/p>\n<h4><em>Level 3: <\/em><\/h4>\n<p>Level 3 encompasses activities, processes, and competencies for <strong>each guideline topic<\/strong> which include <strong>full coordinated care<\/strong>, exemplary <strong>patient-centered approaches<\/strong>, and measurement of <strong>change in patient outcomes<\/strong>. These activities may include things such as coordination with multiple partners or spreading practices throughout your organization (expansion and scale-up).[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Transformation Plan&#8221; tab_id=&#8221;1670438115337-5ebebf42-be74&#8243;][vc_column_text]The Bree Collaborative has developed a roadmap to health system transformation. This document helps stakeholder and other interested parties conceptualize how our work contributes to system wide changes in health care quality and cost for people in Washington State.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/11\/Bree-Health-Ecosystem-Roadmap-2022-11.pdf\">Bree Health Ecosystem Roadmap <\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Sub-section descriptions&#8221; tab_id=&#8221;1670438115316-e22d4a54-22f2&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Guideline Information<\/h3>\n<p>The guideline information sub-section provides a brief summary of the topic, publication date, status, etc.<\/p>\n<h3>Read On-line<\/h3>\n<p>This sub-section provides a quick link to the report<\/p>\n<h3>Checklists<\/h3>\n<p><em>Level 1: <\/em>\u00a0identifies activities, processes, and competencies for <strong>each guideline<\/strong> <strong>topic<\/strong> that address a minimum standard of care. Generally speaking, these are activities, processes, and competencies that medical groups or practitioners can accomplish <strong>internally<\/strong>. These activities may be centered around things such as training, system upgrades or basic in-house programs or processes (exploration, installation, initial implementation).<\/p>\n<p><em>Level 2: <\/em>processes and activities address a standard of care for each guideline topic that reflects increased integration and coordination with external partners. These activities may include things such as team-based care, tracking patients, or using population health managements (full implementation).<\/p>\n<p><em>Level 3: <\/em>\u00a0encompasses activities, processes, and competencies for <strong>each guideline topic<\/strong> which include <strong>full coordinated care<\/strong>, exemplary <strong>patient-centered approaches<\/strong>, and measurement of <strong>change in patient outcomes<\/strong>. These activities may include things such as coordination with multiple partners or spreading practices throughout your organization (expansion and scale-up).<\/p>\n<h3>Resources and tools<\/h3>\n<p>This sub-section contains webinars, tool kits, guides, clinical resources, screening tools, and other implementation resources that are recommended by the guidelines or that have been identified as relevant to the guidelines.<\/p>\n<p>Metrics and Evaluation Tools<\/p>\n<p>The Metrics and evaluation tools section provide topic specific information and resources to help organizations plan and conduct the evaluation of the implementation work. These tools include things such as &#8220;score cards&#8221; that are divided by audience type, evaluation frameworks, theory of change models and more.<\/p>\n<h3>Examples of implementation<\/h3>\n<p>Examples are formal case studies and write-ups from award winners.<\/p>\n<h3><strong>Awards<\/strong><\/h3>\n<p>This sub-section lists organizations that have won awards for work on a specific topic. The implementation guide is also where organizations and individuals can start their journey towards winning awards from the Bree Collaborative or the Foundation for Health Care Quality. See the section on self-reporting and awards for more information.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Self-reporting and benefits of reporting&#8221; tab_id=&#8221;1683735291875-7364dcf2-a61f&#8221;][vc_column_text css=&#8221;&#8221;]The Bree Collaborative encourages providers, delivery sites, hospital systems, health plans and other guideline &#8220;audience&#8221; organizations to demonstrate their progress on guidelines implementation and their commitment to quality care.<\/p>\n<p><strong>Why report:<\/strong><\/p>\n<p>Self-reporting allows us to provide many services and different types of recognition. Reporting helps us craft individual support through a better understanding of an organizations environment and context. Data that is self reported is de-identified, aggregated and displayed on our dashboard to allow organizations to compare their progress to others, find partners doing similar work, or to help patients find organizations that are providing quality care.<\/p>\n<p>The Foundation for Health Care Quality also uses the self-report data for awards and recognition. Please see the Awards section for a full description. The Bree Collaborative may also reach out to submitting organizations if they indicate that they are interested in developing a case study as a way to spread recognition of quality work.<\/p>\n<p><strong>How to report:<\/strong><\/p>\n<p>The Metrics and Evaluation sections of each topic in our <a href=\"https:\/\/www.qualityhealth.org\/bree\/our-guidelines\/\">IMPLEMENTATION GUIDE<\/a> contains &#8220;score cards&#8221; to document your progress on the implementation of the Bree Collaborative Guidelines. Simply choose the topic you are interested in reporting on (aging, behavioral health, etc.), navigate to the specific report you are interesting in reporting on, and click on the Metrics and Evaluation Tools tab and select the appropriate &#8220;audience&#8221; type. The self-report form uses a simple measurement system for recommended actions of implementation and provides your organization with an overall score:<\/p>\n<ul>\n<li>0 -No action taken;<\/li>\n<li>1 -Actively considering adoption;<\/li>\n<li>2 -Some\/similar adoption;<\/li>\n<li>3 -Full adoption<\/li>\n<\/ul>\n<p>The overall scores are to help you and us understand barriers to implementation and gaps in use. They will be used to help identify area where organizations may need additional support or resources.<\/p>\n<p>The format of the score cards is a downloadable excel workbook or a GIS format. To complete reporting fill out the items for each instance of implementation your organization. Each instance can mean by department or delivery site, by health plan, or for the entire organization if you are using the reports to inform care throughout your organization.<\/p>\n<p>Once the data collection tool is filled out there are a variety of ways to submit it. You can either email it directly to knicholas@qualtyhealth.org or submit it through our <a href=\"https:\/\/www.qualityhealth.org\/bree\/evaluation\/bree-collaborative-reporting-initiative\/\">PORTAL<\/a>, or just click submit if you are using the new GIS format.<\/p>\n<p>If you ave questions, please contact knicholas@qualityhealth.org or bree@qualityhealth.org.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Awards: Types and Structure&#8221; tab_id=&#8221;1688396924271-3de6e7ea-30bc&#8221;][vc_column_text]<strong>Rational and description<\/strong><\/p>\n<p>The aim of these awards is to highlight and celebrate quality work being done by many different organizations.<\/p>\n<p><strong>Being Considered for Awards<\/strong><\/p>\n<p>Any organization that is implementing the Bree Guidelines can be considered for an award.<\/p>\n<p><strong>Types of awards<\/strong><\/p>\n<p>The Path Finder awards are based on the submission of the Bree Collaborative checklists and supporting documentation. There are three levels of awards for completion of the checklists for each level of implementation &#8211; Path Finder Level 1, Level 2, and Level 3. The checklists and documentation can be submitted using the self-report form in the section above. (What do they get?)<\/p>\n<p>The Trail Blazer award is given in recognition for having implemented guidelines or having processes that have fidelity with Bree reports. Fidelity is determined by filling out the &#8220;score card&#8221; in the self-report section above. Anyone submitting self-report data to the Bree Collaborative who receives an overall implementation score of <em>2.00 <\/em>or greater for a specific report will automatically receive an award. We inform each submitter by email, which includes information on how to apply for our Mountain Climber Award. (Awards may include buttons for staff, wall certificates for departments, or flags for organizations, depending on the spread of their work. Example: if they have only done it in one unit or floor, they get buttons or a certificate, if they have done it organization wide, they get a flag or banner for their entrance.)<\/p>\n<p>The Mountain Climber award is given for exemplary implementation efforts that focus on EQUITY. Any organization receiving a Trailblazer award is automatically eligible for consideration. Organizations that are eligible for the Mountain Climber Award will be notified by email and receive a form to provide further information about how your work has embedded and equity lens into your implementation project.<\/p>\n<p>The Mountain Climber Award is given out by the Foundation for Health Care Quality, in collaboration with the Washington Patient Safety Coalition. A panel of judges from the legislature, professional associations, or other partner organizations is convened to score all the submissions on the criteria of generalizability, innovation, overcoming barriers, breadth of implementation work, (or other qualitative concepts we think will help celebrate them and that would be useful to share with others). Awardees will receive a plaque in recognition of their work and be invited to speak on our webinars.<\/p>\n<p><strong>Award Criteria<\/strong><\/p>\n<p><em>Pathfinder awards<\/em><\/p>\n<ul>\n<li>Submission of proof of completion of level 1, 2 or 3 checklist<\/li>\n<\/ul>\n<p><em>Trail Blazer awards<\/em><\/p>\n<ul>\n<li>Submission of self-report form, supporting documentation, and average score of 2.75 for fidelity with Bree Guidelines.<\/li>\n<\/ul>\n<p><em>Mountain climber awards<\/em><\/p>\n<ul>\n<li>Recipient of Trail Blazer award.<\/li>\n<li>Submission of Mountain Climber award form<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; style=&#8221;double&#8221; border_width=&#8221;10&#8243; accent_color=&#8221;#145e61&#8243;][vc_separator color=&#8221;custom&#8221; style=&#8221;double&#8221; border_width=&#8221;10&#8243; accent_color=&#8221;#145e61&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]The Implementation Guide (IG) is designed to encompasses all stages of implementation, from exploration of a topic to evaluation of a completed project. Case studies and topic specific resources&#8230;","protected":false},"author":134,"featured_media":0,"parent":70686,"menu_order":1,"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-71384","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/71384","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\/134"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=71384"}],"version-history":[{"count":51,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/71384\/revisions"}],"predecessor-version":[{"id":76687,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/71384\/revisions\/76687"}],"up":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/70686"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=71384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}