{"id":71515,"date":"2024-12-02T14:23:25","date_gmt":"2024-12-02T22:23:25","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=71515"},"modified":"2026-01-27T17:29:27","modified_gmt":"2026-01-28T01:29:27","slug":"reproductive-health","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/implementation-guide-home-page\/reproductive-health\/","title":{"rendered":"Reproductive Health"},"content":{"rendered":"

[vc_row overlay_dotted=”” el_id=”reproductive-health-guidelines-row”][vc_column][vc_column_text css=””]Please see information on the Perinatal Behavioral Health Report<\/em> under the “Behavioral Health” section.[\/vc_column_text][vc_separator color=”custom” border_width=”10″ accent_color=”#145e61″][vc_tta_tour style=”outline” shape=”square” color=”black” spacing=”20″ active_section=”1″ no_fill_content_area=”true” title=”Hysterectomy” el_id=”hysterectomy-tour”][vc_tta_section title=”Guideline Information” tab_id=”1705968113189-521e140a-1c71″][vc_column_text css=””]<\/p>\n

Guideline title: Hysterectomy Report and Guidelines<\/h4>\n

Publication Status:<\/strong> Active<\/p>\n

Date of publication<\/strong>: 2018<\/p>\n

Date of last evidence search: <\/strong>2018<\/p>\n

Scope:\u00a0<\/strong>Assessment and medical management; uterine sparing procedures; surgical procedure;\u00a0 follow-up care; enhanced recovery after surgery protocol; use of a minimally invasive approach.<\/p>\n

Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n

Description: <\/strong>The workgroup\u2019s goal is to promote appropriate use of hysterectomy, including pre-surgical counseling and evaluation, while recognizing individual variation based on clinical opinion and patient preference. Workgroup members developed the guidelines to encourage clinicians to review guidelines with patients prior to hysterectomy to reduce unnecessary or inappropriate hysterectomies.<\/span><\/p>\n

Supporting Material:<\/strong><\/p>\n

Letter from the Health Care Authority Accepting Hysterectomy Recommendations<\/a><\/span>
\nHysterectomy Charter and Roster<\/a><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Read On-line” tab_id=”1705968113967-0c6260df-5d2d”][vc_column_text]<\/p>\n

Hysterectomy Report and Guidelines<\/a><\/h3>\n

[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Resources and Tools” tab_id=”1705968145578-644a61ba-4b34″][vc_toggle title=”Resources and Tools”]ACOG Hysterectomy<\/a><\/p>\n

Patient education: Abdominal hysterectomy (Beyond the Basics) [UptoDate]<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=”Metrics and Evaluation Tools” tab_id=”1705968184105-583caedf-a9cf”][vc_column_text css=””]<\/p>\n

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To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n

To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one \u201caudience\u201d type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n

Score cards are also aligned with the Bree Collaboratives\u2019 self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.<\/p><\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_toggle title=”Health Systems” css=””]Coming Soon[\/vc_toggle][vc_toggle title=”Health Plans” css=””][\/vc_toggle][vc_toggle title=”Health Care Purchasers” css=””][\/vc_toggle][vc_toggle title=”Washington State Health Care Authority” css=””][\/vc_toggle][\/vc_tta_section][vc_tta_section title=”Examples of Implementation – IN DEVELOPMENT” tab_id=”1705968295593-6f5e1b5a-7a46″][\/vc_tta_section][vc_tta_section title=”Work Group Members” tab_id=”1740521099045-10dc596a-1ed5″][vc_column_text css=””]<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Name<\/strong><\/td>\nTitle<\/strong><\/td>\nOrganization<\/strong><\/td>\n<\/tr>\n
Pat Kulpa, MD, MBA<\/td>\nMedical Director<\/td>\nRegence BlueShield<\/td>\n<\/tr>\n
Sharon Kwan, MD, MS<\/td>\nInterventional Radiologist<\/td>\nUniversity of Washington Medical Center<\/td>\n<\/tr>\n
John Lenihan, MD<\/td>\nMedical Director of Robotics and Minimally Invasive Surgery<\/td>\nMultiCare Health System<\/td>\n<\/tr>\n
Jennie Mao, MD<\/td>\nClinical Assistant Professor, Department of Obstetrics and Gynecology<\/td>\nUniversity of Washington Medical Center<\/td>\n<\/tr>\n
Rachelle McCarty, MPH<\/td>\nPatient Advocate<\/td>\n<\/td>\n<\/tr>\n
Sarah Prager, MD<\/td>\nChair<\/td>\nWashington State Section of ACOG<\/td>\n<\/tr>\n
Kevin Pieper, MD<\/td>\nChief, Women\u2019s and Children\u2019s<\/td>\nProvidence Regional Medical Center Everett<\/td>\n<\/tr>\n
Kristin Riley, MD, FACOG<\/td>\nAssistant Professor, Department of Obstetrics and Gynecology<\/td>\nUniversity of Washington Medical Center<\/td>\n<\/tr>\n
Jeanne Rupert, DO, PhD (Chair)<\/td>\n\u00a0Family Physician<\/td>\nOne Medical<\/td>\n<\/tr>\n
Anita Showalter, DO, FACOOG<\/td>\nAssociate Professor and Chair, Women\u2019s Health<\/td>\nPacific Northwest University of Health Sciences<\/td>\n<\/tr>\n
Susan Warwick, MD<\/td>\nObstetrics and Gynecology<\/td>\nKaiser Permanente<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Awards” tab_id=”1740521098247-0357856e-d480″][\/vc_tta_section][\/vc_tta_tour][vc_separator color=”custom” border_width=”10″ accent_color=”#145e61″][vc_tta_tour style=”outline” shape=”square” color=”black” spacing=”20″ active_section=”1″ no_fill_content_area=”true” title=”Obstetrics Care” el_id=”Obstetrics-Care-tour”][vc_tta_section title=”Guideline Information” tab_id=”1714515283279-87b052b2-2a32″][vc_column_text css=””]<\/p>\n

Guideline title: Obstetrics Care Report and Guideline<\/h4>\n

Publication Status:<\/strong> Needs minor revisions – to be scheduled<\/p>\n

Date of publication<\/strong>: August 2012<\/p>\n

Date of last evidence search: <\/strong>2012<\/p>\n

Scope: <\/strong>Elective deliveries, Elective inductions of labor, Primary c-sections<\/p>\n

Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n

Description:<\/strong> This report aims to to accelerate quality improvement in three areas of OB, which, in turn, will improve the safety, quality, and affordability of patient care for mothers and infants, and decrease costs for the entire community.<\/span><\/p>\n

Supporting Material:<\/strong><\/p>\n