{"id":75396,"date":"2025-02-25T16:01:30","date_gmt":"2025-02-26T00:01:30","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=75396"},"modified":"2026-02-19T09:12:25","modified_gmt":"2026-02-19T17:12:25","slug":"chronic-disease-management","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/implementation-guide-home-page\/chronic-disease-management\/","title":{"rendered":"Chronic Disease Management"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row overlay_dotted=&#8221;&#8221; el_id=&#8221;chronic-disease-guidelines-row&#8221;][vc_column][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Blood Pressure Screening and Control&#8221; el_id=&#8221;diabetes-care-tour&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1703186248455-0ade4b3b-51f6&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Blood Pressure Screening and Control<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: January 28th, 2026<\/p>\n<p><strong>Date of last evidence search: <\/strong>2025<\/p>\n<p><strong>Scope:\u00a0<\/strong>Blood pressure measurement and screening for hypertension, individualized blood pressure management and goals, integrated team-based care to support whole person health and reduce inequities, and quality improvement and data insights utilizing the HEDIS Controlling Blood Pressure (CBP) measure and other data sources<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description: <\/strong>Hypertension impacts about half of American adults, while only around a quarter have their hypertension under control. Hypertension prevalence and control varies between subpopulations, and these inequities are rooted not only in contemporary social and economic barriers but also in a long history of systemic racism, structural discrimination, and inequitable access to conditions that promote health. Practices such as redlining (residential segregation by race), underinvestment in communities of color, and exclusion from economic and educational opportunities have shaped the environments in which people live, work, and age. This environment influences diet, physical activity, housing access and quality, exposure to environmental stressors, and access to health care\u2014factors all closely linked to risk for chronic conditions like hypertension. In addition, chronic stress associated with discrimination has been linked to hypertension, through physiological and behavioral pathways, compounding the effects across generations. Eliminating these inequities in Washington state will take coordinated, multilevel strategies that span sectors outside of healthcare. This report and guidelines focuses on the healthcare ecosystem\u2019s role in addressing hypertension screening, control, and equity.\u00a0<span id=\"page15R_mcid2\" class=\"markedContent\"><\/span>[\/vc_column_text][vc_btn title=&#8221;Blood Pressure Screening and Control Message Board&#8221; color=&#8221;peacoc&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Ffhqc.qualityhealth.org%2Fmembers%2Fforum%2Ftopic_list.php%3Fbid%3D4694603&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1703186248897-f7b6a2ea-2141&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/BP-Control-Report-2026-01-FINAL.pdf\">Blood Pressure Screening and Control Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1703186250685-3ecc7e78-b55e&#8221;][vc_column_text]The checklist tool\u00a0 translates the Bree guidelines into action steps for that sector. 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\u2019 setting. Bree staff co-created the checklists with report workgroup members and topic experts.[\/vc_column_text][vc_toggle title=&#8221;Primary Care Settings &#038; Professionals\u00a0&#8221; css=&#8221;&#8221;]<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2026\/02\/BP-Control-Checklist-Primary-Care-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2026\/02\/BP-Control-Checklist-Primary-Care-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2026\/02\/BP-Control-Checklist-Primary-Care-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plan&#8221; css=&#8221;&#8221;]<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2026\/02\/BP-Control-Checklist-health-Plan-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2026\/02\/BP-Control-Checklist-Health-Plan-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2026\/02\/BP-Control-Checklist-Health-Plan-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1703186262007-469051bb-78d8&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221; css=&#8221;&#8221;]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart.org\/-\/media\/Files\/Health-Topics\/High-Blood-Pressure\/How_to_Measure_Your_Blood_Pressure_Letter_Size.pdf\">AHA Home Blood Pressure measurement Instructions <\/a><\/li>\n<li><a href=\"https:\/\/www.heart.org\/en\/healthy-living\/healthy-eating\">AHA Heart Healthy Diet<\/a><\/li>\n<li><a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/HYP.0000000000000249\">2025 Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults by AHA\/ACC\/AANP\/AAPA\/ABC\/ACCP\/ACPM\/AGS\/AMA\/ASPC \/NMA\/PCNA\/SGIM<\/a><\/li>\n<li><a href=\"https:\/\/www.validatebp.org\/\">Validated Device Listing<\/a><\/li>\n<\/ul>\n<p>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/KtDg5V3zsdc&#8221; css=&#8221;&#8221; title=&#8221;Bree Report Spotlight on BP Screening &#038; Control&#8221;][vc_video link=&#8221;https:\/\/youtu.be\/l9zetBFbEJ4&#8243; title=&#8221;Related Bree Webinars Link&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1703186281940-c00752dd-a2fc&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<p>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<h4>Introduction to Evaluation Tools<\/h4>\n<p>The Bree has developed multiple tools specific to the Health Impacts of Extreme Heat and Wildfire Smoke report, to support the evaluation projects implemented based on our guidelines.<\/p>\n<h4>Evaluation Framework<\/h4>\n<p>The Evaluation Framework provides further guidance on how organizations can conduct and align their work with other audience actors (example: all health plans in Washington state) or other audience types (example: health plans and providers). It provides specific details for measurement, provides strong and soft recommendations for the types of evaluations each organization may consider conducting, expands on alignment with other initiatives in Washington State, and makes recommendations for ethical and equity considerations.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/BP-Screening-and-Control-framework_V1.0.pdf\">EVALUATION FRAMEWORK<\/a><\/p>\n<h4>Data Matrix<\/h4>\n<p>An example of how to fill out this form is available in Appendix B of the Evaluation Framework. The Data Matrix tool can be used in planning your data collection effort for your implementation and evaluation.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Data-Matrix-Template.xlsx\">Data Matrix Template<\/a>\u2013 fillable form<\/p>\n<h4>Theory of Change<\/h4>\n<p>The theory of change illustrates how the work group conceptualized changes that would occur throughout the health care ecosystem as a result of their recommendations. The subcommittee for this report has not yet developed a theory of change.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Theory-of-Change2_hypertension_final.pdf\">THEORY OF CHANGE<\/a><\/p>\n<h4>Score cards<\/h4>\n<p>To support health system improvement the Bree Collaborative has created evaluation score cards that are designed to help measure progress on the implementation of our guidelines.These measures 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<p>To use our score cards, find the audience type, or types, that is closest to your organization and download the excel document. There may be more than one audience 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<p>Score cards are also aligned with the Bree Collaborative\u2019s self-report data collection efforts. Organizations are not required to report, however organizations can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.<\/p>\n<p>Completed score cards can be sent to <a href=\"mailto:knicholas@qualityhealth.org\">knicholas@qualityhealth.org<\/a><\/p>\n<p>Score cards can be found in the tabs below:<\/p><\/div>\n<\/div>\n<p>[\/vc_column_text][vc_toggle title=&#8221;Primary Care Settings and Professionals&#8221; css=&#8221;&#8221;]Primary Care Settings and Professionals <a href=\"https:\/\/arcg.is\/Su0je2\">Score Cards<\/a>[\/vc_toggle][vc_toggle title=&#8221;Hospitals&#8221; css=&#8221;&#8221;]Hospital <a href=\"https:\/\/arcg.is\/14j9Xb0\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Dental Clinics and Dentists&#8221; css=&#8221;&#8221;]Dental Clinics and Dentists <a href=\"https:\/\/arcg.is\/biCva0\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Community Pharmacies&#8221; css=&#8221;&#8221;]Community Pharmacy <a href=\"https:\/\/arcg.is\/0n1yuv1\">Score Cards<\/a>[\/vc_toggle][vc_toggle title=&#8221;Specialty Outpatient Clinics (not involved in management of complex hypertension)&#8221; css=&#8221;&#8221;]Specialty Outpatient Clinics <a href=\"https:\/\/arcg.is\/0LXyW83\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]Health Plan <a href=\"https:\/\/arcg.is\/1TzWL91\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Agencies and Local Health Jurisdictions&#8221; css=&#8221;&#8221;]Washington State Health Care Authority <a href=\"https:\/\/arcg.is\/0Ovuuz\">Score Card<\/a><\/p>\n<p>Washington State DOH and Local Health Jurisdictions <a href=\"https:\/\/arcg.is\/00r11u1\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Employers and Health Care Purchasers&#8221; css=&#8221;&#8221;]Employers and health care purchaser <a href=\"https:\/\/arcg.is\/1Hrf8b1\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Metrics&#8221; css=&#8221;&#8221;][\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; Coming Soon!&#8221; tab_id=&#8221;1703186314047-73bba5de-67de&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739470008779-4813c04f-751b&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"29%\"><strong>Name<\/strong><\/td>\n<td width=\"39%\"><strong>Title<\/strong><\/td>\n<td width=\"31%\"><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Norris Kamo, MD, MPP (chair)<\/td>\n<td width=\"39%\">Section Head, Adult Primary Care<\/td>\n<td width=\"31%\">Virginia Mason Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Jake Berman, MD (vice chair)<\/td>\n<td width=\"39%\">Medical Director for Population Health<\/td>\n<td width=\"31%\">UW Medicine, UWM Primary Care and Population Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Mia Wise, MD<\/td>\n<td width=\"39%\">Chief Medical Officer<\/td>\n<td width=\"31%\">Kinwell Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Albert Tsai, MD<\/td>\n<td width=\"39%\">Vice President<\/td>\n<td width=\"31%\">AHA Puget Sound<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Nicholas P Koenig, MD<\/td>\n<td width=\"39%\">Internal Medicine<\/td>\n<td width=\"31%\">Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Elizabeth C Slye, RN<\/td>\n<td width=\"39%\">Registered Nurse<\/td>\n<td width=\"31%\">Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Kimberly Parrish<\/td>\n<td width=\"39%\">Director, Clinical Excellence<\/td>\n<td width=\"31%\">WSHA<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Josephine Young, MD<\/td>\n<td width=\"39%\">Medical Director, Commercial Markets<\/td>\n<td width=\"31%\">Premera<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Laura Hanson, PharmD<\/td>\n<td width=\"39%\">Ambulatory Pharmacy Manager<\/td>\n<td width=\"31%\">Virginia Mason Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Nicole Treanor, MS, RD, CDCES<\/td>\n<td width=\"39%\">Diabetes Education Program Coordinator | Registered Dietician<\/td>\n<td width=\"31%\">Virginia Mason Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Kristina Petsas, MD<\/td>\n<td width=\"39%\">Market Chief Medical Officer, PNW, AK and HI<\/td>\n<td width=\"31%\">UnitedHealthcare<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Theresa Kreiser, MS<\/td>\n<td width=\"39%\">Senior Improvement Advisor<\/td>\n<td width=\"31%\">Comagine<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Katrina Gangsaas<\/td>\n<td width=\"39%\">Community Health Supervisor<\/td>\n<td width=\"31%\">YMCA<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Mary Beth McAteer, MLIS<\/td>\n<td width=\"39%\">Librarian<\/td>\n<td width=\"31%\">Virginia Mason<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Molly Parker, MD, MPH<\/td>\n<td width=\"39%\">Population Health<\/td>\n<td width=\"31%\">Jefferson Healthcare<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Jessica Beach, MPH, MPA<\/td>\n<td width=\"39%\">Health Equity Director<\/td>\n<td width=\"31%\">Molina Healthcare<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Leo Morales, MD<\/td>\n<td width=\"39%\">Assistant Dean for Healthcare Equity and Quality | Co-director Latino Center for Health<\/td>\n<td width=\"31%\">UW School of Medicine | University of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Chris Longnecker, MD<\/td>\n<td width=\"39%\">Cardiologist<\/td>\n<td width=\"31%\">University of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Eugene Yang, MD<\/td>\n<td width=\"39%\">Professor of Medicine, Division of Cardiology<\/td>\n<td width=\"31%\">University of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Janice Tufte<\/td>\n<td width=\"39%\">Patient Advocate<\/td>\n<td width=\"31%\">Hassanah Consulting<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Tonja Nichols, MN, RN<\/td>\n<td width=\"39%\">Section Manager, Clinical Nurse Specialist | Clinical Quality &amp; Care Transformation (CQCT)<\/td>\n<td width=\"31%\">Washington HCA<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Asher Strauss, PsyD<\/td>\n<td width=\"39%\">Director of Behavioral Health<\/td>\n<td width=\"31%\">Kinwell<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">LuAnn Chen, MD<\/td>\n<td width=\"39%\">Senior Medical Director<\/td>\n<td width=\"31%\">Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Jonathan Liu, MD<\/td>\n<td width=\"39%\">Principal, Health Strategy<\/td>\n<td width=\"31%\">Amazon (Global Benefits)<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Jason Tzau, PharmD<\/td>\n<td width=\"39%\">Senior Manager, US Health Plans<\/td>\n<td width=\"31%\">Amazon (Global Benefits)<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Sara Warner, MPH, CHW<\/td>\n<td width=\"39%\">Manager, Community Support Services<\/td>\n<td width=\"31%\">Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Karla Cowan, MSN, RN<\/td>\n<td width=\"39%\">Occupational Nurse Consultant<\/td>\n<td width=\"31%\">Washington HCA<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners &#8211; Coming Soon!&#8221; tab_id=&#8221;1739470009650-ceca807e-0f43&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740174598977-befd6971-6f10&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Meeting Materials<\/h3>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 16th, 2025<\/td>\n<td>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/BP-Agenda-25-01.pdf\">January Agenda<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/CHARTER-Roster-BP-Draft-2025-0116.pdf\">Draft Charter and Roster<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 13th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/BP-Agenda-25-02.pdf\">February Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Minutes-BP-25-0116.2.pdf\">January Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/WORKPLAN-BP-0213.pdf\">Workplan<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/EVIDENCE-TABLE-BP-02.xlsx\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 13th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/03\/BP-Agenda-25-03.1.pdf\">March Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/03\/Minutes-BP-25-0213.pdf\">February Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/03\/EVIDENCE-TABLE-BP-03.1.xlsx\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>April 10th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/BP-Agenda-25-04.pdf\">April Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/Minutes-BP-25-0313.pdf\">March Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/BP-Equity-Focus-Area-1-Guidelines-4-3-25.pdf\">Draft Guidelines Focus Area 1<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 8th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/BP-Agenda-25-05.pdf\">May Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/06\/Minutes-BP-25-0410.pdf\">April Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/Blood-Pressure-Control-Equity-Guidelines-Draft-0508.docx\">Screening Draft Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/Blood-Pressure-Control-Equity-Guidelines-Draft-0508.docx\">Team-based care Draft<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/Evidence-Table-BP-0508.pdf\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 12th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/06\/BP-Agenda-25-06.pdf\">June Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Minutes-BP-25-0508.pdf\">May Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/06\/Evidence-Table-BP-0612.pdf\">Evidence Table<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/06\/Blood-Pressure-Control-Equity-Guidelines-Draft-0612.docx\">Materials<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 10th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/BP-Agenda-25-07.pdf\">July Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Minutes-BP-25-0612.pdf\">June Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/IHIAchievingHealthEquityWhitePaper.pdf\">IHI Framework\/<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Minimal-Team-Functions-for-Hypertension-Control.docx\">Minimal Team Functions\/<\/a><\/td>\n<\/tr>\n<tr>\n<td>August 14th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/BP-Agenda-25-08.pdf\">August Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Minutes-BP-25-0710.pdf\">July Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/chaturvedi-et-al-social-determinants-of-health-and-disparities-in-hypertension-and-cardiovascular-diseases.pdf\">SDOH &amp; HTN Disparities<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/milad-et-al-2022-value-based-payment-models-in-the-commercial-insurance-sector-a-systematic-review.pdf\">VBP in Commercial<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/effect-of-p4p-on-quality-of-care-in-small-practices-with-ehrs.pdf\">P4P Small Clinics<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 11th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/BP-Agenda-25-09.pdf\">September Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Minutes-BP-25-0814.pdf\">August Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Draft-Report-BP-Control-2025-current.docx\">Draft Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Top-Take-Home-Messages-from-2025-AHA-ACC-Guideline-on-High-Blood-Pressure-in-Adults.pdf\">2025 AHA Guidelines Takeaways<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/hundemer-goupil-implementing-the-2025-guideline-for-the-prevention-detection-evaluation-and-management-of-high-blood.pdf\">article1<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/mccarthy-et-al-2025-implementing-the-2025-guideline-for-the-prevention-detection-evaluation-and-management-of-high.pdf\">article2<\/a><\/td>\n<\/tr>\n<tr>\n<td>October 9th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/10\/BP-Agenda-25-10.pdf\">October Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/10\/Minutes-BP-25-09.pdf\">September Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/10\/Key-Takeaways-October-Meeting.docx\">Key Takeaways<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/10\/AAFPHypertensionGuideline.pdf\">AAFP Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>November 13th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/BP-Agenda-25-11.pdf\">November Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Minutes-BP-25-10-1.pdf\">October Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Draft-Report-BP-Control-2025-1023-current.1.docx\">Draft Report &amp; Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>December 11th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/BP-Agenda-25-12.pdf\">December Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Minutes-BP-25-10-1.pdf\">November Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/BP-Primary-Care-Checklist-Draft-2025-11.docx\">PC Checklist<\/a> \/ <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/BP-Health-Plan-Checklist-Draft-2025-11.docx\">Plan Checklist<\/a> \/ <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/Theory-of-Change2_hypertension_DRAFT_1.pdf\">Theory of Change<\/a><\/td>\n<\/tr>\n<tr>\n<td>January 16th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/BP-Agenda-26-01.pdf\">January Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/Minutes-BP-25-12.pdf\">December Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/BP-Control-Report-2026-01-15.pdf\">Draft Report &amp; Guidelines<\/a> \/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/ANON-Bree-Blood-Pressure-Screening-and-Control-Public-Comment-Feedback-2026-01-15.xlsx\"> Public Comments<\/a> \/ <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Summary-of-Public-Comment-Feedback.docx\">Public Comment Summary<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Diabetes Care&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1768515346589-e014ebcb-dbdc&#8221;][vc_column_text]<\/p>\n<h4>Guideline title: Diabetes Care Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: January 2024<\/p>\n<p><strong>Date of last evidence search: <\/strong>2023<\/p>\n<p><strong>Scope: <\/strong>Team-based care and empanelment (ambulatory care, inpatient care, dental, health plans), population health, and minimizing financial burden and standardizing coverage.<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description: <\/strong>Diabetes was selected by Bree Collaborative members in September 2022 and a workgroup of clinical and community experts met from January 2023 to January 2024. Key priorities to improve population health and equity are: Increase performance on NCQA measures for people who have been diagnosed with diabetes; Identify individuals with pre-diabetes or diabetes who are unaware of their status and engage them in treatment and prevention; Uniformly use team-based care to support individuals with diabetes or at risk for diabetes; Promote connection to community resources, address social needs, access to prevention and health promotion activities; Support patients\u2019 medication and supplies use by removing payment barrier.<span id=\"page15R_mcid2\" class=\"markedContent\"><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1768515346645-b8c200b6-a2ff&#8221;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Bree-Report-FINAL.pdf\">Diabetes Care Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1768515346694-325e0da0-5800&#8243;][vc_column_text]The checklist tool\u00a0 translates the Bree guidelines into action steps for that sector. 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\u2019 setting. Bree staff co-created the checklists with report workgroup members and topic experts.[\/vc_column_text][vc_toggle title=&#8221;Ambulatory Care Setting&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Ambulatory-Care-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Ambulatory-Care-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Ambulatory-Care-Level-3-1.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professional Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Clinicians-Level-1-AllPre.pdf\">Level 1A<\/a> (all patients and people with pre-diabetes)<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Clinicians-Level-1-DM.pdf\">Level 1B<\/a> (people with diabetes)<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Care-Clinicians-Level-2.pdf\">Level 2<\/a><\/p>\n<p>Note: No level 3 for this audience[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1768515346796-a6ef69ad-29fa&#8221;][vc_toggle title=&#8221;Resources and Tools&#8221;]<\/p>\n<div>\n<p><a href=\"https:\/\/diabetes.org\/tools-resources\">American Diabetes Association<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/public-health-healthcare-providers\/healthcare-professions-and-facilities\/patient-care-resources\/diabetes-prevention-and-management\">WA DOH Diabetes Prevention and Management\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/diabetes\/prevention\/index.html\">National Diabetes Prevention Program<\/a><\/p>\n<p><a href=\"https:\/\/www.ihs.gov\/sdpi\/\">Special Diabetes Program for Indians\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.ymca.org\/what-we-do\/healthy-living\/fitness\/diabetes-prevention\">YMCA Diabetes Prevention<\/a><\/p>\n<p><a href=\"https:\/\/www.heart.org\/-\/media\/Files\/Professional\/Quality-Improvement\/Target-Type-2-Diabetes\/TT2D_DataCollectionWorksheet_Final.pdf\">American Heart Association\u2019s Target: Type 2 Diabetes Recognition Program<\/a><\/div>\n<p>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/l9zetBFbEJ4&#8243; title=&#8221;Related Bree Webinars Link&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1768515346880-33c5d64c-25e3&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<p>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<p>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<p>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<p>[\/vc_column_text][vc_toggle title=&#8221;Ambulatory Care&#8221;]Ambulatory Care Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Ambulatory-Care_Score-Card_Final.xlsx\">Ambulatory Care_Score Card_Final<\/a><\/p>\n<p>Note: Metric 1-3 are not endorsed and should be tested prior to implementation.<\/p>\n<p>Metric 1 &#8211; Screening for Abnormal Blood Glucose &#8211; Percentage of patients aged 40 years and older with a BMI \u2265 25 who are seen for at least two office visits or at least one preventive visit during the 12-month period who were screened for abnormal blood glucose at least once in the last 3 years.<\/p>\n<p>Metric 2 &#8211; Intervention for Prediabetes &#8211; Percentage of patients aged 18 years and older with identified abnormal lab result in the range of prediabetes during the 12-month measurement period who were provided an intervention.<\/p>\n<p>Metric 3 &#8211; Retesting of Abnormal Blood Glucose in Patients with Prediabetes &#8211; Percentage of patients aged 18 years and older who had an abnormal fasting plasma glucose, oral glucose tolerance test, or hemoglobin A1c result in the range of<br \/>\nprediabetes in the previous year who have a blood glucose test performed in the one-year measurement period.<\/p>\n<p>Metric 4 &#8211; Eye Exam for Patients with Diabetes (EED) (HEDIS) NQF# 0055, by race, ethnicity\/language, insurance status<\/p>\n<p>Metric 5 &#8211; Kidney Health Evaluation for Patients with Diabetes (KED) (HEDIS), by race, ethnicity\/language, insurance status<\/p>\n<p>Metric 6 &#8211; Blood Pressure Control for Patients With Diabetes (BPD) (HEDIS) NQF# 0061, by race, ethnicity\/language, insurance status<\/p>\n<p>Metric 7 &#8211; Hemoglobin A1c Control for Patients with Diabetes (HBD) (HEDIS) NQF# 0059, by race, ethnicity\/language, select comorbities, insurance status<\/p>\n<p>Metric 8 &#8211; Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E) (Uses Electronic Data System (ECDS) reporting)[\/vc_toggle][vc_toggle title=&#8221;Hospitals&#8221;]Hospital Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Hospitals_Score-Card_Final.xlsx\">Hospitals_Score Card_Final<\/a>[\/vc_toggle][vc_toggle title=&#8221;Dentists&#8221;]Dentist Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Dentists_Score-Card_Final.xlsx\">Dentists_Score Card_Final<\/a><\/p>\n<p>Metric 1 &#8211; Percent of patients who have been screened for a primary car provider visit in the last 6 months[\/vc_toggle][vc_toggle title=&#8221;Dental Plans&#8221;]Dental Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Dental-plans_Score-Cards_Final.xlsx\">Dental plans_Score Cards_Final<\/a><\/p>\n<p>Metric 1: Percent of members who have been screened for a primary care provider visit in the last six months[\/vc_toggle][vc_toggle title=&#8221;Schools&#8221;]School Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/School_-Score-Card-_Final.xlsx\">School_ Score Card _Final<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Health-Plan_Score-Card_Final.xlsx\">Health-Plan_Score-Card_Final<\/a><\/p>\n<p><strong>Recommended metrics for all patients and for inclusion into contracts:<\/strong><\/p>\n<ul>\n<li>Social Needs Screening and Intervention (SNS-E)<\/li>\n<li>Adult Immunization Status (AIS)<\/li>\n<\/ul>\n<p><strong>Recommended metrics for prediabetes patients:<\/strong><\/p>\n<ul>\n<li>Metric 1 &#8211; Screening for Abnormal Blood Glucose &#8211; Percentage of patients aged 40 years and older with a BMI \u2265 25 who are seen for at least two office visits or at least one preventive visit during the 12-month period who were screened for abnormal blood glucose at least once in the last 3 years.<\/li>\n<li>Metric 2 &#8211; Intervention for Prediabetes &#8211; Percentage of patients aged 18 years and older with identified abnormal lab result in the range of prediabetes during the 12-month measurement period who were provided an intervention.<\/li>\n<li>Metric 3 &#8211; Retesting of Abnormal Blood Glucose in Patients with Prediabetes &#8211; Percentage of patients aged 18 years and older who had an abnormal fasting plasma glucose, oral glucose tolerance test, or hemoglobin A1c result in the range of prediabetes in the previous year who have a blood glucose test performed in the one-year measurement period.<\/li>\n<\/ul>\n<p><strong>Recommended metrics for patients with diabetes and for inclusion into contracts:<\/strong><\/p>\n<ul>\n<li>Hemoglobin A1c Control for Patients with Diabetes (HBD)<\/li>\n<li>Blood Pressure Control for Patients with Diabetes (BPD)<\/li>\n<li>Eye exam for patients with diabetes (EED)<\/li>\n<li>Kidney Health Exam for Patients with Diabetes (KED)<\/li>\n<li>Statin Therapy for Patients with Diabetes (SPD)<\/li>\n<\/ul>\n<p>[\/vc_toggle][vc_toggle title=&#8221;Washington State Health Care Authority&#8221;]Washington State Health Care Authority Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Care-Authority_Score-Card_Final.xlsx\">Health Care Authority_Score Card_Final<\/a><\/p>\n<p>Metric 1 &#8211; Screening for Abnormal Blood Glucose &#8211; Percentage of patients aged 40 years and older with a BMI \u2265 25 who are seen for at least two office visits or at least one preventive visit during the 12-month period who were screened for abnormal blood glucose at least once in the last 3 years.<\/p>\n<p>Metric 2 &#8211; Intervention for Prediabetes &#8211; Percentage of patients aged 18 years and older with identified abnormal lab result in the range of prediabetes during the 12-month measurement period who were provided an intervention.<\/p>\n<p>Metric 3 &#8211; Retesting of Abnormal Blood Glucose in Patients with Prediabetes &#8211; Percentage of patients aged 18 years and older who had an abnormal fasting plasma glucose, oral glucose tolerance test, or hemoglobin A1c result in the range of<br \/>\nprediabetes in the previous year who have a blood glucose test performed in the one-year measurement period<\/p>\n<p>Metric 4 &#8211; Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E) (Uses Electronic Data System (ECDS) reporting)<\/p>\n<p>Metric 5 &#8211; Adult Immunization Status (AIS-E)<\/p>\n<p>Metric 6 &#8211; Kidney Health Evaluation for Patients With Diabetes (KED)<\/p>\n<p>Metric 7 &#8211; Eye Exam for Patients with Diabetes (EED) (HEDIS) NQF# 0055, by race, ethnicity\/language, insurance status<\/p>\n<p>Metric 8 &#8211; Blood Pressure Control for Patients With Diabetes (BPD) (HEDIS) NQF# 0061, by race, ethnicity\/language, insurance status[\/vc_toggle][vc_toggle title=&#8221;Employers and Health Care Purchasers&#8221;]Employers and Health Care Purchasers Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Plans_Purchasers_Score-Card_Final.xlsx\">Plans_Purchasers_Score Card_Final<\/a><\/p>\n<p>Health care purchasers should consider including or requiring tracking of all recommended metrics on the Washington State Health Care Authority tab in this section.<\/p>\n<p>Employers should consider developing measures for and tracking the following:<\/p>\n<ul>\n<li>Days of work missed due to complications from Diabetes<\/li>\n<li>Number of employees receiving evidence-based care for diabetes<\/li>\n<li>Number of employees with diabetes who have same day access to care<\/li>\n<li>Rapid return to function after diabetes complications<\/li>\n<li>Patient experiences with diabetes care<\/li>\n<li>Total cost of care for patients with diabetes<\/li>\n<\/ul>\n<p>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation&#8221; tab_id=&#8221;1768515347163-f5cc3c76-e04e&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Confluence Health<\/h3>\n<p>In 2024 Confluence Health began a project to reduce disparities in Diabetes control between Hispanic, African American, and Native American Individuals compared to white\/non-Hispanic individuals.<\/p>\n<p>A summary of how they developed and implemented their project and their use of the Bree Guidelines can be found <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/Case-study-onepager-template.pdf\">HERE<\/a>.<\/p>\n<p>Their report out for the final results of their project can be found <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/October-2025-Diabetes-Disparity-Data.pptx\">HERE<\/a>.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Community Health Plan of Washington<\/h3>\n<p>In 2025 Community Health Plan of Washington (CHPW) was awarded the Foundation for Health Care Quality&#8217;s Mountain Climber Award for the program in Diabetes Care. CHPW had previously won a Trailblazer award for concordance of care with Bree Collaborative guidelines. As part of their Mountain Climber award CHPW submitted a narrative summary and examples of their work.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Mountain-Climber-Award-Winners_summary_V2.pdf\">Mountain Climber Awards Summary<\/a><\/li>\n<li>Diabetes A1c Fishbone Diagram<\/li>\n<li>At Home A1c Workflow<\/li>\n<li>A1c Pilot Program FAQs<\/li>\n<li>North Central RTC Diabetes Project Poster<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1768515347258-dcb56cd4-0f5a&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Name<\/strong><\/td>\n<td><strong>Title<\/strong><\/td>\n<td><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Norris Kamo, MD, MPP (chair)<\/td>\n<td>Section Head, Adult Primary Care<\/td>\n<td>Virginia Mason Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td>Susan Buell<\/td>\n<td>Associate Director of Health Initiatives<\/td>\n<td>YMCA of Pierce County<\/td>\n<\/tr>\n<tr>\n<td>LuAnn Chen, MD, MHA<\/td>\n<td>Medical Director<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Sharon Eloranta, MD<\/td>\n<td>Medical Director, Performance Measurement and Practice<\/td>\n<td>Washington Health Alliance<\/td>\n<\/tr>\n<tr>\n<td>Rick Hourigan, MD<\/td>\n<td>Market Medical Executive<\/td>\n<td>Cigna<\/td>\n<\/tr>\n<tr>\n<td>Carissa Kemp, MPP<\/td>\n<td>State Government Affairs and Advocacy Director<\/td>\n<td>American Diabetes Association<\/td>\n<\/tr>\n<tr>\n<td>Vickie Kolios, MSHSA, CHPQ<\/td>\n<td>Program Director, Surgical and Spine COAP<\/td>\n<td>Foundation for Health Care Quality<\/td>\n<\/tr>\n<tr>\n<td>Robert Mecklenberg, MD<\/td>\n<td>Medical Director (retired)<\/td>\n<td>Virginia Mason Medical Center<\/td>\n<\/tr>\n<tr>\n<td>Mamatha Palanati, MD<\/td>\n<td>Family Medicine Physician<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>Khimberly Schoenacker, RND, CSP, CD<\/td>\n<td>CYSHCN Program<\/td>\n<td>Washington Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Cyndi Stilson, RN, BSN, CMM<\/td>\n<td>Care Management Manager<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Sally Sundar<\/td>\n<td>Program Executive, Health Integration and Transformation<\/td>\n<td>The Y of Greater Seattle<\/td>\n<\/tr>\n<tr>\n<td>Nicole Treanor, MS, RD, CD, CDCES<\/td>\n<td>Diabetes Care and Education Specialist (DCES)<\/td>\n<td>Virginia Mason Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td>Sheryl Morelli, MD, MS<\/td>\n<td>Chief Medical Officer<\/td>\n<td>Seattle Children\u2019s Care Network<\/td>\n<\/tr>\n<tr>\n<td>Leah Wainman<\/td>\n<td>Equity and Health Assessment Manager<\/td>\n<td>Washington Department of Health<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1768515347320-ba530217-6f9f&#8221;][vc_column_text css=&#8221;&#8221;]Community Health Plan of Washington was awarded the Bree Collaborative <em><strong>Trailblazer Award<\/strong><\/em> for concordance with best practice guidelines in 2024 and the Foundation for Health Care Qualities <em><strong>Mountain Climber Award<\/strong> <\/em>for embedding processes to reduce disparities among those with diabetes.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-76158\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/9_CommunityHealthplanWashington_600x600NoPadding-e1753974777421.png\" alt=\"\" width=\"595\" height=\"226\" srcset=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/9_CommunityHealthplanWashington_600x600NoPadding-e1753974777421.png 595w, https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/9_CommunityHealthplanWashington_600x600NoPadding-e1753974777421-300x114.png 300w\" sizes=\"auto, (max-width: 595px) 100vw, 595px\" \/>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1768515347388-0294f291-9e00&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 2023<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Diabetes-Agenda-23_0112.pdf\" target=\"_blank\" rel=\"noopener\">January Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Charter-Roster-Diabetes-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Draft Charter and Roster<\/a><\/td>\n<\/tr>\n<tr>\n<td>February<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Diabetes-Agenda-23_0209.pdf\" target=\"_blank\" rel=\"noopener\">February Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Minutes-Diabetes-23-0112.pdf\" target=\"_blank\" rel=\"noopener\">January Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Bree-Diabetes-Discuss-Slides-2-09.pdf\" target=\"_blank\" rel=\"noopener\">Discussion Slides<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Bree-Diabetes-Goals.pdf\" target=\"_blank\" rel=\"noopener\">Sample Goals Spreadsheet<\/a><\/td>\n<\/tr>\n<tr>\n<td>March<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Diabetes-Agenda-23_0309.pdf\" target=\"_blank\" rel=\"noopener\">March Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Minutes-Diabetes-23-0209.pdf\" target=\"_blank\" rel=\"noopener\">February Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Example_Bree-Diabetes-Workforce-Burnout-and-Wellbeing-Subgroup-Meeting-2023_03_02.pdf\" target=\"_blank\" rel=\"noopener\">Workforce Wellbeing Notes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Bree-Diabetes-Care-Discussion-Guide_23_0309.pdf\" target=\"_blank\" rel=\"noopener\">Breakout Session Discussion Guide<\/a><\/td>\n<\/tr>\n<tr>\n<td>April<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Agenda-23_0413.pdf\" target=\"_blank\" rel=\"noopener\">April Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Minutes-Diabetes-23-0309.pdf\" target=\"_blank\" rel=\"noopener\">March Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Research-Topics-and-Questions.pdf\" target=\"_blank\" rel=\"noopener\">Topic Prioritization<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Diabetes-Discuss-Slides-0413.pdf\" target=\"_blank\" rel=\"noopener\">Diabetes Discussion Slides \u2013 April<\/a><\/td>\n<\/tr>\n<tr>\n<td>May<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Agenda-23_0511.pdf\" target=\"_blank\" rel=\"noopener\">May Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Minutes-Diabetes-23-0413.pdf\" target=\"_blank\" rel=\"noopener\">April Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/05.09.23-interim-report-diabetes.pdf\" target=\"_blank\" rel=\"noopener\">May Interim Evidence Review Report<\/a><\/td>\n<\/tr>\n<tr>\n<td>June<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Diabetes-Agenda-23_0608.pdf\" target=\"_blank\" rel=\"noopener\">June Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Minutes-Diabetes-23-0511.pdf\" target=\"_blank\" rel=\"noopener\">May Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/06.08.23-worksheet-diabetes.pdf\" target=\"_blank\" rel=\"noopener\">June Evidence Report and Discussion Worksheet<\/a><\/td>\n<\/tr>\n<tr>\n<td>July<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/08\/Bree-Diabetes-Agenda-23_0714.pdf\">July Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Minutes-Diabetes-23-0713.pdf\">June Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/08\/07.05.23-interim-report-diabetes1.pdf\">July Evidence Report and Discussion Worksheet<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/08\/Bree-Workgroup-on-DiabetesDental-Care_MM_JH-7_10_23.pdf\">Draft Recommendations on Dental Care&amp;Diabetes<\/a><\/td>\n<\/tr>\n<tr>\n<td>August<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Diabetes-Agenda-23_0914.pdf\">September Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Minutes-Diabetes-23-0810.pdf\">August Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Diabetes-Report_Draft-9.14.Wordpress.docx\">Draft Report and Recommendations<\/a><\/td>\n<\/tr>\n<tr>\n<td>September<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Diabetes-Agenda-23_0914.pdf\">September Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Minutes-Diabetes-23-0810.pdf\">August Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Diabetes-Report_Draft-9.14.Wordpress.docx\">Draft Report and Recommendations<\/a><\/td>\n<\/tr>\n<tr>\n<td>October<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Diabetes-Agenda-23_0914.pdf\">October Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Minutes-Diabetes-23-0810.pdf\">September Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Diabetes-Report_Draft-9.14.Wordpress.docx\">Draft Report and Recommendations<\/a><\/td>\n<\/tr>\n<tr>\n<td>November<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/11\/Diabetes-Agenda-23_1109.pdf\">November Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/11\/Minutes-Diabetes-23-1012.pdf\">October Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/11\/Diabetes-Report-Draft-111523.pdf\">Draft Report<\/a><\/td>\n<\/tr>\n<tr>\n<td>December<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/12\/Diabetes-Agenda-23_1214.pdf\">December Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/12\/Minutes-Diabetes-23-1109.pdf\">November Minutes<\/a><br \/>\n<a href=\"https:\/\/qualityhealth.sharepoint.com\/:x:\/g\/Ef3U4hBTjJVPuBebucL9d9wBEPbi_5gu82VGtOH4vZs7pg?e=6e12QG\">Scorecard<\/a><\/td>\n<\/tr>\n<tr>\n<td>January 2024<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Diabetes-Agenda-23_0111.pdf\">January Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Minutes-Diabetes-23-1214.pdf\">December Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/FINAL-Diabetes-Report_Draft-23.pdf\">Final Draft (not yet approved)<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; accent_color=&#8221;#145e61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; el_id=&#8221;pediatric-asthma-tour&#8221; title=&#8221;Pediatric Asthma&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1681937046335-10084e64-c3a1&#8243;][vc_column_text]<\/p>\n<h4>Guideline title: Pediatric Asthma Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication: <\/strong>January 2023<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2022<\/p>\n<p><strong>Scope: <\/strong>Asthma management across settings (school, clinical, home, etc.),\u00a0 care coordination, exposure reduction, funding<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description: <\/strong>Given the multidisciplinary nature of pediatric asthma control, this guideline focuses on strategies to align efforts across key stakeholders. Guidelines are meant to supplement existing treatment guidelines from the National Asthma Education and Prevention Program, best practices for community interventions from the CDC\u2019s Community Preventative Services Task Force, and expectations for pediatric asthma care in schools from Washington State\u2019s Asthma Management in Educational Settings guide. Additionally, this guideline builds off previous work to mitigate the effects of climate on asthma from the Asthma and Allergy Foundation of America and offers strategies for funding pediatric asthma interventions drawing from previous research on funding mechanisms from the Brookings Center for Health Policy.<span id=\"page15R_mcid2\" class=\"markedContent\"><\/span><strong><span id=\"page15R_mcid2\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"><br \/>\n<\/span><\/span><\/strong>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1681937046769-2406ad7b-6b7c&#8221;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/01\/Bree-Pediatric-Asthma-Report-Final.pdf\">Bree Pediatric Asthma Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1681937048004-da7ccb4c-a814&#8243;][vc_column_text]The checklist tool\u00a0 translates the Bree guidelines into action steps for that sector. 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\u2019 setting. Bree staff co-created the checklists with report workgroup members and topic experts.[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health System Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/PEDIAT1.pdf\">\u00a0Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/PEDIAT3.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/PEDIAT2.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professional Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-Clinician-Level-1-12.23.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-Clinician-Level-2-12.23.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-Clinician-Level-3-12.23.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Public Health Agency Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-PH-Level-1-12.23.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-PH-Level-2-12.23.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-PH-Level-3-12.23.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Organizations Working with Community Health Worker Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-CHW-Level-1-12.23.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-CHW-Level-2-12.23.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Pediatric-Asthma-Checklist-CHW-Level-3-12.23.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1681937056448-b7db96be-326a&#8221;][vc_toggle title=&#8221;Resources and Tools&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/www.nhlbi.nih.gov\/science\/national-asthma-education-and-prevention-program-coordinating-committee-naeppcc\">Link to National Asthma Education and Prevention Program\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.thecommunityguide.org\/media\/pdf\/Asthma-Home-Based-Children.pdf\">Link to CDC\u2019s Community Preventative Service Task Force-Asthma Control\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/ospi.k12.wa.us\/sites\/default\/files\/public\/healthservices\/pubdocs\/asthmamanual.pdf\">Link to Washington State\u2019s Asthma Management in Educational Settings Guide\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/aafa.org\/asthma-allergy-research\/our-research\/climate-health\/\">Link to Asthma and Allergy Foundation of America\u00a0<\/a><\/p>\n<p>ASTHMA AND HEAT<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/CLINIC3.pdf\">Clinical Overview of Heat and Children and Teens with Asthma<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/5STEPS1.pdf\">For Caregivers of Children with Asthma\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/5-Steps-to-Prepare-for-Hot-Days-for-Teens-with-Asthma.pdf\">For Teens with Asthma<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/2iRgAS7vWns&#8221; title=&#8221;Related Bree Webinars Link&#8221;][vc_video link=&#8221;https:\/\/youtu.be\/HisGGEMNyZU&#8221; title=&#8221;Clearing the Air: Understanding Wildfire Smoke Impact on Pediatric Asthma in Washington State&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1681937070651-159ae1e4-c9e6&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<p>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<p>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<p>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<p>[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health Systems&#8221;]Health System Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-System-Score-Card-_-Ped-Asthma2.xlsx\">Health System Score Card _ Ped Asthma2<\/a><\/p>\n<p>Home Services Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Home-services-score-card-_-Ped-Asthma.xlsx\">Home services score card _ Ped Asthma<\/a><\/p>\n<p>School Services Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/School-services-score-card-_-Ped-Asthma-C.xlsx\">School services score card _ Ped Asthma &#8211; C<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professionals (in development)&#8221;][\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Plan-Score-Card-_-Pediatric-asthma-1.xlsx\">Health Plan Score Card _ Pediatric asthma<\/a>[\/vc_toggle][vc_toggle title=&#8221;Purchasers and Employers&#8221;]Purchasers\/Employers Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Purchaser-payer-Score-Card-_-Ped-Asthma-1.xlsx\">Purchaser payer Score Card _ Ped Asthma<\/a>[\/vc_toggle][vc_toggle title=&#8221;Schools&#8221;]School Score cards <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/School-services-score-card-_-Ped-Asthma-C.xlsx\">School services score card _ Ped Asthma &#8211; C<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221;]The Pediatric Asthma work group&#8217;s focus was on cross-sector alignment to reduce the burden of Asthma in Washington. The group did not identify specific measures, however some standard metrics may be relevant to this work or are include in VBP contracts or HCA certification standards.<\/p>\n<ul>\n<li><span id=\"page10R_mcid105\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Asthma Medication Ratio (AMR)<\/span><\/span>\n<ul>\n<li><span id=\"page10R_mcid108\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of members 5-64 years of age who were identified as having persistent asthma and had a <\/span><span dir=\"ltr\" role=\"presentation\">ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page2121R_mcid81\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Child and Adolescent Well-Care Visits (WCV)<\/span><\/span><span id=\"page2121R_mcid82\" class=\"markedContent\"><\/span><span id=\"page2121R_mcid83\" class=\"markedContent\"><\/span>\n<ul>\n<li><span id=\"page2121R_mcid88\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of members 3\u201321 years of age who had at least one comprehensive well- care visit with a PCP <\/span><span dir=\"ltr\" role=\"presentation\">or an OB\/GYN practitioner during the measurement year.<\/span><\/span><span id=\"page2121R_mcid89\" class=\"markedContent\"> <\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page21R_mcid55\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Potentially Avoidable Use of the Emergency <\/span><span dir=\"ltr\" role=\"presentation\">Room<\/span><\/span>\n<ul>\n<li><span id=\"page21R_mcid59\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of total ER visits considered potentially avoidable based on an agreed- upon list of ICD <\/span><span dir=\"ltr\" role=\"presentation\">codes. This is considered a conservative measure of potentially avoidable ER use.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; NEW!&#8221; tab_id=&#8221;1681937115927-41253d63-345d&#8221;][vc_column_text css=&#8221;&#8221;]<b>Improving Asthma Care Plan Documentation in ESD 105 Schools in Washington State: A simple plan<\/b><\/p>\n<p>In 2024, Educational Service District 105 worked with the Bree Collaborative to measure the outcomes and impact of an implementation project aimed at improving the identification of students with an Asthma diagnosis and increasing school nurse documentation of Asthma care plans. EDS 105&#8217;s implementation strategy was to use existing meetings and trainings to make school nurses more award of resources for asthma care plan documentation, including the Bree Guidelines.<\/p>\n<p>A description of their work can be found <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Case-study-onepager-ESD_final_PDF.pdf\">HERE<\/a>. Results for increases in care plan documentation will be available in Spring of 2026.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>ED and Outpatient Visits for Kids with Asthma: Observations during wildfire smoke episode in September of 2025<\/h4>\n<p>In 2024 Confluence Health participated in the Bree Collaborative\u2019s Health Equity Action Collaborative. The project that they developed to address health disparities among Hispanic children resulted in the adoption and implementation of the Bree guidelines on the Health Impacts of Extreme Heat and Wildfire Smoke and Pediatric Asthma. Initial data from this project showed reductions in overall ED visits for children with Asthma and reductions in disparities between Hispanic and non-Hispanic children during the September 2025 wildfire smoke event.<\/p>\n<p>View the <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Case-study-onepager-Asthma_wildfire-smoke.pptx\">one-page summary<\/a> of how they leveraged Bree Resources to support their project.<\/p>\n<p>You can read their presentation to their quality improvement team <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Report-to-QRL-pediatric-asthma-disparity-action-plan.pptx\">HERE<\/a>.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739470011516-2d7277a6-0a93&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Name<\/strong><\/td>\n<td><strong>Title<\/strong><\/td>\n<td><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Annie Hetzel, MSN, RN<\/td>\n<td>School Health Services Consultant<\/td>\n<td>Office of the Superintendent of Public Instruction<\/td>\n<\/tr>\n<tr>\n<td>Brad Kramer, MPA<\/td>\n<td>Asthma and Community Health Worker Program Manager<\/td>\n<td>Public Health, Seattle &amp; King County<\/td>\n<\/tr>\n<tr>\n<td>Christopher Chen, MD<\/td>\n<td>Associate Medical Director<\/td>\n<td>Washington State Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>David Ricker, MD<\/td>\n<td>Pediatric Pulmonologist\/Sleep Specialist<\/td>\n<td>Mary Bridge Children\u2019s<\/td>\n<\/tr>\n<tr>\n<td>Doreen Kiss, MD<\/td>\n<td>Physician<\/td>\n<td>University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Edith Shreckengast, MS<\/td>\n<td>Clinical Health Coach \u2013 Registered Dietitian<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Julee Christianson<\/td>\n<td>Directory, Health Schools Program<\/td>\n<td>Office of the Superintendent of Public Instruction<\/td>\n<\/tr>\n<tr>\n<td>Kate Hastings<\/td>\n<td>Senior Policy Expert<\/td>\n<td>Scientific Consulting Group<\/td>\n<\/tr>\n<tr>\n<td>Brad Kramer, MPA<\/td>\n<td>Asthma and Community Health Worker Program Manager<\/td>\n<td>Public Health, Seattle &amp; King County<\/td>\n<\/tr>\n<tr>\n<td>Katie Paul, MD, MPH<\/td>\n<td>Physician<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>LuAnn Chen, MD, MHA<\/td>\n<td>Senior Medical Director<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Mark LaShell, MD<\/td>\n<td>Allergist-Immunologist<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>Michael Dudas, MD<\/td>\n<td>Pediatrician<\/td>\n<td>Virginia Mason Medical Center<\/td>\n<\/tr>\n<tr>\n<td>Sheryl Morelli, MD, MS<\/td>\n<td>Chief Medical Officer<\/td>\n<td>Seattle Children\u2019s Care Network<\/td>\n<\/tr>\n<tr>\n<td>Vicki Kolios, MSHSA, CPHQ<\/td>\n<td>Senior Program Director, Spine and Surgical COAP<\/td>\n<td>Foundation for Health Care Quality<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739470012657-1cff3f9e-fc88&#8243;][vc_column_text css=&#8221;&#8221;]Award Winners for Best Practices in Pediatric Asthma:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><a href=\"https:\/\/www.uwmedicine.org\/\"><strong>UW Medicine &amp; UW Physicians <\/strong><\/a><a href=\"https:\/\/www.healthpointchc.org\/\"><strong>(2023)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\"><strong>UnitedHealthcare <\/strong><\/a><a href=\"https:\/\/www.healthpointchc.org\/\"><strong>(2024)<\/strong><\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740174543197-791cd3e3-8207&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 18<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/01\/Pediatric-Asthma-Agenda-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Agenda January 18<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/01\/Charter-Roster-Pediatric-Asthma-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Charter Draft<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 15<\/td>\n<td><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Agenda-Pediatric-Asthma-22-0215.pdf\" target=\"_blank\" rel=\"noopener\">Agenda February 15<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Minutes-Pediatric-Asthma-Workgroup-22-0118.pdf\" target=\"_blank\" rel=\"noopener\">Minutes January 18<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 15<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Agenda-Pediatric-Asthma-22-0315.pdf\" target=\"_blank\" rel=\"noopener\">Agenda March 15<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Minutes-Pediatric-Asthma-Workgroup-22-0215.pdf\" target=\"_blank\" rel=\"noopener\">Minutes February 15<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Bree-Pediatric-Asthma-Focus-Areas-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Bree Pediatric Asthma Focus Areas Draft<\/a><\/td>\n<\/tr>\n<tr>\n<td>April 19<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Agenda-Pediatric-Asthma-22-0419.pdf\" target=\"_blank\" rel=\"noopener\">Agenda April 19<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Minutes-Pediatric-Asthma-Workgroup-22-0315.pdf\" target=\"_blank\" rel=\"noopener\">Minutes March 15<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Bree-Pediatric-Asthma-Focus-Areas-Review-22_0419.pdf\" target=\"_blank\" rel=\"noopener\">Bree Pediatric Asthma Focus Areas Update<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Bree-Pediatric-Asthma-Clinical-Control-Worksheet-04.19.22.pdf\" target=\"_blank\" rel=\"noopener\">Bree Pediatric Asthma Clinical Control Draft<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 17<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Agenda-Pediatric-Asthma-22-0517.pdf\" target=\"_blank\" rel=\"noopener\">Agenda May 17<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Minutes-Pediatric-Asthma-Workgroup-22-0419.pdf\" target=\"_blank\" rel=\"noopener\">Minutes April 19<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Bree-Pediatric-Asthma-Clinical-Control-Worksheet-04.19.22.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Clinical Control 5\/17<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Bree-Pediatric-Asthma-Home-Environment-Worksheet-05.13.22.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Home Environment 5\/17<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 21<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Agenda-Pediatric-Asthma-22-0621.pdf\" target=\"_blank\" rel=\"noopener\">Agenda June 21<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Minutes-Pediatric-Asthma-Workgroup-22-0517.pdf\" target=\"_blank\" rel=\"noopener\">Minutes May 17<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Bree-Pediatric-Asthma-Home-Environment-Worksheet-06.21.22.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Home Environment 6\/21<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Bree-Pediatric-Asthma-and-School-Environment-0621.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma School Environment 6\/21<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 19<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Agenda-Pediatric-Asthma-22-0719.pdf\" target=\"_blank\" rel=\"noopener\">Agenda July 19<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Minutes-Pediatric-Asthma-Workgroup-22-0621.pdf\" target=\"_blank\" rel=\"noopener\">Minutes June 21<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Bree-Pediatric-Asthma-and-School-Environment-0719.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma School Environment 7\/19<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Bree-Pediatric-Asthma-and-Environment-22_0719.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Climate and Environment 7\/19<\/a><\/td>\n<\/tr>\n<tr>\n<td>August 16<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Agenda-Pediatric-Asthma-22-0816.pdf\" target=\"_blank\" rel=\"noopener\">Agenda August 16<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Minutes-Pediatric-Asthma-Workgroup-22-0719.pdf\" target=\"_blank\" rel=\"noopener\">Minutes July 19<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Bree-Pediatric-Asthma-Workgroup-Review.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Recommendation Review<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Bree-Pediatric-Asthma-Funding-Worksheet.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Funding Draft\u00a0<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 20<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Agenda-Pediatric-Asthma-22-0920.pdf\" target=\"_blank\" rel=\"noopener\">Agenda September 20<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Minutes-Pediatric-Asthma-Workgroup-22-0816.pdf\" target=\"_blank\" rel=\"noopener\">Minutes August 16<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Bree-Pediatric-Asthma-Draft-22_0920.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Asthma Draft Report 09.20.22<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; accent_color=&#8221;#145e61&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row overlay_dotted=&#8221;&#8221; el_id=&#8221;chronic-disease-guidelines-row&#8221;][vc_column][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Blood Pressure Screening and Control&#8221; el_id=&#8221;diabetes-care-tour&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1703186248455-0ade4b3b-51f6&#8243;][vc_column_text css=&#8221;&#8221;] Guideline title: Blood Pressure Screening and Control Publication Status: Active Date&#8230;","protected":false},"author":134,"featured_media":0,"parent":70686,"menu_order":3,"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-75396","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75396","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=75396"}],"version-history":[{"count":43,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75396\/revisions"}],"predecessor-version":[{"id":76986,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75396\/revisions\/76986"}],"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=75396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}