{"id":75398,"date":"2025-02-25T16:16:13","date_gmt":"2025-02-26T00:16:13","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=75398"},"modified":"2026-01-27T17:05:10","modified_gmt":"2026-01-28T01:05:10","slug":"infectious-disease-management","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/infectious-disease-management\/","title":{"rendered":"Infectious Disease Management"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row overlay_dotted=&#8221;&#8221; el_id=&#8221;infectious-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; el_id=&#8221;hepatitis-c-tour&#8221; title=&#8221;Hepatitis C Virus&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1679002313790-2700f8bd-c03d&#8221;][vc_column_text]<\/p>\n<h4>Guideline title: Hepatitis C Virus Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: November 2022<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2022<\/p>\n<p><strong>Scope:<\/strong> <span id=\"page17R_mcid18\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Metrics<\/span><\/span>, treatment, c<span id=\"page17R_mcid32\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">are coordination, a<\/span><span dir=\"ltr\" role=\"presentation\">ccess<\/span><\/span>, <span id=\"page17R_mcid49\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">expansion of care and treatment settings, models of care, engaging providers<\/span><span dir=\"ltr\" role=\"presentation\">\u00a0<\/span><\/span><\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description: <\/strong><span id=\"page6R_mcid9\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">This <\/span><span dir=\"ltr\" role=\"presentation\">guideline is meant to align with existing guidelines from Hep C Free Washington as well as the U.S. <\/span><span dir=\"ltr\" role=\"presentation\">Department of Health and Human Services Viral Hepatitis National Strategic Plan. Specifically, guidelines<\/span><span dir=\"ltr\" role=\"presentation\">\u00a0focus on expanding access to HCV services and improving the care cascade through <\/span><span dir=\"ltr\" role=\"presentation\">quality metrics, care coordination, adopting non-traditional clinical models, engaging with providers, <\/span><span dir=\"ltr\" role=\"presentation\">and embedding HCV services at community sites.<\/span> <\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1679002313840-205e5aab-e5a7&#8243;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/05\/Bree-HCV-Recommendations-Final.pdf\">Hepatitis C 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;1679002313894-d05089d9-1484&#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\/HCV-Checklist-Health-Delivery-Site-Level-1-12.23.pdf\">Level 1\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Health-Delivery-Site-Level-2-12.23.pdf\">Level 2\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Health-Delivery-Site-Level-3-12.23.pdf\">Level 3\u00a0<\/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\/HCV-Checklist-Clinicians-Pharmacists-Level-1-12.23.pdf\">Level 1\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Clinicians-Pharmacists-Level-2-12.23.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/HCV-Checklist-Clinicians-Pharmacists-Level-3-12.23.pdf\">Level 3\u00a0<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plan Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Health-Plan-Level-1-12.23.pdf\">Level 1\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Health-Plan-Level-2-12.23.pdf\">Level 2\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Health-Plan-Level-3-12.23.pdf\">Level 3\u00a0<\/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\/HCV-Checklist-Public-Health-Agencies-Level-1-12.23.pdf\">Level 1\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Public-Health-Agencies-Level-2-12.23.pdf\">Level 2\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/HCV-Checklist-Public-Health-Agencies-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;1679002314100-edf2f62b-b395&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221;]<\/p>\n<ul>\n<li>The Bree Report on HCV is meant to supplement these resources.<\/li>\n<li><a href=\"https:\/\/www.hcvguidelines.org\/\">Link to the AASLD\/IDSA<\/a>\u00a0 Treatment Guidelines<\/li>\n<li><a href=\"https:\/\/doh.wa.gov\/you-and-your-family\/illness-and-disease-z\/hepatitis-information\/hepatitis-c\/eliminating-hepatitis-c\">Link to Hep C Free Washington (DOH)<\/a><\/li>\n<li><a href=\"https:\/\/www.hca.wa.gov\/about-hca\/programs-and-initiatives\/clinical-collaboration-and-initiatives\/eliminating-hepatitis-c\">Link to Hep C Free Washington (HCA)<\/a><\/li>\n<li><a href=\"https:\/\/hepeducation.org\/wp-content\/uploads\/2021\/10\/HEP_MCM_Toolkit.pdf\">Link to Hepatitis C Medical Case Management Toolkit: Creating and Expanding Services<\/a><\/li>\n<\/ul>\n<p>[\/vc_toggle][vc_toggle title=&#8221;Continuing Education Resource&#8221;]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.hepatitisc.uw.edu\/\">Link to UW HCV Training&#8211;Free CME\/CNE<\/a><\/li>\n<li><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2023\/04\/Project-ECHO-Flyer-2022-2023-v11.22.pdf\">Link to Project ECHO Viral Hepatitis<\/a>: Contact Pam Landinez, landinez@uw.edu, for further information to participate in this ongoing learning opportunity and to receive CME for your engagement.<\/li>\n<\/ul>\n<p>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/IVQFdbEXI-Q&#8221; title=&#8221;Related Bree Webinars Link&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1679002314225-c5c6d40d-a55f&#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<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-_-Hep-C.xlsx\">Health System Score Card _ Hep C<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professionals and Pharmacist&#8221;]Health Professionals Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-professionals_pharmacists-Score-Card-_-Hep-C.xlsx\">Health professionals_pharmacists Score Card _ Hep C<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Score Cards <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Plan-Score-Card-_-Hep-C.xlsx\">Health Plan Score Card _ Hep C<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Agencies&#8221;]Washington State Agencies Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Public-Health-Score-Card-_-Hep-C.xlsx\">Public Health Score Card _ Hep C<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221;]The work group recommended the Centers for Medicaid and Medicare Services\u00a0 metric for screening patients for HCV in their measures inventory tool, although the metric is currently not being implemented. The CMS recommended metric is:<\/p>\n<ul>\n<li>Percentage of patients age &gt;= 18 years who received one-time antibody screening for hepatitis C virus (HCV) infection\n<ul>\n<li><em>Numerator:<\/em> Patients who received a one-time antibody test for HCV infection<\/li>\n<li><em>Denominator:<\/em> All patients &gt;= 18 years of age who had at least one preventive visit OR were seen at least twice within the 12-month reporting period. Denominator exceptions: Documentation of medical reason(s) for not receiving one-time screening for HCV infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], waitlist for organ transplant, limited life expectancy, other medical reasons) OR Documentation of patient reason(s) for not receiving one-time screening for HCV infection (e.g., patient declined, other patient reasons)<\/li>\n<\/ul>\n<\/li>\n<li>Percentage of patients with a positive RNA HCV test who receive a prescription for direct acting antivirals for HCV.\n<ul>\n<li>Numerator: Patients who received a prescription for direct acting antivirals for HCV.<\/li>\n<li>Denominator: All patients &gt;= 18 years of age who have tested positive for HCV through an RNA test. Denominator exceptions: Avoid duplicate patients who have both a positive antibody and a positive RNA test.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1680641198702-d80fb5dd-1b82&#8243;][vc_column_text]Examples will be added upon review of submissions.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;WorkGroup Members&#8221; tab_id=&#8221;1739471248704-fd57ec11-22a1&#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>Abha Puri, MPH<\/td>\n<td>Program Manager<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Emalie Huriaux, MPH<\/td>\n<td>STD, Adult Hepatitis, and Syringe Service Program (SSP) Manager<\/td>\n<td>WA Department of Health<\/td>\n<\/tr>\n<tr>\n<td>John Scott, MD, MSc<\/td>\n<td>Professor, Department of Medicine<br \/>\nMedical Director, Telehealth<br \/>\nAssociate Medical Director, Liver Clinic<\/td>\n<td>University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Jon Stockton, MHA<\/td>\n<td>Adult Viral Hepatitis Coordinator<\/td>\n<td>WA Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Judith Tsui, MD, MPH<\/td>\n<td>Associate Professor, Department of Medicine<br \/>\nDirector, UW Medical Student Addiction Research Program<\/td>\n<td>University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Melda Velasquez<\/td>\n<td>Service Line Director<\/td>\n<td>Kadlec Regional Medical Center<\/td>\n<\/tr>\n<tr>\n<td>Omar Daoud, PharmD<\/td>\n<td>Director of Pharmacy<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Patrick Judkins<\/td>\n<td>Education and Outreach Specialist, Disease Control and Prevention<\/td>\n<td>Thurston County Health Department<\/td>\n<\/tr>\n<tr>\n<td>Ryan Pistoresi, PharmD, MS<\/td>\n<td>Assistant Chief Pharmacy Officer<\/td>\n<td>Washington State Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Wendy Wong, BSc<\/td>\n<td>Ambulatory Clinical Pharmacist<\/td>\n<td>Providence Health and Services<\/td>\n<\/tr>\n<tr>\n<td>Vania Rudolph, MD, MPH<\/td>\n<td>Addiction Medicine Specialist<\/td>\n<td>Swedish Health Centers<\/td>\n<\/tr>\n<tr>\n<td>Yumi Ando, MD<\/td>\n<td>Gastroenterologist<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740176596362-3555f803-2294&#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 6<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/01\/Agenda-Hepatitis-C-22-0106.pdf\" target=\"_blank\" rel=\"noopener\">Agenda January 6<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/01\/Charter-Roster-Hepatitis-C-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Hep C Workgroup Charter Draft<\/a><br \/>\n<a href=\"https:\/\/www.doh.wa.gov\/Portals\/1\/Documents\/Pubs\/150nonDOH-HepCFreeWA-PlanJuly2019.pdf\" target=\"_blank\" rel=\"noopener\">Hep C Free Washington Plan (DOH)<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 3<\/td>\n<td><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Agenda-Hepatitis-C-22-0203.pdf\" target=\"_blank\" rel=\"noopener\">Agenda January 3<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Minutes-Hep-C-Workgroup-22-0106.pdf\" target=\"_blank\" rel=\"noopener\">Minutes January 6<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/2022-02-Hep-C-Free-WA-presentation-for-Bree-Collaborative.pdf\" target=\"_blank\" rel=\"noopener\">Hep C Free Presentation (DOH)<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 3<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Agenda-Hepatitis-C-22-0303.pdf\" target=\"_blank\" rel=\"noopener\">Agenda March 3<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Minutes-Hep-C-Workgroup-22-0203.pdf\" target=\"_blank\" rel=\"noopener\">Minutes February 3<\/a><\/td>\n<\/tr>\n<\/tbody>\n<tbody>\n<tr>\n<td>April 7<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Agenda-Hepatitis-C-22-0407.pdf\" target=\"_blank\" rel=\"noopener\">Agenda April 7<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Minutes-Hep-C-Workgroup-22-0303.pdf\" target=\"_blank\" rel=\"noopener\">Minutes March 3<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Bree-HCV-Workplan-Draft-22_0407.pdf\" target=\"_blank\" rel=\"noopener\">Bree Hep C Timeline Draft<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Potential-HCV-Measures-Worksheet.pdf\" target=\"_blank\" rel=\"noopener\">Potential HCV Metrics Draft<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 5<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Agenda-Hepatitis-C-22-0505.pdf\" target=\"_blank\" rel=\"noopener\">Agenda May 5<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Minutes-Hep-C-Workgroup-22-0407.pdf\" target=\"_blank\" rel=\"noopener\">Minutes April 7<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Potential-HCV-Measures-Worksheet-0505.pdf\" target=\"_blank\" rel=\"noopener\">Potential HCV Metrics 05\/05<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/HCV-Care-Coordination-Recommendations-Worksheet-0505.pdf\" target=\"_blank\" rel=\"noopener\">Care Coordination Draft 05\/05<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Introduction-to-PMCC_05.05.2022.pdf\" target=\"_blank\" rel=\"noopener\">PMCC Presentation 05\/05<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 2<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Agenda-Hepatitis-C-22-0602.pdf\" target=\"_blank\" rel=\"noopener\">Agenda June 2<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Minutes-Hep-C-Workgroup-22-0505.pdf\" target=\"_blank\" rel=\"noopener\">Minutes May 5<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Potential-HCV-Measures-Worksheet-0602.pdf\" target=\"_blank\" rel=\"noopener\">Potential HCV Metrics 06\/02<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/HCV-Care-Coordination-Recommendations-Worksheet-0602.pdf\" target=\"_blank\" rel=\"noopener\">Care Coordination Draft 06\/02<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 7<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Agenda-Hepatitis-C-22-0707.pdf\" target=\"_blank\" rel=\"noopener\">Agenda July 7<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Minutes-Hep-C-Workgroup-22-0602.pdf\" target=\"_blank\" rel=\"noopener\">Minutes June 2<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/HCV-Care-Coordination-Recommendations-Worksheet-0707.pdf\">Care Coordination Draft 7\/07<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/HCV_Integrating-Pharmacists_0707.pdf\" target=\"_blank\" rel=\"noopener\">Integrating Pharmacists Draft 7\/07<\/a><\/td>\n<\/tr>\n<tr>\n<td>August 4<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Agenda-Hepatitis-C-22-0804.pdf\" target=\"_blank\" rel=\"noopener\">Agenda August 4<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Minutes-Hep-C-Workgroup-22-0707.pdf\" target=\"_blank\" rel=\"noopener\">Minutes July 7<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Bree-HCV-Recommendation-Review.pdf\">Hep C Recommendation Review Worksheet<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/08\/Bree-HCV-National-Strategy-Alignment.pdf\">National Strategy Alignment Worksheet<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 1<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Agenda-Hepatitis-C-22-0901.pdf\" target=\"_blank\" rel=\"noopener\">Agenda September 1<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Minutes-Hep-C-Workgroup-22-0804.pdf\" target=\"_blank\" rel=\"noopener\">Minutes August 4<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Bree-HCV-Draft_22-0825.pdf\">Draft HCV Recommendations 22_0825<\/a><\/td>\n<\/tr>\n<tr>\n<td>November 3<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/11\/Agenda-Hepatitis-C-22-1103.pdf\" target=\"_blank\" rel=\"noopener\">Agenda November 3<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/11\/Minutes-Hep-C-Workgroup-22-0901.pdf\" target=\"_blank\" rel=\"noopener\">Minutes September 1<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/11\/Bree-HCV-Public-Comments.pdf\" target=\"_blank\" rel=\"noopener\">HCV Public Comment Table<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/11\/Bree-HCV-Draft_22-1103-1.pdf\" target=\"_blank\" rel=\"noopener\">Draft HCV Recommendations 22_1103<\/a><\/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;1739471249872-f7f66e5a-efe7&#8243;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Hepatitis C Virus Care:<\/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.chpw.org\/\"><strong>Community Health Plan of Washington (2023)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.molinahealthcare.com\/members\/common\/en-us\/abtmolina\/home.aspx\" target=\"_blank\" rel=\"noopener\"><b>Molina Healthcare (2026)<\/b><\/a><\/li>\n<\/ul>\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;outpatient-infection-control-tour&#8221; title=&#8221;Outpatient Infection Control&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1681485537337-06e8c7a4-a02d&#8221;][vc_column_text]<\/p>\n<h4>Guideline title: Outpatient Infection Control Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: September 2022<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2020<\/p>\n<p><strong>Scope:<\/strong><span id=\"page32R_mcid6\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"> Preventative measures; m<span id=\"page32R_mcid15\" class=\"markedContent\">onitoring\/surveillance<\/span><span id=\"page32R_mcid16\" class=\"markedContent\"><\/span>; m<span id=\"page32R_mcid20\" class=\"markedContent\">inimizing exposure<\/span><span id=\"undefined\" class=\"markedContent\"><\/span><span id=\"page32R_mcid21\" class=\"markedContent\"><\/span><span id=\"page32R_mcid22\" class=\"markedContent\"><\/span>; e<span id=\"page32R_mcid25\" class=\"markedContent\">nvironment of care<\/span><span id=\"page32R_mcid26\" class=\"markedContent\"><\/span>; s<span id=\"page32R_mcid28\" class=\"markedContent\">terilization and high-level disinfection<\/span>; c<span id=\"page32R_mcid33\" class=\"markedContent\">ommunity spread<\/span>.<\/span><\/span><\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong>\u00a0 <span id=\"page24R_mcid3\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">This guideline is <\/span><span dir=\"ltr\" role=\"presentation\">meant to be applicable to<\/span> <span dir=\"ltr\" role=\"presentation\">all outpatient (ambulatory) care center<\/span><span dir=\"ltr\" role=\"presentation\">s, regardless of specialty.The Washington State Department of Health&#8217;s HAI &amp; AR Program is working on defining &#8220;outpatient&#8221; for the purposes of infection prevention work.<br \/>\n<\/span><\/span><\/p>\n<p><span id=\"page24R_mcid3\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">This guideline <\/span><span dir=\"ltr\" role=\"presentation\">is meant to supplement exist<\/span><span dir=\"ltr\" role=\"presentation\">ing guidelines from federal, state, and local<\/span> <span dir=\"ltr\" role=\"presentation\">public health organizations and <\/span><span dir=\"ltr\" role=\"presentation\">provide a path forward<\/span> <span dir=\"ltr\" role=\"presentation\">for outpatient facilities to prioritize<\/span> <span dir=\"ltr\" role=\"presentation\">IPC<\/span> <span dir=\"ltr\" role=\"presentation\">activities<\/span><span dir=\"ltr\" role=\"presentation\">. Specific focus areas discussed <\/span><span dir=\"ltr\" role=\"presentation\">in this guideline include<\/span> <span dir=\"ltr\" role=\"presentation\">prevention, surveillance, minimizing expos<\/span><span dir=\"ltr\" role=\"presentation\">ure,<\/span> <span dir=\"ltr\" role=\"presentation\">environment of care, <\/span><span dir=\"ltr\" role=\"presentation\">sterilization and high<\/span><span dir=\"ltr\" role=\"presentation\">&#8211;<\/span><span dir=\"ltr\" role=\"presentation\">level disinfection,<\/span> <span dir=\"ltr\" role=\"presentation\">and<\/span> <span dir=\"ltr\" role=\"presentation\">community spread.<\/span> <span dir=\"ltr\" role=\"presentation\">Guidelines are directed <\/span><span dir=\"ltr\" role=\"presentation\">toward:<\/span><\/span><span id=\"page24R_mcid4\" class=\"markedContent\"><\/span><span id=\"page24R_mcid5\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Outpatient<\/span> <span dir=\"ltr\" role=\"presentation\">h<\/span><span dir=\"ltr\" role=\"presentation\">ealth<\/span> <span dir=\"ltr\" role=\"presentation\">d<\/span><span dir=\"ltr\" role=\"presentation\">elivery<\/span> <span dir=\"ltr\" role=\"presentation\">s<\/span><span dir=\"ltr\" role=\"presentation\">ystems<\/span><\/span><span id=\"page24R_mcid6\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Employer<\/span><span dir=\"ltr\" role=\"presentation\">s<\/span> <span dir=\"ltr\" role=\"presentation\">as IPC providers and health care purchasers<\/span><\/span><span id=\"page24R_mcid7\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Health insurance plans<\/span><\/span><span id=\"page24R_mcid8\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Public<\/span> <span dir=\"ltr\" role=\"presentation\">health agencies<\/span><\/span><span id=\"page24R_mcid9\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Those receiving care (patients\/consumers)<\/span><\/span>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<p data-start=\"88\" data-end=\"157\"><strong data-start=\"88\" data-end=\"114\">Don&#8217;t have an account?<\/strong> <a class=\"decorated-link cursor-pointer\" href=\"https:\/\/fhqc.qualityhealth.org\/members\/newmem\/new-mem-reg.php?org_id=FHCQ\" target=\"_blank\" rel=\"noopener\" data-start=\"115\" data-end=\"157\">Click here to sign up for MemberLeap.<\/a><\/p>\n<p data-start=\"159\" data-end=\"268\"><strong data-start=\"159\" data-end=\"187\">Already have an account?<\/strong> Click the <strong data-start=\"198\" data-end=\"211\">&#8220;Message Board&#8221;<\/strong> button below to log in and view content.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1681485537561-03b0b7e3-fdd7&#8243;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Bree-Outpatient-Infection-Control_Final.pdf\">Bree Outpatient Infection 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;1681485537843-1e60bcee-71b3&#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\/OIC-Checklist-Health-Admin-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\/OIC-Checklist-Health-Admin-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\/OIC-Checklist-Health-Admin-Level-3-12.-23.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\/OIC-Checklist-Clinician-and-Staff-Level-1-1223.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/OIC-Checklist-Clinician-and-Staff-Level-2-12.23.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/OIC-Checklist-Clinician-and-Staff-Level-3-1223-1.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\/2023\/06\/OICPU1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/OICPUB4.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/OI97461.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1681485540261-05746ab4-b7a5&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221; css=&#8221;&#8221;]<a href=\"http:\/\/www.doh.wa.gov\/public-health-healthcare-providers\/healthcare-professions-and-facilities\/healthcare-associated-infections\/infection-control-assessment-and-response\">WA DOH Infection Control Assessment and Response (ICAR)<\/a><\/p>\n<p><a href=\"https:\/\/fortress.wa.gov\/doh\/opinio\/s?s=ICARconsultation\">Schedule an ICAR Consultation with WA DOH<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/public-health-healthcare-providers\/healthcare-professions-and-facilities\/healthcare-associated-infections\/outreach-and-partnerships\/outpatient-network\">WA Healthcare-Associated Infections and Antimicrobial Resistance (HAIAR) Outpatient Network\u00a0<\/a><\/p>\n<p><a href=\"http:\/\/doh.wa.gov\/public-health-provider-resources\/notifiable-conditions\">WA DOH Notifiable Conditions<\/a><\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/vaccines\/acip\/recommendations.html\">CDC Advisory Committee on Immunization Practices<\/a> (ACIP)<\/p>\n<p><a href=\"http:\/\/www.cdc.gov\/hai\/prevent\/infection-control-assessment-tools.html\">CDC Infection Control Self-Assessment Tools<\/a><\/p>\n<p><a href=\"http:\/\/www.cdc.gov\/infectioncontrol\/index.html\">CDC Infection Control Resource Center<\/a><\/p>\n<p><a href=\"http:\/\/www.cdc.gov\/hai\/settings\/outpatient\/outpatient-care-guidelines.html\">CDC Guide to Infection Prevention for Outpatient Settings<\/a><\/p>\n<p><a href=\"http:\/\/www.osha.gov\/healthcare\/infectious-diseases\">OSHA Infectious Disease and Healthcare Workers\u00a0<\/a><\/p>\n<p>WA DOH Outpatient Infection Control <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/03\/OPIC_new_IP_playbook.pdf\">Playbook<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/qwTheJM1Iq8&#8243; title=&#8221;Related Bree Webinars Link&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1681485543046-a59d66a6-d043&#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; css=&#8221;&#8221;]The Bree is in the process of developing a new format for score cards. To assess your site or organization fidelity with Bree guidelines you can use either the new format or the old format. Submission of either will be accepted for awards. The new format includes additional information about the DOH Outpatient Infection Control playbook.<\/p>\n<p>New Format <a href=\"https:\/\/arcg.is\/0LfOjP2\">Health System\/Deliver Site score card<\/a><\/p>\n<p>Health System Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-System-Score-Card-_-OPIC.xlsx\">Health System Score Card _ OPIC<\/a><\/p>\n<p>Patient Education Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Patient-Education-Score-Card-_-OPIC.xlsx\">Patient Education Score Card _ OPIC<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professionals&#8221;]Clinician Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Clinician-Evaluation-Score-Card-_-OPIC.xlsx\">Clinician Evaluation Score Card _ OPIC<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]Health Plan Evaluation <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/Health-Plan-Score-Card-_-OPIC.xlsx\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Agencies&#8221;]Public Health Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Public-Health-Score-Card-_-OPIC.xlsx\">Public Health Score Card _ OPIC<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health care employers and Private Organizations&#8221;]Health Care Employer\/Community Organization Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Employer-Evaluation-Score-Card-_OPIC.xlsx\">Employer Evaluation Score Card _OPIC<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guidelines Metrics&#8221;]<span id=\"page41R_mcid9\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Common metrics that are reportable to a state or national entity for infection prevention in the outpatient setting do not currently exists. The Bree report recommends minimum expectations for safer care from the CDC\u2019s 2016 Guide to Infection Prevention for<\/span> <span dir=\"ltr\" role=\"presentation\">Outpatient Settings,<\/span> <span dir=\"ltr\" role=\"presentation\">which include:<\/span><\/span><span id=\"page41R_mcid10\" class=\"markedContent\"><\/span><span id=\"page41R_mcid11\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Dedicate administrative resources to<\/span> <span dir=\"ltr\" role=\"presentation\">IPC<\/span><\/span><span id=\"page41R_mcid12\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Educate and train healthcare personnel<\/span><\/span><span id=\"page41R_mcid13\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Monitor and report healthcare<\/span><span dir=\"ltr\" role=\"presentation\">&#8211;<\/span><span dir=\"ltr\" role=\"presentation\">associated infections<\/span><\/span><span id=\"page41R_mcid14\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">\u2022<\/span> <span dir=\"ltr\" role=\"presentation\">Adhere to standard precautions (<\/span><\/span><span id=\"page41R_mcid15\" class=\"markedContent\"><span dir=\"ltr\">hand hygiene,<\/span><\/span><span id=\"page41R_mcid16\" class=\"markedContent\"><\/span><span id=\"page41R_mcid17\" class=\"markedContent\"> <span dir=\"ltr\" role=\"presentation\">personal protective equipment,<\/span><\/span><span id=\"page41R_mcid18\" class=\"markedContent\"><\/span><span id=\"page41R_mcid19\" class=\"markedContent\"> <span dir=\"ltr\">safe injection <\/span><span dir=\"ltr\" role=\"presentation\">practices<\/span><\/span><span id=\"page41R_mcid20\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">,<\/span><\/span><span id=\"page41R_mcid21\" class=\"markedContent\"> <span dir=\"ltr\" role=\"presentation\">safe handling of potentially contaminated equipment,<\/span><\/span><span id=\"page41R_mcid22\" class=\"markedContent\"> <span dir=\"ltr\" role=\"presentation\">and<\/span><\/span><span id=\"page41R_mcid23\" class=\"markedContent\"> <span dir=\"ltr\">respiratory<\/span> <span dir=\"ltr\" role=\"presentation\">hygiene<\/span><\/span><span id=\"page41R_mcid24\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">)<\/span><\/span><\/p>\n<p>Organization specific operational measures to help guide implementation and monitoring of activities have been developed by the Bree Collaborative, in collaboration with the Washington State Department of Health and Seattle Children&#8217;s IP specialists to help organizations measures their progress on best practices.<\/p>\n<p>CDC\u2019s <a href=\"https:\/\/www.cdc.gov\/infectioncontrol\/guidelines\/core-practices\/index.html\">Core Infection Prevention and Control Practices<\/a> for Safe Healthcare Delivery in All Settings[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1681485552047-11e74186-c892&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739471270798-92f590b7-bcb9&#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>Mark Haugen, MD (chair)<\/td>\n<td>Family Medicine Physician<\/td>\n<td>Walla Walla Clinic &amp; Surgical Center<\/td>\n<\/tr>\n<tr>\n<td>Anne Sumner, BSN, MBA<\/td>\n<td>VP Head of Operations<\/td>\n<td>Baker Boyer Bank<\/td>\n<\/tr>\n<tr>\n<td>Cathy Carroll<\/td>\n<td><\/td>\n<td>Washington Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Faiza Zafar, DO, FACOI<\/td>\n<td>Medical Director<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Larissa Lewis, MPH, CIC<\/td>\n<td>HAI Education and Guidance Development Supervisor<\/td>\n<td>WA Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Lisa Hannah, RN, CIC<\/td>\n<td>Infection Prevention Team Supervisor<\/td>\n<td>WA Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Lisa Waldowski, DNP, CIC<\/td>\n<td>Regional Director, Infection Prevention and Control<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>Rhonda Bowen, CIC, CPPS, CPHQ<\/td>\n<td>Senior Improvement Advisory, Patient Safety<\/td>\n<td>Comagine Health<\/td>\n<\/tr>\n<tr>\n<td>Stephanie Jaross, BSN, RN<\/td>\n<td>ASC Director<\/td>\n<td>Proliance Center for Outpatient Spine and Joint Surgery<\/td>\n<\/tr>\n<tr>\n<td>Sierra Bertolone-Smith, MDc<\/td>\n<td>Medical Student<\/td>\n<td>Pacific Northwest University of Health Sciences<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740176695149-595adc00-4236&#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 10<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/01\/Agenda-Infection-Control-22-0110.pdf\" target=\"_blank\" rel=\"noopener\">Agenda January 10<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/01\/Charter-Roster-Infection-Control-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Workgroup Charter Draft<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 14<\/td>\n<td><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Agenda-Infection-Control-22-0214.pdf\" target=\"_blank\" rel=\"noopener\">Agenda February 14<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Minutes-Infection-Control-Workgroup-22-0110.pdf\" target=\"_blank\" rel=\"noopener\">January 10 Minutes<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2022\/02\/Bree-Infectious-Control-Workgroup_22_0214.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Worksheet 2.14.22<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 14<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Agenda-Infection-Control-22-0314-1.pdf\" target=\"_blank\" rel=\"noopener\">Agenda March 14<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Minutes-Infection-Control-Workgroup-22-0214.pdf\" target=\"_blank\" rel=\"noopener\">February 14 Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Bree-Infection-Control-Focus-Areas_03.14.pdf\" target=\"_blank\" rel=\"noopener\">Bree Infection Control Focus Areas Draft<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/03\/Bree-Infectious-Control-Workgroup_22_0314.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Worksheet 3.14.22<\/a><\/td>\n<\/tr>\n<tr>\n<td>April 11<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Agenda-Infection-Control-22-0411.pdf\" target=\"_blank\" rel=\"noopener\">Agenda April 11<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Minutes-Infection-Control-Workgroup-22-0314.pdf\" target=\"_blank\" rel=\"noopener\">March 14 Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Bree-Infection-Control-Focus-Areas-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Bree Infection Control Focus Areas Update<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/04\/Bree-Infectious-Control-Workgroup_22_0411.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Worksheet 4.11.22<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 9<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/05\/Agenda-Infection-Control-22-0509.pdf\" target=\"_blank\" rel=\"noopener\">Agenda May 9<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/05\/Minutes-Infection-Control-Workgroup-22-0411.pdf\" target=\"_blank\" rel=\"noopener\">Minutes April 11<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/05\/Bree-Infectious-Control-Workgroup-22_0509.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Worksheet 5.09.22<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 13<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Agenda-Infection-Control-22-0613.pdf\" target=\"_blank\" rel=\"noopener\">Agenda June 13<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/06\/Minutes-Infection-Control-Workgroup-22-0509.pdf\" target=\"_blank\" rel=\"noopener\">Minutes May 9<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/07\/Bree-Outpatient-Infection-Control-Draft_22-0613.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Worksheet 6.13.22<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 11<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/07\/Agenda-Infection-Control-22-0711.pdf\" target=\"_blank\" rel=\"noopener\">Agenda July 11<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/07\/Minutes-Infection-Control-Workgroup-22-0613.pdf\" target=\"_blank\" rel=\"noopener\">Minutes June 13<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/07\/Bree-Outpatient-Infection-Control-Draft_22-0630.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Draft 7.11.22<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 12<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Agenda-Infection-Control-22-0912.pdf\" target=\"_blank\" rel=\"noopener\">Agenda September 12<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Minutes-Infection-Control-Workgroup-22-0711.pdf\" target=\"_blank\" rel=\"noopener\">Minutes July 11<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Bree-Infection-Control-Public-Comments.pdf\">Infection Control Public Comment Response Table<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2022\/09\/Bree-Outpatient-Infection-Control-Draft_22-0906.pdf\" target=\"_blank\" rel=\"noopener\">Infection Control Draft 9.11.22<\/a><\/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;1739471271790-87d4e691-17f5&#8243;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Outpatient Infection Control:<br \/>\n<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=\"367\" height=\"367\" \/><\/p>\n<ul>\n<li><a href=\"https:\/\/www.chpw.org\/\"><strong>Community Health Plan of Washington (2023)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/wa.kaiserpermanente.org\/html\/public\/about\"><strong>Kaiser Permanente <\/strong><\/a><a href=\"https:\/\/www.healthpointchc.org\/\"><strong>(2023)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.multicare.org\/\"><strong>MultiCare (2024)<\/strong><\/a><\/li>\n<li><strong><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\">UnitedHealthcare (2024)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/wa.kaiserpermanente.org\/html\/public\/about\"><strong>Kaiser Permanente <\/strong><\/a><a href=\"https:\/\/www.healthpointchc.org\/\"><strong>(2024)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.chcsno.org\/about-us\/\" target=\"_blank\" rel=\"noopener\"><strong>Community Health Center of Snohomish County (2025)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.ichs.com\/about\" target=\"_blank\" rel=\"noopener\"><b>International Community Health Services <\/b><\/a><b><a href=\"https:\/\/www.chcsno.org\/about-us\/\" target=\"_blank\" rel=\"noopener\"><strong>(2025)<\/strong><\/a><\/b><\/li>\n<li><a href=\"https:\/\/www.swedish.org\/about\/mission-and-values\" target=\"_blank\" rel=\"noopener\"><strong>Swedish Medical Center (Hospital Outpatient Departments) <\/strong><\/a><strong><a href=\"https:\/\/www.chcsno.org\/about-us\/\" target=\"_blank\" rel=\"noopener\">(2025)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.kvhealthcare.org\/about-us\/\" target=\"_blank\" rel=\"noopener\"><strong>Kittitas Valley Healthcare <\/strong><\/a><strong><a href=\"https:\/\/www.chcsno.org\/about-us\/\" target=\"_blank\" rel=\"noopener\">(2025)<\/a><\/strong><\/li>\n<li><strong>Franciscan Medical Group (King and Pierce Region) (2025)<\/strong><\/li>\n<li><a href=\"https:\/\/optumwa.com\/about-us\/\" target=\"_blank\" rel=\"noopener\"><strong>Opium Care Washington (2025)<\/strong><\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_btn title=&#8221;Message Board&#8221; color=&#8221;blue&#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%3D4448981&#8243;][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;infectious-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; el_id=&#8221;hepatitis-c-tour&#8221; title=&#8221;Hepatitis C Virus&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1679002313790-2700f8bd-c03d&#8221;][vc_column_text] Guideline title: Hepatitis C Virus Report and Guidelines Publication Status: Active Date of publication:&#8230;","protected":false},"author":134,"featured_media":0,"parent":0,"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-75398","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75398","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=75398"}],"version-history":[{"count":35,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75398\/revisions"}],"predecessor-version":[{"id":76867,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75398\/revisions\/76867"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=75398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}