{"id":76569,"date":"2025-11-24T13:15:38","date_gmt":"2025-11-24T21:15:38","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=76569"},"modified":"2026-04-07T14:20:35","modified_gmt":"2026-04-07T21:20:35","slug":"perimenopause-and-menopause","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/perimenopause-and-menopause\/","title":{"rendered":"Perimenopause and Menopause"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_single_image image=&#8221;76992&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h3 class=\"wp-block-heading\"><strong>Join our conversation<\/strong><\/h3>\r\n<h4>In person<\/h4>\r\n<p>If you are unable to join with the below options, there will be a physical space reserved in the Foundation for Health Care Quality&#8217;s Seattle office to participate in the virtual meeting at the below address:<\/p>\r\n<p><strong><br \/><\/strong>Industrious 400U @ Rainier Square<br \/>400 University Street<br \/>Floor 3<br \/>Seattle, WA 98101<\/p>\r\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Directions-to-Industrious-1.pdf\">Directions to FHCQ Office<\/a><\/p>\r\n<h4>Online<\/h4>\r\n<div>\r\n<div>\r\n<div><u><a id=\"x_meet_invite_block.action.join_link\" class=\"x_me-email-headline OWAAutoLink\" title=\"Meeting join link\" href=\"https:\/\/teams.microsoft.com\/l\/meetup-join\/19%3ameeting_MDYxODVjNmQtZDkxOC00OTk1LWJlYmUtNDcwZDkxODFlMDhk%40thread.v2\/0?context=%7b%22Tid%22%3a%22a41bf56d-a371-4ea3-a117-7a3e218f0033%22%2c%22Oid%22%3a%226ebdf489-8751-49a4-bcfc-8b396765f0a3%22%7d\" target=\"_blank\" rel=\"noreferrer noopener\" data-auth=\"NotApplicable\">Join the meeting now<\/a><\/u><\/div>\r\n<div>Meeting ID: 247 093 541 468 2<\/div>\r\n<div>Passcode: qE9qi2Zk<\/div>\r\n<\/div>\r\n<\/div>\r\n<div>\r\n<p>&nbsp;<\/p>\r\n<\/div>\r\n\r\n<h4>Background<\/h4>\r\n<p>Each year, about 1.3 million individuals enter menopause, yet over one-third with symptoms go undiagnosed.<a href=\"#_edn1\" name=\"_ednref1\">[i]<\/a> Fewer than 20% are identified before menopause, and rural residents facing greater barriers to treatment.<a href=\"#_edn2\" name=\"_ednref2\">[ii]<\/a> Symptoms often affect daily life, and appropriate screening and management is crucial for long-term health. On average, women spend more of their lives in poor health, and addressing gender gaps in care could boost the global economy by over $1 trillion by 2040.<a href=\"#_edn3\" name=\"_ednref3\">[iii]<\/a> Whole-person care for the transition through menopause includes identifying peri\/menopause early, using shared decision-making to guide treatment decisions, and screening and monitoring practices for whole-person midlife health, including cardiometabolic health, bone density, mental health concerns, urogenital and sexual health, thyroid and cancer screening, etc. Clear, evidence-informed perimenopause and menopause care guidelines could improve outcomes and quality of life in Washington state<\/p>\r\n<div class=\"csgve-btn-group  csgve-main-btn-69e8aa6354cc0\">\n              <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/Charter-Roster-Menopause-26-0205.pdf\"  class=\"csgve-btn\">Read Our Charter<\/a>\n            <\/div>\r\n<div class=\"csgve-btn-group  csgve-main-btn-69e8aa6354ce3\">\n              <a href=\"https:\/\/qualityhealth.sharepoint.com\/:f:\/g\/IgCApse-Q30uT4cX9DxvmYBRAS90o2pxwV3VE7k8qe0F1mY?e=fbVm7s\"  class=\"csgve-btn\">Menopause Workgroup Document Library<\/a>\n            <\/div>\r\n<!-- \/wp:post-content -->\r\n<table class=\"wp-block-table\">\r\n<tbody>\r\n<tr>\r\n<td><strong>Next Meeting<\/strong><\/td>\r\n<td><strong>Time<\/strong><\/td>\r\n<td><strong>Materials<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Apr 8th, 2026<\/td>\r\n<td>2:30-4:00pm<\/td>\r\n<td>Please see below<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<!-- wp:table -->\r\n<h3>Meeting Materials<\/h3>\r\n<table class=\"wp-block-table\">\r\n<tbody>\r\n<tr>\r\n<td><strong>Date<\/strong><\/td>\r\n<td><strong>Materials<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>January 14th<\/td>\r\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Menopause-Agenda-26-01.pdf\">January Agenda<\/a><br \/><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Charter-Roster-Menopause-Draft-011426.pdf\">Draft Charter<\/a><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>February 11th<\/td>\r\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/Menopause-Agenda-26-02.pdf\">February Agenda<\/a> \/ <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/Menopause-Focus-Areas-v1.pdf\">Draft Focus Areas<\/a><br \/><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/03\/Minutes-Meno-26-0114.pdf\">January Minutes<\/a><br \/><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/fezolinetant_and_elinzanetant_therapy_for.3.pdf\">Menegaz de Almeida et al<\/a>\/ <span data-olk-copy-source=\"MailCompose\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/use_of_menopausal_hormone_therapy_beyond_age_65.3-1.pdf\">Baik et al<\/a> \/<\/span> <span data-olk-copy-source=\"MailCompose\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/a_contemporary_view_of_menopausal_hormone_therapy.3.pdf\">Levy &amp; Simon<\/a>\/ <\/span><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/Menopause-Guidelines-and-Practice-Bulletins.xlsx\">Guidelines Table<\/a><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>March 11th<\/td>\r\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/03\/Menopause-Agenda-26-0311.pdf\">March Agenda<\/a><br \/><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/03\/Minutes-Meno-26-0211.pdf\">February Minutes<\/a><br \/><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/03\/Menopause-Workplan-Draft-0311.docx\">Workplan &amp; Focus Areas<\/a> | Pre-reads (see Agenda)<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>April 8th<\/td>\r\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/04\/Menopause-Agenda-26-04-v2.pdf\">April Agenda<\/a><br \/>March Minutes\u00a0<br \/><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/04\/Menopause-Recognition-Assessment-Evidence-Review.pdf\">Evidence Review<\/a> | <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/04\/Recognition-Assessment-Draft-Guidelines.pdf\">Draft Guidelines<\/a><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>May 13th<\/td>\r\n<td>May Agenda<br \/>April Minutes<br \/>Evidence Review\/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>June 10th<\/td>\r\n<td>June Agenda<br \/>May Minutes<br \/>Evidence Review \/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>July 8th<\/td>\r\n<td>July Agenda<br \/>June Minutes<br \/>Evidence Review\/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>August 12th<\/td>\r\n<td>August Agenda<br \/>July Minutes<br \/>Evidence Review\/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>September 9th<\/td>\r\n<td>September Agenda<br \/>August Minutes<br \/>Evidence Review\/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>October 14th<\/td>\r\n<td>October Agenda<br \/>September Minutes<br \/>Evidence Review\/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>November 11th<\/td>\r\n<td>November Agenda<br \/>October Minutes<br \/>Evidence Review\/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>December 9th<\/td>\r\n<td>December Agenda<br \/>November Minutes<br \/>Evidence Review \/ Materials<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>January 13th, 2027<\/td>\r\n<td>January Agenda<br \/>December Minutes<br \/>Evidence Table \/ Materials<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<div class=\"wp-block-button\">\u00a0<\/div>\r\n<h4>Workgroup Members<\/h4>\r\n<table class=\"wp-block-table\" style=\"height: 79px\" width=\"773\">\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center\"><strong>Name<\/strong><\/td>\r\n<td style=\"text-align: center\"><strong>Title<\/strong><\/td>\r\n<td style=\"text-align: center\"><strong>Organization<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Naomi Busch, MD<\/td>\r\n<td>Founder and Director<\/td>\r\n<td>Seattle Menopause Medicine<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<tbody>\r\n<tr>\r\n<td>Rebecca Dunsmoor-Su, MD, MSCE, FACOG<\/td>\r\n<td>Co-Medical Director | OBGYN &amp; Menopause Specialist<\/td>\r\n<td>Seattle Clinical Research Center | Swedish Medical Center<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<tbody>\r\n<tr>\r\n<td>Annelise Gaaserud, MD<\/td>\r\n<td>Family Medicine Physician<\/td>\r\n<td>Kaiser Permanente<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<tbody>\r\n<tr>\r\n<td>Carolyn Halley, MD<\/td>\r\n<td>Medical Director<\/td>\r\n<td>Healthpoint<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Karin Inderbitzin, RN, BSN<\/td>\r\n<td>Occupational Nurse Consultant | Clinical Quality and Care Transformation | Employee and Retiree Benefits Division<\/td>\r\n<td>Washington Health Care Authority<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Laura Marie MacPherson, MSN<\/td>\r\n<td>Director of Maternity Programs<\/td>\r\n<td>Molina<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Drew Oliveira, MD, MHA<\/td>\r\n<td>Medical Director<\/td>\r\n<td>Washington Health Alliance<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Kristina Petsas, MD, MBA, MLS<\/td>\r\n<td>Chief Medical Officer &#8211; \u00a0Commercial (Employer &amp; Individual) &#8211; PNW, AK, HI<\/td>\r\n<td>United Healthcare<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Nicole Saint Clair, MD, FACOG (<strong>chair<\/strong>)<\/td>\r\n<td>Executive Medical Director<\/td>\r\n<td>Regence<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Arooj Simmonds, MD<\/td>\r\n<td>CMO North Division<\/td>\r\n<td>Providence<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Kris Somol, ND<\/td>\r\n<td>Associate Professor | School of Naturopathic Medicine<\/td>\r\n<td>Bastyr University<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Asher Strauss<\/td>\r\n<td>Director of Behavioral Health<\/td>\r\n<td>Kinwell<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Cyndi Tefft<\/td>\r\n<td>Global Benefits Governance Manager<\/td>\r\n<td>Microsoft<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Anita Tiwari, MD<\/td>\r\n<td>OBGYN<\/td>\r\n<td>University of Washington<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Janice Tufte<\/td>\r\n<td>Health Systems Research and Quality Improvement Patient Collaborator<\/td>\r\n<td>Hassanah Consulting<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Josephine Young, MD, MPH, MBA, FAAP<\/td>\r\n<td>Medical Director, Commercial Markets<\/td>\r\n<td>Premera<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p><a href=\"#_ednref1\" name=\"_edn1\">[i]<\/a> Society for Women\u2019s Health Research. (2024, February). Menopause fact sheet [PDF]. Retrieved July 7, 2025, from <a href=\"https:\/\/swhr.org\/wp-content\/uploads\/2024\/03\/swhr_factsheet_menopause_rev_0222-1.pdf\">https:\/\/swhr.org\/wp-content\/uploads\/2024\/03\/swhr_factsheet_menopause_rev_0222-1.pdf<\/a><\/p>\r\n<p><a href=\"#_ednref2\" name=\"_edn2\">[ii]<\/a> Dwyer, E. R., Maki, P. M., Katz, R., Mallampalli, M. P., &amp; Reed, S. D. (2025). Menopause symptom burden and management across rural, suburban, and urban settings in a U.S. population. <em>Menopause, 32<\/em>(1), 23\u201330. <a href=\"https:\/\/doi.org\/10.1097\/GME.0000000000002454\">https:\/\/doi.org\/10.1097\/GME.0000000000002454<\/a><\/p>\r\n<p><a href=\"#_ednref3\" name=\"_edn3\">[iii]<\/a> McKinsey Health Institute. (2024, January 17). Closing the women\u2019s health gap: A $1 trillion opportunity to improve lives and economies. McKinsey &amp; Company. <a href=\"https:\/\/www.mckinsey.com\/mhi\/our-insights\/closing-the-womens-health-gap-a-1-trillion-dollar-opportunity-to-improve-lives-and-economies\">https:\/\/www.mckinsey.com\/mhi\/our-insights\/closing-the-womens-health-gap-a-1-trillion-dollar-opportunity-to-improve-lives-and-economies<\/a><\/p>\r\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p><\/div>","protected":false},"excerpt":{"rendered":"[vc_row][vc_column][vc_single_image image=&#8221;76992&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;] Join our conversation In person If you are unable to join with the below options, there will be a physical space reserved in the&#8230;","protected":false},"author":145,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-76569","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/76569","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\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=76569"}],"version-history":[{"count":23,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/76569\/revisions"}],"predecessor-version":[{"id":77146,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/76569\/revisions\/77146"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=76569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}