Health System Survey | Foundation For Health Care Quality

Thank you for taking a few minutes to fill out our survey regarding the uptake of the Bree Collaborative Guidelines.

In 2011, the Washington State Legislature established the Dr. Robert Bree Collaborative so that public and private health care stakeholders would have the opportunity to identify specific ways to improve health care quality, outcomes, and affordability in Washington State. Each year, our members identify health care services with high variation in the way that care is delivered, that are frequently used but do not lead to better care or patient health, or that have patient safety issues. For most topics, we form an expert work group to develop evidence-based recommendations. We have developed guidelines in a wide variety of clinical areas from obstetrics to end-of-life care. Who is the audience for this survey? We are hoping to get broad participation from multiple roles within organizations, health delivery systems and clinics. Some examples of potential roles include: Medical Directors, QI, Population Health, clinical leadership (ex: managers or directors), clinicians (ex: nurses, physicians, PA's, behavioral health staff, etc.), administrators (ex: IPC, contracting). Please feel free to forward this on to anyone in your organizations that you think may be interested in responding. We would appreciate your help in gaining a better understanding of the spread and use of our guidelines. We would also like to learn a little about their ease of use and any barriers and facilitators that detour or support their implementation in a clinical setting. If you are unfamiliar with the Bree and the guidelines we create, we still welcome your input to help us gain a better understanding of the reach of our work. We will not be using any individual level data without the express permission of the respondent. The data we gather from this report will be used to inform our dissemination process, to create evaluation reports, to create a dashboard using high-level aggregated data, and to refine future research on the implementation of the guidelines. You won't need to search for any quantitative answers because we are interested in YOUR current level of knowledge and understanding.

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For the purposes of this survey the term "implementation" can be understood to mean; use of a guideline in part or full in the course of clinical practice, health care contracting, policy making, educational programs, or other health care related activities; and/or use of guidelines to fulfill the elements of an initative, regulation, or requirements.

QA1 Has your organization taken any actions to implement the Bree Guidelines? *

No action on Bree Guidelines
In the process of creating an implementation plan
Executed an implementation project
Evaluated an implementation project
I don't know
I have no knowledge of the Bree Guidelines

QA1a) If you answered b, c or d, please COPY AND PASTE the titles of the guidelines you have, or are in the process of, implementing or using:

COPY AND PAST APPLICABLE GUIDELINES: Obstetrics Care, Cardiology: Appropriateness of Percutaneous Coronary Interventions, Spine/Low Back Pain, Addiction and Dependence Treatment, End-of-Life Care, Potentially Avoidable Hospital Readmissions, Oncology Care: Early Treatment, Prostate Cancer Screening, Coronary Artery Bypass Graft Surgical Warranty, Behavioral Health Integration, Opioid Use Disorder Treatment, Pediatric Psychotropic Use, Warranty for Bariatric Surgery, Alzheimer’s Disease and Other Dementias, Hysterectomy, Dental Opioid Prescribing, Total Knee and Total Hip Replacement bundle, Collaborative Care for Chronic Pain, LGBTQ Health Care, Suicide Care, Lumbar Fusion Bundle and Warranty, Opioid Prescribing: Long-Term Opioid Therapy, Post Operative Opioid Prescribing, Palliative Care, Risk of Violence towards others, Shared Decision Making, Colorectal Cancer Screening, Oncology Care Inpatient Services, Primary Care, Sexual and Reproductive Health, Cervical Cancer Screening, Telehealth, Perinatal Bundled Payment Model, Opioid Prescribing in Older Adults, Outpatient Infection Control, Hepatitis C, Pediatric Asthma

QN1 Do you plan to implement or use the information in the Bree Collaborative Guidelines in your setting in the future? *

Yes
No
I don't know

QN1a If you answered “yes” to question QN1 (planning to implement), please COPY AND PASTE the titles of the guidelines you plan to implement in the future:

COPY AND PASTE APPLICABLE GUIDELINES: Obstetrics Care, Cardiology: Appropriateness of Percutaneous Coronary Interventions, Spine/Low Back Pain, Addiction and Dependence Treatment, End-of-Life Care, Potentially Avoidable Hospital Readmissions, Oncology Care: Early Treatment, Prostate Cancer Screening, Coronary Artery Bypass Graft Surgical Warranty, Behavioral Health Integration, Opioid Use Disorder Treatment, Pediatric Psychotropic Use, Warranty for Bariatric Surgery, Alzheimer’s Disease and Other Dementias, Hysterectomy, Dental Opioid Prescribing, Total Knee and Total Hip Replacement bundle, Collaborative Care for Chronic Pain, LGBTQ Health Care, Suicide Care, Lumbar Fusion Bundle and Warranty, Opioid Prescribing: Long-Term Opioid Therapy, Post Operative Opioid Prescribing, Palliative Care, Risk of Violence towards others, Shared Decision Making, Colorectal Cancer Screening, Oncology Care Inpatient Services, Primary Care, Sexual and Reproductive Health, Cervical Cancer Screening, Telehealth, Perinatal Bundled Payment Model, Opioid Prescribing in Older Adults, Outpatient Infection Control, Hepatitis C, Pediatric Asthma

QN1b If you answered “no” to QN1 (planning to implement), what are the reasons you do not plan to or did not use the Bree Collaborative Guidelines?

Guideline Use

Thinking about the guidelines you identified in question QA1 above, to what extent do you agree with the following statements?

QF1a) The use of the guidelines increased my/our understanding of the topic.

QF1b) The use of the guidelines guidelines increased my/our confidence in decision making.

QF1c) The patient recommendations provided our patients with increased knowledge about the topic.

Guideline Goals and objectives Identification

Thinking about the guidelines you identified in question QA1 above, to what extent do you agree with the following statements?

QD3a) I/we could easily identify appropriate goals from the Bree guidelines.

QD3b) I/we would easily identify the objectives needed to reach goals in the Bree guidelines.

Guideline Costs and Benefits

As a whole, thinking about the guidelines you identified in question QA1 above, to what extent do you agree with the following statements?

QC5a) The overall costs of the implementation project(s) were worth the benefits.

QC5b) Any increases in workforce costs or workloads to implement guideline(s) was in proportion to the benefits.

QC5c) The cost of implementing the guideline(s) was reasonable for our facility or organization.

Guideline Topic Knowledge

The next three questions use the following scale for increase of knowledge: 1=not at all, 2=slightly, 3=somewhat, 4=moderately, 5=extremely. Thinking about the guidelines you identified in question QA1 above did the guidelines increase your/your organizations knowledge about the following:

QF2a) How to provide, support, or advocate for more EQUITABLE ACCESS AND CARE for the topic specific condition.

1 - knowledge was not increased at all
2 - knoweldge was slightly increased
3 - knowledge was somewhat increased
4 - knowledge was moderately increased
5 - knowledge was extremely increased

QF2b) How to provide, support, or advocate for BETTER COORDINATED CARE for the topic specific condition.

1 - knowledge was not increased at all
2 - knowledge was slightly increased
3 - knowledge was somewhat increased
4 - knowledge was moderately increased
5 - knowledge was extremely increased

QF2c) How to incorporate, support, advocate for and/or USE DATA FROM OTHER SOURCES to inform care.

1- knowledge was not increased at all
2 - knowledge was slightly increased
3 - knowledge was somewhat increased
4 - knowledge was moderately increased
5 - knowledge was extremely increased

Barriers and facilitators to guideline implementation

QM3 What barriers exist to implementing guidelines in your setting? (Please pick your top 3 barriers)

Please describe other barriers:

QM4 What facilitators exist to implementing guidelines in your setting? (Please pick your top 3 facilitators)

Please describe other facilitators:

QM1 Were there complimentary or similar initiatives that either helped to facilitate or that were barriers to guideline implementation?

If you answered c (executed an implementation) or d (evaluated an implementation project) to question QA1 above, which implementation projects were MOST successful?

What were some reasons that you considered it a SUCCESSFUL project?

If you answered c (executed an implementation) or d (evaluated an implementation project) to question QA1 above, which implementation projects were LEAST successful?

What were some reasons that you considered it an UNSUCCESSFUL project?