Read our Final Report and Guidelines

Implementation Support

Checklists: The checklist translates the Bree guidelines into action steps for that sector (i.e., clinician, health delivery site, public health, etc.). 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’ setting. Bree staff co-created the checklists with report workgroup members and topic experts.

• Delivery Site and Health System Checklists: Level 1, Level 2, Level 3
• Health Plan Checklists: Level 1, Level 2, Level 3

Background

In a survey from August of 2021, hospitals in Washington state reported that more than 900 patients who were ready to be discharged were stuck in the hospital. In one widely reported example, Harborview Medical Center announced in summer 2022 that they will only accept patients in urgent need of specialized care, as they have more than 100 medically stable patients in need of long-term post-acute care. It can be difficult to find appropriate post-acute care for a number of reasons, including patient’s complex behavioral health or social needs and a lack of appropriate post-discharge care sites. While COVID-19 is a contributing factor to hospital capacity concerns, the primary issue appears to be access to appropriate post-acute care facilities.

Read our Charter

Past Meeting Materials

Workgroup Chair

Read our Final Report and Guidelines

Background

In a survey from August of 2021, hospitals in Washington state reported that more than 900 patients who were ready to be discharged were stuck in the hospital. In one widely reported example, Harborview Medical Center announced in summer 2022 that they will only accept patients in urgent need of specialized care, as they have more than 100 medically stable patients in need of long-term post-acute care. It can be difficult to find appropriate post-acute care for a number of reasons, including patient’s complex behavioral health or social needs and a lack of appropriate post-discharge care sites. While COVID-19 is a contributing factor to hospital capacity concerns, the primary issue appears to be access to appropriate post-acute care facilities.

Read our Charter

Past Meeting Materials

Workgroup Chair