Foundation Program Sites

Current Evaluation Projects

Perinatal Behavioral Health

The perinatal work group expressed an interest in collecting baseline data for the guidelines they created in order to measure changes to processes of care. In response, the Bree has designed a difference-in-differences evaluation plan to measure the change in processes and impact of implementation using a combination of process measures collected through a survey and metrics data collected through OB COAP.

Aims

  • To measure impact of guidelines implementation
  • To determine which activities had the most impact on the outcomes
  • To understand if or how the use of equity data may have contributed to the outcome
  • To understand which guideline areas provided the most support for implementation
  • To understand which barriers and facilitators were most highly correlated with successful implementation.
Benefits of Participation
Any organizations that participates in the 2024 and 2027 process data collection efforts will be eligible for the Bree Collaborative’s Pathfinder Award and, subsequently, the Foundation for Health Care Quality’s Mountain Climber Award.

Who should be involved?

  • Hospitals
  • Hospital Systems that offer perinatal care
  • Outpatient services that offer perinatal care
  • Health Plans that cover Perinatal Care
  • Pediatricians
  • Other organizations that offer behavioral health services to pregnant and postpartum patients

Where can I find the data collection tools?

Data Collection tools for baseline data can be found in the Bree Collaborative Implementation Guide under the Perinatal Behavioral Health section. The collection tools can be found in the Metrics and Evaluation Tools section and are listed by audience type.

What kind of support documentation should be included?

Supporting documentation may include links in the score card to webpages or documents, examples of policies, procedures, workflows, patient information, quality metrics data, or other items that demonstrate ways to operationalize guideline recommendations.

2024

  • Baseline data collection January 2024-December 2024
  • Implementation Plan Survey Open December 1st, 2024
  • OB COAP cross reference of participants

2025

  • Implementation Plan Survey Close January 31st, 2025
  • OB COAP impact metrics data collection, January 1st to January 31st 2025 for 2023-24 data.

2026

  • Re-survey of process (baseline) data September 1st, 2026 to December 31st 2026.
  • Guideline Usefulness Survey, September 1st, 2026 to December 31st, 2026.
  • OB COAP impact metrics data collection, January 1st to January 31st 2026 for 2025 data.

2027

  • OB COAP impact metrics data collection, January 1st to January 31st 2027 for 2026 data
  • Bree Implementation Support Activities data collection, January/February 2027 for dates between January of 2025 and December of 2026.
  • Final Data Analysis

 

Those submitting baseline data should fill out the data collection tab that is applicable to their role or “audience type” (i.e. pediatrician, outpatient, hospital, etc.) and the equity tab.

The completed workbook can be emailed to: knicholas@qualityhealth.org

Please put Perinatal Behavioral Health Baseline Data in the subject line.

Diabetes Care and Prevention Evaluation Planning

Evaluation design, planning, and tool development is still in process for the 2023 Bree guidelines on Diabetes Care. If you are interested in participating in the evaluation design process, please contact Karie Nicholas, Evaluation and Measurement Manager, at knicholas@qualityhealth.org.

2024 Guideline Evaluation Planning

The evaluation design, planning and tool development is currently in progress, in parallel with the report creation. The design for evaluations is anticipated to be completed in the Fall of 2024 for:

  • Behavioral Health: Early Intervention for Youth
  • Health Effects of Extreme Heat & Wildfire Smoke
  • Treatment for Opioid Use Disorder (OUD) Revision

If you are interested in participating in the design process, please contact knicholas@qualityhealth.org. If you are interested in participating in the evaluation, please check back for more information.

More information about the Bree Collaborative Evaluation Program

The Bree Collaborative has developed a new evaluation design process for all new guidelines. The evaluation subcommittees will create an evaluation plan and tools, in parallel with the guidelines development, that the Bree staff will operationalize.

We are using both qualitative and quantitative methods for evaluation of our guidelines and are interested in evaluating five broad areas of our work:

  1. Guideline usefulness and clarity
  2. Uptake and Concordance of Care
  3. Barriers and facilitator
  4. Equity
  5. Metrics and impact of guideline

We have developed a multi-pronged approach to data collection. Some of our standard methods include:

  • Health System Surveys: Sent out through partners and contacts to be filled out by any health system stakeholder. The purpose of this survey is to collect data on stakeholder perceptions of the usefulness of the guidelines and to better understand barriers and facilitators for specific audiences. This data is used to inform changes to the Bree process, to identify topics to address during guidelines creation, and to identify organizations for further evaluation purposes. A copy of this survey can be found HERE
  • Data Capacity Surveys: sent out through partners and contacts to be filled out by individuals responsible for implementing or managing IT services. The purpose of this survey is to collect data on IT roles perceptions of the usefulness of the guidelines and to better understand barriers and facilitators for specific audiences. This data is used to inform changes to the Bree process, to identify topics to address during guidelines creation, and to identify organizations for further evaluation purposes. A copy of this survey can be found HERE
  • Evaluation “score cards”: Designed in conjunction with new guidelines, the purpose of this method is to collect data on which guidelines are being used, the extent to which care processes are concordant with the guidelines. Score Cards can be found in our IMPLEMENTATION GUIDE.
  • Evaluation Survey Question Bank: This tool can be found on our website. It is modeled after the CDC Question Bank and allows multiple organizations to use the same questions when they perform PDSAs or evaluate programs or implementation projects. The aim of the question bank is to help organizations use validated questions or survey tools and reduce the burden of evaluation work and improve the validity of their findings.Our Question Bank can be found HERE
  • Case Studies: Each year the Bree chooses a topic area to develop new case studies that can illustrate impact and demonstrate the “how to” of implementation.
More Evaluation Tools