Foundation Program Sites
JOIN US  

Oncology

Cervical Cancer Screening

Guideline Information

Guideline title: Cervical Cancer Screening Report and Guidelines

Publication Status: Active

Date of publication: 2021

Date of last evidence search: 2021

Scope: HPV Vaccine; cervical cancer screening; abnormal result follow-up;  colposcopy

Methods: Current guidelines and literature review and expert consensus

Description: This guideline’s goal is to decrease the incidence of mortality and morbidity from cervical cancer. Appropriate prevention through HPV vaccination, appropriate screening, and structured follow-up to abnormal results are mechanisms to achieve this goal. The guideline also recognizes that the capacity of a delivery site to conduct population management activities such as follow-up will vary. Treatment and/or management of cervical cancer is out of scope of these guidelines.

Metrics and Evaluation Tools

In 2023 the Bree Collaborative introduced a new process of metrics and measures identification that has been embedded into the guideline development process. A framework for evaluation has been created and recommended metrics have been identified by audience (below).

Delivery Sites and Health Systems

Health System Evaluation Score Card

Health Plans

Health Plan Evaluation Score Card

Health Care Providers

Health Provider Evaluation Score Card

Washington State Agencies

Washington State Health Care Authority

Washington State Department of Health

Washington State Legislature

Health Care Purchasers

Workgroup Members

Name Title Organization
Chair: Laura Kate Zaichkin, MPH Director of Health Plan Performance and Strategy SEIU 775 Benefits Group
Virginia Arnold, DNP ARNP Provider Neighborcare Health at Pike Place Market
Diana Buist, PhD, MPH Senior Investigator and Director of Research and Strategic Partnerships Kaiser Permanente Washington Health Research Institute
LuAnn Chen, MD, MHA, FAAFP Senior Medical Director Community Health Plan of Washington
Colleen Haller, MPH Manager, Care Improvement & Clinical Integration Community Health Plan of Washington
Beth Kruse, CNM Midwife Public Health Seattle King
County
Jordann Loehr, MD Obstetrics and Gynecology Toppenish Medical-Dental Clinic
Constance Mao, MD Associate Professor Emeritus, Obstetrics and Gynecology University of Washington School of Medicine
Sophia Shaddy, MD, Sandra White, MD Pathologist CellNetix Pathology

Awards

Award winners for Best Practices in Cervical Cancer Screening:

Colorectal Cancer Screening

Guideline Information

Guideline title: Colorectal Cancer Screening Report and Guidelines

Publication Status: Active

Date of publication: 2020

Date of last evidence search: 2020

Scope: tracking; measurement; person-centered care; reimbursement

Methods: Current guidelines and literature review and expert consensus

Description: Colorectal cancer is the fourth most common cancer in the United States, after lung, prostate, and breast cancers, with approximately 4.2% of people diagnosed at some point in their lifetime.1 However, colon cancer is the second leading cause of cancer death in the United States, following lung cancer, in large part due to inadequate screening. This highlights the importance of interventions to increase screening to prevent colon cancer deaths. This report and guidelines outlines checklists following these focus areas for delivery organizations, patients and family members, providers, health plans, employers as purchasers of health care access, and Washington state entities including the Health Care Authority, the Department of Health, and the Legislature.

Metrics and Evaluation Tools

In 2023 the Bree Collaborative introduced a new process of metrics and measures identification that has been embedded into the guideline development process. A framework for evaluation has been created and recommended metrics have been identified by audience (below).

Delivery Sites and Health Systems

Health System Evaluation Score Card Health System Score Card _ CRC Screening

Patient facing information Patients Score Card_CRC

Providers

Providers Provider Score Card_CRC

Health Plans

Health Plane Evaluation Score Card Health Plan Score Card _ CRC Screening

Washington State Agencies

Washington State Health Care Authority HCA Score Card_CRC –

Washington State Department of Health DOH Score Card_CRC

Washington State Legislature WA_Leg Score Card_CRC

Employer/Purchasers

Employers or purchasers Employer Score Card_CRC

Workgroup Members

Member Title Organization
Rick Ludwig, MD (Chair) Chief Executive Officer Pacific Medical Centers
Patricia Auerbach, MD, MBA, FACP Chief Medical Officer, Washington, Oregon, and Idaho, Employer & Individual, Medicare & Retirement UnitedHealthcare
Elizabeth Broussard, MD Gastroenterology Pacific Medical Centers First Hill
Jason Dominitz, MD, MHS National Director of Gastroenterology VA Puget Sound
Casey Eastman, MPH Content Lead, Breast, Cervical, Colon Health Program Washington State Department of Health
Bev Green, MD, MPH Senior Investigator, Family Physician Kaiser Permanente Washington
Tracey Hugel, MSN, RN Senior Clinical Program Consultant Regence
John Inadomi, MD Gastroenterology University of Washington Medicine
Rachel Issaka, MD, MAS Assistant Member, Gastroenterology and Hepatology Clinical Research Division Fred Hutch
Hagen Kennecke, MD Medical Oncology Virginia Mason
Val Simianu, MD, MPH Colon and Rectal Surgeon Virginia Mason
Julie Stofel Patient and Family Advocate
Tammy Wild, MPH, RDN, LD, NSCA-CPT State Health Systems Manager American Cancer Society

Oncology Care: Early-Stage Testing

Guideline Information

Guideline title: Oncology Care: Early-Stage Testing Report and Guidelines

Publication Status: Active

Date of publication: 2016

Date of last evidence search: 2016

Scope: breast cancer; prostate cancer; implementation strategies

Methods: Current guidelines and literature review and expert consensus

Description: Develop guidelines and implementation strategies around ASCO Choosing Wisely guidelines for advanced imaging for staging of low-risk breast and prostate cancer and for better integration of palliative or supportive care alongside active anticancer therapy.

  1. That all clinics follow the American Society of Clinical Oncology’s (ASCO) Choosing Wisely recommendations.
  2. That palliative care be offered alongside active anti-cancer care, as needed.

Supporting Materials

Oncology Care Charter
Oncology Care Public Comments
Health Care Authority Letter Accepting Oncology Care Report

Metrics and Evaluation Tools

In 2023 the Bree Collaborative introduced a new process of metrics and measures identification that has been embedded into the guideline development process. A framework for evaluation has been created and recommended metrics have been identified by audience (below).

Health Systems and Oncology Care Practices

Health System Evaluation Score Card

Hospitals

Health Plans

Health Plan Evaluation Score Card

Washington State Health Care Authority

Health Care Purchasers

Workgroup Members

Member Title Organization
Jennie Crews, MD Medical Director PeaceHealth St. Joseph Cancer Center
Bruce Cutter, MD Oncologist Medical Oncology Associates
Patricia Dawson, MD, PhD Director Swedish Cancer Institute
Keith Eaton, MD, PhD Medical Director, Quality, Safety and Value Seattle Cancer Care Alliance
Janet Freeman-Daily Patient Advocate
Christopher Kodama, MD, MBA (Chair) President, MultiCare Connected Care MultiCare Health System
Gary Lyman, MD, MPH Co-Director Hutchinson Institute for Cancer Outcomes Research
Rick McGee, MD Oncologist Washington State Medical Oncology Society
John Rieke, MD, FACR Medical Director MultiCare Regional Cancer Center
Hugh Straley, MD Chair and Oncologist Bree Collaborative
Richard Whitten, MD Medical Director Noridian

Awards

Award winners for Best Practices in Oncology Care:

Oncology Care: Inpatient Services

Guideline Information

Guideline title: Oncology Care: Inpatient Services Report and Guidelines

Publication Status: Active

Date of publication: 2020

Date of last evidence search: 2020

Scope: Assessment and risk stratification; person-centered care; care management; availability of integrated palliative care

Methods: Current guidelines and literature review and expert consensus

Description: The workgroup’s goal is to reduce potentially avoidable emergency department visits and therefore improve patient experience and care outcomes for patients undergoing cancer treatment. To achieve this, the workgroup developed four focus areas to spread evidence informed clinical best practices as a community standard for all Washingtonians.

Metrics and Evaluation Tools

In 2023 the Bree Collaborative introduced a new process of metrics and measures identification that has been embedded into the guideline development process. A framework for evaluation has been created and recommended metrics have been identified by audience (below).

Health Systems and Oncology Care Practices

Health System Evaluation Score Card

Hospitals

Health Plans

Health Plan Evaluation Score Card

Washington State Health Care Authority

Health Care Purchasers

Workgroup Members

Name Title Organization
Hugh Straley, MD (Chair) Chair Bree Collaborative
Sibel Blau, MD Oncologist Northwest Medical Specialties
Andra Davis, PhD, MN, BSN Assistant Professor, Vancouver Washington State University
Gurpreet Dhillon, MBA Director, Hospice, Palliative Care and PeaceHealth St. Joseph Cancer Center Service Lines PeaceHealth
Stefanie Hafermann, DNP, BSN, RN, PHN Director of Program Development Regence
Blair Irwin, MD, MBA Oncologist Multicare Regional Cancer Center
Barb Jensen, RN, BSN, MBA Director of Oncology and Palliative Care Skagit Regional Health
Sasha Joseph, MD Medical Director of Medical Oncology Multicare
Laura Panattoni, PhD Staff Scientist Hutchinson Institute for Cancer Outcomes Research
Camille Puronen, MD Oncologist Kaiser Permanente Washington
Nancy Thompson, RN, MS, AOCNS Director, Quality & Clinical Practice Swedish Cancer Institute

Awards

Award winners for Best Practices in Oncology Care:

Prostate Cancer

Guideline Information

Guideline title: Prostate Cancer Screening Report and Guidelines

Publication Status: Needs minor revisions – to be scheduled

Date of publication: 2015

Date of last evidence search: 2015

Scope: PSA test; Prostate cancer screening

Methods: Current guidelines and literature review and expert consensus

Description: The workgroup’s AIM is to align with evidence-based best practice and standardize the use of prostate specific antigen testing
for prostate cancer screening in Washington State.

Supporting Materials

Letter from Health Care Authority Accepting Prostate Cancer Screening Report and Recommendations
Prostate Cancer Screening Public Comments
Prostate Cancer Screening Charter

Metrics and Evaluation Tools

In 2023 the Bree Collaborative introduced a new process of metrics and measures identification that has been embedded into the guideline development process. A framework for evaluation has been created and recommended metrics have been identified by audience (below).

Health Systems and Oncology Care Practices

Health System Evaluation Score Card Health System Score card _ prostate cancer

Hospitals

Hospital Evaluation Score Card Hospital Score Card_Prostate

Health Plans

Health Plan Evaluation Score Card Health Plan Score Card_Prostate Cancer

Washington State Health Care Authority

WA HCA HCA Score Card_Prostate

Health Care Purchasers

Employer Purchasers Employer Score Card_Prostate

WorkGroup Members

Member Title Organization
John Gore, MD, MS Urologist, clinician, surgeon, researcher University of Washington Medicine
Matt Handley, MD Associate Medical Director, Quality and Informatics Group Health Cooperative
Leah Hole-Marshall, JD Medical Administrator Department of Labor & Industries
Steve Lovell Retired Patient and Family Advisory Council
Rick Ludwig, MD (Chair) Chief Medical Officer Providence Accountable Care Organization
Bruce Montgomery, MD Clinical Director of Genitourinary Medical Oncology Seattle Cancer Care Alliance
Eric Wall, MD, MPH Market Medical Director UnitedHealthcare
Shawn West, MD Family Physician Edmonds Family Medicine
Jonathan Wright, MD, MS, FACS Assistant professor of urology/affiliate researcher University of Washington/Fred Hutchinson Cancer Research Center

Awards

Award winners for Best Practices in Prostate Cancer Screening:

© 2025 Foundation for Health Care Quality | Privacy Statement | Disclaimer