(Adopted July 2012)
Cesarean sections (C-sections) show wide variation and overuse nationally and also in Washington State. This workgroup met from December 2011 to July 2012 to recommend eliminate all elective deliveries before the 39th week of pregnancy (for which there is no appropriate documentation of medical necessity), decrease elective inductions of labor between 39 and up to 41 weeks, and decrease unsupported variation among Washington hospitals in the C-section rate for women who have never had a C-section.
Member | Title | Organization |
---|---|---|
Theresa Helle | Manager, Health Care Quality & Efficiency Initiatives | The Boeing Company |
Ellen Kauffman, MD | OB-COAP Medical Director | Foundation for Health Care Quality |
Robert Mecklenburg, MD | Medical Director, Center for Health Care Solutions | Virginia Mason Medical Center |
Carl Olden, MD (Chair) | Family Physician | Pacific Crest Family Medicine, Yakima |
Mary Kay O’Neill, MD, MBA | Executive Medical Director | Regence Blue Shield |
Dale Reisner, MD | Obstetrician/Gynecologist | Swedish Hospital Perinatologist |
Terry Rogers, MD | Chief Executive Officer | Foundation for Health Care Quality |
Roger Rowles, MD | Obstetrician/Gynecologist | Yakima Memorial OB-GYN |
(Adopted May 2021)
The United States has a high maternal mortality rate with high racial disparities. Bundled payment models, one payment for multiple clinical services such as for obstetrics and pediatric care, are being used to address preventable complications and increase coordination of care. Our workgroup met through 2019 and reconvened in 2020 to develop clinical pathways for prenatal care, labor and delivery, postpartum care, and pediatric care supported by a bundled reimbursement model to improve the care delivery and therefore outcomes. Our fist iteration was finalized in 2020 and pediatric care added in 2021.
Member | Title | Organization |
---|---|---|
Carl Olden, MD (Chair) | Family Physician | Pacific Crest Family Medicine |
Andrew Castrodale, MD | Family Physician | Coulee Medical Center |
Angela Chien, MD | Obstetrics and Gynecology | EvergreenHealth |
Neva Gerke, LM | President | Midwives Association of Washington |
Molly Firth, MPH | Patient Advocate | |
Lisa Humes-Schulz, MPA/ Lisa Pepperdine, MD |
Director of Strategic Initiatives/ Director of Clinical Services | Planned Parenthood of the Great Northwest and Hawaiian Islands |
Rita Hsu, MD, FACOG | Obstetrics and Gynecology | Confluence Health |
Dale Reisner, MD | Obstetrics and Gynecology | Swedish Medical Center |
Janine Reisinger, MPH | Director, Maternal-Infant Health Initiatives | Washington State Hospital Association |
Mark Schemmel, MD | Obstetrics and Gynecology | Spokane Obstetrics and Gynecology, Providence Health and Services |
Vivienne Souter, MD | Research Director | Obstetrics Clinical Outcomes Assessment Program |
Judy Zerzan, MD | Chief Medical Officer | Washington State Health Care Authority |
(Adopted November 2020)
Minority populations are disproportionately effected by unintended pregnancy, sexually transmitted diseases, and have lower rates of screening for common cancers. Access to high-quality care also varies. This workgroup developed evidence-based recommendations on culturally sensitive mechanisms to improve the standard of reproductive and sexual health care especially for people of color, immigrants and refugees, victims and survivors of violence, and people with disabilities. The workgroup met from January to November 2020.
Name | Title | Organization |
Charissa Fotinos, MD (Chair) | Deputy Chief Medical Officer | Washington State Health Care Authority |
Trish Anderson, MBA | Senior Director, Safety and Quality | Washington State Hospital Association |
Janet Cady, ARNP | Medical Director, School Based Program | Neighborcare |
Angela Chien, MD | Obstetrics and Gynecology | EvergreenHealth |
Paul Dillon/Lili Navarrete | Latinx Outreach & Organizing Program | Planned Parenthood of Greater Washington and North Idaho |
Colin D. Fields, MD | Chief, Gender Health Program | Kaiser Permanente Washington |
Leo Gaeta | Vice President of Programs |
The Columbia Basin Health Association
|
Cynthia Harris, PhD | Family Planning Program Manager | Department of Health |
Leigh Hofheimer | Program Coordinator | Washington State Coalition Against Domestic Violence |
Rita Hsu, MD, FACOG | Obstetrics and Gynecology | Confluence Health |
Heather Maisen, MPH, MSW | Family Planning Program Manager | Public Health – Seattle & King County |
Adrianne Moore | Deputy Director of Quality Improvement | Upstream |
Ivanova Smith | Patient Advocate | UW LEND Faculty |
Mandy Weeks-Green | Senior Health Policy Analyst | Officer of the Insurance Commissioner |
Catherine West, JD | Staff Attorney | Legal Voice (formerly Northwest Women’s Law Center) |
Giselle Zapata-García | Co-Director | Latinos Promoting Good Health (also Latinx Health Board, Executive Committee Co-Chair) |
(Adopted January 2018)
Hysterectomy is one of the most commonly performed procedures in the United States, but rates are highly variable based on location. The workgroup met from March 2017 to January 2018 to develop to promote appropriate use of hysterectomy, including pre-surgical counseling and evaluation, while recognizing individual variation based on clinical opinion and patient preference with the following focus areas:
Name | Title | Organization |
Pat Kulpa, MD, MBA | Medical Director | Regence BlueShield |
Sharon Kwan, MD, MS | Interventional Radiologist | University of Washington Medical Center |
John Lenihan, MD | Medical Director of Robotics and Minimally Invasive Surgery | MultiCare Health System |
Jennie Mao, MD | Clinical Assistant Professor, Department of Obstetrics and Gynecology | University of Washington Medical Center |
Rachelle McCarty, MPH | Patient Advocate | |
Sarah Prager, MD | Chair | Washington State Section of ACOG |
Kevin Pieper, MD | Chief, Women’s and Children’s | Providence Regional Medical Center Everett |
Kristin Riley, MD, FACOG | Assistant Professor, Department of Obstetrics and Gynecology | University of Washington Medical Center |
Jeanne Rupert, DO, PhD (Chair) | Family Physician | One Medical |
Anita Showalter, DO, FACOOG | Associate Professor and Chair, Women’s Health | Pacific Northwest University of Health Sciences |
Susan Warwick, MD | Obstetrics and Gynecology | Kaiser Permanente |