One of my favorite movies is Groundhog Day. Bill Murray is hilarious and thought-provoking as a weatherman cursed to re-live February second over and over until he can learn to be a better person. Perhaps this is a lesson for all of us in self-improvement, paying attention to our community, colleagues, and neighbors, and making…
Most of us see our doctors in a fee-for-service system – this is where doctors and hospitals charge fees for each separate service they provide. Office visits, tests, procedures, and even microtasks like individual screenings can be billed separately. One major drawback to fee-for-service is rewarding quantity over quality. This type of payment model can…
On Wednesday, Bree Collaborative members voted on our work for 2017. Along with re-reviewing our Total Knee and Total Hip Replacement Bundle and Warranty our members elected to create workgroups and develop evidence-based recommendations for: – Alzheimer’s Disease and Other Dementias – Hysterectomy – Opioid Use Disorder Treatment Thank you to the many community members who…
Since we formed in 2011, we have made recommendations, such as having goals of care conversations as a regular part of oncology care, for improving quality and value for patients in our State’s health care system. Some of these recommendations have been formally adopted into contracts. See last month’s blog post: From Concept to Contracting:…
Thank you to all who gave us input on selecting new topics. We discussed all these suggestions at our July meeting, decided on six, and will narrow this down to three final topics in September. The topics coming out of July’s meeting are: – Alzheimer’s Disease and Dementia – Addiction – Blood and Blood Product…
Replacing a joint—especially a knee or hip—is a procedure that millions of Americans need each year. It can give people a mobility and freedom from pain they haven’t enjoyed in years. It’s also a procedure that lends itself to a lot of variation. If best practices aren’t followed, it can lead to complications and hospital…
We think of value-based purchasing as a philosophy pushing our health care system to provide better care at a lower cost to help us all live healthier lives. Most of the health care that we receive today is fee-for-service, where clinicians, hospitals, and others are payed for the number of services they provide. Across the…
Every year our members select three new topics and each year we also spend time reflecting on our previous work, our successes, and how we can improve. This year we will be asking our members to reflect on the Bree Collaborative and would also like to hear from you! Please take a moment to fill…
The Bree Collaborative is hiring! Since being founded by the Washington State Legislature in 2011, we have developed eight reports and recommendations, three bundled payment models and warranties, and two endorsements. With all this great work and with the support of Healthier Washington, we are focusing on implementation of our recommendations across Washington State and…
Balancing effective pain management and patient-centered opioid prescribing is a primary goal for our health care community. Opioids, medications that relieve pain, can be harmful when over prescribed or when prescribed incorrectly. In our State, hospitalizations from opioid overdose and even death from prescription opioids and heroin have increased significantly in the past ten years.[i]…
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