Perinatal Bundle | Bree Collaborative

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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 and again in 2021 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 version was finalized in 2020, pediatric care added in 2021, and the workgroup reconvened to define a pathway to extend maternity care to twelve months through 2021.

Previous Meeting Materials

Date	Materials
October 28	Minutes September 28
September 28	Agenda September 28 Minutes August 24 Primary Care HCA Multipayor Model
August 24	Agenda August 24 Minutes June 1
June 1	Agenda June 1 Minutes January 5
January 5	January 5 Minutes October 27 Public Comments Draft Perinatal
October 27	Agenda October 27 Minutes September 22 Draft Maternity Bundle w/ Peds
September 22	Agenda 09/22/20 Minutes 08/25/20 Draft Maternity Bundle w/ Peds
August 25	Agenda 08/25/20 Minutes 07/28/20 Draft Maternity Bundle w/ Peds
July 28	Agenda 07/28/20 Maternity Bundle Final Newborn Care Bree Proposal Perinatal Bundle Review
January 7	Agenda 01/07/20 Minutes 10/10/19 Draft Maternity Bundle Minutes 01/07/20
October 10	Agenda October 10 Minutes September 12 Draft Maternity Bundle ACOG Postpartum Care Plan
September 12	Agenda September 12 Minutes August 8 Draft Maternity Bundle
August 8	Agenda August 8 Minutes July 11 Draft Maternity Bundle
July 11	Agenda July 11 Minutes July 9 Draft Maternity Bundle
June 6	Agenda June 6 Minutes May 9 Draft Maternity Bundle
May 9	Agenda May 9 Minutes April 11 Draft Maternity Bundle Literature Review ACOG Optimizing Post Partum Care
April 11	Agenda April 11 Draft Minutes March 14
March 14	Agenda March 14 Draft Minutes February 14 HCP LAN Establishing Maternity Episode Payment Models
February 14	Agenda February 14 Minutes January 8 HCP LAN White Paper Maternity Bundle
January 8	Agenda January 8 Presentation Slides Maternity Bundle Charter and Roster Bree Process Infographic HCP-LAN Maternity Clinical Episode Payment Model AJMC Bundled Payments for Maternity Care Conflict of Interest Form OPMA Training Roster

Workgroup Members

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	Evergreen Health
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