Bree Collaborative Regulatory Issues

March 1, 2017 – Bree Collaborative reviewing and updating total knee and total hip replacement bundle

The Bree Collaborative  is reviewing and updating their 2013 Total Knee and Total Hip Replacement bundle. WSHA fully supports efforts to review and improve Bree bundles and warranties as clinical evidence evolves.  WSHA will continue to engage in the review process on behalf of hospitals and health systems. (Ian Corbridge)

August 21, 2015 – WSHA submits comments on the Bree Collaborative heart surgery bundle and warranty

The Bree Collaborative — a group appointed by the governor representing clinical leaders from purchasers, providers and state agencies — released a draft report on July 22 on heart surgery and the companion warranty. WSHA fully supports efforts to improve patient safety and recovery while reducing costs associated with heart surgery. Potentially unnecessary overuse of heart surgery is a serious issue. While the recommendations may improve care across the state, we have some concerns with how the recommendations are calibrated.

We submitted comments and surfaced our concerns to the Bree Collaborative on Aug 21. Our comments centered on the need to identify quality measures which need to be reported to a registry, but that providers should be allowed to choose where they report to, maintain access to care, especially in rural areas, and decrease barriers to care. We appreciate the Collaborative’s attention to this very important issue and look forward to continued dialogue on how to improve heart surgery in Washington State.

July 30, 2015 – Bree Collaborative makes recommendations for cardiac artery bypass graft

The Bree Collaborative — a group appointed by the governor representing clinical leaders from purchasers, providers and state agencies — met July 22 to consider new recommendations for cardiac artery bypass graft (CABG). Once adopted, the collaborative will submit the final report to the Washington State Health Care Authority, which can elect to use the report’s recommendations to inform contracting and purchasing for Medicaid and state employee programs. We anticipate future Health Care Authority contracts will contain more recommendations and practice guidelines from the Bree Collaborative.

The collaborative is interested in hearing your feedback on the latest draft report and recommendations. Please read the documents and provide feedback via the online survey here. Feedback to the Bree Collaborative must be received by 5 p.m. Friday, Aug 21. (Ian Corbridge)


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