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Healthcare PlexusCall - Improved Quality and Outcomes through Transparency and Collaboration
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When: Wednesday, February 20, 2013
1-2pm eastern

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Healthcare PlexusCall
Wednesday, February 20, 2013 - 1-2pm ET
Topic: Bree Collaborative: Improved Quality and Outcomes through Transparency and Collaboration
Guests: Steven Hill, Ellen Kauffman, and Rachel Quinn

Dr. Robert Bree Collaborative: Improved Quality and Outcomes through Transparency and Collaboration (ppt)

MP3 File


Is it possible to have a healthcare system that delivers high quality healthcare that is cost-effective and has good outcomes for patients? Washington State leaders believe the answer is "Yes.” In 2011, the Legislature directed Governor Christine Gregoire to establish a public/private collaborative. The 24 members of the Robert Bree Collaborative, formed in August, 2011, represent health plans, employers, providers, and hospitals, and serve on a volunteer basis. The Bree Collaborative was charged with identifying health care services with substantial variation in practice patterns that do not improve health outcomes for patients and recommending evidence-based practice solutions, including leveraging existing efforts, by August, 2012.

At their first meeting, the group agreed to begin with Obstetrics, followed closely by Readmissions, Cardiac and Spine. In some instances, evidence-based practices are known but not universally followed. The Bree Collaborative's first goal was to support the existing local initiative to eliminate elective deliveries before the 39th week. For its second goal, decreasing the unsupported variation in the primary C-section rate, little data were available. The Obstetrics Clinical Outcomes Assessment Program (OB COAP) is gathering data to help clinicians develop evidence-based practices. The Collaborative had a highly successful first year and delivered beyond its mandate.

Steve Hill is Chair of the Robert Bree Collaborative. He is former Director of Washington State’s Department of Retirement Services and Health Care Authority, Olympia, Washington. He is a trustee of Seattle Community Colleges and a Board member of Consumer Reports, Seattle Symphony, and Washington Public Affairs Network.

Steve has been a member of the Washington State Investment Board, a Regent of Washington State University, and Senior Vice President for Human Resources for the Weyerhaeuser Company. For 30 years he has been a leader in health policy, forming and chairing several community collaboratives to improve health care quality and affordability. He served as a White House Fellow and staff assistant in the Office of the Secretary of the U.S. Department of Energy. He is a member of the National Academy of Human Resources.

Ellen Kauffman, M.D., is an obstetrician in Seattle, Washington. She is currently the Medical Director of OB COAP, the Obstetrics Clinical Outcomes Assessment Program,one of the clinical programs of the Foundation for Health Care Quality, a nonprofit organization dedicated to providing a trusted, independent, third party resource to all participants in the health care community – including patients, providers, payers, employers, government agencies, and public health professionals.

OB COAP is a clinician led, chart abstracted database of the intrapartum care of pregnant women in Washington State. Its goal is to ensure that women anywhere in Washington State receive the same highest quality evidence based care. She was one of 3 obstetricians in the State asked to serve as a member of the OB subgroup of the Bree Collaborative.

Rachel Quinn, MPH, MPP, is currently the Project Manager of the Dr. Robert Bree Collaborative, a position she has held since March 2012. As the project manager, Rachel is lead staff for the Bree and is responsible for managing the Bree Collaborative and its workgroups. Prior to the Bree Collaborative, Rachel worked at King County for eight years as a health care reform policy analyst at the Seattle & King County Public Health Department, and as a health policy advisor to former King County Executive Ron Sims.

In addition to her public sector work, Rachel was a senior consultant at Barents Group/KPMG for three years. She holds a dual master’s degree in public health and public policy from the University of Michigan. An avid runner, skier, biker and hiker, Rachel loves all the outdoor activities Seattle and the Pacific Northwest offers.

Steve, Ellen and Rachel will join the call to talk about the formation of the Bree Collaborative, the results they are seeing, and their own roles in this work. Please bring your questions and your experience to this call, especially how other states are addressing these challenges.

Looking forward to hearing your voice--

Joelle Everett

Jeff Cohn


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