The Bree Collaborative consists of public and private health care stakeholders seeking to identify specific ways to improve health care quality, outcomes, and affordability in Washington State.
Social Determinants of Health (SDOH) is one of the topics it is examining. SDOH are conditions in which people are “born, grow, live, work, and age,” including education, employment, the experience of racism, and safety.
AAPPN Student Board Member Steven Pline is attending the SDOH meetings to follow this issue for AAPPN. Below is a summary of the meeting on April 15, 2021
- Avoid duplication of national organizations.
- Establish links to organizations such as Gravity Project to continue work beyond this project.
- Need to identify funding and nature of handoff/collaboration.
- Concern that “empathic inquiry” is a proprietary system.
Privacy concerns: for example, do patients want trauma information documented in a diabetes screen? The consensus is those best-practice standards do not exist and need to be developed.
Follow-Up Section: Extended discussion on finding a balance between specific implementation and process specification.
A consensus that the “community information exchange” field is already crowded and that interoperable and standards-based needs to be a minimum requirement. An entity to address the standards will likely be needed–discussion tabled.
Discussion of relative strengths of fee-for-service (responsive, scale) and value-based (chronicity, high risk) delivery systems.
The next meeting will be held May 13. The group expects that to be the final working meeting followed by the final report at end of May.