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Improving health and health care. We partner with clinicians health systems health plans and others to improve appropriateness quality and safety of clinical care. We do this through our Cardiac Obstetrical Spine and Surgical Care Outcomes Assessment Programs COAPs the Bree Collaborative the Washington Patient Safety Coalition and Smooth Transitions. CardiacCARE OUTCOMES ASSESSMENT PROGRAM Cardiac COAP SpineCARE OUTCOMES ASSESSMENT PROGRAM Spine COAP SurgicalCARE OUTCOMES ASSESTMENTS PROGRAMS Surgical COAP ObstetricalCARE OUTCOMES ASSESSMENT PROGRAM OB COAP SmoothTRANSITIONS WashingtonPATIENT SAFETY COALITION Dr.