May 18, 2018
Maryland on the Leading Edge
Earlier this week, Gov. Larry Hogan, along with officials with the Centers for Medicare & Medicaid Services, announced the approval of the next phase of Maryland's unique health care financing system, the Enhanced Total Cost of Care Model. The successor to the highly effective All-Payer Model will begin in January and build on the impressive accomplishments hospitals have made in the past five years.
The new model, which could run 10 years depending on a federal review of the progress at the five-year mark, solidifies Maryland's place as a leader among states in the volume-to-value movement in health care. And it shines a spotlight on everything you've accomplished: transformations and novel partnerships that have yielded slower cost growth, reduced readmissions, and fewer infections and complications, among other achievements.
The eyes of the nation have been on us over the past five years as we've tested a model to control cost growth and improve quality all at once. Your hard work made that a reality, and the nation will be watching again as we expand our scope beyond hospitals to nearly all health care providers.
This is an opportunity to innovate even further and on a scale that has never been tested. To get this right will take the collective strength of every hospital in Maryland, as well as engagement with health care practitioners, government leaders, regulators, payers, and patients and families.
Other states are poised to try elements of the Maryland model.
That doesn't mean it will be easy. The financial targets are aggressive and demand a savings of more than $1 billion over the first five years. Quality targets also will be challenging, as health care providers will be expected to control chronic, far-reaching illnesses like diabetes, opioid use disorders, and heart disease.
To be successful, hospitals will need the state's legislative and regulatory bodies to break down legal barriers, uphold financial commitments, and fulfill their duty to pave the path toward a high-performing health care system for our state.
That's where your MHA will be integral over the life of this new model. One of our most important roles will be to keep the state focused on ensuring that the wholesale transformation of care in Maryland is not borne solely by hospitals, but shared among everyone who is invested in the well-being of all Marylanders.

Bob Atlas
President & CEO

Register Now for MHA's Annual Membership Meeting
There's still time to register for MHA's Annual Membership Meeting , which begins with a welcome reception June 11 and concludes with the general session June 12. This year's Davidson Lecture will be delivered by Atul Gawande, M.D., one of Time's 100 Most Influential Thinkers, a renowned surgeon and researcher, and author of Being Mortal: Medicine and what Matters in the End. Gawande will share his bold vision for improving performance by focusing on the needs of real people, the values that make for a healthy society, the science and technologies waiting over the horizon, and how to reform systems to make it all work. Gawande will remain after his lecture for a book-signing.
Also speaking:
  • Dr. Omar Manejwala, Addiction psychiatrist and Chief Medical Officer at Catasys, a national health services management company; Author of Craving: Why We Can't Seem to Get Enough; and former Hazelden Foundation Medical his talk, he will present a futurist's perspective, detailing the changes needed to foster improved addiction outcomes and how innovation will play a key role in the work to turn the tide on substance use disorders.
  • Ben Nemtin's inspirational message has its roots in a cross-country trip with three friends, when they began to check items off of the "world's greatest" bucket list. Every time they accomplished a dream, they helped a complete stranger cross something off their bucket list. From playing basketball with President Obama to streaking a soccer field, from raising over $400,000 for charity to placing a record-breaking $250,000 bet on roulette-the bucket list quest has inspired millions to chase their dreams. Nemtin's message of radical possibility has been featured in major media including The Today Show, The Oprah Winfrey Show, CNN, FOX, ABC, CBS, NBC News, and more. 
Contact: Kathy Gotwalt
Important Reminder for Bond Program Applicants
The deadline to submit applications for the 2018 MHA Bond Program is Friday, June 22. Application forms and other supporting documentation must be submitted via the hospital-specific SharePoint site. All applicants should set up their unique SharePoint access as soon as possible. Applicants will present proposed projects to the Review Committee on Thursday, August 2, at MHA's offices. Time slots will be available between 9 a.m. and 3 p.m. and assigned closer to the presentation date. If you have any questions, contact Brett McCone Jennifer Witten , or  Jane Krienke . All application materials are available on our website .
Registration Still Open for Care Planning Forum
MHA's continuing care work group, composed of acute and post-acute providers, has identified the augmentation of advance care planning as a strong opportunity to improve care delivery. Along with several co-sponsors (LifeSpan, Health Facilities Association of Maryland, the Maryland Academy of Physicians, the Maryland National Capital Home Care Association, and the Hospice and Palliative Care Network), we are offering the Collaboration in Care Planning forumonMay 30 from 9 a.m. to 3 p.m. at MHA's offices. The forum is intended to spark meaningful conversations in communities and at the state level to expand the utilization of advance care planning in care delivery, as well as to increase access to advance care planning tools. Chief medical officers, chief nursing officers, population health leads, care transitions staff, and palliative care staff, among others, are encouraged to attend. Click here to register.
Letter of Support for 1332 Waiver Application Submitted
MHA has submitted a letter to the Maryland Health Benefit Exchange in support of the state's 1332 waiver application to develop a state reinsurance program. The application is a result of state legislation passed earlier this year. The reinsurance program would reimburse commercial payers for high-cost claims in an effort to stabilize the individual market and increase the number of people with insurance in Maryland. MHA's letter recommends that the state ensure any additional funding commercial carriers will receive under the reinsurance program be dedicated to lowering out-of-pocket costs and increasing the number of insured. The letter also urges the state to use the reinsurance program to develop care management incentives for commercial carriers that align with the goals of the All-Payer Model.
MHEI Resilience Experts Featured at National Conference
Two of the Maryland Healthcare Education Institute's Leadership & Engagement Strategists spoke at this year's national Association of Talent Development (ATD) conference in San Diego on the topic of Resilience for Health Care workers.  Katrina Coleman and Lyndley O'Dell facilitated a one-hour discussion on a topic they have often presented to hospital audiences here in Maryland.  ATD is the premier training and development organization in the world with over 10,000 members. After their presentation, MHEI was invited to create short videos on a variety of health care leadership topics for the ATD online library.  MHEI was also invited to partner with ATD as it further develops health care education offerings. To find out more about how MHEI can help with training or education at your organization, visit .
Contact: Mark Rulle
Conference to Promote Health Equity
The Institute for Patient- And Family-Centered Care will hold its 8th International Conference on Patient- and Family-Centered Care in Baltimore from June 11-13, at the Baltimore Marriott Waterfront. This year's conference, Promoting Health Equity and Reducing Disparities, will offer more than 100 sessions and 80 posters on a range of issues related to partnering with patients, families, and communities. Please see the brochure for more details on the event and for registration information. Patient and family advisors, patient experience and patient relations personnel, and leaders for safety, quality, diversity and health equity, are encouraged to attend.
Mosaic Receives Medication-assisted Treatment Grant
The Maryland Health Care Commission this week announced that Mosaic Community Services, Inc. has received a $346,000 grant to expand access to medication-assisted treatment (MAT) through telehealth. Mosaic, in collaboration with the Montgomery County Core Service Agency, plans to use telehealth to connect a Baltimore area prescriber to a new treatment facility in Montgomery County, where there is a shortage of prescribers.
Deadline Extended for Prescription Drug Survey
The American Hospital Association, in collaboration with the Federation of American Hospitals and the American Society of Health-System Pharmacists, has extended the deadline for the 2018 Survey on Trends in Hospital Drug Costs to Friday, May 25. A link and credentials to access the survey were sent to hospital and/or health system executives on April 19 and again on May 14. The survey requests information on hospitals' and health systems' recent experience with drug spending and shortages. If you need details on the survey or have questions, contact Robyn Bash at AHA.
Webinar Next Week on Substance-Exposed Newborns
The Maryland Opioid Operational Command Center is offering a webinar Wednesday, May 23 at 9:30 a.m. on Substance-Exposed Newborns. Speakers will outline new legislation on standardized reporting and discuss hospital protocols for expecting mothers and innovative partnerships. Speakers include Shawnette Mills, Department of Human Services, and Jennifer A. Thomas, Staff Development Nurse, Special Care Nursery and Children's Center, UM Upper Chesapeake Medical Center. Click here to register.
Free Hepatitis C Virus Testing Offered
May is Hepatitis Awareness Month and several locations in Maryland are offering free Hepatitis C virus testing on Saturday, designated as Hepatitis Testing Day.
Anyone who meets the following criteria should be tested.  
  • "Baby boomers"-adults born from 1945 through 1965
  • Anyone born to a mother with Hepatitis C virus
  • Anyone who has received blood products with clotting factor before 1987
  • Anyone who has received blood transfusion or organ transplant before July 1992
  • Anyone who has been on long-term hemodialysis
  • Anyone with human immunodeficiency virus (HIV)
  • Any health or public safety workers who have been stuck with a needle or other sharp object with blood from a person with HCV or unknown HCV
  • Anyone who has injected drugs, even if only one time 
Click here for a list of locations offering free testing tomorrow and one location offering testing on May 26.
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Prime Offers Guaranteed Savings on Biomedical and Diagnostic Imaging Service Costs
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Monday, May 21
ED Discharge Protocol Summit

Wednesday, May 23
Equity of Care meeting
The Baltimore Sun , By Jeff Barker, May 12
WTOP , By Liz Anderson, May 13
The Baltimore Sun , By Andrea K. McDaniels, May 14
Carroll County Times, By Jon Kelvey, May 14
The Daily Record , By Heather Cobun, May 15
The Baltimore Sun , By Andrea K. McDaniels, May 15
WAMU , By Jonathan Wilson and Patrick Fort, May 16
WTOP , By Kristi King, May 16

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