September 21, 2018
New Model Road Show
The countdown is on to the inception of the Total Cost of Care Model. There are just over 100 days until Maryland will begin to be held accountable for controlling the cost of health care in all settings - not just hospitals.
This means that non-hospital providers need to be enlisted to sharpen their focus to drive efficiency and appropriate use of services, something hospitals have been doing under global budgets for nearly five years. Those results have been impressive, saving the health care system more than $900 million and reducing the rate of readmissions by more than 8 percent.
The good news is that hospitals' potential partners are keen to learn about how the new model works and how its implementation will affect them. Since Labor Day, your MHA has been speaking to key groups such as the Maryland Organization of Nurse Leaders, the Hospice and Palliative Care Network, the Maryland-National Capital Home Care Association, and others.
The road show will continue in the coming months.
The central message in all of these encounters is that hospitals cannot succeed under the new model by themselves. By meeting early and often with groups like these, we are able to convey the importance of their engagement to the model's success.
There's also great value in building trust with groups with which hospitals will partner closely in the coming years. These relationships will help like-minded providers sustain efforts toward a common goal, even when facing tough challenges.
That's the potential power of the new model. It strives to bring together all types of providers, as well as other important players, to work side by side for the betterment of all Marylanders.

Bob Atlas
President and CEO

Quarterly Financial, Utilization Reports Available
The financial reports for the second quarter of 2018 are now available for MHA members. To access the Accounts Receivable and Combined Financial Trends and Utilization reports, click here . Reports are available only to members. If you have questions, contact Brian Sims .
MHA Supports Draft Recommendations on Maximum Revenue Risk on Quality
On behalf of the hospital field, the Maryland Hospital Association supported the Health Services Cost Review Commission's (HSCRC) Draft Recommendation for the Maximum Revenue Guardrail for Maryland Hospital Quality Programs for Rate Year 2020. In a letter to the HSCRC September 18, MHA supported limiting the maximum total revenue adjustment to 3.4 percent of a hospital's revenue base. MHA also recommended the HSCRC in future years consider rethinking the risk on quality programs to ensure the emphasis is on activities that align with total cost of care goals and including the Medicare Performance Adjustment in revenue at risk.
Prime Offers Significant National Group Buy Discounts
Prime, MHA's group purchasing subsidiary, offers quarterly Group Buy events through our national affiliation with Vizient. This program offers exclusive, limited-time savings to hospitals in more than 45 major product categories including: Imaging, Biomedical Engineering, Pharmacy, Food, Business Office, and more. Through the limited Group Buy offers , members receive additional benefits including: free upgrades and software, free parts/accessories, extended service agreements, guaranteed trade-in value, extended warranties, and enhanced financial terms. This quarter's group buy is available from October 1-December 31. For more information about the program, contact Meghan McClelland.
Next Steps for the MDPCP
A majority of Maryland primary care providers voluntarily elected to apply to participate in the Maryland Primary Care Program (MDPCP) , committing to join a program expected to improve the quality of care, reduce the cost of care, and improve the well-being of Marylanders. Over the next several months, participants will review and execute documents, and in the coming weeks, final selections of practices and Care Transformation Organizations (CTOs) will be made, CTO and practice pairings will be announced, and practice coaches will connect with their assigned practices. The MDPCP Program Management Office (PMO) will continue to host weekly webinars on relevant topics for practices and CTOs. Educational events being held in September include:  
For a schedule of upcoming events, see the calendar . New resources for CTOs and practices will be posted on the MDPCP website .
Webinar Showcases Best Practices for MAT
Maryland's Opioid Operational Command Center will host a webinar September 26 at 9:30 a.m. focused on the scientific support and evidence-based practices behind Medication-Assisted Treatment (MAT). The webinar will emphasize MAT's importance in the continuum of care and provide a real-life perspective on the positive effects of incorporating MAT as a regular practice in the process of treatment and recovery. For details or to register, click here .
MACHE Event Focuses on Innovations in Health Care
The Maryland Association of Healthcare Executives will hold its annual all-day event, Innovations in Health Care, October 11 at the Sheppard Pratt Conference Center in Towson. A panel will discuss how health systems are using innovation in care delivery, design, technology, and patient experience to improve the value of the health care they deliver. One panel also will discuss how innovations have improved care delivery in rural areas. Click here to register or for more information.
Workforce Engagement - Building a Strategy
Every facility conducts an employee engagement survey. They would like to see improved results and therefore have developed and implemented strategies aimed at improving those results.

Reduce Lighting Energy Costs Up to 50 Percent
Lighting accounts for 30 to 60 percent of annual electric costs for many facilities, and many new advances in lighting technology can help your organization conserve energy and save money.

AHA Forum Focuses on Addressing Affordability
The AHA yesterday hosted in Los Angeles the latest in a series of regional forums at which hospital and health system leaders share strategies their organizations are undertaking to make health care more affordable.

Tuesday, September 25
MHEI Board meeting

Thursday, September 27
MHA Executive Committee Retreat, St. Michaels

Friday, September 28
MHA Executive Committee Retreat, St. Michaels
The Baltimore Sun , By Jess Nocera, September 14
Baltimore Business Journal , By Morgan Eichensehr, September 17
The Baltimore Sun , By Andrea K. McDaniels, September 18
The Baltimore Sun , By Luke Broadwater, September 17
Baltimore Business Journal , By Morgan Eichensehr, September 18
The Washington Post , By Rachel Chason and Scott Clement, September 18
Baltimore Business Journal , By Morgan Eichensehr, September 19
The Baltimore Sun , By Meredith Cohn, September 19