September 22, 2017
Bolstering the Ranks
As MHA gears up for the 2018 legislative session in Annapolis, amid uncertainty regarding federal health care policy and final negotiations on the next phase of the All-Payer model, your association has several new faces coming on board. They will make sure not only that the voice of hospitals is heard, but that legislators and policymakers understand the critical role hospitals play their communities and throughout Maryland.
Joining our team are:
Shamonda Braithwaite - previously a senior health care analyst with the Government Accountability Office, Shamonda will be working on our Policy & Data Analytics team, led by Nora Hoban. While at GAO, she specialized in Medicaid oversight, including managed care costs and enrollment, long-term care services, and demonstration waiver spending. The Policy & Data Analytics team develops the critical facts and data that MHA relies on to advocate before legislators and regulators and Shamonda will be working on behavioral health, including discharge protocols for those treated for opioid abuse.
Erin Dorrien - chief of Government and Public Affairs for the Maryland Health Care Commission, also joins our Policy & Data Analytics team. At MHCC, Erin was responsible for issues like physician self-referral, rural health care delivery, and palliative care pilot programs. She is an Annapolis veteran, having worked closely with House of Delegates leadership on many policy and budgetary issues.
Neal Karkhanis - formerly a government relations manager with the Health Facilities Association of Maryland, Neal joins Jennifer Witten and Brian Frazee to round out our government relations team. Neal recently earned his J.D. from the University of Maryland School of Law and is well-versed in the policies around the implementation of the All-Payer Model, the Affordable Care Act, and the interaction of hospitals and long-term care facilities to improve patient care. He'll focus on issues like prescription drug costs and medical liability, among others.
The addition of these three people means that your MHA team is ready to help Maryland's hospitals navigate another year in which the only constant will be change: change in laws, in regulations, in expectations from patients, in care delivery, and more. MHA's work reflects the priorities that you, our members, have set for MHA, and it is with the help of talented individuals like Shamonda, Erin, and Neal, and our entire team, that we will continue to meet your needs.

MHA Comments on Performance Adjustment Policy
MHA this week submitted to the Health Services Cost Review Commission a comment letter on the commission's Medicare Performance Adjustment policy. This policy assigns accountability for Medicare total cost of care per beneficiary at the hospital level, with limited risk in the first years. While there is more work to be done to refine the policy, the state expects the policy to be the linchpin in qualifying individual hospitals as Advanced Alternative Payment Models in calendar year 2018. The Advanced Alternative Payment Model status will allow physicians who work with our hospitals to be eligible for additional payments under the Medicare Access and CHIP Reauthorization Act of 2015.
MHA and CRISP to Host Image Exchange Webinar
MHA and CRISP will host a webinar in November on CRISP's work to support image exchange. The webinar will cover how hospitals can perform and publish stroke imaging in real time, allowing specialists to make rapid, life-saving decisions about treatment for stroke patients. It will also cover the results of a return on investment analysis conducted with five Maryland hospitals, including reductions in potentially avoidable utilization. Attendees will hear from their colleagues about how image exchange has affected patient care and improved patient and clinician satisfaction. The webinar will be November 17, 8:30-9:30 a.m. Click here to register.
Contact: Pat Ross
Garrett County Receives RWJ Culture of Health Prize
Garrett County this week was awarded the 2017 Robert Wood Johnson Foundation Culture of Health Prize. Eight winners were selected from more than 200 applicant communities across the country; Garrett is the first community in Maryland to receive the award. Garrett County's award-winning efforts include the Community Action Committee's 2-Generation Program, Garrett Regional Medical Center's Well Patient Program, and the Garrett County Health Department's, a portal enabling people throughout the community to participate in discussions about health, work, education, and more. Click here to visit the award website and read more about Garrett County's work.
Medicare CCLF Data Available Through CRISP
In support of statewide care redesign initiatives, CRISP is making available to hospitals Medicare Claim and Claim Line Feed (CCLF) data. These data contain Medicare fee-for-service beneficiary claims for Maryland residents hospitalized within the past three years. The data contain Parts A, B and D claims including demographics, diagnoses, services received and payments. Hospitals that signed up for the first performance period of the HCIP and CCIP Care Redesign Programs will be able to see both summary and patient identifiable data. Hospitals that did not sign up for the first performance period will be able to see summary level, but not identifiable, data. Beginning September 27, hospitals may access the data through the CRS Portal. After logging in, you will see a new card named 'Medicare CCLF Data.' Click on this card to open the suite of Medicare CCLF Reports. CRISP will hold educational webinars on the following dates and times to demonstrate the reports and answer questions. The webinars will cover the same information, so you can select one that is convenient for you. Click on the date to register: 

CRISP will also make available a comprehensive Medicare CCLF User Guide. If you have questions or feedback, email
Register Now for Program on Reducing Preventable Harm

A free half-day program to help hospitals reduce preventable harm will be held October 13 at MHA's offices in Elkridge. Attendees will learn about CANDOR (Communication and Optimal Resolution), a set of strategies and tools developed by the Agency for Healthcare Research and Quality. CANDOR includes interventions that change how we respond to and learn from patient safety events. The program will be facilitated by Dr. Timothy McDonald and his colleagues from MedStar Health, the lead CANDOR pilot site. McDonald, Director of the Center for Open and Honest Communication in MedStar's Institute for Quality and Safety, will share the results of MedStar's systemic implementation of CANDOR as a core patient safety and continuous improvement strategy. The program will be of value to MHA members on a High Reliability Organization journey, as well as those already invested in supporting Just Culture or Care for the Caregiver programs. Members of hospital executive teams are invited to attend the October 13 meeting, to be held from 8:30 a.m. to noon at MHA's Elkridge offices. Registration is required.


Contact: Nicole Stallings

Developing Credibility Is Fundamental to Leadership

According to Barry Posner, co-author of "The Leadership Challenge," good leaders are also credible leaders. In fact, you cannot be a good leader without having established and maintained credibility with your followers.

Physician Survey Available to Prime Members

It's that time of year again. Now in its 24th year, the most comprehensive report on physician recruiting incentives in the field - Merritt Hawkins' annual Review of Physician and Advanced Practitioner Recruiting Incentives - is available for Prime members. 

NAM Issues Guide to Help Clinicians Counter Opioid Epidemic

The National Academy of Medicine this week issued a guide to help clinicians counter the opioid epidemic.

Baltimore Business Journal, By Morgan Eichensehr, September 20
Modern Healthcare, By Maria Castellucci, September 20
WBAL-TV, By Associated Press, September 19
Kaiser Health News, By Melissa Bailey, September 19
The Washington Post, By Carolyn Y. Johnson, September 17