maryland.gov
   

  Home  |  Advisory  |  Care Redesign  |  Payment  |  Performance  |  Progression  |  TCOC  |  Transformation

Maryland Hospital Transformation and Infrastructure Reports

The All-Payer Model has made it imperative for Maryland’s Department of Health and Mental Hygiene (“DHMH”), the HSCRC, and hospitals to focus more specifically on improving care coordination, chronic care, provider alignment, and supporting infrastructure.

The All-Payer Model operates in conjunction with a number of other endeavors currently underway in Maryland, including efforts to strengthen primary care and coordinate hospital care with community care; map and track preventable disease and health costs; develop public-private coalitions for improved health outcomes; and establish Regional Partnerships.

The collective goal of these activities is to help support improved care delivery and population health with a focus on:
  • Chronic disease supports
  • Long term and post-acute care integration and coordination
  • Physical and behavioral health integration and coordination
  • Primary care supports
  • Case management and other supports for high needs and complex patients
  • Episode improvements, including quality and efficiency improvements
  • Clinical consolidation and modernization to improve quality and efficiency
  • Integration of community resources relative to social determinants of health and activities of daily living

To emphasize these goals, the HSCRC required a series of reports and applications during CY 2015 as described below.

GBR Infrastructure Reports - In Fiscal Years 2014, and 2015, the Commission, recognizing the need for seed funding to invest in best practices to improve care coordination activities, increased most GBR hospital's rates by a total of 0.65%, with the intent of it being used to invest in infrastructure that promotes the improvement of care delivery and reductions of potentially avoidable utilization. An additional 0.40% was provided in Fiscal Year 2016. This funding was approved by the Commission to support the transformation with the expectation that the real return on investment will occur if projects are focused and well executed. TPR hospitals have been provided even higher levels of funding on a proportional basis. On September 30, 2015, all hospitals were required to submit a GBR Investment Report to HSCRC on the amounts and types of investments they have made and will make to improve population health, and how effective these investments are in reducing potentially avoidable utilization and improving population health. This report will be required annually.

*** FY2016 Updated GBR Infrastructure Reporting Template ***

Please find below the updated FY2016 GBR Infrastructure Reporting Template, Reporting Instructions, and Webinar Recording. Final FY2016 GBR Infrastructure Reports are due September 30, 2016 and can be submitted to hscrc.gbrinfrastructure@maryland.gov

  1. Template
  2. Reporting Instructions
  3. Webinar Recording

Regional Planning Grantee Reports - In accordance with the provisions of the State Budget Reconciliation and Financing Act of 2014 (BRFA), the Commission increased rates in FY 2015 to provide up to $15 million for the purpose of funding the planning of regional partnerships throughout the State; and statewide infrastructure to support care management, coordination, and planning. In preparation for this funding, in February 2015, DHMH and HSCRC released an RFP to all hospitals offering funding to support the planning and development of Regional Partnerships for Health System Transformation. A portion of the BRFA funding ($2.5 million) was awarded to hospitals who applied for the funding to support regional planning and development initiatives with key community partners. A multi-stakeholder review committee selected 8 of 11 proposals; funding ranged from $200,000 to $400,000. Those grantees submitted a final Regional Transformation Plan to DHMH and HSCRC on December 7, 2015.

Hospital Strategic Transformation Plans – In June 2015, the Commission also approved a recommendation that required all hospitals to submit multi-year strategic plans for improving care coordination, chronic care, and provider alignment. These plans were received on December 7, 2015. The strategic plans draw from the other required reports and demonstrate how strategies are aligned. All hospitals were required to submit their own strategic plan; however, in areas where hospitals are working with one another through a Regional Partnership or other collaborations, they were required to reference their Regional Partnership Transformation Plan.

GBR Infrastructure
Strategic Planning
RFP Implementation-
awarded June 2016
Regional Planning
1. Adventist - Behavioral - STP
2. Adventist - Behavioral - STP
  1. Bay Area Transformation Partnership Proposal (Revised)

  2. Bay Area Transformation CEO Cover Letter

  3. Bay Area Transformation Appendices (Revised)

  4. Bay Area Transformation Letters of Support
Bay Area - RP
Adventist - Shady Grove - STP
  1. Community Health Partnership Proposal.pdf

  2. Community Health Partnership Proposal Appendices
Community Health - RP
1. Adventist - Washington - GBR
2. Adventist - Washington - GBR
Adventist - Washington - STP
  1. GBMC Proposal.docx

  2. GBMC Project Implementation Plan.pdf

  3. GBMC Grant Appendix F Letter of Support
Howard County - RP
1. Anne Arundel - GBR
2. Anne Arundel - GBR
Anne Arundel - STP
  1. Howard County Partnership Proposal
NexusMontgomery - RP
1. Atlantic General - GBR
1. Atlantic General Hospital - STP
2. Atlantic General Hospital - STP
3. Atlantic General Hospital - STP
4. Atlantic General Hospital - STP
5. Atlantic General Hospital - STP
  1. NexusMontgomery Proposal - FULL

  2. NexusMontgomery Proposal - Part 1

  3. NexusMontgomery Proposal - Part 2
1. Totally Linking Care - RP
2. Totally Linking Care - RP
3. Totally Linking Care - RP
4. Totally Linking Care - RP
5. Totally Linking Care - RP
1. Bon Secours - GBR
2. Bon Secours - GBR
1. Bon Secours Hospital - STP
2. Bon Secours Hospital - STP
  1. Medstar - ElderCare Proposal

  2. Medstar - ElderCare Project Implementation Plan.pdf
Trivergent Alliance - RP
Trivergent Alliance - RP
Brook Lane - STP
  1. Trivergent Health Alliance Proposal

  2. Trivergent Health Alliance Project Implementation Plan

  3. Western MD - Trivergent Project Implementation Plan {Microsoft Project or viewer Needed (.mpp)}
Calvert Memorial - STP
  1. UM SJMC Proposal.docx

  2. UM SJMC Governance Cmte Letters.pdf

  3. UM SJMC Transmittal Cover Letter.pdf

  4. UM SJMC Project Implementation Plan.pdf

  5. UM SJMC Strategic Plan.pdf

UMUCH-UHCC - RP
Dimensions-Laurel - STP
  1. UMUCH-UHCC Proposal
West Baltimore Collabortion - RP
1. Dimensions-Laurel/PG - GBR
2. Dimensions-Laurel/PG - GBR
Dimensions-PG - STP
1. Doctors Community - GBR
2. Doctors Community - GBR
1. Doctors Community - STP
2. Doctors Community - STP
3. Doctors Community - STP
4. Doctors Community - STP
5. Doctors Community - STP
6. Doctors Community - STP
1. FWMC - GBR
FWMC - STP
1. Frederick - GBR
2. Frederick - GBR
3. Frederick - GBR
Frederick Memorial Hospital - STP
1. Garret County - GBR 1. Garret County - STP
1. GBMC - GBR
2. GBMC - GBR
1. GBMC - STP
2. GBMC - STP
Germantown - GBR
Germantown - GBR
Harford - GBR
Harford - GBR
Harford Memorial - STP
1. Holy Cross - RFP
2. Holy Cross - RFP
1. Holy Cross Hospital - STP
2. Holy Cross Hospital - STP
1. Howard County - RFP Howard County General - STP
1. Johns Hopkins-Bayview - GBR 1. John Hopkins Bayview - STP
2. John Hopkins Bayview - STP
3. John Hopkins Bayview - STP
1. Johns Hopkins Hospital - GBR 1. John Hopkins Hospital - STP
2. John Hopkins Hospital - STP
3. John Hopkins Hospital - STP
1. LifeBridge Carroll - GBR
2, LifeBridge Carroll - GBR
LifeBridge-Carroll - STP
1. LifeBridge-Levindale - RFP
1. LifeBridge-Levindale - RFP
1. LifeBridge - Levindale - STP
2. LifeBridge - Levindale - STP
1. LifeBridge-Northwest - RFP
2. LifeBridge-Northwest - RFP
1. LifeBridge - Northwest - STP
2. LifeBridge - Northwest - STP
1. LifeBridge - Sinai - GBR
2. LifeBridge - Sinai - GBR
1. LifeBridge - Sinai - STP
2. LifeBridge - Sinai - STP
McCready Memorial - STP
All Medstar - RFP MedStar - FS - STP
MedStar - Good Sam - STP
MedStar - Harbor Hospital - STP
MedStar - Montgomery - STP
MedStar - Southern MD - STP
MedStar - St. Mary's - STP
MedStar - Union Memorial - STP
Mercy - GBR 1. Mercy Medical - STP
1. Meritus - GBR
2. Meritus - GBR
Meritus - STP
1. Mt. Wash. Pediatric - GBR
2. Mt. Wash. Pediatric - GBR
Mt. Wash. Pediatric - STP
1. Peninsula Regional - GBR
1. Peninsula Regional - GBR
Peninsula Regional - STP
1. Shady Grove - GBR
2. Shady Grove - GBR
Sheppard Pratt
1. Shore Medical - Easton - GBR
2. Shore Medical - Easton - GBR
Shore Medical - Easton - STP
1. Shore Medical-Chestertown-GBR
2. Shore Medical-Chestertown-GBR
Shore Medical - Chestertown - STP
1. Shore Medical - Dorchester - GBR
2. Shore Medical - Dorchester - GBR
Shore Medical - Dorchester - STP
1. St. Agnes Hospital - GBR
2. St. Agnes Hospital - GBR
St. Agnes Hospital - STP
1. Suburban - GBR 1. Suburban - STP
2. Suburban - STP
1. BWMC - GBR
2. BWMC - GBR
UMMS - BWMC - STP
1. UMMS - Charles Regional - GBR
2. UMMS - Charles Regional - GBR
UMMS - Charles Regional - STP
1. UMMS - Rehab - GBR
1. UMMS - Rehab - GBR
UMMS - Rehab - STP
1. UMMS - St. Joseph - GBR
2. UMMS - St. Joseph - GBR
UMMS - St. Joseph - STP
1. UMMS - Midtown - GBR
2. UMMS - Midtown - GBR
UMMS - UMMC/Midtown - STP
1. UMMS - UMMC - GBR
2. UMMS - UMMC - GBR
UMMS - UMMC/Midtown - STP
1. UMMS - UMUCH - GBR
2. UMMS - UMUCH - GBR
UMMS - UMUCH - STP
1. Union Cecil County - GBR
2. Union Cecil County - GBR
Union Cecil County - STP
1. Western MD - GBR Western MD - STP