In response to Maryland stakeholders' requests, care redesign provides tools for greater provider alignment and transformation. Care redesign aims to support:
- Effective care management and population health activities
- Improvement in care for high and rising risk populations
- Efforts to provide high quality, efficient, well-coordinated episodes of care
- Hospitals and their Care Partners in monitoring and controlling Medicare beneficiaries' Total Cost of Care (TCOC) growth
- The next steps toward delivery system transformation
Important Updates Related to the Care Redesign Program
Care Transformation Steering Committee
A Care Transformation Steering Committee has been convened to discuss how the HSCRC can support hospitals' care transformation work. This includes providing insight on formal Care Redesign Program (CRP) tracks, programs to incentivize existing care transformation initiatives (CTIs), and the informal sharing of care transformation strategies. The Steering Committee will help the HSCRC monitor the success of CRP, align and expand care transformation initiatives, and identify opportunities to better support hospitals and providers in their efforts.
Information and meeting dates for the Steering Committee can be found here.
Contact care.redesign@crisphealth.org for questions on care redesign.
The voluntary, hospital-led tracks align hospitals and their care partners through common goals and incentives. As of January 1, 2020, 24 hospitals are participating in at least one of two active care redesign programs, the Hospital Care Improvement Program (HCIP) and the Episode Care Improvement Program (ECIP).
Doctors Community Hospital
Frederick Memorial Hospital
Holy Cross Hospital
Holy Cross Hospital - Germantown
Meritus Medical Center
Peninsula Regional Medical Center
Western Maryland Health System
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Anne Arundel Medical Center
Atlantic General Hospital
Carroll Hospital
Frederick Memorial Hospital
Greater Baltimore Medical Center
Holy Cross Hospital
Howard County General Hospital
Johns Hopkins Hospital
Johns Hopkins Bayview Medical Center
Medstar Franklin Square Medical Center
Medstar Good Samaritan Hospital
Medstar Harbor Hospital
Medstar Montgomery Medical Center
Medstar Southern Maryland Hospital Center
Medstar St. Mary's Hospital
Medstar Union Memorial Hospital
Meritus Medical Center
Northwest Hospital
Peninsula Regional Medical Center
Sinai Hospital
Suburban Hospital
Western Maryland Health System
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Hospital Care Improvement Program (HCIP)
The HCIP will be implemented by Participant Hospitals and hospital-based physician care partners. The HCIP aims to:
- Improve inpatient medical and surgical care delivery
Provide effective transitions of care
Ensure effective delivery of care during acute care events, beyond hospital walls
Encourage the effective management of inpatient resources
Reduced potentially avoidable utilization with a byproduct of reduced cost per acute care event
Examples of categories of care redesign interventions in HCIP include care coordination, discharge planning, clinical care, patient safety, patient and caregiver experience, population health, and efficiency and cost reduction. Care partners who choose to participate may receive incentive payments based on reducing internal costs through a reduction in unnecessary utilization and resources, efficient practice patterns, and improved quality.
Episode Care Improvement Program (ECIP)
The Episode Care Improvement Program (ECIP) is designed to allow a hospital to link payments across providers during an episode of care. Maryland modeled ECIP on CMS’s Bundled Payments for Care Improvement Program Advanced.
Episode payment models bundle payments to health care providers for certain items and services furnished during an episode of care. ECIP’s bundled payment approach aligns incentives across hospitals, physicians, and post-acute care facilities to generate savings and improve quality through better care management during episodes, eliminating unnecessary care, and reducing post-discharge emergency department visits and hospital readmissions. ECIP provides hospitals with the opportunity to provide incentive payments to care partners that help achieve these goals.
categories can be found here.
ECIP intervention categories include clinical care and care redesign; beneficiary and caregiver engagement; and care coordination and care transitions.