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
Key Care Redesign Program Documents and Information
ECIP Track Template 2023 - Must complete through ECIP Management Interface. Email care.redesign@crisphealth.org for instructions.
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, 2022, 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).
| Hospital Care Improvement Plan (HCIP) |
Episode Care Improvement Program (ECIP) |
UPMC Western Maryland Health System
|
Anne Arundel Medical Center
Atlantic General Hospital
Doctors Community Hospital
Garrett Regional Medical Center
Greater Baltimore Medical Center
Holy Cross Hospital
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
TidalHealth Peninsula Regional
University Of Maryland Medical Center
University of Maryland Baltimore Washington Medical Center University of Maryland Capital Region Health
University of Maryland Charles Regional Medical Center
University of Maryland St. Joseph Medical Center
University of Maryland Upper Chesapeake Medical Center University of Maryland Shore Regional Health Chestertown University of Maryland Shore Regional Health Easton
UPMC Western Maryland Health Systems |
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.
ECIP intervention categories include clinical care and care redesign; beneficiary and caregiver engagement; and care coordination and care transitions.
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