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Modernization

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Care Redesign Program

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 Re​​design Program Documents and Information

ECIP Track Template 2021 - 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, 2021, 21 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)

Holy Cross Germantown Hospital 

Holy Cross Hospital

TidalHealth Peninsula Regional

UPMC Western Maryland Health System

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​Anne Arundel Medical Center

Atlantic General Hospital

​​Doctors Community Hospital 

Frederick Memorial Hospital

Greater Baltimore Medical Center

Holy Cross Germantown 

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 Baltimore Washington Medical Center 

University of Maryland Charles Regional Medical Center 

University of Maryland St. Joseph Medical Center 

University of Maryland Upper Chesapeake Medical Center 

UPMC Western Maryland Health Systems

  

View episode and care partner selections for 2021 ECIP participants​



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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