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Quality

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Maryland Hospital Acquired Conditions (MHAC)

Overview

The MHAC program, which was first implemented for RY 2011, is based on a system developed by 3M Health Information Systems (3M) to identify potentially preventable complications (PPCs) using present-on-admission codes available in claims data. 3M originally developed specifications for 65 PPCs, which are defined as harmful events that develop after the patient is admitted to the hospital and may result from processes of care and treatment rather than from the natural progression of the underlying illness. For example, the program holds hospitals accountable for respiratory failure and pulmonary embolisms that occur during inpatient stays.  These complications can lead to 1) poor patient outcomes, including longer hospital stays, permanent harm, and death; and 2) increased costs.Thus, the MHAC program is designed to provide incentives to improve patient care by adjusting hospital budgets based on PPC performance.    

See the current rate year policy for additional information on the specific PPCs included in the payment program and how performance is converted to hospital revenue adjustments.

For detailed information via webinar on HSCRC Quality Initiatives, please visit the Quality Overview​web page.​


Key MHAC Policy Documents

RY 2022

​Communications ​and Memos ​ ​
​Type ​Document Title Date​
​Final Policy Final RY 2022 MHAC Recommendation
Feb 28, 2020
Memos​ RY 2022 MHAC Policy Memo
Feb 28, 2020​

​Performance Standards

​Performance Period Data*

*Quaterly final summary reports are posted to the HSCRC website. Preliminary monthly summary reports are also available to hospitals throught the CRISP Reporting Services Portal.​ ​



 ​RY 2021

​Communications ​and Memos ​ ​
​Type ​Document Title Date​
​Final Policy RY 2021 Final MHAC Policy
 Mar 15, 2019
Memos​ RY 2021 MHAC Policy Memo
April 12, 2019

​Performance Standards RY 2021 Performance Standards and Modeling Summary Workbook
May 02, 2019
​Performance Period Data*

*Quaterly final summary reports are posted to the HSCRC website. Preliminary monthly summary reports are also available to hospitals throught the CRISP Reporting Services Portal.​ ​


 ​RY 2020

​Communications ​and Memos ​ ​
​Type ​Document Title Date​
​Final Policy RY 2020 Final MHAC Policy
 Feb 26, 2018
Memos​ RY 2020 Final MHAC Memo Mar 02, 2018
Data Workbooks​​ ​ ​
​Base Period Data RY 2020 Base Period Workbook Mar​ 02, 2018​​
​Performance Period Data* RY 2020 Performance Period Workbook 
 ​May 29, 2019
Revenue Adjustment ​RY 2020 MHAC Scaling Workbook​ ​May 29, 2019

*Preliminary monthly data is avilable to hospitals through the CRISP Reporting Services Portal.​

RY 2019

​Communications ​and Memos ​ ​
​Type ​Document Title Date​
​Final Policy RY 2019 MHAC Final Policy.pdf ​Mar 8, 2017
Memos​ RY 2019 MHAC Policy Memo.pdf
RY 2019 MHAC Policy Memo - Clinical Logic Update
 ​Apr 25, 2017
Jul 13, 2017
Data Workbooks​​ ​ ​
​Base Period Data ​MHAC Base Period Workbook RY 2019​ ​​Apr 25, 2017
​Performance Period Data* ​ ​
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* Designated hospital employees can access mid-year data through the CRISP Reporting Services (CRS) Portal. Otherwise, this data is available upon request; please contact HSCRC Quality at hscrc.quality@maryland.gov​.

RY 2018

​Communications and Memos ​ ​
​Type ​Document Title Date​
​Final Pol​icy RY18 MHAC Final Policy Recommendation
 Jan 13, 2016
Memos​ RY 2018 MHAC Program and Data Update- PPC Assignment Logic Changes

RY 2018 MHAC Program Summary

RY18 Quality Program R​evenue Adjustments memo.pdf 
 Sep 23, 2016


Sep 2, 2016

May 12, 2017​
Data Workbooks​​ ​ ​
​Base Period Data RY18 MHAC Base Period Workbook ​​Jun 15, 2016
Results ​MHAC Summary CY16-01 to CY16-12 FINAL.xlsx​ ​Mar 08, 2017
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​​​​For questions or inquiries about HSCRC's Quality Improvement Initiatives, please click here. You may also send an email or contact by telephone Alyson Schuster (410-764-2673) or Dianne Feeney (410-764-2605).