MHA Update Newsletter
May 1, 2015
MHA Annual Membership Meeting

 June 1 and 2, 2015

Four Seasons

Hotel Baltimore


Click for More Details

MHEI Programs & Webinars


May 5

Management Boot Camp



May 7

Maryland Patient Safety Center Positive Accountability and Just Culture


Quick Links


The Right Partners for the Job

"Rehospitalization is a system issue and the problem does not lie with one organization or one provider, but with the community and the local health care system. Addressing this issue will require organizations and providers to work together." - Anne-Marie Audet, vice president, The Commonwealth Fund


In the first year under the modernized all-payer agreement with the Centers for Medicare & Medicaid Services, Maryland's hospitals have made tremendous strides toward the agreement's goals, including impressive gains on reducing readmissions.


Hospitals have reduced the state's readmissions rate by 0.80 percent, a faster reduction than the nation as a whole and an inarguably strong performance. Unfortunately, the reduction is not moving fast enough to bring Maryland in line with the national average or below, as mandated in the agreement.


How do we do better? One way is to get together with local partners, and to help you do that MHA is providing hospital leaders with a new Skilled Nursing Facility Partnership Development Guide. This guide is intended to foster informed partnerships between hospitals and skilled nursing facilities (SNFs), with the understanding that the quality of care patients receive after they are discharged from a hospital has a direct impact on whether they will need hospital care again in the near future.


The guide, available here, aims to help Maryland's hospitals identify, develop, and strengthen formal and informal SNF partnerships that demonstrate high quality and cost efficiency. It includes: 

  • A discussion guide to facilitate communication with SNFs
  • INTERACT tool that SNFs could be asked to complete to highlight their capabilities
  • Key quality, cost and staffing measures
  • Individual SNF readmissions rates 

The guide is organized by jurisdiction and by SNF name, so you can compare metrics among providers and the electronic version, or relevant sections, can be printed as a handy reference (please note that the entire guide is more than 450 pages).


As hospitals continue to improve - in accordance with the modernized waiver, and in pursuit of the Triple Aim - they will need to build on early successes. This guide is one of the many tools MHA will continue to provide you as you build your hospital's toolkit for success.
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In This Issue
Register Now for MHA's Annual Membership Meeting


MHA's 2015 Annual Membership Meeting

Legacy, Leadership and Change


June 1 and 2

Four Seasons Hotel Baltimore


Click here to view the annual meeting brochure.




Contact: Kathy Gotwalt

Feedback Sought on Open Payments Program
The Centers for Medicare & Medicaid Services is asking hospitals to review information related to its Open Payments Program. Teaching hospitals and physicians have until May 20 to review the information on the CMS website for accuracy before it is finalized. Feedback may be provided to CMS at
MHEI Fall 2015 Programming Focuses on Results
MHEI new logo

The Maryland Healthcare Education Institute's (MHEI) fall programming schedule, in addition to containing our usual annual programs, features programming specifically aimed at helping managers get results. These programs highlight a lineup that helps your staff create operational efficiencies and improve their ability to get things done quickly. They are: 

  •  The Leadership Challenge: Driving Results - September 17
  • "Quality" Tools for Enhanced Productivity - October 8
  • Developing Management Strategies to Achieve Results - November 4 

By focusing on management tools and staff engagement strategies, we hope to assist managers in "rounding out" their management capabilities. As always, any of these programs can be customized and brought to your campus to further assist you in achieving your strategic goals.


Contact: Mark Rulle
Prime Offers Market Analyses, Intelligence, Forecasting
PRIME New logo

Prime's affiliate, MedAssets, has acquired Sg2, a leading provider of health care market intelligence, strategic analytics and clinical consulting services. Sg2 delivers an easy-access platform of predictive analytics and consulting services that help more than 1,400 of hospitals and health systems - from small community hospitals to large integrated delivery networks - understand current and future market dynamics and capitalize on opportunities for growth and performance. For more than a decade, the company has provided new modes of thinking through visibility into where the market is going three, five and 10 years down the road. Sg2 delivers volume forecast data and clinical business intelligence to provide valuable insight into national, regional and local trends. This type of empowerment in the strategic decision-making process is more important than ever in a quickly changing industry. Increasingly, the right information, such as where the volume and activity of care will occur in a few years, is essential to capitalize on opportunity and avoid risk. The acquisition of Sg2 combines the long-term strategic decision making intelligence delivered by Sg2 with the enterprise consulting services capabilities of MedAssets. In short, Sg2 can help organizations strategically figure out where they need to be in the marketplace and MedAssets advisory services can help them actually get there with supply chain, operational, clinical and revenue cycle performance improvement capabilities.


Contact: Jim Johnston
The Week Ahead

Wednesday, May 6

MHA Council on Legislative and Regulatory Policy meeting

In Case You Missed It
AHA-Supported Bill Would Add 15,000 Medicare-Supported Residency Positions
Sens. Bill Nelson (D-FL), Harry Reid (D-NV) and Charles Schumer (D-NY) and Reps. Joseph Crowley (D-NY) and Charles Boustany (R-LA) this week introduced AHA-supported legislation that would add 15,000 residency positions eligible for both Medicare direct graduate medical education and indirect medical education support. The Resident Physician Shortage Reduction Act (H.R. 2124) would add 3,000 DGME and IME positions each fiscal year from 2017 through 2021, at least half of which must be used for a shortage specialty residency program. "The current freeze on the number of physician training positions that Medicare funds has severely limited hospitals' ability to train the next generation of physicians," said AHA Executive Vice President Rick Pollack. "It has also contributed to a shortage of physicians, especially in behavioral health, primary care and general surgery. We look forward to working with Congress to enact this vital legislation."

White House Holds Meeting on Ebola-Related Waste

The White House National Security Council this week held a meeting with health care and environmental stakeholders to address challenges with Ebola-related waste management and disposal. Discussion items included sharing the science-risk of managing waste from Ebola patients; risks during handling, treatment, packing, transportation and disposal; and the challenges facing state and local officials, hospitals and workers. The group will continue to work on solutions and preparedness. Participants included the Centers for Disease Control and Prevention, Environmental Protection Agency, Occupational Safety and Health Administration, Department of Labor, medical waste vendors, and representatives from state government, hospitals and labor, among others.
Top News from This Week


Gov. Larry Hogan's First 100 Days

WYPR, By Sheilah Kast and Matt Purdy, April 24


Maryland Bill Would Require Extra Training for School Counselors
The Washington Post, By Ovetta Wiggins, April 26


How Is The Doctor-Patient Relationship Changing? It's Going Electronic.
The Washington Post, By Suzanne Allard Levingston, April 27


After Tough Cases, Caregivers Can Need Help Recovering
The Daily Record, By Daniel Leaderman, By April 27


Care-Transitions Fumbles Highlight CMS' Reform Challenges
Modern Healthcare, By Melanie Evans, April 28


Mental Health Help for Residents Affected by Turmoil
The Baltimore Sun, By John-John Williams IV, April 30