Others titles
- Maryland Hospital Acquired Conditions for Performace Period 2015
- MHAC Performance By Hospital With Period 2015
Keywords
- Hospital Acquired Conditions
- Inpatient Hospital Revenue
- Hospital Survey
- Hospital Performance
- Base Year
- Performance Period
- Potentially Preventable Complication (PPC)
- PPC Classification System
- PPC Costs
- Maryland Hospital Acquired Conditions (MHAC)
MHAC PPC Improvement by Hospital FY 2016
This dataset comprises Maryland Hospital Acquired Conditions (MHAC) program FY 2016, which was implemented in state fiscal year (FY) 2011 to link hospital payment with hospital performance using 3M’s Potentially Preventable Complication (PPC) classification system. PPCs are post-admission complications that may result from hospital care and treatment.
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Description
The initial methodology for the Maryland Hospital Acquired Conditions (MHAC) program estimated the number of Potentially Preventable Complication (PPC) above the statewide average, or “excess PPCs,” for each hospital and calculated the percentage of inpatient hospital revenue associated with these excess PPCs. Hospitals with higher PPC costs than the statewide average received penalties and hospitals with lower PPC costs than the statewide average collected rewards. Because the initial program was required to be revenue neutral, this process resulted in unpredictable payment adjustments as amount of revenue available for rewards was determined by the penalties assessed within the program.
On January 1, 2014 the State of Maryland entered into a new All-Payer Model demonstration contract with the Center for Medicare and Medicaid Innovation. This new contract included a requirement that the State of Maryland reduces the rate of PPCs by 30% over the 5-year contract term.
The MHAC program was implemented in state fiscal year (FY) 2011 to link hospital payment with hospital performance using 3M’s Potentially Preventable Complication (PPC) classification system. PPCs are post-admission complications that may result from hospital care and treatment, such as accidental puncture/laceration during an invasive procedure or infections related to central venous catheters. In contrast to complications resulting from underlying disease progression, PPCs are considered potentially preventable. 3M identified 65 PPC measures through secondary diagnosis codes not present when patients are admitted to hospital.
– Key Program Components of Current MHAC Methodology
– Determine hospital scores based on observed-to-expected PPC ratios rather than excess PPC costs. The expected number of PPCs for each hospital is calculated by multiplying the base year statewide PPC rate by the number of discharges at each hospital, adjusted for diagnosis and severity of illness categories.
– Prioritize PPCs according to All-Payer Model priorities by grouping PPCs into tiers and weighting them according to their level of priority.
About this Dataset
Data Info
Date Created | 2011 |
---|---|
Last Modified | 2017-03-08 |
Version | 2017-03-08 |
Update Frequency |
Annual |
Temporal Coverage |
2016 |
Spatial Coverage |
Maryland |
Source | John Snow Labs; The Maryland Health Services Cost Review Commission; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Hospital Acquired Conditions, Inpatient Hospital Revenue, Hospital Survey, Hospital Performance, Base Year, Performance Period, Potentially Preventable Complication (PPC), PPC Classification System, PPC Costs, Maryland Hospital Acquired Conditions (MHAC) |
Other Titles | Maryland Hospital Acquired Conditions for Performace Period 2015, MHAC Performance By Hospital With Period 2015 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Hospital_Id | A Unique number assigned to the hospital. | integer | level : Nominal |
Hospital_Name | It identifies the name of the hospital referred to as the provider. | string | required : 1 |
Observed_Base_Period | It identifies the Observed Base Period for Potentially Preventable Complication (PPC) for fiscal year 2015. | integer | level : Number |
Expected_Base_Period | It includes the Expected Base Period for Potentially Preventable Complication (PPC) for fiscal year 2015. | number | level : Ratiorequired : 1 |
Ratio_Base_Period | Indicates the ratio Base Period for Potentially Preventable Complication (PPC) for fiscal year 2015. | number | level : Ratio |
Adjusted_Rate_Base_Period | Indicates the adjusted rate Base Period for Potentially Preventable Complication (PPC) for fiscal year 2015. | number | level : Ratio |
Observed_Performance_Period | It includes the observed performance period of the maryland hospital during fiscal year 2015. | integer | level : Nominal |
Expected_Performance_Period | It includes the expected performance period for Potentially Preventable Complication (PPC) for fiscal year 2015. | number | level : Ratiorequired : 1 |
Ratio_Performance_Period | It indicates the ratio performance period for Potentially Preventable Complication (PPC) during fiscal year 2015. | number | level : Ratio |
Adjusted_Rate_Performance_Period | It includes the Adjusted Rate Performance Period for Potentially Preventable Complication (PPC) during fiscal year 2015. | number | level : Ratio |
Percent_Change | It identifies the percent change of the maryland hospital during fiscal year 2015. | number | level : Ratio |
Data Preview
Hospital Id | Hospital Name | Observed Base Period | Expected Base Period | Ratio Base Period | Adjusted Rate Base Period | Observed Performance Period | Expected Performance Period | Ratio Performance Period | Adjusted Rate Performance Period | Percent Change |
210001 | MERITUS MEDICAL CENTER | 423 | 395.8892 | 1.0685 | 0.9686 | 351 | 425.8476 | 0.8242 | 0.7472 | -23.0 |
210002 | UNIVERSITY OF MARYLAND MEDICAL CENTER | 1131 | 1181.6674 | 0.9571 | 0.8676 | 999 | 1230.0061 | 0.8122 | 0.7363 | -15.0 |
210003 | PRINCE GEORGES HOSPITAL CENTER | 379 | 337.4577 | 1.1231 | 1.0181 | 280 | 343.9904 | 0.8140000000000001 | 0.7379 | -28.0 |
210004 | HOLY CROSS HOSPITAL | 792 | 843.9219 | 0.9385 | 0.8507 | 625 | 1016.574 | 0.6148 | 0.5573 | -34.0 |
210005 | FREDERICK MEMORIAL HOSPITAL | 417 | 439.6526 | 0.9485 | 0.8598 | 349 | 487.3849 | 0.7161 | 0.6491 | -25.0 |
210006 | UM-HARFORD MEMORIAL HOSPITAL | 44 | 49.0804 | 0.8965 | 0.8127 | 46 | 59.68600000000001 | 0.7707 | 0.6986 | -14.0 |
210008 | MERCY MEDICAL CENTER | 448 | 470.1229 | 0.9529 | 0.8639 | 339 | 509.4445 | 0.6654 | 0.6032 | -30.0 |
210009 | JOHNS HOPKINS HOSPITAL | 1538 | 1539.2575 | 0.9992 | 0.9058 | 1396 | 1530.3453 | 0.9122 | 0.8269 | -8.7 |
210010 | UM-SHORE REGIONAL HEALTH AT DORCHESTER | 17 | 19.7455 | 0.861 | 0.7805 | 20 | 19.217 | 1.0407 | 0.9434 | 21.0 |
210011 | ST. AGNES HOSPITAL | 420 | 460.583 | 0.9119 | 0.8266 | 339 | 515.2326 | 0.6579999999999999 | 0.5964 | -28.0 |