Quality Improvement | Complications (MHAC)
Process Measures: Quality Based Reimbursement (QBR)
HSCRC has implemented payment adjustments to hospital rates for the Quality-Based Reimbursement Initiative for hospitals in July 2009 based on hospital performance on the identified measures for calendar year 2008. In the QBR Initiative, hospital reimbursement rates will vary depending on each hospital's achievement on specified quality-of-care measures. For the initial year, nineteen Hospital Quality Alliance (HQA) process measures for heart attack, heart failure, pneumonia, and surgical infection prevention were used in the Initiative. Going forward, additional process measures will be added consistent with the measures added the Maryland Hospital Performance Evaluation Guide maintained by the Maryland Health Care Commission.
Key development elements and features of the QBR Model Include:
For full details of the QBR Initiative, click on the links below for the Final Approved QBR Staff Recommendations for 2008 and 2009.
Policy Papers and Presentations
QBR Webinar 2012-09-13 Slides (only): QBR Measures, Thresholds, and Benchmarks for Rate Year 2014
QBR Webinar 2012-09-13 Audio Recording: QBR Measures, Thresholds, and Benchmarks for Rate Year 2014
*(Audio begins at the 5 minute mark.) - 39 MB file size*
Final Recommendation- QBR and MHAC Magnitudes-Scaling FY 2013 Update to Hospital Rates
Summary Description of the Methodology with the updates for FY2012
Final Approved Staff Recommendations for QBR Updates for FY2010 and Beyond (2009)
Final Approved Staff Recommendations Initial for QBR (2008)
Final Report of the QBR Steering Committee (2004)
Quality Reports and Analyses
Mortality Quarterly FY 2013 Q4FY 2014
Mortality Quarterly FY 2013 Q4 and FY 2014 Q1
QBR FY2015 Changes
Thresholds and Benchmarks, Base Year FY 2012
Workgroup Meeting Information
QBR Expansion Work Group
Initiation Work Group (IWG) (Concluded its work June 2008)
Evaluation Work Group (EWG) (June 2008 through April 2009)
Please click here to email questions or inquiries about HSCRC’s Quality Improvement Initiatives or contact Dianne Feeney by telephone at 410-764-2605.