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Health IT Policy Reports Archives

The Maryland Health Care Commisson's (MHCC) Center for Health Information Technology & Innovative Care Delivery (Center) publishes various documents relating to advancing the adoption and use of health information technology (health IT). Listed below are archived reports, organized by topic. 

Electronic Health Records

Electronic Preauthorization Infographic

This infographic provides a visual representation of the challenges with the traditional preauthorization process, the benefits of electronic preauthorization, and how to get started using payors' online portals. 

Electronic Preauthorization Flyer

This flyer summarizes the challenges with manual preauthorization processes involving paper forms, faxes and phone calls.  The benefits of electronic preauthorization are highlighted, as well as information on payors' online portals. 

HB 706:  Electronic Health Records - Regulations and Reimbursement (2010)

HB 706:  Electronic Health Records - Regulations and Reimbursement (2009) 

The Maryland General Assembly passed House Bill 706, Electronic Health Records - Regulation and Reimbursement, (HB 706) during the 2009 legislative session with the purpose of advancing health IT adoption and use among Maryland providers. The law requires MHCC to report to the Governor and General Assembly periodically on implementation of the law.

Health Information Technology Survey Reports

Comprehensive Care Facilities:  Adoption of Health Information Technology (2016)

Comprehensive Care Facilities (CCFs) provide medical and nursing services for residents over an extended period of time due to age, disability and disease.  Information from MHCC's Annual Long Term Care Survey was used in assessing health IT adoption among 230 CCFs in Maryland.  This brief highlights CCFs adoption of EHRs, basic EHR use, and adoption of HIE and telehealth, including plans for adoption and reported adoption challenges.  

Infographic – Hospital Health IT (2016)

The MHCC conducts an annual Hospital Health Information Technology Survey that provides information regarding current trends and the future direction of health IT adoption among all acute care hospitals in Maryland

LTC EHR Report: Adoption of Electronic Health Records among Long Term Care Facilities in Maryland (2013)

The MHCC conducts an annual environmental scan to assess electronic health record adoption among independent long term care facilities in the State.

Health Information Technology: An Assessment of Freestanding Ambulatory Surgical Centers in Maryland (2012)

The MHCC conducts an annual Freestanding Ambulatory Surgical Center (Centers) Health Information Technology Survey to Assess the Current Health IT Adoption planning efforts among Centers in Maryland. The Centers are asked to report about their use of or plans to implement certain health IT functions including: EHRs; infection surveillance software (ISS); electronic prescribing (e-Prescribing); and electronic HIE, laboratories, diagnostic centers and outpatient physicians.

Health Information Technology: An Assessment of Freestanding Ambulatory Surgical Centers in Maryland (2011)

Health Information Technology: An Assessment of Freestanding Ambulatory Surgical Centers in Maryland (2010)

The MHCC conducted an annual Freestanding Ambulatory Surgical Center (Center) Health Information Technology Survey to assess the current health IT adoption planning efforts among Centers in Maryland.

Health Information Exchange

An Assessment of Privacy and Security Policies and Business Practices (2007)

A workgroup that consisted of eight health care sector groups was convened by MHCC to assess business policies and practices in general, and security policies and practices in particular that could impede the development of an effective statewide health information exchange (HIE). This assessment included an examination of each sector group’s perception of HIE; concerns regarding the benefits, risks, and challenges impacting each group; and various alternatives to address these issues.

A Consumer-Centric Health Information Exchange for Maryland - Staff Recommendations (2009)

The MHCC staff recommendations for advancing the health and wellness of Marylanders by implementing a clinical data sharing utility that ensures that consumers have access to the hightest quality, most efficient, and safest care by giving providers access to the right information at the right time through the Chesapeake Regional Information System for our Patients (CRISP), the statewide HIE.

Building of a Statewide HIE: Implementation Effort Working Papers 

The MHCC and Health Servicdes Cost Review Commission worked collaboratively to implement an interoperable statewide health information exchange (HIE).  These working papers laid the foundation for the plan that was used to buiild the statewide HIE.

The Statewide Health Information Exchange:  Technology to Support a Prescription Drug Monitoring Program (2009)

In June 2008, the Advisory Council (council) on prescription drug monitoring was authorized by Maryland law to study the establishment of a prescription drug monitoring program (PDMP) that electronically collects and stores data concerning monitored prescription drugs. The council proposed an efficient approach to deploying a PDMP in Maryland as a service of the statewide HIE.

Service Area Health Information Exchange:  A Hospital Data Sharing Community Resource Guide (2009)

Service area health information exchanges (SAHIEs) are comprised of providers in a select geographic area that share the same patients across practices and settings. The MHCC convened a workgroup to develop a resource guide for providers in the planning stages of a SAHIE. The resource guide includes the policies relating to patient rights to their health information and control of this information; range of business practices for access, authentication, authorization, and audit; technical requirements for standards and process workflows; communication mechanisms and outreach initiatives; key community-level financial, organizational, and policy challenges; and alternate community data uses. 

CRISP Plan for a Citizen-Centric Statewide HIE in Maryland (2009)

A comprehensive planning report that highlights strategies for implementing a statewide HIE.  The CRISP planning report outlines a detailed approach to building the HIE infrastructure, data management, use case deployment, engaging stakeholders in the decision-making process, developing HIE policies, governance, finance and sustainability, and community outreach and education.

CRISP Response to the Request for Application for a Consumer-Centric Health Information Exchange for Maryland (2009)

CRISP presents a response to MHCC's request for application (RFA) to build and implement a statewide HIE. The document details CRISP’s approach, principles, organizational infrastructure and plan for policy development. 

MCHIE Strategies for a Person-Centric, Inclusive Maryland HIE (2009) 

One of two comprehensive statewide HIE planning reports submitted at the request of MHCC.  The Montgomery County Health Information Exchange Collaborative (MCHIE) findings were consistent with CRISP's planning report, and focused on community hospitals and low income uninsured, rather than the urban, large hospital system representation in the CRISP planning report.  The report recommendations address key decision elements for governance, financing, privacy and security, technical architecture, and community engagement with the ultimate goal of interconnectivity of improved health care outcomes for all in Maryland. 

Health Information Technology: An Assessment of Maryland Hospitals

The MHCC conducts an annual Hospital Health  IT Survey that provides information regarding current trends and the future direction of health IT adoption among all acute care hospitals in Maryland.  Listed below are links to these reports based on the survey year.

2015;  2014;  2013201220112010;  2009;  2008 

Summaries of the findings are by survey year. 

2015;  2014;  20132012

Privacy and Security

Health Information Security and Privacy Collaboration Consumer and Provider Education “Challenge” Report (2009)

Health Information Security and Privacy Collaboration (HISPC), established in 2006 through a contract with the U.S. Department of Health and Human Services, comprised of 42 states and territories, collaboratively aimed to effectively address privacy and security issues pertinent to electronic health information through a multi-state collaboration. A project extension began in 2009 and focused on consumer and provider outreach and education.

Privacy and Security:  Solutions and Implementation Activities for a Statewide Health Information Exchange (2008)

The MHCC convened a Solutions and Implementation Workgroup (workgroup) to formulate solutions, guiding principles, and implementation activities that address organizational-level business practices affecting statewide privacy and security policies in order to support interoperable HIE.  The implementation activities proposed by the workgroup included, making electronic health information accessible to all stakeholders when appropriate, ensuring that consumers control the flow of their information, embracing governance that is inclusive and transparent, and developing exchange standards.

An Assessment of Privacy and Security Policies and Business Practices (2007) 

A workgroup that consisted of eight health care sector groups was convened by MHCC to assess business policies and practices in general, and security policies and practices in particular that could impede the development of an effective statewide HIE.  This assessment included an examination of each sector group’s perception of HIE; concerns regarding the benefits, risks, and challenges impacting each group; and various alternatives to address these issues. 

Other Health Information Flyers, Briefs and Technology Reports

Adoption of Electronic Health Records among Long Term Care Facilities in Maryland

The MHCC conducted an environmental scan (scan) to assess EHR adoption among independent LTC facilities in the State. LTC facilities provide health care services for residents who often transition between acute, post-acute, and LTC settings.  This flyer provides the findings of the scan and explains EHR adoption challenges.

Advancing Telehealth in Maryland

Maryland is developing strategies to expand the use of telehealth to increase access to care, improve patient outcomes and generate cost savings.  This flyer details Maryland telehealth legislation, and defines the role and progress of the Telemedicine Task Force.  The Task Force is exploring strategies that will facilitate increased use of telehealth to more effectively deliver health care services in Maryland.

American Recovery and Reinvestment Act of 2009 Updates to HIPAA

The American Recovery and Reinvestment Act of 2009 (ARRA) signed into law on February 17, 2009 by President Barack Obama, is an economic stimulus bill.  This flyer lists the key privacy and security changes to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as a result of ARRA.

Breaches of Unsecure Protected Health Information

A breach is an impermissible use or disclosure of protected health information (PHI) under the HIPAA Privacy Rule.  This flyer outlines breach notification requirements, security measures to protect PHI, and summarizes Health and Human Services’s annual report on breaches.

Changes to the Medicare Electronic Prescribing Incentive Program

The Centers for Medicare and Medicaid Services issued a final rule, Changes to the Electronic Prescribing (eRx) Incentive Program, effective on October 6, 2011 that modifies the eRx quality measure to address uncertainties related to the technological requirements of the Medicare eRx Incentive Program and adopts significant hardship exemption categories for the 2012 eRx payment adjustment.  This flyer provides details regarding a qualified eRx system, payment adjustments, and how to apply for significant hardship exemptions.

Electronic Data Interchange Transaction Annual Reports and Information Briefs (2000-2012)

This is a listing of the archived annual Electronic Data Interchange (EDI) Administrative Transaction Reports and the list of reporting payors by year.  Maryland law requires payors operatng in Maryland with an annual premium volume exceeding $1 million to report census information to MHCC regarding electronic administrative transitions.  Each year, MHCC examines the information from payors and develops an industry brief.  Payors and providers use this information to monitor and enhance their use of administrative technology.

Health Information Technology and Meaningful Use for Providers (2010)

Provides an overview on meaningful use for eligible professionals.

Health IT State Plan, (2010-2013) 

Describes the implementation of Maryland’s private and secure statewide HIE for advancing health IT and balancing the need for information sharing with the need for strong privacy and security policies while maintaining a judicious approach to funding the HIE. The technical infrastructure outlined in the plan ensures that the Federal government and general public have strong roles in the development of fundamental policies governing information exchange, as well as protecting the interests of the general public and consumers. The plan also details how HIE allows providers to maximize funding incentives under the American Recovery and Reinvestment Act (ARRA) of 2009.

HIPAA Privacy Rule Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act

As required under the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), the U.S. Department of Health and Human Services Office for Civil Rights published a Notice of Proposed Rulemaking that modifies the accounting of disclosures requirement under the HIPAA Privacy Rule.  This flyer provides a summary of the proposed privacy rule changes.

Implementation of Preauthorization Phase 1 & 2 Benchmarks

Maryland law requires payors, pharmacy benefit managers (PBMs), and providers to attain benchmarks for standardizing and automating preauthorization of medical and pharmacy services through a phased approach.  Phase 1 required payors and PBMs by October 1, 2012 to include lists on their website of medical and pharmaceutical services requiring preauthorization and key criteria for making a determination on a preauthorization request.  Phase 2 required payors and PBMs to accept medical and pharmaceutical service preauthorization requests electronically and assign a unique identification number to each request for tracking purposes by March 1, 2013. This flyer includes a current list of payors and PBMs and addresses to their webpage(s) that contain Phase 1 and Phase 2 benchmark information.

Key Provisions from the ARRA of (2009)

Summarizes key provisions of the ARRA, including topics related to the following:  codification and expansion of the Office of the National Coordinator for Health Information Technology (ONC); national health IT policy and standards; health IT privacy leadership; support for health IT adoption; state grants to promote health IT; support for the development of health care IT professionals; Medicare and Medicaid incentives for electronic health record (EHR) adoption; and the expansion of privacy and security protections for personal health information (PHI).

Leading Requirements of SB 776:  Telemedicine Task Force – Maryland Health Care Commission

Signed into law on May 2, 2013 by Governor Martin O’Malley and effective on July 1, 2013, this law requires MHCC, in conjunction with the Maryland Health Quality and Cost Council, to reconvene the 2010 Telemedicine Task Force (Task Force) to study the use of telehealth throughout the State.  This flyer summarizes the requirements of the Senate Bill 776.

Leading Requirements of SB 781:  Health Insurance – Coverage for Services Delivered through Telemedicine

Signed into law on May 22, 2012 by Governor Martin O’Malley and effective October 1, 2012, this law requires health insurers and managed care organizations to provide coverage for health care services delivered appropriately using telemedicine technology.  This flyer summarizes the requirements of the law and details the additional components of the bill.

Maryland Medical Assistance Program Health Information Technology Planning Advanced Planning Document (2010)

Describes how the Maryland Medical Assistance Program will develop a high-level management statement of Maryland’s vision, needs, objectives, plans, and estimated costs that will result in a State Medicaid Health IT Plan. 

Management Service Organizations – A Vision of State Designated Organizations for Physician Practices (2009)

Management Service Organizations (MSOs) have emerged as a way to address the critical challenges of widespread use of EHRs. This report identifies the critical infrastructure requirements for MSOs that seek State Designation.  For a presentation summary of the MSO State Designation Program year one accomplishments (May 2010 – May 2011), click here.

Overview of the 2012 Legislative Report - House Bill 706 – Electronic Health Records – Regulations and Reimbursement

Signed into law on May 19, 2009 by Governor Martin O’Malley, House Bill 706 aims to advance health IT adoption and use among Maryland providers and requires MHCC to, among other things: designate a statewide HIE, identify EHR adoption incentives from certain payers, designate one or more MSOs, and make certain recommendations to the General Assembly. This flyer details the recommendations for changes in State laws to achieve optimal EHR adoption and use.

Physician Adoption of Health Information Technology - An Information Brief (2016)

Physicians are required to renew their license every two years and MHCC uses information from the license survey to assess the adoption of health IT among active Maryland Physicians.  This brief focuses on the adoption and use of EHRs, HIE, and telehealth. This brief also details how Maryland compares to the nation in terms of health IT adoption.

State-Regulated Payor and Pharmacy Benefit Manager Preauthorization Benchmark Attainment (October 2015)

State-Regulated Payor and Pharmacy Benefit Manager Preauthorization Benchmark Attainment (November 2014)

Health General Article 19-108.2 established four benchmarks with the aim of creating administrative efficiencies in the preauthorization process.  The MHCC was required to report annually to the Governor and General Assembly through 2016 on State-regulated payors (payors) and pharmacy benefits managers (PBM) implementation of the benchmarks.

State-Regulated Payor and Pharmacy Benefit Manager Preauthorization Benchmark Attainment (October 2013)

The MHCC was required to report to the Governor and General Assembly by December 31, 2013 on the progress made by State-Regulated payor (payor) and phamrmacy benefit managers (PBMs) in implementing electronic preauthorization. Automating the preauthorization process for medical and pharmaceutical services (health care services) is intended to streamline the preauthorization request and approval process and minimize administrative burdens on providers. Payors and PBMs reported to MHCC on their attainment of the three Phases; all payers and PBMs are in compliance with the law. The law requires that providers use an electronic method to submit all preauthorization requests unless granted a waiver by July 1, 2015. The MHCC intends to work with payors and PBMs to raise awareness among providers regarding their electornic preauthorization systems. 

State-Regulated Payor and Pharmacy Benefit Manager Preauthorization Benchmark Attainment (March 2013)

The Maryland General Assembly passed House Bill 470, Maryland Health Care Commission - Preauthorization of Health Care Services - Benchmarksduring the 2012 legislative session, and was signed into law by Governor Martin O'Malley on May 22, 2012. The purpose of the law is to require State-regulated payors (payors) and pharmacy benefit managers (PBMs) to standardize and automate the preauthorization process, in three phases, and report on their progress. The MHCC reported to the Governor and General Assembly on March 31, 2013 and will report again on December 31, 2013 on the progress made by payors and PBMs with implementation of electronic preauthorization.

Task Force to Study Electronic Health Records:  Review of the 2007 Final Report Recommendations (2009)

The MHCC reconvened the Task Force to Study Electronic Health Records (task force) on April 2009 to reevaluate the 13 recommendations presented in the task force’s final report submitted to the Governor and the Maryland General Assembly on December 31, 2007.  The report detailed the landscape surrounding the adoption of EHRs, and also represented recommendations pertaining to EHRs and expansion of EHR utilization in the State (that included:  electronic transfer, e-prescribing, computerized physician order entry, implementation costs of these items in the State, the impact on school health records, and the impact on patient safety and privacy).

Telemedicine Information Brief

The MHCC conducted an environmental scan (scan) to assess the Maryland telemedicine landscape to inform the Task Force.  This flyer details how the telemedicine landscape has changed as telemedicine adoption has increased; it includes a literature review of the financial impacts of telemedicine, an overview of telemedicine initiatives among office-based physicians, as well as acute care hospitals, and a review of various telemedicine products.

Telemedicine Task Force

The effective use of telemedicine can increase access to health care, reduce health disparities, and create efficiencies in health care delivery. This flyer details the role of the Task Force in addressing challenges to the widespread adoption of a comprehensive statewide telemedicine system of care.  An overview of recommendations from the Task Force is provided.

Telehealth Update

This flyer provides an update on telehealth coverage in Maryland and includes an overview of the work of the Telemedicine Task Force in 2013 and 2014, including recommendations for expanding telehealth adoption in the State. 


Last Updated: 4/25/2018