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Health IT Policy Reports

The Maryland Health Care Commission’s (MHCC) Center for Health Information Technology and Innovative Care Delivery (Center) publishes various documents related to advancing the adoption and use of health information technology (health IT).  Below is a list of publications organized by topics (i.e. Health Information Exchange, Electronic Health Records, Health Information Technology Survey Reports, Health Information Technology State Plan, and Other Health Information Technology Reports).

Cybersecurity

Health Care Data Breaches:  An Assessment of Breach Trends in Maryland and the Nation (2020)

The MHCC analyzed health care data breaches affecting 500 or more individuals reported to the Department of Heath and Human Services Office for Civil Rights (OCR) between January 2010 and October 2019.  The report illustrates breach trends over the last decade in Maryland and the nation and offers insight into consumer perception about privacy and security.

Health Care Data Breaches:  2017 Findings (2018)

The MHCC analyzed health care data breaches reported in 2017 to the Department of Health and Human Services Office for Civil Rights.  The report assesses the number of breaches reported and records compromised, and key trends in Maryland and the nation. 

Health Care Data Breaches:  How Maryland Compares (2017)

The MHCC analyzed health care breaches reported to the Department of Health and Human Services Office for Civil Rights from 2013 through 2016.  This report presents Maryland's ranking in relation to other states and provides a more detailed evaluation of records compromised and location of breached information. 

Health Care Data Breaches:  A Changing Landscape (2017)

The MHCC analyzed health care breaches reported to the Department of Health & Human Services Office for Civil Rights from 2010 through 2016.  This information brief discusses the increasing prevalence of health care breaches, and includes recommendations on enhancing security processes to prepare for and mitigate the effects of new and evolving cyber threats.

Hospital Cybersecurity:  Evolving Threats Require New Approaches (2016)

The MHCC conducted an assessment of hospital cybersecurity to determine how hospitals are preparing for and managing cyber risks.  This information brief highlights key findings from the assessment.

Electronic Health Records

Ambulatory Surgery Centers:  Certified Electronic Health Record Technology (CEHRT) Adoption (2019)

The MHCC assessed Maryland Ambulatory Surgical Centers (ASC) adoption of electronic health records and CEHRT.  Included in the assessment is the identification of leading benefits and barriers to EHR diffusion among ASCs. 

EHR Incentives:  A Maryland Program (2019)

This summary provides information on total EHR incentives disbursed by State-Regulated payors and EHR adoption in the State.

Physician Adoption of Electronic Health Records:  An Information Brief (2017)

The MHCC conducted an assessment of EHR adoption among practicing physicians in the State.  The brief highlights growth in EHR adoption since 2011 by specialty, geography and practice ownership type. 

Health Information Exchange

HIE During a State of Emergency:  Policy Guidance (2019)

This policy guidance document aims to assist HIEs considering making protected health information (PHI) accessible to incident responders during a state of emergency.  An HIE should use these guidelines to inform state of emergency HIE access policies. 

Hospital Image Exchange:  Exploring Opportunities for a Statewide Image Repository through the State-Designated Health Information Exchange (2016)

The MHCC conducted an environmental scan (scan) that identified benefits, challenges, and financing opportunities for an image sharing repository managed by the State-Designated health information exchange, CRISP.  The scan assessed hospital interest in expanding a use case where images could be made available through the CRISP Query Portal.

CRISP Connectivity:  Ambulatory Practices (2017)

The MHCC conducted an analysis of ambulatory practices' connectivity to CRISP.  This information brief offers insight on connectivity through various EHR integration levels and assesses progress towards enabling bidirectional exchange of clinical data among ambulatory practices and CRISP in the State.

Dental Electronic Data Interchange Review:  An Information Brief (2017)

The MHCC regulations require certain payers to submit an EDI progress report annually.  EDI use among payers and providers can generate administrative efficiencies, minimize manual data errors, and reduce costs.  The EDI review summarizes dental EDI activity among private payers and Medicaid.

Ensuring the Privacy and Security of Electronic Health Information:  Keeping Pace with an Evolving HIE Landscape (2016)

This report was developed in collaboration with stakeholders and highlights the need to amend the current definition of a health information exchange (HIE). The definition of an HIE in law has not kept pace with the changing HIE landscape, creating gaps in privacy and security of electronic health information.  An increase of HIE services is being offered by health IT vendors.  Only select HIEs are subject to the existing regulations, COMAR 10.25.18:  Health Information Exchanges:  Privacy and Security of Protected Health Information.  Revising the HIE definition ensures that enhanced privacy and security standards apply to all HIEs operating in Maryland, which could increase consumer trust and information integrity.

Electronic Data Interchange 2019 Activity (December 2020)

Electronic Data Interchange (EDI) is the exchange of standardized electronic documents between organizations.  EDI creates efficiencies in provider workflows and automates the processing of health care claims.  Payers with annual premium vollume exceeding $1 million are required by COMAR 10.25.09, Requirements for Payers to Designate Electronic Health Networks to report census level information on health care transactions to MHCC.  This brief provides an overview of EDI activities for private and government payers in 2019.

Electronic Data Interchange (2018)
EDI has been used in health care for more than 30 years to exchange medical, billing and other administrative health information.  State law requires certain payers to annually report on their EDI activities.  This information brief highlights electronic data interchange (EDI) activity among government and private payers.

Urgent Care:  Information Sharing with Primary Care Providers (2021)

Highlights findings from a review of urgent care centers operating in Maryland to understand existing procedures to notify primary care providers about patient encounters. 

Health Information Technology Survey Reports

Dental Health IT:  Key Findings from a National Survey (2020)

The American Dental Association Health Policy Institute (HPI) partnered with the Maryland Health Care Commission to develop and distribute a questionnaire focused on adoption and use of electronic health records (EHRs) and telehealth (or teledentistry) among dentists.  This dashboard presents key findings

Insights Brief:  Use of Health Information Technology Among Dental Practices (2021)

The MHCC reviewed information provided by nearly 200 dentists on the use of health IT among dental practices.  This brief overviews key insights on dentists’ adoption of electronic health records, health information exchange, and teledentistry.

Health Information Technology:  A Snapshot of Diffusion in Nursing Homes (2019)

This summary provides information on diffusion of health IT in Maryland comprehensive care facilities (or nursing homes).

Health Information Technology:  An Assessment of Maryland Acute Care Hospitals (2019)

Summary of the Health Information Technology:  An Assessment of Maryland Acute Care Hospitals (2019)

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.

Other Health Information Technology Reports

Telehealth Policy Workgroup (2020-2021)

The MHCC convened a Telehealth Policy Workgroup (workgroup) representing a variety of stakeholder perspectives and interests.  Workgroup discussions centered on six changes in telehealth policy implemented in response to the COVID-19 public health emergency.  The report includes information on the evolving telehealth landscape in Maryland and the nation, and leading observations from the workgroup.

House Bill 115 Electronic Prescription Records System (2019)

The MHCC convened an Electronic Prescription Records System Workgroup, as required by Chapter 435 (2018), to study the benefits and feasibility of developing a system to collect and make available to treating health care providers and dispensers information on non-controlled dangerous substances dispensed in Maryland. 

Senate Bill 896 Health Record and Payment Integration Program Advisory Committee (2019)

The MHCC convened a Health Record and Payment Integration Program Advisory Committee, as required by Chapter 452 (2018), to study the feasibility of creating a health record and payment integration program.  

Controlled Dangerous Substance Permit Distribution:  A Physician Assessment (2017)

The number of deaths nationally from opioid drug overdoses more than tripled between 2000 and 2015.  In recent years, Maryland has seen an increase in opioid related deaths of 75 percent from 2007 to 2015.  Opioid abuse mortality rates statewide parallel cancer, strokes, and heart attacks.  The Maryland Health Care Commission assessed the Maryland Department of Health’s, Office of Controlled Substances CDS database to gauge CDS permit distribution among physicians statewide.

Telehealth

Adoption of Telehealth:  Office-Based Physicians (2018)

In the fall of 2017, MHCC conducted an environmental scan of office-based physicians to assess telehealth diffusion.  This information brief highlights key findings from the assessment, including current trends, leading barriers, and adoption by specialty and geography.

Identifying a Telehealth Solution that Works for Your Practice (2020)

Practices have options when it comes to teleheatlh.  Careful consideration should be given to how technologies align with practice and patient needs and integrate into operational and clinical workflows.  This guidance document provides information on telehealth vendor evaluation, selection, and contracting. 

Long Term Care and Hospital Telehealth Project Grants:  Brief and Final Reports (2016)

The MHCC awarded three telehealth grants to implement telehealth to improve transitions of care between hospitals and nursing homes. This document includes a brief by MHCC and project reports by grantees regarding the outcome of the projects implemented over 12 months beginning in October 2014. The brief highlights lessons learned from these projects and key telehealth implementation considerations to be used by those interested in implementing similar telehealth projects. The Long Term Care and Hospital Telehealth Project Grant reports include a description of technology infrastructure, implementation and assessment approach, project limitations and challenges, and plans for sustainability of these projects.

Remote Patient Monitoring Telehealth Grants:  Brief and Final Reports (2017)

The MHCC awarded three telehealth grants to demonstrate the impact of telehealth using remote patient monitoring devices to support chronic care management of high risk children, adults, and elderly patients.  This document includes a brief by MHCC and project reports by grantees:  Crisfield Clinic in Somerset County, Union Hospital of Cecil County, and Lorien Health Systems in Baltimore and Harford Counties.  The brief outlines lessons learned from these projects and key telehealth implementation considerations to be used by those interested in implementing similar remote patient monitoring projects.  The individual reports include a description of technology infrastructure, implementation and assessment approach, project limitations and challenges, and plans for sustainability of these projects.

School-Based Telehealth Final Report (2019)

School-Based Telehealth Interim Report (2019)

During the 2018 legislative session, the Senate Finance Committee requested MHCC convene a workgroup to identify deficiencies in existing policies related to school-based telehealth programs, and develop an approach for improving these policies, which may be statutory, regulatory or technical in nature.  The MHCC provided an interim report on the workgroup progress in January of 2019.  A final report was submitted in October 2019 that included recommendations for advancing telehealth in schools centered on awareness building, privacy and security, oversight and innovation, and funding.

Telehealth Readiness Assessment Tool (2020)

The MHCC compiled key takeaways from MHCC telehealth grants and discussions with industry leaders regarding factors that impact telehealth adoption and sustainability.  A need was identified to help practices better understand barriers, facilitators, and patient and environmental factors associated with telehealth.  A Telehealth Readiness Assessment Tool (TRA Tool) was developed to assist small practices preparing to implement or scale telehealth services.  The TRA Tool consists of five key domains:  1) Core Readiness; 2) Financial Considerations; 3) Operations; 4) Staff Engagement; and 5) Patient Readiness.

The web-enabled version of the TRA Tool is available here; or, click here to download a PDF version. More information about the TRA Tool is available in this user guide.  Provide feedback on the TRA Tool by completing this user survey.

Understanding the Value of Remote Patient Monitoring (2020)

An information brief highlighting key considerations for providers looking to deploy remote patient monitoring and benefits during a public health emergency.

Remote Patient Monitoring – Value for Patients and Applications During a Public Health Emergency (2020)

An information brief illustrating how remote patient monitoring benefits patients, featuring specific uses during a public health emergency.


Last Updated: 4/8/2021