Continuing Medical Education

Low Back Pain Imaging: Costs, Risks, and Communication Strategies

Advanced Primary Care and Practice Transformation

Changes in health care delivery require practices to provide comprehensive care delivery through care management and coordination while containing costs. The MHCC’s initiatives aim to help practices transform, and prepare them to maximize their opportunity under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). More information may be found here.

  • Primary Care Council (PCC)
  • Transforming Clinical Practice Initiative
  • Practice Transformation Network Resources
  • MACRA Awareness and Support (MAS)
  • Maryland Multi-Payor Patient Centered Medical Home Program

Information on the Maryland Comprehensive Primary Care Model may be found here.


Preauthorization is used by payors to confirm medical necessity and to help control costs by reducing duplication of services. Maryland law outlines requirements for electronic preauthorization processes. Click here for more information about these requirements, as well as links to payors’ and pharmacy benefits managers’ online.


As reliance on electronic health information increases, so does the potential for breaches. Ongoing development and monitoring of cybersecurity programs are essential to preventing, detecting, and mitigating risks. The MHCC conducted a survey of hospital cybersecurity to assess how hospitals are preparing for and managing cyber risks. Click here for a copy of the information brief that highlights key findings from the survey.

Cybersecurity Self-Assessment Readiness Tool (2018)

The Cybersecurity Self-Assessment Readiness Tool (tool) is designed to assist health care organizations with assessing cybersecurity readiness. The tool consists of self-evaluation statements grouped by people processes, policies, and technology. These statements align with the National Institute of Standards and Technology (NIST) Cybersecurity Framework (CSF). The NIST CSF is recognized as a set of optional standards, best practices, and recommendations for improving cybersecurity at the organizational level. The MHCC encourages health care organizations to use the tool to improve awareness of potential gaps in cybersecurity. We encourage users to provide feedback about the value in using the tool for future enhancements. A brief survey is available at the following link:

Electronic Health Records – Incentive and Resources

Electronic health record (EHRs) are a digitized comprehensive record of a patients’ medical history, widespread diffusion is crucial to transforming health care. Maryland is the first state to require State-regulated payors to provide incentives to select providers to promote the adoption of EHRs. Click here for more information about the incentives. The EHR State Incentive Program is separate from the Medicaid and Medicare EHR Incentive Programs authorized under the American Recovery and Reinvestment Act of 2009. Maryland specific resources for providers interested in the Medicaid and Medicare EHR Incentive program is available here.

Health Information Exchange

Health Information Exchange (HIE) enables appropriately authorized and authenticated providers to have access and securely share a patient’s electronic health information. HIE facilitates the exchange of health information across different EHR systems. Click here for more information about HIE, including the following:

  • Chesapeake Regional Information System for our Patients (CRISP or State Designated HIE)
  • COMAR, Health Information Exchanges: Privacy and Security of Protected Health Information
  • HIE Evaluation Report
  • HIE Registration and Renewal

Telehealth and mHealth

Telehealth is the use of interactive audio, video, or other telecommunications or electronic technology by a licensed health care practitioner to deliver a health care service within the scope of practice of the health care practitioner at a site other than the site at which the patient is located. Mobile health (mHealth) uses devices, such as tablets and smartphones, for the delivery of health services, information, and education. Click here for more information about MHCC’s telehealth initiatives and grant projects including telehealth resources regarding reimbursement, liability, etc. Click here for more information about MHCC’s mHealth initiatives, grant projects, and resources.

Management Services Organizations

State Designated Management Service Organizations (MSOs) provide technical assistance to providers as they engage in practice transformation, adoption, and use of health information technology (health IT). MSO services support EHR implementation, reporting for MACRA and other quality initiatives, redesigning workflows, and facilitating patient engagement. State Designation is voluntary and is a way to differentiate between organizations. State Designated organizations must meet specific criteria on program development, business operations, and privacy and security. More information on the MSO program can be found here.

Other Health Information Technology Reports

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.