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REGS : 10.37.04 Submission of Hospital Outpatient Data Set to the Commission (HEALTH SERVICES COST REVIEW COMMISSION)


 Content Editor

Maryland Register
Issue Date:  December 2, 2013
Volume 40 • Issue 25 • Pages 2040—2041
Title 10
10.37.04 Submission of Hospital Outpatient Data Set to the Commission
Authority: Health-General Article, §§19-207, 19-212, 19-215, and 19-216, Annotated Code of Maryland
Notice of Proposed Action
The Health Services Cost Review Commission proposes to amend Regulation .01 under COMAR 10.37.04 Submission of Hospital Outpatient Data Set to the Commission. This action was considered and approved for promulgation by the Commission at a previously announced open meeting held on October 9, 2013, notice of which was given pursuant to State Government Article, §10-506(c), Annotated Code of Maryland. If adopted the proposed amendments would become effective on or about February 3, 2014.
Statement of Purpose
The purpose of this action is to require hospitals to submit monthly patient level outpatient visit data in the manner and format prescribed by the Commission, and to enable the Commission to fully monitor population-based metrics and approved revenue under population-based models. Additionally, these proposed regulations are to be effective on January 1, 2014, since they represent an essential component in the development and implementation of new rate regulatory approaches and policies that encompass quality and clinical care improvement elements.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
I. Summary of Economic Impact. Hospitals will be required to submit outpatient data monthly, instead of quarterly. Monthly data submissions will improve HSCRC staff’s ability to monitor population-based metrics (including readmissions and MHACs) as well as approved revenue under population-based models on an ongoing basis.
Revenue (R+/R-)
II. Types of Economic Impact.
Expenditure (E+/E-)

A. On issuing agency:
B. On other State agencies:
C. On local governments:
Benefit (+)
Cost (-)

D. On regulated industries or trade groups:
E. On other industries or trade groups:
F. Direct and indirect effects on public:
III. Assumptions. (Identified by Impact Letter and Number from Section II.)
A. These regulations increase the number of required submission from hospitals. The magnitude reflects the increase in the cost to the data vendor to process the additional submissions.
D. This regulatory change accelerates the time for submission of monthly patient-level outpatient data from 60 days to 15 days, improving the ability of HSCRC staff to monitor, produce annual rate orders, and provide feedback to hospitals in a timely manner. This change is highly desired by the payer and provider communities as they develop and implement care intervention strategies. Although many hospitals already produce their case mix data on a monthly basis for internal purposes, there may be a moderate economic impact on the hospitals to produce the monthly case mix data for the HSCRC.
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Diana Kemp, Regulations Coordinator, Health Services Cost Review Commission, 4160 Patterson Avenue, Baltimore, MD 21215, or call 410-764-2576, or email to, or fax to 410-358-6217. Comments will be accepted through January 2, 2014. A public hearing has not been scheduled.
.01 Collection and Submission of Data.
A. Effective [February 1, 2009] January 1, 2014, each hospital under the jurisdiction of the Health Services Cost Review Commission (Commission) shall submit the data elements as published in the Maryland Register and on the Commission’s website [(] ( to the Commission within [60] 15 days following the last day of the [quarter] month during which the patient was discharged or died. The format for submission shall also be as published in the Maryland Register and on the Commission’s website.
B. (text unchanged)
Health Services Cost Review Commission