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Spreading Innovations in Health Care Delivery

This website, endorsed by Maryland’s Stakeholder Innovation Group, offers a glimpse at how many of Maryland’s health care providers and community organizations are working together to improve care delivery.

We urge you to use this site to share innovative programs and practices that improve the health of Maryland’s communities.

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Seasons Hospice & Palliative Care of Maryland

  • What are the objectives of the program?

    Improved care coordination, Improved health outcomes, Reduced readmissions, Reduced avoidable utilization, Reduced spending

  • Please provide a brief description of the program:

    Hospital based hospice units are in dedicated spaces, employ hospice staff, and allow easier transition from a hospital unit to the hospice inpatient center. This significantly reduces mortality, length of stay, costs, while increasing patient satisfaction and quality.

  • Is this program operated as part of HSCRC's Care Redesign Amendment?


  • Which Center for Medicare and Medicaid Innovation (CMMI) category does (or would) the program fall under? Choose the best match.


  • What are the major components of the program?

    Care coordination/management, Patient assessment tools, Care transitions, Patient education/coaching/self-management, Multidisciplinary care teams, Patient care plans, Advance care plans/advance directives, Protocols/agreements with care partners

  • What types of organizations participate in the program?

    Hospital/health system, Hospice

  • Which population(s) does the program target?

    Medicare/older adults, Medicaid, Dual eligibles (Medicare-Medicaid enrollees), Privately insured, Individuals with multiple chronic conditions, Frail/disabled, Younger adults

  • How many patients have participated in the program to date?


  • In what Maryland jurisdictions do participating patients reside?

    Baltimore, Baltimore City, Carroll, Howard, Montgomery, Prince Georges

  • Briefly describe the staffing resources required to operate the program:

    Staffing consists of a multidisciplinary team including physicians, RNs, Social Workers, Chaplains, Music Therapists, and Aides.

  • Briefly describe the key initial steps to implementation:

    1. Identify hospital space 2. Establish service and lease agreements 3. File for certificate of need

  • Are incentive payments to health care providers part of the program?


  • What are/were the expected results in improved outcomes, population health, and cost savings?

    Reduction in hospital mortality, reduction in hospital length of stay, and reduction in total cost of care.

  • Have expected results for improving outcomes and population health been met?

    Yes, expected results were achieved

  • Please briefly explain your answer to Question 25, and describe any results for improved population health achieved to date:

    Patients that pass on a hospice inpatient center within a hospital might have otherwise not accessed the Medicare hospice benefit., Yes, expected results were achieved

  • Please briefly explain your answer to Question 27, and describe any cost savings results achieved to date:

    Many of the patients come from the ICU and the cost per day of an ICU bed versus a hospice bed are significantly less.

  • How to learn more (e.g., website URL)

    Dean Forman;; 410-689-7400