The American Hospital Association (AHA)  today awarded the Carolyn Boone Lewis Living the Vision award to the Maryland TPR Collaborative, for its work to improve the health of its communities through actions that go beyond traditional hospital care.  The award was presented to the Maryland TPR Collaborative by AHA President and CEO Rich Umbdenstock at an event this morning.

Maryland TPR Collaborative formed in 2010 out of 10 hospitals involved in the Maryland Total Patient Revenue Project. The Maryland Total Patient Revenue Project uses a fixed revenue system to encourage hospitals to decrease hospitalizations. The participating hospitals are the sole providers in communities in the western mountain region and coastal parts of the state. The collaborative’s purpose is to reshape the participating hospitals’ approach to health care, learn from each other’s challenges and successes, share best practices and data and improve care as a group, despite demographic diversity.

Participating hospitals in the collaborative are Calvert Memorial Hospital, Carroll Hospital Center, Chester River Hospital Center, Garrett County Memorial Hospital, The McCready Foundation, Meritus Medical Center, Shore Health System (Easton Memorial and Dorchester General), Union Hospital and Western Maryland Health System.

These 10 hospitals focus on providing greater access to primary care, which keeps patients out of the hospital, and improving quality. Some of the successful strategies implemented by TPR Collaborative Maryland hospitals include:

  • creating partnerships with physicians, pharmacists and community groups;
  • adding primary care practices where the most vulnerable patients reside;
  • creating primary care medical homes;
  • developing high-risk clinics;
  • partnering with independent urgent care centers and increasing collaboration with federally qualified health centers (FQHCs);
  • expanding home care and community resources;
  • focusing on appropriateness of admissions;
  • improving and changing discharge procedures and follow-up; and,
  • increasing health and wellness activities on a regional basis.

“The TPR Collaborative in Maryland has, in fact, been ‘living the vision,’” said Umbdenstock. “I am very pleased to have this chance to recognize their inspiring efforts to reducing costs, increasing access to primary care and sharing best practices in a way that all hospitals can learn from.”

“Since its inception, the Maryland TPR Collaborative has been extremely effective in its work to improve each hospital’s individual performance metrics. Everyone has benefitted from the shared learning experiences, most of all the communities we serve,” commented Barry P. Ronan, President of the Western Maryland Health System and the chair of the collaborative.

Established in 1996 and first presented in 1998, the Living the Vision Award recognizes institutions or individuals living the AHA’s vision of a society of healthy communities where all individuals reach their highest potential for health.  In 2002, it was renamed the Carolyn Boone Lewis Living the Vision Award, in memory of the first hospital trustee to serve as AHA chair.  An important element of the award is that a hospital must be recognized as a leader and nominated by others in the health care field.

About the AHA

The AHA is a not-for-profit association of health care provider organizations and individuals that are committed to the improvement of health in their communities. The AHA is the national advocate for its members, nearly 5,000 hospitals, health systems and other health care organizations, and 43,000 individuals. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. For more
information visit the website at