Welcome to the Community Hospital Acceleration, Revitalization, & Transformation (CHART) Investment Program section of the HPC's website.
What is CHART? Established through the Commonwealth’s landmark cost containment law, Chapter 224 of the Acts of 2012, CHART is a grant program that will make phased investments for certain Massachusetts community hospitals to enhance their delivery of efficient, effective care. The goal of the program is to promote care coordination, integration, and delivery transformations; advance electronic health records adoption and information exchange among providers; increase alternative payment methods and accountable care organizations; and enhance patient safety, access to behavioral health services, and coordination between hospitals and community-based providers and organizations.
Who are CHART-Eligible Hospitals? CHART eligibility is established through criteria specified through regulation and Chapter 224. Hospitals that receive CHART funds include non-profit, non-teaching community hospitals with relatively low prices. Twenty-eight acute care hospitals received CHART Phase 1 funding. Thirty acute care hospitals, varying in size and affiliation and located across the Commonwealth, are currently eligible to receive funds in Phase 2 of the CHART Program.
What were the goals of CHART Phase 1? The HPC issued a Request for Proposals (RFP) in October 2013 to solicit responses from eligible community hospitals. Appreciating that community hospitals are diverse in size, geographic location, population need, financial health, affiliation with systems, and previous experience with investment funds, and accordingly have varied resource needs, the HPC has established a phased approach to investments. CHART’s Phase 1 provided initial support for short term, high-need expenditures. Through these projects, the HPC is assessing the capability and capacity of participating institutions, developing engagement and fostering learning among CHART-eligible hospitals, and building a foundation for system transformation. Projects include:
- Implementation of pilot models that improve quality of care and/or reduce cost
- Building capability or capacity that align with the goals of better health, better health care, and lower costs
- Meaningful operational and business planning activities that will yield a strategic vision towards system transformation
What are the goals of CHART Phase 2? The HPC issued a Request for Proposals (RFP) in June 2014 to solicit responses from eligible community hospitals. CHART’s Phase 2 is intended to accelerate the transformation of CHART Hospitals through a focus on three outcome-oriented aims:
- Maximize appropriate hospital use
- Enhance behavioral health care
- Improve hospital-wide (or system-wide) processes to reduce waste and improve quality and safety
How Much Funding is Available? The HPC made a total of $10 million available for Phase 1 and has made up to $60 million available for Phase 2, out of the $119.08 million in funding available through the CHART Investment Program over the next four years. Awards ranged from $65,000 to $500,000 in Phase 1, and will range up to $6 million per hospital in Phase 2.