<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 10.09.10.16" title_num="10" subtitle_num="09" chapter_num="10" heading="Pay-for-Performance — Scoring Methodology.">
  <paragraph num="A.">
    <text>Facilities that are eligible for pay-for-performance under Regulation .14 of this chapter shall receive a score for each quality measure described in Regulation .15 of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>For the quality measures described in Regulation .15B—E of this chapter, a facility is ranked and awarded points as follows:</text>
    <paragraph num="(1)">
      <text>The highest ranked facility receives 100 percent of the points available;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The median score, weighted by total days of care, receives 50 percent of the points available;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Zero points would be received by any facility whose raw score is below the median by an amount equal to or greater than the difference between the highest score and the median score; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>All other facilities will receive points proportionate to where the score falls within the range between the highest and zero.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Points for each quality measure are summed.</text>
  </paragraph>
</regulation>