CRS Product Release Summary -
Below is a recap of the CRISP Reporting Services (CRS) product features updated on the CRS Portal (reports.crisphealth.org) this month. A complete list of which reports have been refreshed with new data can be located at the bottom of this communication. Additional details on these notes can be found in thecorresponding reportuser guide.
CCW Chronic Conditions Version Update
·CCW Chronic Conditions in the Case Mix reports will be updated in August. Please see the CCW bullet in the 'Medicare Report' section of this communication for more details.
The CY2021 market shift detail outpatient reports have been updated to include 12 months of data.
Quality Based Reimbursement (QBR)
·The RY24 Base Period and Calculation sheets have been published
·The RY24 PSI-90 Summary and Details reports with March Final Case Mix data have been published
Readmission Reduction Incentive Program (RRIP) Reports
The RY24 PAI - Patient Adversity Index and Disparity Gap Report with May 2021 through April 2022 Case Mix data has been published.
Potentially Avoidable Utilization (PAU)
The RY24 PAU Summary Reference, Details, and Savings Performance reports with 2021 May Prelim Case Mix Data have been published.
Quality Financial Impact Dashboard
The Quality Financial Impact Dashboard has a new print/PDF functionality. Users can use the “Print Summary” option to print the report to 'pdf' for multiple hospitals. Users can select a single or all the report modules to print. The “Print Detail” option allows users to print a single detailed module or all the modules for a single hospital.To print the report to PDF:
1.Select either “Print Summary” or the summary page or “Print Detail” on the detail page.
2.Review the modules and/or change the comparison year in the popup window
3.Select 'PDF' at the top right of the popup window
4.In the “Include” section change “This View” to “Specific Sheets from this workbook”
5.Select which module(s) you would like or click “Select All” to include all modules.
6.Click “Download” to download the generated PDF and either share the PDF or Print the PDF
*Note* For optimal printing and PDF download, please use a larger computer monitor if possible
MPA Y5 Monitoring Reports
·The MPA Y5 Reward (Penalty) Calculator has been expanded to report on Geographic, Academic, and Overall performance separately.The calculators are now available as a separate report within the MPA Monitoring Reports suite.
·The column "MPA Attribution" in Population Navigator now indicates beneficiaries academically attributed to either academic medical center (AMC).
·This update does not have any effect on non-AMC facilities.
·The DEX data in MADE also indicate academically attributed beneficiaries.
MPA MDPCP Performance Reports Y4
·Static reports for CY2020 and CY2021 based on CY2022 participating providers are available to download in the MDPCP Retrospective Performance Sandbox Y4
·The TPCC (Total Per Capita Cost) Report is available
·This report shows the observed TPCC value for a participating practice(s) as well as the Observed to Expected ratio.
·Historical statewide values are also included for CY2021, CY2020, and CY2019 as illustrative benchmarks; these values will not be used for final measure performance by CMS.
·This report is based on data calculated and received directly from CMS in accordance with the Program's TPCC methodology.
CCW Chronic Conditions Version Update
·Chronic Condition Warehouse (CCW) chronic condition algorithms have been updated in MADE, DEX, and the MDPCP 2022 Reports.
·This update impacts 26 of the 27 existing chronic conditions and adds an additional 3 new conditions:
·Changes of note:
·The latest definitions are generally more expansive than the existing definitions (i.e., longer lookback periods, changes/additions to procedure and diagnosis codes and places of service) such that counts of beneficiaries with conditions have mostly increased relative to counts observed prior to the update.
·These changes do not reflect a difference in prevalence of any of the conditions, only more accurate reporting.
·Rosters created in MADE using the CCW measures in Population Navigator are not updated (all rosters in MADE are static). Please create a new roster(s) using the CCW chronic condition measures if you wish to track populations based on the latest CCW chronic condition definitions.
·For more information and to view a white paper by CCW presenting the percent differences by condition for the new definitions at the national level, please visit:
CHEASPEAKE REGIONAL INFORMATION SERVICES FOR OUR PATIENTS (CRISP)
CRISP is Maryland’s Statewide Health Information Exchange (HIE). An HIE is the technology that supports the flow of health information among physician practices, hospital labs, radiology centers, and other health care institutions. HIE allows delivery of the right health information to the right place at the right time, providing safer, more timely, efficient, patient-centered care.
CRISP offers many services to physicians including the following:
- Encounter Notification System (ENS) – Keeping You Connected to Your Patients - CRISP is now offering a service which enables physicians to receive real-time alerts when a patient is hospitalized. The service is offered in partnership with all Maryland hospitals at no cost to ambulatory providers.
- Connect to the CRISP Portal - Connect. Share. Improve Patient Care.
- CRISP Direct Messaging - CRISP DIRECT Messaging is a secure and encrypted email service that supports electronic communication between physicians, nurse practitioners, physician assistants, and other healthcare providers.
- Prescription Drug Monitoring Program (PDMP) – The PDMP monitors the prescribing and dispensing of drugs that contain controlled dangerous substances (CDS).
Please contact Colleen George from the Center for the Private Practice of Medicine at 410-878-9698 for assistance with signing up for any of the FREE CRISP Services for Physicians.
Through the ENS PROMPT application in ULP, CRISP now displays alerts when a patient tests positive or negative for COVID-19 as well as confirmed cases as reported by the Maryland Department of Health (MDH). These alerts are made available to a patient's care team based upon:
- A list of confirmed cases sent to CRISP from the Maryland Department of Health (MDH).
- Positive and negative lab results from LabCorp and Quest lab feeds across the region. These results currently originate from ordering physicians that are CRISP participants with executed lab request forms within our system. We are actively working with LabCorp, Quest and hospital based testing centers to provide more comprehensive results.
*As we receive results from lab feeds that are reported to the Maryland Department of Health, there may be instances of duplicate alerts. This occurrence is expected based upon the reporting workflow established by the State.
How to view COVID-19 alerts within ENS PROMPT:
- Navigate to the “Add Filter” drop down at the top of the screen.
- Select the “Diagnosis Description” category.
- A list of options will appear to the right of the category, select “contains”.
- Type the term “COVID” into the open field.
- Return to the “Add Filter” drop down at the top of the screen.
- Select the “Patient Class” category.
- A list of options will appear to the right of the category, select “equals”.
- Select “O: Outpatient” from the drop down.
- Within the “Custom Filter” field, type the desired name of the custom filter then click “Save”.
- Once you’ve created the filter, alerts for both positive and negative test results as well as confirmed cases will automatically populate.
Steps #1-4 Completed
Steps #5-6 Completed
Additional Information Regarding COVID-19 Alerts in ENS PROMPT:
- Saved custom filters will always be stored for future use within the “Saved Custom Filter” drop down. There is no need to repeat the aforementioned steps.
- Please note, saved filters are not automatically applied the end users notifications. Upon logging in, the user must select and apply the saved custom filters prior to viewing alerts.
Patient Snapshot Update
In the Care Team widget, users will be able to see if a particular patient has been added to the list of confirmed cases sent to CRISP from the MDH. To view, users must navigate to “Care Team” widget and locate the “Organization” column. Within this column, any row that contains the “MDH COVID-19 Outbreak Response” label indicates that the patient is a confirmed COVID-19 case.
Health Records Update
If a user is interested in viewing a patient’s full lab report, it is available through the “Laboratories” section of the Health Records application. Please keep in mind that the lab reports within Health Records are made available to a patient's care team based upon:
- A list of confirmed cases sent to CRISP from the Maryland Department of Health.
- Positive and negative lab results from LabCorp and Quest lab feeds across the region. These results currently originate from ordering physicians that are CRISP participants with executed lab request forms within our system. CRISP is working with LabCorp, Quest and hospital based testing centers to provide more comprehensive results.
For questions or additional information regarding COVID-19 projects at CRISP, please contact Katie Tully
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