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.
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. Additional details on these notes can be found in the corresponding report user guide.
The following reports have been updated on the CRS Portal to include preliminary data through November 2023:
- Quality Based Reimbursement (QBR) Timely Follow Up (TFU) After Discharge Medicare & Medicaid, 30 Day All Cause Mortality Monitoring
- Maryland Hospital Acquired Conditions (MHAC) Summary and Details
- Potentially Avoidable Utilization (PAU) Summary Reference, Details, Savings Performance, Avoidable Admissions, and Maryland Emergency Department Multi Visit Patient Monitoring Summary and Details
- Readmissions Reduction Incentive Program (RRIP), Patient Adversity Index (PAI) and Disparity Gap, Excess Days in Acute Care (EDAC) Monitoring
- Hospital Inpatient Diabetes Screening Summary and Details
- Quality Financial Impact Dashboard (QFID)
The following reports have been updated with September 2023 final data:
- QBR Inpatient Mortality Summary and Details
- PSI-90 Summary and Details
- The VaccTracc tool has been updated to reflect current CDC recommendations on flu and COVID-19 vaccinations. Individuals are considered 'up to date' on COVID-19 vaccination if they have received a 2023-2024 Formula COVID-19 Vaccine and considered 'up to date' on flu vaccination if they have received a flu vaccine during the 2023-2024 Flu season (July 2023- June 2024).
Statewide Integrated Health Improvement Strategy (SIHIS)
- The Severe Maternal Morbidity Measure in the SIHIS Directional indicators dashboard includes breakdowns for SMM events with and without blood transfusion to be more consistent with the new Alliance for Innovation on Maternal Health (AIM) definition.
Maryland Primary Care Program (MDPCP)
- Updated 2023 benchmark values for the Maryland Statewide 50th and 80th percentiles of AHU, EDU, and TPCC are available in the AHU/EDU Report and TPCC Report. Changes are based on the updated Financial Methodology document from CMS.
- Several supporting documents regarding the Pre-Models are updated. Please refer to the help section to review these.
- New MDPCP practice will be added to CRS reports in February.
Medicare Claim and Claim Line Feed (CCLF)
- The American Geriatric Society Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults have been revised with the 2023 update. Compared to the prior version, the prevalence of Part D prescriptions flagged as high risk medications increased by 14% in the last year.This update affects all 36 months of data:
- Several measures in MADE Population Navigator under the 'Other Clinical' grouping
- High Risk Medications - Top 100 Prescribers and High Risk Medications - Top 100 Prescriptions reports in both the MADE and MDPCP reporting suites.
For webinar Recording, please click here.
For Webinar Slides, please click here.
For SDOH Webpage, please click here.
To view the CRISP Health Medicaid Redetermination page, please click here.
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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