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:

1. Navigate to the “Add Filter” drop down at the top of the screen.
2. Select the “Diagnosis Description” category.
3. A list of options will appear to the right of the category, select “contains”.
4. Type the term “COVID” into the open field.
5. Return to the “Add Filter” drop down at the top of the screen.
6. Select the “Patient Class” category.
7. A list of options will appear to the right of the category, select “equals”.
8. Select “O: Outpatient” from the drop down.
9. Within the “Custom Filter” field, type the desired name of the custom filter then click “Save”.
10. 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

Casemix Reports Updates - December 2020

NEW HSCRC Regulatory Report - "RRIP - Patient Adversity Index and Disparity Gap Report" - the HSCRC will post a new report on by-hospital disparities in readmissions underneath the RRIP reports.  Specifically, this report will detail by the hospital the Average Patient Adversity Index (PAI) over time, the disparity between low PAI and high PAI patients, improvement in disparity "gap" over time, and Readmission Rate by PAI component (Medicaid Payer Status, Race, and Area Deprivation Index (ADI)).  If you have questions or concerns following the 12/11 publication, please reach out to hscrc.quality@maryland.gov.

NEW HSCRC Regulatory Report - "QBR - Follow-up After Discharge for Acute Exacerbation of Chronic Condition - Summary Report" - the HSCRC will post a new report on follow-up underneath the QBR reports.  Specifically, this report will detail the statewide follow-up rate by condition following acute exacerbation of the following chronic conditions: asthma, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, diabetes, and hypertension.  The report will also provide by-hospital follow-up rates of the aforementioned conditions for CY 2018 and CY 2019.  Patient-level detail reports are also under development.  If you have questions or concerns following the 12/11 publication, please reach out to hscrc.quality@maryland.gov.

Monthly Report Updates:
The following reports have been updated with CY20 October Prelim Casemix claims data on December 11th:

• Maryland Hospital Acquired Conditions (MHAC) Reports
• Readmission (RRIP) Report
• Potentially Avoidable Utilization (PAU) Reports

*Please Note: COVID-19 Patients in HSCRC Regulatory Reports: At present, HSCRC Regulatory Reports (RY 2022 RRIP, RY 2022 MHAC, and RY 2022 QBR-Mortality) reflect Jan-present trends in quality measures, with COVID-19 positive patients excluded from measure calculation.  Per the 9/21/2020 memo, these reports include data that will not be used to calculate scores (i.e., Jan-Jun 2020 data).  Jul-Present data (excluding COVID-19 positive patients) are being assessed under RY 2022 policies at this time (this policy will be evaluated retrospectively).  Please note that detail-level reports for the aforementioned quality programs have included COVID-19 positive patients as a kept variable, i.e., they are included in these case-level reports but again they are not in the calculations for the summary-level reports.  If you have questions/concerns, please reach out to the Quality team at hscrc.quality@maryland.gov.  Thank you for your patience.

Medicare Report Updates - December 2020

Monthly Report Updates:
The following reports have been updated with October claims data on December 11th:

• Maryland Primary Care Program Reports (MDPCP)
• CCLF Medicare Analytics & Data Engine (MADE)
• MADE: ECIP View

Attached in the link below is a document listing the publication dates and product directory for CRISP Reporting Services in 2020.

• CRISP Reporting Services  Publication Dates – 2020
• CRISP Reporting Services Product Directory

If you have any questions about these updates, please contact us at support@crisphealth.org or call us at 1-877-952-7477.  Thank you.