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
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.
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.
CRS Weekly Update - December 7th
HSCRC Regulatory Reports Update:
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 hospital the Average Patient Adversity Index (PAI) over time, 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 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 12/11 publication, please reach out to hscrc.quality@maryland.gov.
Monthly Report Updates:
The following reports will be 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 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.
CRISP Reporting Service - Two Factor Authentication
The CRISP Reporting Services team has implemented two factor authentication (2FA) within the CRS Portal (reports@crisphealth.org) through an app called Authy. Provided below are the links to the PowerPoint presentation, webinar recording, and feature user guide. Please email us at support@crisphealth.org if you need assistance setting up 2FA.
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.
CRS Product Release Summary - November 2020
Below is a recap of CRISP Reporting Services (CRS) Products that have been updated on the CRS Portal (reports.crisphealth.org) this release. The next report refresh will occur on December 11th, 2020.
If your account is inactive and you wish to access the CRS portal once again, please have your Point of Contact (POC) at your organization reach out to our support staff. If you do not know who your POC is, reach out to support@crisphealth.org and we will provide you with this contact.
Thank you,
CRS Support
support@crisphealth.org
1-877-952-7477
CRISP Reporting Service - Important Portal Update
As we continue expanding our services, it is imperative that we ensure patient data is kept private and secure. On November 30th, the CRISP Reporting Services team will implement a new security feature within the CRS Portal (reports.crisphealth.org) to allow for two-factor authentication through an app called Authy.
The CRS team will be hosting two webinars to present the process and details of the two-factor authentication enhancement. To register in advance for these sessions, please use the following link to sign up. Please note that both sessions will be recorded, made available, and cover the same materials.
Medicare Report Updates - November 2020
Maryland Primary Care Program Reports (MDPCP) 2020 Report Updates:
- A new report has been added: AHU/EDU Report. Please refer to the MDPCP Reports User Guide for more information.
- The population underlying the 'State' comparator available in many of the MDPCP Reports has been revised to align more closely with beneficiaries in MDPCP. Previously, this population was all Medicare beneficiaries in Maryland, and the update limits the comparison population to those with both Part A and Part B Medicare coverage.
- HCC scores in the MDPCP 2020 Reporting Suite have been updated to remove unreliable scores for beneficiaries with incomplete claims data in 2017. Users may notice Tier 2 and Complex beneficiaries with blank HCC scores within the Beneficiary Details view. Tier assignment has not been impacted by this update.
- Q4 2020 Attribution is now available
- Pre-AH Scores have been refreshed
MADE: ECIP View:
- The Episode Details drilldown report now includes a time filter.
Monthly Report Updates:
The following reports have been updated with September claims data on November 6th:
- Maryland Primary Care Program Reports (MDPCP)
- CCLF Medicare Analytics & Data Engine (MADE)
- MADE: ECIP View
- Medicare Performance Adjustment (MPA) Monitoring Reports
Casemix Reports Updates - November 2020
HSCRC Regulatory Reports:
Monthly Report Updates:
The following reports have been updated with CY20 September Prelim Casemix claims data on November 6th:
- Maryland Hospital Acquired Conditions (MHAC) Reports
- Quality Based Reimbursement (QBR) Mortality Reports
The following reports have been delayed due to additional data validation needed. We hope to publish these on November 20th.
- Readmission (RRIP) Report
- Potentially Avoidable Utilization (PAU) Reports
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.
CHEASPEAKE REGIONAL INFORMATION SERVICES FOR OUR PATIENTS (CRISP) Update 6/01/2020
View Your Patient's COVID-19 Results Through the CRISP Unified Landing Page
CRISP provides alerts when your patient's COVID-19 test results are available in our system. Positive or negative COVID-19 results as well as confirmed cases as reported to DC Health and the Maryland Department of Health (MDH)can be accessed through CRISP applications within the Unified Landing Page (ULP). Please use steps below to access your patient's COVID-19 results today:
Viewing COVID-19 labs within Health Records:
- To view your patient’s full lab report, simply navigate to the “Laboratories” section of the Health Records application.
Viewing 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.
- 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.
Things You Need to Know
- Saved custom filters will always be available for future use within the “Saved Custom Filter” drop down.
- Please note, saved filters are not automatically applied to your notifications. Upon logging in, you must select and apply your custom filters prior to viewing alerts.
Viewing COVID-19 data within Patient Snapshot:
- In the Care Alert widget within Patient Snapshot, users will be able to see if a particular patient has been added to the list of confirmed cases sent to CRISP.
For questions or additional support, please contact the CRISP Customer Care Team at support@crisphealth.org or call 1.877.952.7477.
Updated COVID-19 Testing Guidelines and Restrictions
Under the new Statewide testing strategies and with the greater availability of tests, clinicians are no longer limited to testing symptomatic high risk patients. The State encourages you to additionally test patients who are asymptomatic and may have directly or indirectly come into contact with a person known or suspected of carrying the COVID-19 virus. This strategy will help to identify additional asymptomatic carriers in order to contain the spread of the virus (see details below).
According to the Maryland Department of Health (MDH), healthcare providers shall prioritize COVID-19 test orders using the most expeditious means available (e.g., a hospital lab, commercial lab, or the State Laboratory) to the following groups:
- Symptomatic hospitalized patients;
- Symptomatic patients and staff in nursing homes, long-term care facilities, or other congregate living facilities housing individuals who are medically fragile, or as directed by the Maryland Department of Health (MDH);
- Symptomatic emergency medical service personnel, healthcare workers, correctional officers, law enforcement personnel, and other first responders;
- Symptomatic high-risk unstable patients whose care would be altered by a diagnosis of COVID-19;
- Persons identified through public health cluster and selected contact investigations; or
- Persons without symptoms as determined by a healthcare provider’s independent professional judgment if COVID-19 exposure is suspected or as directed by MDH, a MDH-designated response team, or a local health department.
To view the list of available test sites, click here or insert https://coronavirus.maryland.gov/pages/symptoms-testing into your browser.
Submitting a COVID-19 Lab Order and Obtaining Your Patient's Order Confirmation Code Through CRISP:
To order a COVID-19 test for your patient, please log into your CRISP Unified Landing Page account, search for the patient who requires testing, and select the COVID-19 Lab Order tab to submit your order. Detailed directions are available in the user guide available here.
Additional COVID-19 Information and Resources:
For additional information on COVID-19 drive-through testing sites and additional resources provided by the Maryland Department of Health, visit https://crisphealth.org/guidance/.
If you have trouble submitting a lab order or need additional assistance, please contact the CRISP Customer Care Team at support@crisphealth.org or call 1.877.952.CRISP (7477).
Maryland Primary Care Program (MDPCP) Reports
April 27, 2020
The 2020 MDPCP Reports have been updated to include the 2020 Q2 beneficiary attribution as well as a new report that tracks avoidable hospital events. The “PQI-Like Utilization Report” presents the counts and claim details of IP admissions or ED visits that fall into one of eleven Prevention Quality Indicator (PQI) classifications, based on the 2018 AHRQ specifications. As the report includes ED visits, which are not part of the standard PQI logic, the report is labeled as "PQI-Like". This modified logic is consistent with the logic used to indicate the likelihood of potentially avoidable utilization (presented in the Likelihood of Avoidable Hospital Events Report).
Medicare Report Updates - April 2020
Medicare Report Updates:
The following reports have been updated with February Claims data has been posted on April 13th:
- Maryland Primary Care Program Reports (MDPCP)
- CCLF Medicare Analytic & Data Engine (MADE)
- MADE ECIP View
Medicare Performance Adjustment (MPA) Monitoring Reports:
Enhancement made to tab IA 5 of the Specialized Drill-down Report to now displays Risk Adjusted % for the CYTD Performance vs Base % column.
CCLF Medicare Analytic & Data Engine (MADE):
The Care Transformation Initiative report has been added to the Population module of the MADE application. This is the report that users can access through the Care Transformation Profiler application highlighted in a few sections below. Additionally the MADE user guide has been updated to a definition of 'Observation Stay'.
Maryland Primary Care Program Reports (MDPCP):
The following column headers have been added to the into the excel export of the Pre-AH tool. This additional headers can be used to assist users to track their COVID-related followup with beneficiaries.
- CONTACTED
- FOLLOW UP GUIDANCE
- STATUS
In the "About" tab of the excel download, include this text as examples of how they can be used:
- CONTACTED - Tracks whether the beneficiary has been contacted regarding COVID-19 and the mode of communication, for example "SPOKE TO" or "LEFT VM"
- FOLLOW UP GUIDANCE - Tracks the guidance provided to the beneficiary, for example "PROVIDED INSTRUCTIONS", "SDOH REFERRAL", "SCHEDULED TELEHEALTH".
- STATUS - Tracks current health status of beneficiary, for example "HEALTHY - FOLLOW UP IN 2 WEEKS", "OKAY - FOLLOW UP IN 1 WEEK", "AT-RISK - TELEHEALTH VISIT" or "SICK - REFERRED TO ER".
Casemix Reports Updates
April 27, 2020
HSCRC Regulatory Reports:
Potentially Avoidable Utilization (PAU) Reports: RY22 Case level Reports with CY20 January- February Prelim Casemix data has been posted on April 24th.
April 20, 2020
HSCRC Regulatory Reports:
Readmission (RRIP) Report: RY21 December Final Summary & Detail Level Reports with CY19 January - CY20 January Final Casemix data has been posted on April 13th
- RY22 January Prelim Summary Reports with CY20 January – February prelim Casemix data has been posted on April 13th . The Detail Level files have been delayed due to additional data validation needed.
- The Readmission Tableau dashboards has been posted with CY19 January - CY20 February Casemix data (RY22 Logic) on April 13th
Maryland Hospital Acquired Conditions (MHAC) Reports: RY21 December Final Summary & Detail Level Reports with CY19 January - December Final Casemix data has been posted on April 13th
- RY22 February Prelim Summary & Detail Level Reports with CY20 January - February Prelim Casemix data has been posted on April 13th
Quality Based Reimbursement (QBR) Mortality Reports: RY21 QBR Mortality December Final Summary & Detail Level Reports with CY19 January - December Final Casemix data has been posted on April 13th
Potentially Avoidable Utilization (PAU) Reports: RY22 Summary Reference Reports with CY20 January- February Prelim Casemix data has been posted on April 13th. The Detail Level files have been delayed to 4/24 due to additional data validation needed.
Care Transformation Profiler (CTP) Application
CRISP and the HSCRC have develop a new reporting tool for hospitals to view approved Care Transformation Initiatives (CTI) definitions, aggregate baseline analyses, and program performance. This non-PHI application is called the Care Transformation Profiler (CTP) Report. The goal of this dashboard is to facilitate CTI program transparency and provide users with access to aggregate data on all CTIs. All data in the CTP and used for CTI analyses currently derive from the Claim and Claim Line Feed (CCLF) Medicare file. More information can be found on the HSCRC Care Transformation Initiatives program by visiting the HSCRC Care Transformation Steering Committee web page and FAQ document linked below.
Please note: The CTI program launch has been delayed due to COVID-19, which will impact timing of data availability for subsequent thematic areas. The HSCRC will provide updates on deadlines / data availability as the situation evolves.
Please note: These reports are for hospital users only.
CTP Application Webinars
The CRISP Reporting Services (CRS) team and HSCRC will be hosting two webinars on the Care Transformation Profiler (CTP) application on April 14th from 2pm to 3pm and April 17th from 11am to 12pm. To Register in advance for this meeting, please use the following link to sign up. Please note both sessions will be recorded and cover the same materials.
CTP Application Access
Please note: These reports are for hospital users only.
All individuals who have submitted a CTI Intake Templates form to the HSCRC for their organization has been granted access to the CTP application on the CRS Portal (reports.crisphealth.org) on Friday April 3rd. If you already have a CRS Portal account, you will see this application populate under the 'Care Transformation Initiatives (CTIs)' blue report card. If you are new to the CRS Portal, you should have receive an email from 'CRISP LogOnce Support' with an activation link.
Please note the CTP is launching populated with the baseline analyses for submitted Transitions of Care CTI definitions. Baseline analyses for Palliative Care CTIs will be added in late April / early May.
Users can request access to this application by contacting the CRS Point of Contact at your hospital. The CRS POC will be able to grant you access to these reports by selecting the "HosID_CTP-ReportViewer" within the CRS Credentialing application (Second screenshot below). Please Note: This report is summary level and does not require a Photo ID or signed End User Agreement form. However, to view a CTI roster within the MADE application you must have permission to view PHI within the CRS Portal, which does require these forms.
Attached in the link below is a document listing the publication dates and product directory for CRISP Reporting Services in 2020.
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.
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