1. CRISP Services Overview
Rev

2. About CRISP
Data source or attribute #
Live hospitals 91
Live clinical data feeds
261 (lab, rad, ADT, CCD)
Live ENS practices
+1,000
Long-term and post-acute care facilities
170
Standalone labs and radiology centers 16
Unique patients in index
+16 million
Patient searches
+400,000/mo
Encounter alerts sent
+2,500,000/mo
Regional Health Information Exchange (HIE) serving Maryland and the District of Columbia, and collaborating with Delaware, Northern Virginia, Pennsylvania, and West Virginia
Vision: To advance health and wellness by deploying health information technology solutions adopted through cooperation and collaboration

3. CRISP Core Services
POINT OF CARE: Unified Landing Page & In-context Information
Search for your patients’ prior hospital records (e.g., labs, radiology reports, etc.)
Monitor the prescribing and dispensing of PDMP drugs
Determine other members of your patient’s care team
Be alerted to important conditions or treatment information
CARE COORDINATION: Encounter Notification Service (ENS)
Be notified when your patient is hospitalized in any regional hospital
Receive special notification about ED visits that are potential readmissions
Know when your MCO member is in the ED
POPULATION HEALTH: CRISP Reporting Services (CRS)
Use Case Mix data and Medicare claims data to:
Identify patients who could benefit from services
Measure performance of initiatives for QI and program reporting
Coordinate with peers on behalf of patients who see multiple providers
PUBLIC HEALTH SUPPORT:
Partnerships with Maryland MDH, District of Columbia DHCF, and West Virginia through the WVHIN
PROGRAM ADMINISTRATION:
Technical and administrative support for Care Redesign Programs

4. Unified Landing Page

5. Unified Landing Page: Patient Search
Add demo link:
This used to be the “query portal” You could access some of the same information but it has been revamped- new design, more information.
Required fields: First Name, Last Name, Date of Birth

6. Prescription Drug Monitoring Program
Reminder: The query mandate for prescribers of controlled substances goes live on July 1. Also note that 42 CFR Part II data will not be included (no methadone programs)
PDMP data is available in the Unified Landing Page
Features include sorting and multiple patient selection

7. Overdose Notifications
Overdose Notifications are available within the ULP
11/16/2018

8. View labs, radiology results, recent encounters, and documents
Query Portal
View labs, radiology results, recent encounters, and documents

9. Unified Landing Page: Snapshot
Patient Name: Gilbert Greape Gender: Male Date of Birth: 01/01/1984
Gilbert Greape
4145 Earl C Adkins Dr. River, WV 26000

10. Clinical Information Who has staff using the ULP or Query Portal?
What additional information would you like to see included?
What navigational changes would be helpful?
What is your reaction to the OD alerts? Has anyone seen one in realtime?
What additional information should we include with them?
11/16/2018

11. Encounter Notification Service (ENS)

12. Hospital Registration
How does ENS work?
A patient goes to the hospital
Hospital Registration
At registration the hospital asks the patient for basic information (name, DOB, etc.) and the reason for the visit. The registrar enters that information into an Electronic Medical Record.
When the registrar has completed entering the information, and pushes ‘save’, a copy of that information is immediately sent to CRISP
A provider who has submitted a patient panel to CRISP that includes this patient receives a real-time or batch notification that the patient has been to the hospital. 12

13. Encounter Notification Service
Real-time or batch alerts to appropriate providers based on treatment and care management relationships

14. ENS in Workflow Very popular for BH providers
Re-engage people lost to care
Prioritize/Triage patients for immediate follow- up and outreach
Improved conversations with patients
Hospitals want BH providers to use
Grouping patients
11/16/2018

15. CRISP Reporting Services

16. CRISP Reporting Services
CRISP Reporting Services (CRS) provides secure access to Maryland health care data and related analytics tools to assist health care organization in improving patient care throughout the state.
CRS products are approved by the Reporting and Analytics Committee, a subcommittee of the CRISP Board, and adhere to best practices in privacy and security.
11/16/2018

17. What reports are available for ambulatory providers?
CRISP is able to provide Panel-based reports to ambulatory organizations
There are 2 reports that these organizations may access:
Panels for Practices
Pre/Post Analysis
11/16/2018

18. Users may filter data by Hospital, Payer, and Age Group
Panels for Practices
The Panels for Practices reports allow users to see various data sets for their patient population:
Panel Utilization: Ability to see if patients on your panel are on panels for other organizations
Hospital Utilization: Ability to see hospital (IP, ED) data for patients on your panel. This includes readmission rates
Unique Patient Utilization: Shows data around how many visits a particular patient had, along with total charges associated with those visits
Chronic Conditions: Allows users to see patients who have one or more chronic conditions
Bedded Care by Service Line: Shows patients who have had a bedded hospital visit, by service line
Users may filter data by Hospital, Payer, and Age Group
11/16/2018

19. Panel Utilization Dashboard
11/16/2018

20. Hospital Utilization
11/16/2018

21. Unique Patient Utilization
11/16/2018

22. Chronic Conditions per Patient
11/16/2018

23. Bedded Care by Service Line
11/16/2018

24. CRISP Pre/Post Analysis
CRISP developed the Pre/Post Analysis to help users who have implemented care programs understand hospital utilization before and after a specific enrollment or intervention date for each patient.
The report also provides a self-service feature for a user to load a panel and generate results.
Users can load multiple panels to see pre/post analysis for different programs
11/16/2018

25. Pre/Post Report Features
Summary: Provides various metrics for the submitted panel of patients based on 1, 3, 6, and 12 months pre-post reporting periods.
Panel Analysis: Allows users to see charges, # visits and # of patients by hospital, with a pre-post comparison
Breakdown of Charges: Shows charges billed to specific service lines before and after the enrollment/intervention
11/16/2018

26. Pre/Post Analysis: Summary tab
11/16/2018

27. Pre/Post Analysis: Panel Analysis
11/16/2018

28. Pre/Post Analysis: Breakdown of Charges
11/16/2018

29. Reporting Services in Workflow
Run analytics on all or a group of your patients
Triage for follow-up
Improve care coordination
Better understand your programs’ impacts on specific patients
Looking for BH sites to pilot CRS reports
Provide feedback and recommendations
11/16/2018

30. Updates Consent2Share on hold CALIPHR Doc Halo
Regulation change very soon
Rethinking the role out and usage
CALIPHR
No longer a supported tool
Will not have any additional development
Doc Halo
Secure texting app
Now available to BH providers in partnerships with hospitals
11/16/2018

31. New projects Capacity (Bed) Tracking Social Service Projects
Hospitals, MDH, and local partners
Social Service Projects
Screenings
Referral mechanism
Displaying information
11/16/2018

32. Onboarding Documents Participation Agreement
New and Improved SUD attestation form
New 42 CFR Part II options
New and Improved QSOA (if needed)
Bulk Load Sheet
Used to get all your users credentialled
Other Addendum or User Guides
Doc Halo
CRS
11/16/2018

33. Feedback What additional information would be useful?
What additional services?
What education/trainings?
Are you ready to start sharing data?
11/16/2018

34. Questions?

35. Sheena Patel, MD, CMPE sheena.patel@crisphealth.org
Thank You!
Sheena Patel, MD, CMPE