1. Overview of CRISP Connectivity Process
June 1st, 2011

2. What is CRISP?
CRISP (Chesapeake Regional Information System for our Patients) is Maryland’s statewide health information exchange (HIE) and Regional Extension Center (REC)
Health Information Exchange, or HIE, allows clinical information to move electronically among disparate health information systems. The goal of HIE is to deliver the right health information to the right place at the right time—providing safer, more timely, efficient, effective, equitable, patient-centered care.
Regional Extension Center (REC) is a program created by the ONC that is funded through the stimulus bill. RECs will offer technical, implementation, and educational assistance to facilitate providers’ adoption and meaningful use of electronic medical records (EMRs).

3. CRISP and HSCRC Use Case
HSCRC will leverage the CRISP infrastructure to support inter- and intra-hospital admission and discharge data reporting
CRISP will collect, match, and report on admission, discharge, and other “ADT” messages to meet the HSCRC requirement

4. CRISP and HSCRC Use Case (cont.)
Hospitals will submit certain demographic data elements (see slide 5) to CRISP via an HL7 outbound feed of their ADT (admit, discharge, transfer) data
CRISP will route this data through the Initiate MPI for matching purposes and will provide reports to HSCRC of relevant admission / discharge related data.
Current reporting to HSCRC will continue to be required in addition to the information provided to CRISP

5. Proposed Required Data Elements for HSCRC Reporting
Field Name
HSCRC
Requirement
Name, First
Yes
Name, Middle Initial
Yes*
Name, Last
Address
Address, City
Address, State
Address, Zip code
Date of Birth
Gender
Social Security Number
Visit/Encounter ID (VID)
Yes**
Medical Record Number (MRN)
Enterprise / System Level Patient ID
Yes***
Admission Timestamp
Discharge Timestamp
Yes*- Field required only if information is provided by patient
Yes** -This data field should be a unique number to identify a specific visit
Yes** *- If Hospital has an Enterprise ID in addition to the Medical Record Number

6. Example Timeline for Hospital Connectivity

7. Pre-Connectivity Work
Initial hospital meeting
Executive orientation meeting
Technical team kickoff meeting
Distribution/completion of pre-connectivity documentation:
BAA
Participation Agreement
Policies and Procedures
Technical readiness assessment
VPN form
HL7 specifications
Privacy and security overview
Data validation guide

8. Steps for Technical Connectivity
Establish VPN connection with disaster failover
Identify data feed(s) and assign port number(s)
Define any unique hospital requirements
Hospital sends sample data (~100 messages) to CRISP
CRISP completes mapping of hospital data to CRISP HL7 specifications

9. Steps for Technical Connectivity
CRISP displays hospital data in web-based browser for quality assurance validation
Hospital performs unit testing to complete quality assurance validation, including communicating any necessary changes to mapping to CRISP
Complete and upload any necessary lookup tables

10. Go Live Go/no go meeting to obtain data validation approval
Establish any necessary ongoing maintenance contacts/procedures
Execute Participation Agreement (ADT-only agreement if applicable)
Go live
Establish production piloting environment where hospital can check live data for accuracy

11. Proposed Timeline for Implementation
Proposed deadline for connectivity: December 2011 (per proposed regulations)
For hospitals who are already working with CRISP:
CRISP will be working with each hospital to ensure the required data elements for HSCRC are being captured and that a go live is scheduled prior to the determined deadline
For hospitals who are not already working with CRISP:
CRISP will work with each hospital to set up an initial meeting, complete a readiness assessment, and begin initial work

12. Questions