1. CRISP Update
January 2017

2. Vision – Mission – Guiding Principles
CRISP is a non-profit health information exchange, or HIE, serving Maryland and the District of Columbia.
Our Guiding Principles
Begin with a manageable scope and remain incremental.
Create opportunities to cooperate even while participating healthcare organizations still compete in other ways.
Affirm that competition and market- mechanisms spur innovation and improvement.
Promote and enable consumers’ control over their own health information.
Use best practices and standards.
Serve our region’s entire healthcare community.
Our Vision To advance health and wellness by deploying health information technology solutions adopted through cooperation and collaboration. Our Mission We will enable and support the healthcare community of Maryland and our region to appropriately and securely share data in order to facilitate care, reduce costs, and improve health outcomes.

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4. CRISP Key Performance Indicators
Automated Queries are any PDMP API queries and downloaded CCDs.

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6. Work plan with Maryland Hospitals
Care Coordination Workgroup Recommendations
FY17 Update Factor Requirements
Care Coordination Infrastructure Goals
Each hospital will be able to: 1.
Flag Patient Relationships 2.
Share Care Planning Data
Health Risk Assessment 3.
Use of In-Context Alerts 4.
Use of CRISP Reports
Now called a “Patient Care Overview”

7. FY17: Focus on Care Coordination
CRISP will support Maryland hospitals this year, with an aim of helping them all do these four things, to collectively improve care coordination:
Flag Patient Care Management Relationships: Notify CRISP for each patient who is enrolled/dis-enrolled in a care management program, including contact information for the patient, care coordinator, and primary care provider.
Share Care Planning Data: Whenever care management information appropriate for sharing is created or updated for a participating patient, send a copy of the information to CRISP.
Use In-Context Alerts: Create an “alert mechanism” in your hospital EHR so your clinicians know when a person who is in care management has shown up, with easy access to the full data.
Use CRISP Reports: Incorporate CRISP reports and compiled data into the work of the population health team. (For patient identification and performance measurement.)
This approach should align with broader interventions and programs in place to support the high need / complex patients

8. What is a Care Alert?
A rapid, brief communication tool for colleagues encountering our most vulnerable patients, intended to enhance patient safety and save time.
Primary audience is clinicians, especially in acute settings
High value, action-oriented “need to know” information
May be free text or an element of structured data
Informs decision of whether to admit, and how to treat, patient
Intended to be presented within workflow, in context of the patient’s chart
May offer click-through to longitudinal care plan and/or other rich information within CRISP

9. In-Context Integration
Cerner hospitals in Maryland and DC have implemented API calls from Mpages.
These API calls can query a range of different data types from CRISP to meet specific workflows.

10. Data Router and Non-Hospital Connectivity
Key Functions include:
Consent management
Data normalization
Data routing
Patient-provider relationships determination and management
Data Router - A service designed to move encounter data and clinical records from ambulatory practices to the care management systems which can ingest them and use them for care coordination

11. Contact
David Horrocks Office: