CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS INC

GRANT FUNDING- CRISP HAS BEEN WORKING ON SEVERAL SIGNIFICANT GRANT FUNDED INITIATIVES. THE SIGNIFICANT GRANTS ARE AS FOLLOWS: PRESCRIPTIONS DRUG MONITORING PROGRAM (PDMP): CRISP WAS AWARDED FUNDS FROM THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MDH) FOR THE PURPOSE OF DEVELOPING AND IMPLEMENTING PRESCRIPTION DRUG MONITORING CAPABILITIES INTO THE EXISTING FRAMEWORK OF THE HIE. IMPLEMENTATION WAS COMPLETED BY CLOSE OF FY15, AND PROJECT FOCUS HAS SINCE SHIFTED TO MAINTENANCE AND NEW PHYSICIAN ENROLLMENT. IMPLEMENTATION ADVANCED PLANNING DOCUMENT (IAPD): IN LATE FY13, MDH WAS AWARDED FUNDS BY CMS FOR THE PURPOSES OF AUGMENTING THE STATEWIDE HIE WITH ADDITIONAL SERVICES MADE AVAILABLE TO ELIGIBLE PROVIDERS WITHIN MARYLAND. CONTINUED ON SCHEDULE OCRISP IS THE SPECIFIED CONTRACTOR FOR MDH. CONTINUING THROUGH FY19, PROJECTS AND SERVICES SUCH AS ENCOUNTER NOTIFICATION SERVICES, (ENS) DIRECT MESSAGING, PORTAL ENHANCEMENT, EMBEDDED APP, IMAGE EXCHANGE AND DATA ROUTER WILL BE OPTIMIZED AND ROLLED OUT TO THE PROVIDER COMMUNITY. IN ORDER TO DRIVE ADOPTION AND INCORPORATION OF THE SERVICES, THE IAPD GRANTS ALLOWS FUNDING FOR OUTREACH EDUCATIONAL ACTIVITIES FOR THE PROVIDER COMMUNITY. INTEGRATED CARE NETWORK: IN 2014, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), WITH THE SUPPORT OF THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MDH), ESTABLISHED A CARE COORDINATION WORK GROUP TO OFFER ADVICE ON HOW HOSPITALS, PHYSICIANS, AND OTHER KEY STAKEHOLDERS CAN WORK TOGETHER WITH GOVERNMENT LEADERS IN EFFECTIVE CARE COORDINATION TO SUPPORT THE MARYLAND ALL-PAYER MODEL. THE WORKGROUP LED TO THE CREATION OF THE INTEGRATED CARE NETWORK INFRASTRUCTURE OR "ICN" PROJECT, THROUGH WHICH CRISP WAS CHARGED TO ESTABLISH PROCESSES AND LEVERAGE SERVICES FOR THREE COMPONENTS CRITICAL TO MODERNIZATION EFFORT: IDENTIFICATION OF AT-RISK PATIENTS WHO COULD BENEFIT FROM CARE, COORDINATION OR A TARGETED INTERVENTION, COMMUNICATION ESPECIALLY AT THE POINT OF CARE OF EXISTING PATIENTS RELATIONSHIPS AND CONNECTED SERVICES, AND MONITORING THE EFFECTIVENESS OF PROGRAMS AND INITIATIVES, ESPECIALLY BY MEASURING THEIR IMPACTS ON THE BIGGER TOTAL-COST-OF-CARE. THIS INITIATIVE CONTINUED THROUGH FY19. IN ADDITION, EFFECTIVE 7/1/2019, THE PROJECTS HAVE TRANSITIONED TO THE MAINTENANCE PHASE AND CONSIDERED OPERATIONAL ENHANCED HIE SERVICES.

HEALTH INFORMATION EXCHANGE (HIE)- CRISP CONTINUES TO FOCUS ON THE EXCHANGE. SINCE BUILD-OUT OF THE EXCHANGE, CRISP HIE HAS ALLOWED PROVIDERS PRACTICING AT ONE LOCATION TO INSTANTLY ACCESS PATIENTS' RECORDS, TEST RESULTS, AND OTHER IMPORTANT INFORMATION EVEN IF THAT INFORMATION IS PHYSICALLY STORED MILES AWAY IN SEVERAL UNRELATED LOCATIONS. A BRIEF DESCRIPTION OF THE HIE CONCEPT IS AS FOLLOWS: WHILE PHYSICIAN ACCESS IS IMPROVED BY AN HIE, SO IS THE SECURITY OF PATIENTS' MEDICAL INFORMATION. SECURE ELECTRONIC TRANSMISSION OF MEDICAL DATA ENSURES THAT IS REACHED THE INTENDED RECIPIENT AND ONLY THE INTENDED RECIPIENT. CONTINUED ON SCHEDULE OTHE INSTANTANEOUS ACCESS AND IMPROVED SECURITY OFFERED BY A HIE IS MADE POSSIBLE BY THE HIGH-SPEED COMPUTER NETWORKING HARDWARE USED TO CONNECT ALL PARTICIPATING HEALTH CARE FACILITIES AND IDENTIFY THE LOCATION OF PATIENT RECORDS WITHIN THOSE PARTICIPATING FACILITIES. INCREASED AVAILABILITY AND SECURITY OF PATIENT INFORMATION REDUCES ERRORS, IMPROVES PATIENT CARE, AND LOWERS HEALTH CARE COSTS. HIE ALSO PERMIT, ON A VAST SCALE, THE COLLECTION OF EPIDEMIOLOGICAL AND OTHER DATA PROVIDING UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITIES. THROUGH ITS ABILITY TO ACCESS AND "DE-IDENTIFY" (REMOVE IDENTIFYING INFORMATION, SUCH AS NAMES OR SOCIAL SECURITY NUMBERS) PATIENT RECORDS FROM MANY (IF NOT ALL) OF A REGION'S PATIENTS, CRISP WILL HELP RELIABLY DETERMINE THE MOST SUCCESSFUL TREATMENTS, RECOGNIZE IMPORTANT AREAS IN NEED OF QUALITY IMPROVEMENT, AND IDENTIFY MEDICAL ERRORS AND OTHER INEFFICIENCIES (SUCH AS TREATMENT COMPLICATIONS) ACROSS AN ENTIRE REGION. IN SUM, HIES PERMIT HEALTHCARE PROVIDERS TO EXCHANGE DATA ON AN UNPRECEDENTED SCALE WHICH SHOULD IMPROVE TREATMENT OUTCOMES AND LOWERS HEALTHCARE COSTS FOR ALL. ADDITIONALLY, HIES PROVIDE A UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITY. CRISP INTENDS TO OPERATE ITS HIE IN SUCH A WAY AS TO FACILITATE ALL EDUCATIONAL AND SCIENTIFIC USES OF ITS HIE THAT WILL NOT COMPROMISE DATA SECURITY OR PRIVACY. AS CRISP DEVELOPS AND GAINS ACCESS TO AN INCREASING AMOUNT OF MEDICAL DATA, FACILITATION WILL INCLUDE 1) WORKING WITH PARTICIPANTS TO IDENTIFY AREAS WORTH OF STUDY AND/OR RESEARCH, 2) DEVELOPING MEANS FOR DATA COLLECTION WHILE MAINTAINING DATA SECURITY AND PRIVACY, AND 3) PROMOTING THE USE OF APPROPRIATE DATA MINED FROM CRISP IN SCIENTIFIC STUDIES AND EDUCATIONAL SETTINGS.