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| CRISP (Maryland and DC) | |
|---|---|
| Name | Chesapeake Regional Information System for our Patients |
| Abbreviation | CRISP |
| Formation | 2010 |
| Founder | State of Maryland |
| Type | Health information exchange |
| Headquarters | Baltimore, Maryland |
| Region served | Maryland; District of Columbia |
| Services | Health information exchange, care coordination, analytics, alerts |
CRISP (Maryland and DC) is a regional health information exchange operating in Maryland and the District of Columbia that connects hospitals, clinics, laboratories, and payers to share clinical data for care coordination, population health, and public health reporting. It serves acute care systems such as Johns Hopkins Hospital, University of Maryland Medical Center, and community organizations including MedStar Health and Kaiser Permanente affiliates, while interfacing with federal entities like the Centers for Medicare and Medicaid Services and state agencies including the Maryland Department of Health. CRISP's tools support clinicians, health systems, and payers including CareFirst BlueCross BlueShield, enabling real-time alerts, longitudinal records, and analytics used by initiatives linked to Centers for Disease Control and Prevention programs and state-level public health responses.
CRISP provides interoperable exchange among participants such as Johns Hopkins Hospital, University of Maryland Medical Center, MedStar Health, Adventist HealthCare, Baltimore VA Medical Center, Children's National Hospital, Kaiser Permanente, and regional laboratories including Quest Diagnostics and LabCorp. Its services integrate with electronic health record vendors like Epic Systems Corporation, Cerner Corporation (now Oracle Cerner), Allscripts, eClinicalWorks, and Meditech. CRISP supports data flows to federal programs administered by Centers for Medicare and Medicaid Services and collaborates with academic partners including Johns Hopkins University, University of Maryland, Baltimore, George Washington University, and Georgetown University for research and evaluation. Stakeholders include insurers such as CareFirst BlueCross BlueShield and regulators such as the Maryland Health Care Commission.
CRISP emerged after state and federal incentives from legislation and programs influenced by the Health Information Technology for Economic and Clinical Health Act and funding streams from Centers for Medicare and Medicaid Services. Early pilot phases involved major systems including Johns Hopkins Hospital and University of Maryland Medical Center, with technical partnerships to vendors such as RelayHealth affiliates and standards bodies like Health Level Seven International and the Office of the National Coordinator for Health Information Technology. During outbreaks involving Centers for Disease Control and Prevention coordination, CRISP expanded alerting and reporting for public health agencies including the Maryland Department of Health and the District of Columbia Department of Health. The exchange evolved through collaborations with payers like CareFirst BlueCross BlueShield and research institutions including Johns Hopkins University and George Washington University Hospital.
CRISP is governed by a board and operational leadership that includes representatives from participant organizations such as Johns Hopkins Hospital, University of Maryland Medical System, MedStar Health, and payers like CareFirst BlueCross BlueShield. Funding sources have included state appropriations from Maryland, grants related to Centers for Medicare and Medicaid Services innovation models, and subscription fees from hospitals and clinics including Adventist HealthCare and Children's National Hospital. Oversight interacts with regulators and commissions including the Maryland Health Care Commission and federal partners including the Office of the National Coordinator for Health Information Technology. Governance frameworks reference standards from Health Level Seven International and guidance from National Quality Forum.
CRISP operates services such as the Clinical Query Portal used by clinicians at Johns Hopkins Hospital and MedStar Health; event notification systems integrated with Epic Systems Corporation and Cerner Corporation; and analytics platforms supporting payer partners such as CareFirst BlueCross BlueShield. Technical infrastructure uses standards from Health Level Seven International and FHIR specifications promoted by the Office of the National Coordinator for Health Information Technology, integrating data from laboratories including Quest Diagnostics and LabCorp and imaging centers associated with Radiology Partners and hospital radiology departments. CRISP supports admission-discharge-transfer alerts for acute providers like University of Maryland Medical Center and safety-net clinics partnering with Baltimore City Health Department initiatives, and supplies registries used by programs linked to Centers for Medicare and Medicaid Services quality measures.
CRISP implements privacy and security controls consistent with Health Insurance Portability and Accountability Act standards and interacts with state-level laws codified by the Maryland General Assembly and policies from the Office of the National Coordinator for Health Information Technology. Security frameworks reference guidance from National Institute of Standards and Technology and incident response coordination with entities such as the Department of Health and Human Services and the Cybersecurity and Infrastructure Security Agency. Data-sharing agreements reflect participation by institutions like Johns Hopkins University, University of Maryland, Baltimore, and Children's National Hospital, and compliance activities align with measures endorsed by the National Quality Forum and federal reporting to Centers for Medicare and Medicaid Services.
CRISP partners with academic institutions such as Johns Hopkins University, University of Maryland, Baltimore, George Washington University, and Georgetown University for research; health systems including MedStar Health, Johns Hopkins Hospital, and University of Maryland Medical Center for clinical integration; and payers like CareFirst BlueCross BlueShield for value-based care initiatives. Collaborations extend to public agencies including the Maryland Department of Health, the District of Columbia Department of Health, and federal partners such as the Centers for Disease Control and Prevention for public health surveillance. Technology alliances include Epic Systems Corporation, Cerner Corporation, Allscripts, and standards groups like Health Level Seven International.
CRISP has been credited in evaluations involving Johns Hopkins Hospital, University of Maryland Medical Center, and statewide initiatives for improving care transitions, reducing duplicative testing, and supporting public health responses coordinated with the Maryland Department of Health and Centers for Disease Control and Prevention. Independent assessments by academic partners such as Johns Hopkins University and George Washington University examined clinical workflows and outcomes tied to CRISP services. Criticisms have focused on concerns raised by participant organizations including academic medical centers and payers about data access policies, consent models debated in forums involving the Maryland Health Care Commission and legal scholarship from institutions like University of Maryland School of Law, and technical interoperability challenges noted in exchanges with vendors such as Epic Systems Corporation and Cerner Corporation.
Category:Health information exchanges Category:Healthcare in Maryland Category:Healthcare in the District of Columbia