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| CRISP (regional health information organization) | |
|---|---|
| Name | CRISP |
| Type | Regional health information organization |
| Founded | 2009 |
| Headquarters | Baltimore, Maryland |
| Area served | Maryland, Washington, D.C., West Virginia |
| Services | Health information exchange, clinical query, public health reporting |
CRISP (regional health information organization)
CRISP (regional health information organization) is a regional health information organization serving Maryland, Washington, D.C., and parts of West Virginia. It operates a health information exchange that connects hospitals, clinics, laboratories, pharmacies, and public health agencies to support care coordination and population health initiatives. CRISP collaborates with federal and state entities, academic centers, and private health systems to deliver interoperability, analytics, and reporting services.
CRISP provides health information exchange services linking institutions such as Johns Hopkins Hospital, University of Maryland Medical Center, MedStar Health, Kaiser Permanente, and community clinics to support initiatives led by the Centers for Medicare & Medicaid Services, Food and Drug Administration, Centers for Disease Control and Prevention, and state health departments. The organization offers clinical data services used by stakeholders including Geisinger Health System, Massachusetts General Hospital, Mayo Clinic, Mount Sinai Health System, and public health entities like the Maryland Department of Health and District of Columbia Department of Health. CRISP’s platform interoperates with electronic health record vendors such as Epic Systems, Cerner Corporation, Allscripts, eClinicalWorks, and MEDITECH.
CRISP emerged amid national efforts following initiatives by the Office of the National Coordinator for Health Information Technology and legislation associated with the Health Information Technology for Economic and Clinical Health Act to advance health information exchange. Early collaborations involved academic institutions including Johns Hopkins University and University of Maryland, Baltimore County and health systems such as Holy Cross Health and Sinai Hospital of Baltimore. Over time CRISP expanded services to support federal programs like the Meaningful Use incentive program and participated in pilot projects with agencies including the Agency for Healthcare Research and Quality and the National Institutes of Health.
CRISP is governed by a board and advisory committees representing stakeholders including acute care hospitals, physician groups, behavioral health providers, laboratories, and payer organizations such as CareFirst BlueCross BlueShield and UnitedHealth Group. Funding sources have included state and federal grants, programmatic fees from health systems, and contracts with agencies such as the Centers for Medicare & Medicaid Services. Governance structures reflect input from institutions like Baltimore City Health Department and academic partners such as Johns Hopkins Bloomberg School of Public Health.
CRISP’s service portfolio includes a shared clinical data repository, query-based access, patient-matching services, admission-discharge-transfer feeds, and analytics tools used for quality reporting and care coordination. The technical stack integrates standards and protocols promoted by organizations like Health Level Seven International, Integrating the Healthcare Enterprise, and the Direct Project. Interoperability efforts align with federal programs such as TEFCA and leverage APIs compatible with frameworks from SMART on FHIR and FHIR specifications. CRISP also supports event notification services used by emergency departments, primary care practices, and behavioral health providers.
CRISP’s network participants include major hospital systems, community health centers, laboratories such as Quest Diagnostics and LabCorp, and pharmacies including CVS Health and Walgreens Boots Alliance. Partnerships extend to public health agencies during responses to events coordinated with the Centers for Disease Control and Prevention and to academic collaborators like Johns Hopkins University School of Medicine and University of Maryland School of Medicine. CRISP works with vendors including Mirth Corporation and consulting partners engaged by entities such as Deloitte and Accenture.
CRISP implements privacy and security frameworks aligned with federal statutes such as Health Insurance Portability and Accountability Act of 1996 and guidance from the Office for Civil Rights (United States Department of Health and Human Services). Technical safeguards include encryption, role-based access controls, audit logging, and identity proofing consistent with standards from National Institute of Standards and Technology. CRISP has navigated compliance considerations involving behavioral health information, substance use disorder records governed by 42 CFR Part 2, and public health reporting obligations established by state statutes.
CRISP’s impact is measured through metrics such as reduction in duplicate testing, improved transitions of care for patients served by systems like MedStar Health and Johns Hopkins Hospital, and support for public health surveillance during events involving agencies like the Centers for Disease Control and Prevention. Independent evaluations by academic partners and program assessments tied to initiatives from the Agency for Healthcare Research and Quality and Centers for Medicare & Medicaid Services have examined outcomes related to cost, quality, and access. CRISP’s model has informed regional health information exchange efforts in other states and discussions at forums including Health Information Management Systems Society conferences.
Category:Health information exchanges Category:Healthcare in Maryland