Welcome to the CRISP Clinical

Query Portal Training

Presentation

What is CRISP?

CRISP is a non-profit health information exchange, or HIE, organization serving Maryland and the District of Columbia.

Health Information Exchange 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, timelier, efficient, effective, equitable, patient-centered care.

CRISP’s Mission: We will enable and support thehealthcare community of Maryland and our region to appropriately and securely share data in order tofacilitate care, reduce costs, and improve healthOutcomes.

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Query Portal Offering for Providers

CRISP offers a free, web-based clinical query portal to access data through the HIE

Physicians, licensed health providers, care coordinators, and support staff can query patients they are treating and view various clinical records in the system about them.

Information obtained throughthe portal can be printed and incorporated into records.

Who Can Have Access to the Clinical Query Portal?

Access is for TREATMENT & CARE COORDINATION PURPOSES ONLY

Access should be given to those providers, licensed health professionals, care coordinators, and support staff who currently have access to patient records for treatment purposes, both within and outside the facility, as a course of their usual workflow

The portal CANNOT be used for payment, operations, reporting, research, or any purposes other than treatment at this time

Information Available Through CRISP Portal

The query portal allows credentialed users to search the HIE for clinical data.

Users can search for patients using last name/DOB or the medical record number from your practice or a hospital.

Information obtained through the portal can be printed or downloaded for incorporation into the local medical records.

For a full list of organizations participating with CRISP, visit www.crisphealth.org

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Types of data available:

• Patient demographics

• Lab results

• Radiology reports

• Prescription Drug Monitoring

• Discharge summaries

• History and physicals

• Operative notes

• Consults

Types of Users

PROVIDERS – those that are licensed (for example MD, NP, DO, and DDS) who also have prescribing rights.

PROVIDERS CAN DELEGATE ACCESS TO THE OTHER TYPES OF USERS BELOW

LICENSED HEALTH PROFESSIONALS– those that are licensed but are not in the groups listed above (for example CRNP, RN, MA, PA, etc.)

SUPPORT STAFF

PHARMACISTS

Data Available by User Type

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Physicians (MD, DO, DDS) or NPs

Other Licensed Health

Professionals

SupportStaff

Pharmacists

Medications from Maryland PDMP

Yes

Yes, if delegated by a physician or

advanced practice nurse

No(Per Maryland

State Law)Yes

Encounter & Clinical Information

Yes

Yes, if delegated by a physician or

advanced practice nurse

Yes, if delegated by a physician or

advanced practice nurse

No

PDMP is the Maryland Prescription Drug Monitoring Program and is available to users. More information on PDMP will be

presented after the demonstration

Opt-Out Policy

• CRISP operates an opt-out model, meaning that patients have the right to block electronic access to their information through CRISP.

• If a patient opts out, no information will be available through the portal. Notifications about hospitalizations for this patient will also be blocked, even if a provider has requested them.

• An important exception to the opt-out policy are medications from the Maryland Prescription Drug Monitoring Program (PDMP), which shows schedule II-V drugs that have been filled. By Maryland law, opt-outs do not apply to PDMP, and this data will still be visible in a patient’s record.

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Patient Awareness

• All participating organizations are required to include a paragraph stating their participation with CRISP in their HIPAA Notice of Privacy Practice.

• All participating organizations are also required to make CRISP patient brochures and opt-out forms available at intake areas.

• Patients are responsible for completing and submitting the opt-out form to CRISP. They may also opt out by phone or online.

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How Can Patients Opt Out?

•Call our toll free number: 1-877-95-CRISP (27477).

•Mail the completed opt out form to:

CRISP, Attn: Opt-out

7160 Columbia Gateway Drive, Suite 230

Columbia, Maryland 21046

•Fax the completed opt-out form to 443-817-9587.

•Submit the opt out form through our secure website www.crisphealth.org.

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CRISP’s Commitment to Privacy

• All query actions are recorded and audited by CRISP.

• All searches by users are compared against inbound hospital feeds and

practice patient lists to ensure a treatment relationship.

• Any questionable search will result in a follow-up call from CRISP. Pending

an inquiry, account suspension or other actions may be taken.

• Non-physician user accounts must be associated with a physician account, to

ensure that the privacy and security provisions

of the CRISP participation agreement are being

properly monitored.

• Patients have the right to contact CRISP and ask

for a list of users who have accessed their

information. CRISP will provide full audit logs to

patients who request them.

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CRISP User Support

• CRISP will manage the administration of all user accounts.

• We offer a support email support@crisphealth.org and phone line 1-877-952-7477, that is available during business hours.

• Any account that has no activity during the last 90 days will be locked, and users must call CRISP directly to unlock an account. Unlocking an accounts requires a new confirmation of their employment by the user’s organization.

• Any requests for password resets, account unlocks, etc. must come directly from the user and communication of new passwords will only occur via the email address we have on file.

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Encounter Notification Service

CRISP currently receives information pertaining to ED visits and inpatient admissions in real-time:

• All Maryland hospitals

• Most D.C. hospitals

• All Delaware hospitals ( ADT 2014)

• Over 40 Long Term Care Sites

CRISP has the ability to communicate this information, in the form of real time hospitalization alerts to primary care physicians, care coordinators, and others responsible for patient care.

There is no charge to receive ENS notifications.

You must have an association with a Maryland or DC

Hospital. Please contact CRISP if you are interested

In this service currently enrolling new participants!

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Participating Organizations

Participating Organizations

Accessing the Portal

Logging In

Searching Patients

Searching Patients Cont…

Viewing Patient Information

Viewing Patient Information: PDMP Data

Viewing Patient Information: Radiology Reports

Viewing Patient Information: Treatment Visits

Viewing Patient Information: Treatment Visits Cont…

Viewing Patient Information: Laboratory Results

Viewing Patient Information: Documentation

Printing Data

Printing Data: CCD or CCDA

Printing Data: Summary PDF

Personalizing the Portal

Advance Directives

Interstate PDMP

Interstate PDMP: Searching Additional States

Printing Interstate PDMP Data