7/17/2012 | RESOURCES

CRISP Encounter Notifications: ENS® Platform

The Chesapeake Regional Information System for our Patients (CRISP) is the statewide Maryland Health Information Exchange (HIE) that is providing over 800,000 electronic hospitalization notifications per month to hundreds of subscribing organizations such as hospitals, physician practices, and payers in Maryland and Washington D.C.

Since 2012, Audacious Inquiry has been responsible for the planning, implementation, and maintenance of its proprietary solution called the Encounter Notification Service® for CRISP.

ENS® is a connected care health IT platform that informs providers of care that hospitalizations are taking place for their patients. Specifically, ENS sends secure hospital admit, discharge, and transfer (ADT-based) notifications in near real-time, from every hospital in the state of Maryland.

ENS enables healthcare organizations to successfully impact a number of transitional care objectives, and recommended best practices to improve care coordination and reduce readmissions, including the following:

  • Reduced hospital length of stay
  • Improved primary care physician (PCP) transitional care management
  • Timely communication at handoff at discharge from the hospital
  • Early post-acute follow up with the PCP
  • Early post-discharge phone calls
  • Improved transfer between facilities
  • Effective medication management

The ENS notification system’s impact on a population health level is significant because readmissions are a major driver of unnecessary hospitalizations and potentially avoidable hospital costs. As patients transition out of the hospital, it is critical for the hospital to share information with the post-acute care provider and PCP to coordinate patients’ care (Rodak, 2013). One study estimated that poor care coordination, including inadequate management of care transitions, was responsible for $25 to $45 billion in wasteful spending in 2011 through avoidable complications.

ENS has scaled up to serve the growing needs of CRISP across its Maryland and Washington DC service area, and other statewide HIEs nationwide.

“The exchange of data has really opened the doors to population health. It starts with basic notifications the doctors can get when their patients are in the Emergency Department that instant, registering, and the doctors can get a notification about their patient … Providers in Maryland can get an up-to-the-minute dashboard of all of their patients hospitalization use or emergency department use.”

– Dr. Joshua Sharfstein, former Maryland Secretary of Health  (Source: Politico Event, Outside, In: Will Population Health Solve What’s Ailing Our Healthcare System; 11/23/2015.)

“CRISP understands the financial and clinical value of information that is as simple as hospital utilization data and that it can have a major impact on the coordination of patient care. Based on our relationship with the hospitals in the state and the type of information and infrastructure we have in place, we realized that we could provide a real-time service that would allow primary care providers and care coordinators to better track their patients, resulting in healthier people and a reduced rate of costly hospital readmissions.”

– Scott Afzal, Program Director of Statewide Health Information Exchange, CRISP  (Source: Galvez E. HIE Bright Spots: How ADT Messages Support Care Coordination – Part II; 3/26/2013.)

ENS can send secure alerts in several ways, including, via a secure web services connection, via Direct secure messaging technology, or via the ENS PROMPT user interface. The CRISP ENS service is capable of parsing and storing a defined patient list, as well as processing ongoing updates to the list, provided by alert recipients. It is also capable of interfacing with Initiate, CRISP’s chosen master data management and patient index solution.