MD Health Information Exchange Expands Advance Care Planning

CRISP, Maryland’s state-designated health information exchange, will increase integration of its advance care planning solution.

The Chesapeake Regional Health Information System for our Patients (CRISP), a health information exchange (HIE) covering Maryland and Washington DC, recently announced plans to expand technical integration of its advance care planning solution.

CRISP will use advance care planning provider ADVault to further efforts to give providers access to more meaningful patient health information during patient encounters.

The HIE first integrated ADVault into its database five years ago. The newest ADVault deployment will incorporate global healthcare data content and transport standards into the HIE, enabling CRISP partner hospitals to receive real-time advance care planning data automatically.

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This data will help to improve clinical efficiency during patient encounters to improve patient health outcomes across the state of Maryland.

“Our prior work with ADVault required healthcare providers to manually access a secure portal and run a query to retrieve a patient’s advance care plan,” said Ryan Bramble, Senior Product Director at CRISP.  “Now, we automatically deliver patient advance care planning information in-context, regardless of the EHR, at the point of care.”

The ADVault MyDirective’s solution is a cloud service enabling users to digitize their healthcare goals by creative advance care plans or uploading advance care plans, advance directive, ir portable medical orders. The solution also allows users to attach audio files and video messages to care plans to ensure patients and providers understand intent and expression.

ADVault’s solution also works with health insurance plans, providers, and EHR vendors in addition to HIEs to help clinicians access documents.

“CRISP’s upgrade to our repository helps providers get information critical to patient care,” said ADVault Director of Product Mike Munoz. “This improvement drives to the core of our mission: that people live with confidence their voice can be heard in their care, even if they can’t communicate at that time.”

CRISP is a regional HIE serving Maryland and Washington, DC. The HIE has been formally designated as a statewide HIE and operates under the Maryland Health Care Commission.

“This is important progress for the citizens of Maryland and the medical professionals that serve them,” said CRISP Chief Operating Officer Brandon Neiswender. “We look forward to integrating even more enhancements in the near future, keeping Maryland at the forefront of values-based care.”

In 2018, CRISP adopted an application programming interface (API) gateway into its infrastructure to improve health data exchange and EHR interoperability for hospitals across Maryland, West Virginia, and the District of Columbia.

In a white paper, CRISP detailed how the implementation of an API gateway within the Microsoft Azure cloud environment specifically improved health data exchange and use with help from consulting and software development solutions provider Leap Orbit and funding from the State of Maryland.

The new API-based infrastructure helped CRISP improve its ability to exchange discrete, relevant pieces of clinical data into clinical and administrative workflows. Providers will be able to use the API gateway to access CRISP’s alerts registry and future data repositories.

“As of June 2018, the In-Context service has been the most widely deployed of the three services listed above,” stated CRISP officials. “As a result of this effort, critical information from the CRISP HIE is now directly embedded in the EHRs of thirty-seven out of the forty-seven hospitals across Maryland, with the last ten under development.”

Since implementing its in-context services in 2016, average monthly query volumes at the HIE have risen from 150,000 queries to 1.7 million, according to CRISP.

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