CRISP is based on the All Payer model.
Maryland is different. They set the rates for all the hospitals.
A Grand Bargain.
The daily charge and bed costs are fixed by the state.
All 47 acute care hospitals in MD are capitated.
They have incentive to coordinate with competitors. They are penalized if patients end up in another hospital.
They care about data flows and data sharing.
CRISP is connected to all MD hospitals.
Medicare Waiver in MD is looking at total cost of care over the next 5 years.
It is about realigning incentives and targeting health outcomes.
- Clinical Query Portal – See data on a patient. Labs, radiology, Prescription Drug Monitoring Program.
Encounter Notification Service – Doctors subscribe to be notified about Patients in Real time
You can opt-out of some of the monitoring.
Opt=in takes longer to get data in but offers better patient control.
Most people expect their doctor to have the information about them so Opt-out works.
0.5% of people in Maryland have chosen to opt-out.
Only people with clinical relationship with you have permission to view your data.
CRISP would like to add EMS data.
Transportation and Meals on Wheels can have an impact on care.
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[tag health, cloud, ONC, opendata, hdpalooza, blue button, Cinderblocks3]
Health & Cloud Technology Consultant
Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
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I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries.
The views expressed on this blog are my own.
I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
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