2012-05-11T11:57:44-05:00 2011-06-30 990 2010-07-01 270332436 CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS INC CHES 4432850160 7160 COLUMBIA GATEWAY DRIVE NO 230 COLUMBIA MD 21046 DAVID HORROCKS 4432850160 2012-05-11 2010 2016-02-24 21:20:13Z X DAVID HORROCKS 7160 COLUMBIA GATEWAY DRIVE NO 230 COLUMBIA MD 21046 6640721 0 X WWW.CRISPHEALTH.ORG X 2008 MD CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS, INC (CRISP) IS A HEALTH INFORMATION EXCHANGE (HIE) AND REGIONAL EXTENSION CENTER (REC) THAT OPERATES TO LESSEN THE BURDEN ON GOVERNMENT, TO ADVANCE MEDICAL SCIENCE AND PUBLIC HEALTH, TO CREATE UNIQUE EDUCATIONAL OPPORTUNITIES WITH REGARD TO PUBLIC HEALTH, AND TO IMPROVE THE HEALTH OF PATIENTS. THE MISSION OF CRISP IS TO ADVANCE THE HEALTH AND WELLNESS OF MARYLANDERS BY DEPLOYING HEALTH INFORMATION TECHNOLOGY SOLUTIONS ADOPTED THROUGH COOPERATION AND COLLABORATION. CRISP WILL ENABLE THE MARYLAND HEALTHCARE COMMUNITY TO APPROPRIATELY AND SECURELY SHARE DATA, FACILITATE AND INTEGRATE CARE, CREATE EFFICIENCIES, AND IMPROVE OUTCOMES. 8 8 0 0 0 0 2565589 6640721 0 0 0 0 0 0 2565589 6640721 0 0 0 0 394558 794129 0 0 0 2171031 5192555 2565589 5986684 0 654037 4257399 2779475 4257399 2125438 0 654037 X CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS, INC (CRISP) IS A HEALTH INFORMATION EXCHANGE (HIE) AND REGIONAL EXTENSION CENTER (REC) THAT OPERATES TO LESSEN THE BURDEN ON GOVERNMENT, TO ADVANCE MEDICAL SCIENCE AND PUBLIC HEALTH, TO CREATE UNIQUE EDUCATIONAL OPPORTUNITIES WITH REGARD TO PUBLIC HEALTH, AND TO IMPROVE THE HEALTH OF PATIENTS. THE MISSION OF CRISP IS TO ADVANCE THE HEALTH AND WELLNESS OF MARYLANDERS BY DEPLOYING HEALTH INFORMATION TECHNOLOGY SOLUTIONS ADOPTED THROUGH COOPERATION AND COLLABORATION. CRISP WILL ENABLE THE MARYLAND HEALTHCARE COMMUNITY TO APPROPRIATELY AND SECURELY SHARE DATA, FACILITATE AND INTEGRATE CARE, CREATE EFFICIENCIES, AND IMPROVE OUTCOMES. 0 0 3663533 0 0 HEALTH INFORMATION EXCHANGE. THROUGHOUT FY11, THE PRIMARY FOCUS OF THE CRISP HAS BEEN ON THE IMPLEMENTATION PROCESS OF THE EXCHANGE. SINCE BUILD-OUT OF THE EXCHANGE, CRISP HIE HAS ALLOWED PROVIDERS PRACTICING AT ONE LOCATION TO INSTANTLY ACCESS PATIENTS RECORDS, TEST RESULTS, AND OTHER IMPORTANT INFORMATION EVEN IF THAT INFORMATION IS PHYSICALLY STORED MILES AWAY IN SEVERAL UNRELATED LOCATIONS. A BRIEF DESCRIPTION OF THE HIE CONCEPT IS AS FOLLOWS:WHILE PHYSICIAN ACCESS IS IMPROVED BY AN HIE, SO IS THE SECURITY OF PATIENT MEDICAL INFORMATION. SECURE ELECTRONIC TRANSMISSION OF MEDICAL DATA ENSURES THAT IT REACHES THE INTENDED RECIPIENT AND ONLY THE INTENDED RECIPIENT. THE INSTANTANEOUS ACCESS AND IMPROVED SECURITY OFFERED BY HIE IS MADE POSSIBLE BY THE HIGH SPEED COMPUTER NETWORKING HARDWARE USED TO CONNECT ALL PARTICIPATING HEALTH CARE FACILITIES AND IDENTIFY THE LOCATION OF PATIENT RECORDS WITHIN THOSE PARTICIPATING FACILITIES. INCREASED AVAILABILITY AND SECURITY OF PATIENT INFORMATION REDUCES ERRORS, IMPROVES PATIENT CARE, AND LOWERS HEALTH CARE COSTS.HIE ALSO PERMIT, ON A VAST SCALE, THE COLLECTION OF EPIDEMIOLOGICAL AND OTHER DATA PROVIDING UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITIES. THROUGH ITS ABILITY TO ACCESS AND DE-IDENTIFY (REMOVE IDENTIFYING INFORMATION, SUCH AS NAMES OR SOCIAL SECURITY NUMBERS) PATIENT RECORDS FROM MANY (IF NOT ALL) OF A REGIONS PATIENTS, CRISP WILL HELP RELIABLY DETERMINE THE MOST SUCCESSFUL TREATMENTS, RECOGNIZE IMPORTANT AREAS IN NEED OF QUALITY IMPROVEMENT, AND IDENTIFY MEDICAL ERRORS AND OTHER INEFFICIENCIES (SUCH AS TREATMENT COMPLICATIONS) ACROSS AN ENTIRE REGION. IN SUM, HIE PERMIT HEALTHCARE PROVIDERS TO EXCHANGE DATA ON AN UNPRECEDENTED SCALE WHICH SHOULD IMPROVE TREATMENT OUTCOMES AND LOWER HEALTHCARE COSTS FOR ALL.ADDITIONALLY, HIE PROVIDE A UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITY. CRISP INTENDS TO OPERATE ITS HIE IN SUCH A WAY AS TO FACILITATE ALL EDUCATIONAL AND SCIENTIFIC USES OF ITS HIE THAT WILL NOT COMPROMISE DATA SECURITY OR PRIVACY. AS CRISP DEVELOPS AND GAINS ACCESS TO AN INCREASING AMOUNT OF MEDICAL DATA, FACILITATION WILL INCLUDE 1) WORKING WITH PARTICIPANTS TO IDENTIFY AREAS WORTHY OF STUDY AND/OR RESEARCH, 2) DEVELOPING MEANS FOR DATA COLLECTION WHILE MAINTAINING DATA SECURITY AND PRIVACY, AND 3) PROMOTING THE USE OF APPROPRIATE DATA MINED FROM CRISP IN SCIENTIFIC STUDIES AND EDUCATIONAL SETTINGS.IN LATE FY2011, CRISP WAS AWARDED ADDITIONAL FEDERAL FUNDS (THROUGH MHCC) FOR THE PURPOSE OF CONNECTING LONG-TERM CARE (LTC) FACILITIES TO THE HIE AS PART OF A "CHALLENGE GRANT" COOPERATIVE AGREEMENT. IN ADDITION TO ESTABLISHING CONNECTIVITY, CRISP WILL FOCUS ON MONITORING ACTIVITY BETWEEN PARTNER LTCS AND THEIR CORRESPONDING LOCAL EMERGENCY DEPARTMENTS (EDS), ENABLE THE AVAILABILITY OF DISCHARGE SUMMARIES (THROUGH SUBSCRIPTION TO THE CRISP PROTAL) VIA EMAIL OR EHR TO LTC PATIENTS IN ORDER TO SUPPORT THE CONTINUUM OF CARE BETWEEN MEDICAL FACILITIES, AND CONTINUE WORK ON STANDARDIZING ADVANCE DIRECTIVES PROTOCOL AND NOTIFICATION THROUGHOUT THE STATE. 1670692 0 0 REGIONAL EXTENSION CENTER (REC). THE PURPOSE OF THE REC IS TO FURNISH ASSISTANCE IN THE FORM OF EDUCATION, OUTREACH, AND TECHNICAL ASSISTANCE TO HEALTH CARE PROVIDERS IN THE REC GEOGRAPHIC SERVICE AREA. CRISPS WORK AS AN REC INCLUDES EDUCATING PROVIDERS REGARDING MEANINGFUL USE OF ELECTRONIC RECORD SYSTEMS, ESTABLISHING EDUCATIONAL PROGRAMS WITH REGIONAL HIGHER EDUCATION CENTERS, SERVING AS A CLEARINGHOUSE FOR INFORMATION AND DATA ON ELECTRONIC RECORD SYSTEM ADOPTION AND POTENTIAL IMPROVEMENTS, EDUCATING ELECTRONIC SYSTEM VENDORS AND PROVIDERS, AND ASSISTING BOTH SYSTEM PROVIDERS AND END USERS WITH HIE CONNECTIVITY. CRISPS PRIMARY FOCUS AS AN REC IS TO ASSIST PARTICIPATING PROVIDERS IN SELECTION, IMPLEMENTATION, AND MEANINGFUL USE OF ELECTRONIC HEALTH RECORD TECHNOLOGY TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE. IN ITS ROLE AS A REC, CRISP FUNCTIONS IN AT LEAST THREE SEPARATE EDUCATIONAL AREAS: A) AT AN INDIVIDUAL LEVEL, EDUCATING AND ASSISTING END USERS (PROVIDERS) IN IDENTIFYING THE ELECTRONIC RECORD SYSTEM THAT BEST SUITS THEIR NEEDS, B) AT A MICRO-REGIONAL LEVEL TO EDUCATE MANAGEMENT SERVICES ORGANIZATIONS (MSOS) ON CONNECTING TO THE HIE AND SELECTING APPROPRIATE SYSTEMS VENDORS, AND C) AT A REGIONAL EDUCATIONAL SYSTEM LEVEL (INCLUDING BOTH TRADITIONAL EDUCATIONAL INSTITUTIONS, SUCH AS COLLEGES, AND PROFESSIONAL SOCIETIES, SUCH AS THE MARYLAND STATE MEDICAL SOCIETY) TO DEVELOP EDUCATIONAL PROGRAMS THAT WILL DEVELOP THE NEXT GENERATION OF SKILLS TO IMPLEMENT, MANAGE, AND TROUBLESHOOT HEALTHCARE TECHNOLOGIES, INCLUDING ELECTRONIC HEALTH RECORDS (EHRS) AND HIE. 0 0 0 OTHER EDUCATIONAL ACTIVITIES. AN IMPORTANT PART OF CRISPS MISSION IS TO EDUCATE THE PUBLIC (INCLUDING HEALTHCARE PROVIDERS) REGARDING THE BENEFITS OF ELECTRONIC HEALTH RECORDS, AND, BY EXTENSION, CRISPS MISSION TO ENCOURAGE ELECTRONIC HEALTH RECORD ADOPTION AND MEANINGFUL USE. TO FURTHER THIS ASPECT OF ITS MISSION, CRISP HAS CREATED EDUCATIONAL PROGRAMS FOR PROVIDERS AND THE PUBLIC REGARDING HEALTH INFORMATION NETWORKS, ELECTRONIC HEALTH RECORDS, AND HEALTH INFORMATION PRIVACY. CRISP WILL CONTINUE TO INVESTIGATE, IMPLEMENT, AND WIDELY PUBLICIZE BEST PRACTICES WITH REGARD TO ELECTRONIC HEALTH RECORD SECURITY AND ACCURACY. IN THE FUTURE, CRISP ALSO INTENDS TO ENGAGE IN PUBLIC OUTREACH PROGRAMS THAT WILL EDUCATE THE PUBLIC ABOUT THE BENEFITS OF ELECTRONIC HEALTH RECORDS AND THE PRIVACY MEASURES THAT WILL ENSURE THE SECURITY OF THEIR PERSONAL HEALTH INFORMATION. CRISP EDUCATIONAL OFFERINGS TAKE THE FORM OF CONFERENCES, PRESENTATIONS AND LECTURES DIRECTED BOTH TO PROVIDERS AND THE PUBLIC. THESE CONFERENCES, PRESENTATIONS AND LECTURES HAVE BEEN SPONSORED BY CRISP ALONE AS WELL AS IN CONCERT WITH OTHER CHARITABLE, EDUCATIONAL AND GOVERNMENTAL ORGANIZATIONS. SPEAKERS HAVE BEEN SELECTED BY CRISP AND THE OTHER SPONSORING ORGANIZATIONS, AND IN SOME CASES, CRISP MAY CHARGE A MODEST REGISTRATION FEE FOR SUCH CONFERENCES, PRESENTATIONS AND LECTURES TO RECOUP ITS COSTS. 5334225 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 MD X STEVE LEVICKAS 4439975715 3910 KESWICK ROAD SOUTH BLDG 4TH FL BALTIMORE MD 21211 PATRICIA MC BROWN 3.00 X 0 0 0 MARK KELEMEN MD 3.00 X 0 0 0 CATHERINE SZENCZY 3.00 X 0 0 0 JOHN PARRISH PHD 3.00 X 0 0 0 JON BURNS 3.00 X 0 0 0 MATT NARRETT MD 3.00 X 0 0 0 JOHN ERICKSON 3.00 X 0 0 0 STEPHANIE REEL 3.00 X 0 0 0 DAVID HORROCKS 40.00 X 250744 0 40930 MIKE CARDAMONE 3.00 X 0 0 0 CHERYL JONES 40.00 X 104044 0 4795 354788 0 45725 2 0 0 1 AUDACIOUS INQUIRY LLC 5523 RESEARCH PARK DR STE 370 CATONSVILLE MD 21228 CONSULTING 1448229 AXOLOTL CORPORATION 160 W SANTA CLARA ST STE 1000 SAN JOSE CA 951131701 INFORMATION TECHNOLOGY 1231634 IBM CORPORATION 1 NEW ORCHARD RD ARMONK NY 105041722 INFORMATION TECHNOLOGY 967209 DYNANET CORPORATION 8182 LARK BROWN RD STE 300 ELKRIDGE MD 210756428 CONSULTING 433233 OBER KALER GRIMES & SHRIVER 100 LIGHT ST BALTIMORE MD 21202 LEGAL 287594 8 6640721 6640721 6640721 0 0 0 250744 250744 344776 344776 198609 148957 49652 228020 228020 3016894 3016894 85390 85390 28022 7873 20149 1731014 1731014 35871 26903 8968 27775 27775 7115 7115 18687 18687 6014 6014 LICENSES & REGISTRATION 4231 4231 0 MEMBERSHIPS/DUES 3240 0 3240 MEALS 282 0 282 5986684 5334225 652459 0 3493952 1192599 763447 798093 134746 672724 18687 0 654037 4257399 2779475 802501 1286449 3405906 813966 48992 25023 4257399 2125438 X 654037 0 654037 4257399 2779475 654037 0 X 0 1 1 X 1 1 X 2565589 6640721 9206310 2565589 6640721 9206310 9206310 9206310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 672724 18687 654037 654037 DUE TO OTHERS 25023 25023 6640721 5986684 654037 0 654037 6640721 0 6640721 0 6640721 5986684 0 5986684 0 5986684 X X 0 0 0 0 0 0 0 1 0 DAVID HORROCKS 200043 0 45760 0 4941 0 11025 0 29905 0 291674 0 0 0 PART I, LINE 7 TUITION REIMBURSEMENT: TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION. SUPPLEMENTAL INFORMATION PART III FORM 990, PART VII, SECTION A, QUESTION 5 THE FOLLOWING OFFICER AND HIGHEST COMPENSATED EMPLOYEE OF CHESAPEAKE REGIONAL INFORMATION SYSTEM, INC. ARE LEASED EMPLOYEES PAID AND REPORTED BY THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (EIN 52-1465301). JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS A 501(C)(3) THAT IS ONE OF THE MEMBERS OF CHESAPEAKE REGIONAL INFORMATION SYSTEM, THEREFORE MAKING THESE TWO ORGANIZATIONS UNRELATED FOR TAX PURPOSES AND SCHEDULE R AND SCHEDULE J. THE COMPENSATION AMOUNTS ARE REPORTED ON THE 990 AS COMPENSATION OF CURRENT OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES IN FUNCTIONAL EXPENSE. DAVID HORROCKS - BASE COMPENSATION $200,043, BONUS & INCENTIVE COMPENSATION $45,760, OTHER REPORTABLE COMPENSATION $4,941, DEFERRED COMPENSATION $11,025 AND NON TAXABLE BENEFITS $29,905. CHERYL JONES - BASE COMPENSATION $90,002, BONUS & INCENTIVE COMPENSATION $13,500, OTHER REPORTABLE COMPENSATION $542, DEFERRED COMPENSATION $4,658, AND NON TAXABLE BENEFITS $137. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL FINANCIAL AUDIT CONFIRMATION PROCESS PROVIDED ONLINE. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE COMPENSATION FOR THE ORGANIZATION CEO, A SALARY SURVEY WAS FIRST CONDUCTED TO UNDERSTAND COMPENSATION FOR POSITIONS OF SIMILAR RESPONSIBILITY AT ORGANIZATIONS IN THE HEALTH CARE AND HEALTH IT INDUSTRY. BASE COMPENSATION AND A PERCENTAGE OF POTENTIAL VARIABLE COMPENSATION WERE SET TO BE CONSISTENT WITH THE SURVEY FINDINGS. AT THE END OF EACH YEAR, THE BOARD OF DIRECTORS COMPARES ORGANIZATIONAL ACCOMPLISHMENTS TO STATED GOALS, AND DETERMINES IF ANY OF THE POTENTIAL VARIABLE COMPENSATION WILL BE AWARDED. AN ANNUAL COLA ADJUSTMENT IS APPLIED TO THE CEO COMPENSATION, USING THE COLA OF A LARGE HOSPITAL SYSTEM IN THE BALTIMORE AS THE STANDARD. THE BOARD WILL AUTHORIZE SALARY SURVEYS IN FUTURE YEARS AS APPROPRIATE. FORM 990, PART VI, SECTION C, LINE 19 DUE TO THE SMALL SIZE OF THE ORGANIZATION, CRISP HAS ENTERED INTO AN EMPLOYEE LEASE AGREEMENT WITH THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC). AS A DIRECT RESULT, CRISP HAS ADOPTED INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, SET FORTH BY JHHSC, WHICH CAN BE VIEWED VIA THE JOHNS HOPKINS MEDICINE WEBSITE AT (HTTP://WWW.HOPKINSMEDICINE.ORG/JHHR/POLICIESPROCEDURES). A DETAILED DESCRIPTION OF OUR GOVERNANCE STRUCTURE IS AVAILABLE ON THE CRISP WEBSITE (WWW.CRISPHEALTH.ORG). CRISP HAS ELECTED TO NOT MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC VIA OUR WEBSITE. GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AS WELL AS THE INTERNAL REVENUE SERVICE.