CRISP Shared Services

What it reported doing in 2024

Css was formed to support multiple state-designated hies which includes but is not limited to: the chesapeake regional information system for our patients, inc. (Maryland), the West Virginia health information network (West Virginia), heath information alliance, inc. Dba connie (Connecticut), healtheconnect Alaska (Alaska), and crisp dc (district of columbia), Kentucky health information exchange (Kentucky), and executive office of health and human services (Rhode Island) (collectively, the supported organizations).css' activities, which are performed by its employees in support of the supported organizations, are described on schedule o.a. Technology infrastructure sharing (50%). Css' technology infrastructure enables the appropriate and secure electronic exchange of healthcare data among the supported organizations and their providers and participants for the purposes of improving clinical efficiency, quality of care and patient outcomes, including reduced readmissions and healthcare costs, reductions in medication, diagnostic and clerical errors, and improved transitions of care. Through an agreement with each supported organization, css enables supported organization access to the requested components of the css technology infrastructure best suited to meet the needs of the supported organization and their providers and participants. Css' technology components, including master patient index, notification services and corresponding care alerts, incontext application, prescription drug monitoring program, image exchange, social determinants of health referrals, and others, were originally built and funded by federal grant awards. They are sufficiently customizable to integrate with a variety of distinctive hie environments. By sharing its technology database with the supported organizations and their providers and participants, css enables its supported organizations to meet their missions of lessening the burdens of government by sharing data to improve clinical efficiency, quality of care and patient outcomes of their respective residents.b. Scientific and educational research by supported organizations (25%). The css database also supports, on a vast scale, the collection of epidemiological and other data, thus providing unique scientific research and educational opportunities for the supported organizations, their providers, and participants. Through its ability to access and remove personal identifying information, such as names or social security numbers from patient records, the css database helps the supported organization, their providers and participants 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) and otherwise leverage data to support population health priority initiatives across the supported organization's jurisdiction.c. Assistance with public health initiatives of the supporting organizations (25%). The css database has supported public health initiatives of the supported organizations, such as the prescription drug monitoring program and diabetes management in conjunction with the chesapeake regional information system (crisp), one of its supported organizations. In early 2020 with the onset of the covid19 pandemic, css teamed with crisp to develop programs and tools that delivered critical and time-sensitive information to public health leaders, providers, and others regarding the pandemic response. Deliverables included reports, analytics, and visualizations of key public health metrics such as positivity rate, case count, hospital admissions and attributed deaths by zip code, an inventory management tool for personal protective equipment, ventilators, and hospital beds to manage surge capacity, and a registration system for mass-site covid19 testing. Subsequently, css developed the immutrack tool which not only supports the covid19 immunization tracking an

Financial Efficiency

• Mission deployment rate: 85.8%; rating input score 86
• Program expense ratio: 87.3%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.7%; rating input score 41; 41st percentile among comparable filings
• Total-asset coverage ratio: 0.46; rating input score 17; 17th percentile among comparable filings
• Liabilities to assets ratio: 0.91; rating input score 12; 12th percentile among comparable filings
• Officer compensation ratio: 5.7%; rating input score 12; 12th percentile among comparable filings

Growth

• Program expense growth: 54.4% per year; rating input score 100; 99th percentile among comparable filings
• Revenue growth: 44% per year; rating input score 100; 98th percentile among comparable filings
• Asset growth: 55.9% per year; rating input score 100; 99th percentile among comparable filings