What is a Learning System?

A comprehensive learning system facilitates the dissemination and adoption of best practices to enhance knowledge sharing and collaboration.

Among some core responsibilities, the learning system will:

  • provide technical assistance and support
  • create peer-based learning networks
  • engage in systematic testing and learning
  • be flexible and adaptable in close to real time

CRISP’s Role in Program Administration

Maryland offers hospitals a number of voluntary programs to advance the goals of the TCOC Model.

CRISP provides administrative support for hospitals participating in these Maryland programs as applicable. The core functions of CRISP’s program administrative support are:

  • Review of hospitals’ annual submission of Track Implementation Protocols. CRISP conducts an administrative review of hospitals’ proposed protocols to ensure state and federal requirements are met. The reviews are intended to be supportive and iterative, enabling hospitals to address any potential concerns prior to protocol submission.
  • Collection of hospitals’ Care Partner lists. The providers who hospitals engage through care redesign programs are referred to as “Care Partners.” Hospitals must submit Care Partners through a two-step process. One reason Care Partner certification is important is that it enables clinicians to be considered eligible for MACRA bonuses.
  • Review of hospitals’ semi-annual Reports. Every six months or as required, participating hospitals must report on experience implementing interventions. This includes quantitative results as well as qualitative feedback.
  • Facilitate user groups. CRISP conducts interactive and collaborative user groups to align with Maryland state priorities. User groups focus on teaching and demonstrating CRISP tools/functionality and sharing best practices.

Overview of Total Cost of Care Model and Maryland Programs

Under the Total Cost of Care (TCOC) Model, Maryland is expected to progressively transform care delivery across the health care system with the objectives of improving health and quality of care. At the same time, state growth in Medicare spending must be maintained lower than the national growth rate. The TCOC Model encourages continued care redesign and provides new tools and resources for providers to better meet the needs of patients and help Marylanders achieve better health status overall. CRISP provides administrative support for hospitals participating in Maryland Programs under the Maryland Department of Health (MDH) and the Health Services Cost Review Commission (HSCRC).


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