$50.1M in expenses

CSS was formed to support the following state-designated hies: 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) (collectively, the supported organizations). All the supported organizations are recognized as tax exempt under i.r.c. Secs. 501(c)(3) and 509(a)(2).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, unified landing page, 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 and 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 and related population metrics but also is broadly applicable in managing future communicable disease outbreaks. Most recently, in june 2024, CSS has contracted with the association of state and territorial health officials (astho) to launch the public health data modernization program. The purpose is to enhance public health agencies' data exchange through health it by providing technical support and resources to moderize public health infrastructure. CSS has been awarded approximately $27 million via astho for this project spanning about three and half years.