Blog Posts on Patient Identification in Healthcare

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Correct Patient Identification is Crucial for Vaccine Administration

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With over 1.6 million confirmed coronavirus cases in the United States as of 22nd May 2020 and surrounding talks about reopening society, it remains a firm fact that without widespread contact tracing and safe vaccine administration, there is no getting back to the life we once knew as normal. Nevertheless, there is one major and longstanding hurdle to overcome for achieving either of both widespread contact tracing or safe vaccine administration goals, and that is correct patient identification.

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The importance of correct patient identification

The Pew Charitable Trusts, a non-profit, non-governmental organization along with several other organizations have been looking for ways to improve patient matching through correct patient identification. Most importantly, they have stressed the fact that biometric technology is the key, including in a recent HIMSS20 Digital Presentation. 

PEW has again stressed that Congress should act to improve patient identification and patient matching. They sent a letter this week to House Speaker Nancy Pelosi, D-California, Minority Leader Kevin McCarthy, R-California, Senate Majority Leader Mitch McConnel, R-Kentucky, and Senate Minority Leader Chuck Schumer, D-New York. According to the letter, thorough contact tracing in the short-term and nationwide vaccination administration in the long-term relies on having accurate patient demographic data, but the current flaws with correct patient identification and matching of patient records hinder the nation’s ability to achieve either of those goals.

Drawbacks of patient identification errors

Ben Moscovitch, Project Director for Health Information Technology at the Pew Charitable Trusts says “Matching is a problem today”. He says, according to research, half of the patient records may not match when transferred from one healthcare facility to another, thereby imposing unnecessary risk and potential harm to the patient. 

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Not having a correct patient identification technique in hospitals can cause discrepancies in data when hospitals try to match an individual’s record, and it may lead to the creation of another electronic health record (EHR) for the same patient (this is commonly known as creating a duplicate medical record in the system). Duplicate medical records drive up costs. Research has shown that duplicate medical records can cost hospitals $96 to fix each record, adding up to $1,000 to remove the data of two patients whose records have been merged together.

Key factors that can hinder the immunization process

A variety of factors can affect correct patient identification. When common identifiers such as name, DOB, and address are used, a simple typo or variation in how these identifiers are recorded during registration can lead to poor match rates. 

Another major problem with patient matching is the fact that many people have similar names, including the same date of birth. In a nation where nearly 48,000 people are named John Smith, correct patient identification is absolutely critical for an effective widespread vaccination program.

An effective large-scale nationwide vaccination program and immunization registry would depend on reliable and robust patient data, and successful administration of this program hinges on the ability of healthcare providers to locate the right patient record. Biometric technology has consistently proven effective in matching patient records through correct patient identification.

Why should you use biometric technology in a post-coronavirus society?

Contactless biometric technology is a hygienic way to ensure correct patient identification, limiting infection control risk during the identification process. As a pioneer in touchless biometric patient identification, the RightPatient platform offers iris and facial recognition for correct patient identification to ensure that patients can be identified without having to touch a common biometric device. 

RightPatient uses the biometric characteristics of a patient to prevent medical identity theft and duplicate medical records. Through the platform, patient identities can be validated remotely through their own personal devices (e.g. smartphones, tablets, and PCs) after they schedule appointments. During in-person or telehealth visits, patients can be subsequently authenticated by simply capturing their photo. The solution significantly increases patient matching rates. 

Needless to say, contactless biometric technology for correct patient identification is the key to an effective nationwide vaccination program. Errors from common patient names, lack of demographic data standards, and human mistakes can be avoided with RightPaitent to strengthen the integrity of data related to vaccinations and COVID diagnoses. This will help to reduce costs and improve patient safety. 

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Healthcare Data Breach Statistics show 40 Million Patients were affected in 2019

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Data breaches – this topic has been covered a lot here. That’s because it is so prevalent and is constantly haunting big and small healthcare providers across the U.S. In 2019, a whopping 40 million people were affected by healthcare data breaches. To put this in perspective, 14 million people were affected, according to healthcare data breach statistics in 2018.

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A recent study has also shown that 2019’s numbers were higher than the 2015 data breaches where over 113 million records were exposed. The report from the study emphasizes how over 400 organizations experienced breaches consisting of more than 500 patient records. Even though some providers are working to increase security, they are finding it challenging to stay ahead of the curve.

The reported data breaches increased by 38 percent from January to October 2019, compared to 2018. More than 429 organizations reported breaches, which is considerably higher than the 371 organizations reporting data breaches in 2018. 

The result? 

40 million people were affected by these data breaches, and these are the data breaches that were actually reported. However, the aforementioned study claimed that more than 480 organizations would be affected by data breaches in 2019.

Hacking was consistently the main cause of data breaches from 2016. However, hacking stole the spotlight in 2019with 59 percent of the reported data breaches a result of hacking. 

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Another tool used by cybercriminals is email.

Stolen medical records often contain sensitive information of the patients – their medical history, their medications, test results, names, addresses, and so on. The hackers usually sell this information on the black market where buyers assume the identities of the affected patients.  

Patients can serve hospitals with lawsuits for not protecting their sensitive data. Some patients spend a lot of time having their medical records fixed, which is costly for the patients, the hospitals, as well as the insurers. It is a loss for everyone involved.

What can hospitals do?

While data breaches can not be stopped so easily, thankfully medical identity theft can be prevented. This is where RightPatient comes in – it locks the medical records of the patients with their biometric data and also attaches a photo to the medical records. Even if the medical records are stolen, the patient data will remain safe. If a  person attempts to assume the identity of a patient, RightPatient immediately red flags the user and lets authorities know, preventing medical identity theft in real-time. Healthcare providers are protecting millions of patient records with RightPatient, mitigating losses, improving the revenue cycle, preventing being a part of healthcare data breach statistics, and enhancing patient safety – are you one of them? 

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Improving Patient Safety and Quality of Care – Contactless Patient Identification

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The World Health Organization (WHO) published “Social Distancing” guidelines to limit the spread of this deadly COVID-19 pandemic outbreak. Similar to many other countries, healthcare leaders in the U.S. have been in search of solutions for improving patient safety and quality of care while maintaining social distancing.

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Up until now, the use of biometric identification solutions has probably not been considered for preventing the spread of diseases in many workplaces. The rapid, worldwide spread of the Coronavirus has put hygiene and the ability to control the spread of contagious diseases at the forefront in the minds of many people across various industries. While many healthcare leaders have adopted technology in hospitals for improving patient safety and quality of care, a large number of healthcare providers still rely on antiquated solutions for patient identification.

Biometric technology is forecasted to grow across industries

Many industries are now considering biometric technologies for identification and authentication. Biometric identification as a service is already experiencing significant growth. With increased utilization of smart mobile devices and cloud-based intelligence platforms, biometric identification is now more accessible and scalable. Face or iris recognition techniques, in particular, are very effective in limiting the spread of contagious diseases.

According to the Future Market Insights (FMI), the COVID-19 pandemic has accelerated the consideration of contactless biometric solutions because of the sudden need for social distancing. By the end of 2020, global spending on contactless biometric technologies is estimated to be $16.6 billion. 

The New York Police Department (NYPD) has stopped using fingerprint identification for staff members and employees entering the building, and is now using a contactless biometric system.

Improving Patient Safety and Quality of Care in hospitals

Improving patient safety and quality of care is more than simply making the patient happy. Healthcare providers need to understand that for a positive patient experience, ensuring patient safety protecting the patient from preventable harms is equally important.

Biometric patient identification can be a contactless process to identify patients fast and accurately. A contactless biometric patient identification platform does not require all patients to touch a biometric device during the identification process and accurately retrieves an individual’s medical records. While this process is a great way to control infection, it has also proven to be effective in preventing duplicate medical records and medical identity theft, thereby improving patient safety and quality of care.

RightPatient – the leading contactless biometric patient identification provider

RightPatient offers iris and facial recognition biometric patient identification solutions for healthcare providers. Several leading hospitals such as The University Health Care System and Terrebonne General Medical Center (TGMC) are already improving patient safety and quality of care by using RightPatient.

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During registration, the patient simply takes their picture. RightPatient quickly recognizes the patient and retrieves the correct medical record from the healthcare provider’s EHR system. The process is fast, simple, and contactless, which is ideal for infection control, especially during the COVID-19 pandemic.

Several leading hospitals have also improved fraud detection and prevented medical identity theft by using RightPatient. This platform is the key to securing patients’ medical records – and at a distance.

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Improve the Accuracy of Patient Identification and Boost your Profitability

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Patient identification errors have been a long-term problematic part of the U.S. healthcare system and there are no signs of slowing it down. It causes problems for all involved and is one of the topmost issues jeopardizing patient safety. Still, the importance of improving the accuracy of patient identification is often underestimated.

Reason to improve the accuracy of patient identification

To put things into perspective, every year, almost 195,000 deaths occur because of medical errors. Ten out of 17 of these deaths occur because of patient identification errors, according to a comprehensive study. 

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Patients may suffer financially from identity theft. For example, a person who did not even go to a hospital may receive an invoice stating that they did – a classic case of mistaken identity. Patients may also be mixed up due to common names and features such as age, city, DOB, etc. All these incidents have a ripple effect on healthcare providers – the bottom line, reputation, and performance may be impacted as well. 

However, there are solutions available, that are used by leading healthcare providers to improve the accuracy of patient identification. The benefits of RightPatient to providers and patients: 

Benefits of accurate patient identification

Before the usage of patient identification platforms such as RightPatient, patients were commonly misidentified due to issues such as duplicate records, overlays, common names and demographic information shared with other patients (name, DOB, etc.), and so on. The fact that larger hospitals can have more than a million records stored in their EHR  systems does not help either. It leads to mistreatment, wrong medical decisions, and wrong medications, based on inaccurate or incomplete medical history arising from duplicate records or overlays.

When an accurate patient identification platform is used, misidentifications become a thing of the past – the platform can easily identify the patient after enrollment. All the patient needs to do is scan their biometrics and their accurate medical record is identified within seconds.

All the medical data, medication, lab test results, and discharge information can now accurately be stored in the same medical record, improving patient data integrity. This helps build up a robust database of accurate, complete, and error-free patient records, overcoming the data integrity challenges caused by misidentification. 

A biometric patient identification platform like RightPatient also prevents medical identity theft. As the medical records are locked with the patient’s photo and biometric signature, an impostor cannot assume the identity of the patient. The impostor will be red-flagged immediately, as their biometric features will be different from the patient’s one, stopping medical identity theft in real-time. 

RightPatient also helps to improve the revenue cycle and reduces denied claims. As the patients are identified before a service is provided, there is no chance of identification errors – the correct patient receives their appropriate invoices every time, saving lots of costs associated with claim denials and this significantly improves the revenue cycle.

Some statistics

RightPatient helps to prevent duplicate record creation. For Atlanta-based hospital Grady Health, it has reduced duplicate rates by up to 90%. According to AHIMA, the financial impact of duplicate records can be up to $40 million. That’s a lot of money RightPatient can save! 

Final words

RightPatient is the leading biometric patient identification platform that locks medical records with the patient’s photo and biometric data. This ensures that unauthorized parties cannot access the medical record without the patient’s biometric scan. The platform also ensures that the accurate medical record is presented every time the patient goes to the hospital. It helps to improve the accuracy of patient identification in all the hospitals it is being used. Do you want to improve your facility’s patient identification and save millions along the way?

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Healthcare Data Breaches can lead to Medical Identity Theft

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As per The Health Information Technology for Economic and Clinical Health Act (HITECH)  requirement, breaches that expose protected health information (PHI) affecting 500 or more individuals must be listed. The Breach Reporting Tool of Health Insurance Portability and Accountability Act (HIPAA), reveals that 26 new incidents were added to the portal at the end of March 2020. These incidents are all related to healthcare data breaches. 

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The security incidents in the portal list are currently under investigation by the Office of Civil Rights (OCR). It has been reported that out of 26 incidents, 13 were caused by hacks or other IT related incidents, affecting 338,334 individuals. Other noteworthy healthcare data breaches affecting 44,592 individuals were caused by theft, loss, and unauthorized access or disclosure of information.

Healthcare data breaches have had a sustained impact on the quality of delivery care and have made healthcare providers more prone to medical identity thefts. Healthcare data breaches are becoming a pressing concern for providers and there’s no sign of the data breaches slowing down. 

How do criminals capitalize on stolen personal health information?

Personal health information (PHI) is any information or data entry that can identify an individual. PHI includes sensitive information such as names, addresses, Social Security of Medical Insurance numbers, information about beneficiaries, financial details including account numbers, and diagnostic images. This type of information can be created or collected by your health plan providers, employers, healthcare providers, or other healthcare entities.

Medical records are not only highly sought out by criminals but are highly desired on black markets too. This kind of information can sell for as much as $1000, depending on the amount of the victim’s information is available. Cyber thieves and criminals can later use stolen healthcare records and they plot illegal schemes, such as medical identity thefts.

How can healthcare providers mitigate negative outcomes?

Healthcare data breaches and medical identity thefts are wreaking havoc on revenue cycle management of hospitals by increasing operational costs and negatively impacting patient experience. 

To reduce the risk of healthcare data breaches, hospitals need to implement adequate security measures as per the HIPAA Privacy and Security Rule requirement. In addition to the Security Rule, covered entities are required to issue notifications to affected individuals in the event of breaches to unsecured protected health information, as per The HIPAA Breach Notification Rule. Healthcare providers can use a HIPAA compliance management solution to simplify their administrative operations. 

When hospitals adhere to the HIPAA rules effectively, it means they are using appropriate safeguarding measures to keep their protected health information secure. As a result, their networks and devices will have increased protection from cyber attackers and hackers.

To prevent medical identity thefts, hospitals can simply use a biometric patient identification platform such as RightPatient.

How can RightPatient prevent medical identity thefts?

RightPatient is a biometric patient identification platform that locks patients’ medical records. During registration, the patient just needs to provide their biological data such as iris patterns or facial photo, and the platform will use this data to lock their medical records. Next time when the patient arrives at the care continuum, all the patient needs to do is just look at the camera and the platform will accurately identify the individual and bring up their medical records.

This platform prevents fraudsters from illegally accessing medical records by encrypting sensitive information using the patient’s biological characteristics. A fraudster will not be able to simply walk in and use stolen PHI to receive medical services or benefits. 

By using RightPatient leading hospitals will have improved patient experiences and healthcare quality and will also reduce the number of denied claims, from which hospitals lose millions of dollars each year. 

It is forecasted that the Global Healthcare Biometrics market will reach a market value of $5.8 billion by 2025, at an expected CAGR (Compound Annual Growth Rate) of 19.3% (2017-2025). Implement RightPatient now and stay ahead of the curve.

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The Importance of Positive Patient Identification and how it affects Hospitals

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The importance of positive patient identification is known throughout most of the U.S. healthcare system. Many healthcare providers are failing to do patient identification properly. The absence of a positive patient identification system results in patients not being matched accurately against his or her assigned electronic health record (EHR).

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Patient identification errors are nothing new

Patient identification errors have been around for a long, long time now, since the days of paper medical records. With the introduction of EHRs into the U.S. healthcare system, many thought that it would add a lot of benefits, such as faster searches for records, better sharing of information (interoperability), lower storage space, no risk of losing records, and proper patient identification. However, while EHRs did deliver on most of the promises, human errors, as well as other factors, have contributed to a lack of interoperability and absence of accurate patient identification. As patients must be matched accurately with their medical records, the importance of positive patient identification can never be ignored by the healthcare system.

The importance of positive patient identification

Positive patient identification is crucial for providing value-based care, ensuring patient safety, care coordination, as well as improving a hospital’s finances. However, there are a lot of impediments to accurate patient identification – the most common one is duplicate medical records. Sometimes, patient matching errors can even cause the loss of the lives of patients.

 These identification errors cause major issues for healthcare providers, mainly denied claims, repetitive tests, wrong treatments, reporting errors, loss of reputation, and unwanted media attention – all of which result in financial losses. For instance, denied claims cost almost $5 million on average for any hospital and this loss of revenue can lead to a hospital closing down.

Some statistics

A survey conducted in 2019 has shed light on the issues which hamper positive patient identification. 66% of the participants stated that data entry errors are the main culprit. The survey also states that the lack of entry of a single medication or test can lead to severe adverse effects for a patient, hampering patient safety, as it will lead to wrong decisions regarding the treatment. Thus, the importance of positive patient identification cannot be stressed enough.

46% of the respondents stated that improper, or the lack of an effective patient identification algorithm is another reason for patient identification errors. 35% of respondents said that the lack of an industrywide standard hampers effective patient identification.

Ensure positive patient identification

RightPatient is a biometric patient identification platform that was created with the importance of positive patient identification. It locks the medical records of the patients with their biometric data such as their irises – once the patient registers, all the patient has to do is look at the camera, and the accurate medical record is presented in seconds. It creates an effortless patient identification experience for both patients and hospitals. It improves the revenue cycle, minimizes loss, improves patient safety, and prevents medical identity theft. Several pioneering healthcare providers are using it – are you one of them?

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Duplicate Medical Records and Patient Misidentification Frequently Affects Hospitals

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The U.S. healthcare system does not seem to catch a break. The coronavirus outbreak is the latest problem added to the already formidable list of issues plaguing the U.S. healthcare system. Lack of price transparency, outrageous costs, and archaic laws are just some of the problems. However, let’s talk about a problem that has been around for many years and still haunts several (if not all) hospitals – lacking an effective patient identification system. 

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A study regarding patient misidentification 

Not so long ago, a study conducted by the Pew Charitable Trusts and Massachusetts eHealth collaborative shed light on a known issue – wrong patient matching is very common in U.S. hospitals. Let’s see what wrong patient matching leads to and what causes the errors, so that we can understand why healthcare providers must ensure accurate patient matching. 

Patient matching and duplicate records explained

Firstly, the meaning of patient matching is quite self-explanatory. It refers to matching a patient with his/her health record so that the hospital can proceed on providing healthcare services. Now, it seems quite simple, but patient matching issues exist, according to the aforementioned study. What makes it so tough? The most common reasons are duplicate medical records and patient misidentification, also referred to as mismatched patient records.  

Duplicate medical records are created when a patient has multiple patient records at a given healthcare provider’s EHR system. This happens for a variety of reasons – poor communication between the hospital staff and the patient during patient admission or checkup, failure to find the existing patient record within the database, and so on. Duplicate records decentralize the healthcare process that providers initially intended to provide to patients. For instance, due to duplicate records, a patient’s complete medical history could be impossible to find. In essence, different diagnoses are stored in various records, which leads to serious medical errors like mistreatment, repetitive lab tests, wrong medication, unintentional injuries, and in extreme cases, deaths.  

Patient misidentification, wrong patient identification, and mismatched patient records are used interchangeably but mean the same thing. Patient misidentification occurs when a healthcare provider mixes up medical records of different patients. This happens when the patients share similar characteristics – name, date of birth, medical history, are just a few examples. This can cause severe issues like mistreatment, financial loss for patients, longer recovery time, and has also proven to take the lives of unfortunate ones. 

How are hospitals affected?

Not only patients but healthcare providers are also affected profoundly. Claim denials can lead to losses in millions and occur when bills are sent to the wrong patients as a result of patient misidentification. Patients can also hit hospitals with lawsuits because of mistreatments. 

Thus, accurate patient identification is critical for hospitals to operate smoothly and without any unwanted incidents. Fortunately, RightPatient has a proven track record of helping out hospitals with patient identification issues. It is a biometric patient identification platform that locks the medical records of patients with their biometric data. During enrollment, the platform takes a photo of the patient and his/her biometric data, such as a scan of the irises, and attaches it to the medical record. Later on, whenever the patient returns, all he/she needs to do is look at the camera. RightPatient accurately identifies the medical record within seconds, ensuring accurate patient identification as well as preventing the creation of duplicate records. 

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Leading Hospitals Understand the Importance of Proper Patient Identification

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The importance of proper patient identification can be felt by hospitals, patients, and everyone else involved in the caregiving process. Positive, or proper patient identification refers to hospitals successfully matching patients with their appropriate medical records. However, in practice, this is very tricky. In fact, according to a study, 38% of healthcare providers stated that they had encountered at least one incident which directly ties in with patient misidentification in the past two years.  

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Why patient misidentification happens

Patient identification errors occur due to multiple reasons – duplicate medical records and overlays are just two of the many reasons. Duplicate medical records are created when a patient has more than one electronic health record to his/her name, whereas overlays referring to two different medical records belonging to different patients are merged. Both situations cause fatal harm to patients and cause irreparable damage to healthcare providers with their financials and goodwill on the line. Thus, the importance of proper patient identification is understood quite well by health systems.  

Strategies used by leading hospitals

Choosing the required number of personnel to handle a large amount of data is a must. A large provider can house up to 10 million medical records. If your one is such a health system, are you employ enough personnel to keep that humongous amount of data in check? A responsible provider not only need to ensure that the data is clean but also must maintain this state at all time. Entering clean data is one thing, but keeping it is another challenge entirely.

The selection of the software which fits your needs is the first and most important strategy. Do not opt for outdated software – these not only pose a security risk but may also be incompatible with your other software. Thus, choosing a method that enhances patient matching can save lives, for instance, a biometric patient identification platform. But more on that later. 

Obeying all laws and regulations may go a long way. In unfortunate circumstances, you can ensure your safety by letting the authorities know about the incident and your compliance with all rules to ensure the safety of patient data. 

Understanding the importance of proper patient identification

The last and most important thing – use a solution that ensures that patients are always positively identified. This is precisely where RightPatient can help you. It is a biometric patient identification platform that locks medical records with patients’ biometric data upon registration. After the registration, the platform can detect the medical record matched with the patient’s biometric data accurately within seconds. Leading healthcare providers such as Community Medical Centers and Terrebonne General Medical Center are protecting millions of patient records with RightPatient, thus ensuring positive patient identification and saving millions of dollars in the process. 

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Protecting Patient Data is a Topmost Priority During the Coronavirus Pandemic

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The last few months have been excruciating for the whole world due to the COVID-19 outbreak. Hospitals have been working tirelessly, tending to the unprecedented number of patients coming in. However, that has not stopped them from experiencing unwanted incidents like data breaches. However, even in this scenario, protecting patient data is a must. 

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An example

On March 20, University of Utah Health started notifying a number of its patients regarding a phishing incident followed by a malware attack. Back in February, the provider detected unusual activities on their employees’ email accounts. After conducting a thorough examination, they concluded that an outsider gained unauthorized access to those employees’ email accounts between January 7 and February 21.

The outsider did this by acting as a trusted source. Thankfully, the U of U Health was successful in securing the affected accounts. Some of the patient data, which was potentially exposed consisted of patient names, DOB, medical record numbers, as well as some clinical information. 

However, that was not the end of the data breach.

After detecting the phishing attack,  U of U Health found out that an employee’s machine might have contained downloaded malware on February 3. After scrutiny, the experts at  U of U Health stated that the malware potentially allowed access to parts of patient data, just like the previous one – names, DOB, medical record numbers, as well as some clinical information.

The matter is still being investigated, and however, U of U Health stated that they did not find any evidence that the affected patient data was misused. The healthcare provider is making changes to ensure that such unwanted incidents do not happen again. 

That is just one healthcare provider. There are numerous that are still facing data breaches, even during the coronavirus pandemic. The crisis makes it ripe for hackers to steal sensitive patient information, as hospitals are having a hard time dealing with the whole situation at hand.

Medical identity theft issues 

The hackers can steal patient data, and either use it for their purposes or sell it to other parties. The outcome is medical identity theft – someone else assumes the identity of the patients and uses healthcare services, which were initially meant for the patients. Medical identity theft causes the victims to receive shocking bills for services they never used. It can also lead to the healthcare providers being hit with lawsuits by the patients, claiming that the providers did not protect their sensitive patient data well enough. 

How are hospitals protecting patient data?

This is where RightPatient can help. With this contactless patient identification platform, medical identity theft can be prevented easily. RightPatient uses biometric data (such as iris) to store medical records along with capture photos of the patient. Later on, all a registered patient needs to do is look at the camera – RightPatient identifies the accurate medical records within seconds and provides it to the hospital staff. Even in the case of a data breach, patient records are locked with the patients’ biometric information. Thus, also if a third-party assumes the identity of the patient, the platform will immediately detect the fraudster – preventing medical identity theft and protecting patient data.

Also, it is of paramount importance that hygiene is maintained within hospitals, which is why RightPatient’s contactless identification platform makes it ideal for detecting accurate patient records during this crucial time without causing infection control issues. 

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Medical Identity Theft Stories are Common in Emergency Departments

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Medical identity theft stories are quite common – many patients in the Emergency departments (ED) may suffer from it. Many healthcare providers are unaware of this growing concern. Verifying the identity of patients when they meet in the emergency room often reveals red flags, and this usually happens. Healthcare personnel, both within and outside of E.D., need to be trained regarding the precise signs of medical identity theft. They also need to activate institutional policies to prevent virtual offenders like these from engaging in further illegal activities. 

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What’s the reason for medical identity theft?

Healthcare institutions have been facing the growth of medical identity theft incidents. The perpetrators will try to use other individuals’ personal information, such as health insurance or social security number, without any acknowledgment of him/her. Most reasons for medical identity theft are receiving medical treatment and drugs, acquiring money by false claims of medical treatment, and fabricating medical records corresponding to those claims. These are the types of offenses that cause medical identity theft.

What’s the level of threat?

A survey conducted by the Federal Trade Commission ( FTC) showed that in 2005, 3% of all identity thefts, or 249,000 attempts, were related to medical identity theft. The Ponemon Institute conducted another assessment in 2013 and found that 1.84 million individuals were victims of medical identity theft. The identity theft rate in the emergency department may be higher as they are handling comparatively more patients, and such surveys do not show individual departments’ numbers. 

Who are the victims?

Healthcare providers, payers, and many other several parties are impacted by medical identity theft. But the patients might be the most prominent victims in these offenses. Inappropriate treatment and use of drugs may lead to alarming incidents. This may also lead to financial burdens, as healthcare providers will bill actual medical identity holders or their insurance carriers for the treatments they did not receive.

A threatening story of Identity Theft

Some cases demonstrate common incidents at emergency medical departments, which eventually resurfaced as medical identity theft. The joint efforts of multiple healthcare associates, registration clerks, nursing staff, security officers, and physicians made it possible to discover the incidents. On the positive side, they managed to deal with these situations without compromising patient care, and they followed the Emergency Medical Treatment and Labor Act (EMTALA) regulations throughout the process.

A notable incident is that an 18-year old male came to the Emergency Department with a headache due to his fall twelve hours before reporting. Afterward, he was questioned by the hospital security manager and a local police officer, as he appeared to the Emergency Department without any personal identification and didn’t validate his identity to the nursing staff or registration clerk. Moreover, his signatures on the hospital’s standard financial agreement and patient identification form weren’t matching with signatures given on the previous encounter. After 13 days, he was prosecuted with the information obtained by hospital security for the felony of medical identity theft and insurance fraud.

Put an end to new medical identity theft stories

Emergency Departments play an essential role in the cure of patients’ diseases. Such crimes can reduce patients’ trust in the healthcare system. RightPatient can extinguish this risk with its biometric patient identification platform. It locks the medical records with biometric data of the patients. Once the patient registers biometric data such as irises or fingerprints, only patients who have been verified by biometrics can access the record, thereby avoiding the opportunity for medical identity theft. This also helps hospitals identify accurate patient records within seconds. RightPatient can also eliminate patient matching errors by ensuring precise patient identification – enhancing patient safety.