CMS Interoperability and Patient Access Final Rule Requires a Robust Patient Identification Software

October 6, 2020/10324 views / 0 Comments/in BLOG, Connected Health, Data Integrity, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

This has been quite a year for the U.S. healthcare system – nobody could’ve predicted all the series of events. While the novel coronavirus is still raging on, telehealth is experiencing unprecedented growth. On the other hand, hospitals are facing immense financial strain due to the pandemic’s consequences such as the cancellation of elective procedures and lower inpatient visits. However, despite all the recent developments healthcare providers need to work on something else as well – supporting e-notifications. CMS has made some additional changes to the Medicare Conditions of Participation (CoPs), and while providers will be busy brainstorming about how to best approach the requirements, many will overlook one critical factor that will either make or break their e-notifications – patient identification. Let’s take a look at what the rule specifically says about e-notifications, who is eligible, how it helps caregivers, and how a robust patient identification software like RightPatient is a must for ensuring proper e-notifications.

The Interoperability and Patient Access Final Rule – in a Nutshell

While the rule itself is quite vast and detailed, we’ll cover the e-notifications part briefly. The basic meaning of the rule is clear from its name. For years, the U.S. healthcare system has been suffering from the lack of proper interoperability for a number of issues – patient misidentification being a major reason. However, with the “companion final rule”, as per CMS, things are about to change for the better, as it will introduce a certain level of interoperability that will ultimately boost coordinated healthcare efforts.

The “companion final rule” states that healthcare providers such as critical access providers, acute care, or psychiatric hospitals must send out real-time e-notifications during ADT (admission, discharge, or transfer) events to a patient’s caregivers such as established primary care practitioners, post-acute providers & suppliers, primary care practice groups & entities, as well as any other practitioners, groups, or entities primarily responsible for the patient’s care. The information sent must contain the patient’s name, the treating practitioner’s name, and the sending institution’s name, at the very least. Finally, these are applicable during inpatient ADT events and ED admissions or discharges.

Any caregiver that uses digital medical records such as EHRs or EMRs must support e-notifications by May 1, 2021, to ensure CMS compliance.

With that out of the way, let’s look at how the rule requires accurate patient identification and how a robust patient identification software is critical for its success.

Why patient identification will make or break your CMS compliance

Healthcare providers are already busy working on e-notifications support, and while there are a lot of great solutions out there, providers shouldn’t forget the foundation upon which e-notifications depend on – proper patient identification.

The Interoperability and Patient Access Final Rule requires hospitals to identify their patients accurately across the care continuum, especially if they want to send out e-notifications to the proper caregivers. Sadly, patient identification has always been problematic – it is an overlooked but significant concern for the U.S. healthcare system. One might ask how are patient identification and e-notifications related – let’s learn more.

Imagine this – a hospital already has patient misidentification cases because they don’t use an effective patient identification software. If a patient comes in and is misidentified, not only will the treatment be affected, but the hospital will be sending out false alerts to the wrong caregivers. This will wreak havoc for all the caregivers involved with the patient.

If such cases become common, then the patients, as well as the care coordination teams, will start questioning the credibility of the caregiver sending out false alerts. As a result, the hospital will lose goodwill and risk its CMS reimbursements. After COVID-19, not a single hospital can afford to make such mistakes – the pandemic has already caused the worst financial strain on hospitals and health systems in recent times. Thus, patient identification is a crucial component for the e-notifications to work. If caregivers don’t have a robust patient identity matching system in place, they need to upgrade it before the e-notifications support deadline.

RightPatient is the most robust patient identification software

RightPatient has been accurately identifying patients for years. With its touchless patient identification platform, RightPatient ensures that patients are identified accurately and safely right from the start.

After a patient schedules an appointment, they are sent an SMS or email and are required to provide a selfie and a photo of their driver’s license. The platform automatically matches the photos and remotely ensures patient identification. If it’s a new patient, the platform will automatically assign new biometric credentials for them.

During hospital visits, patients only need to look at the camera – RightPatient matches the saved photo with the photo taken by the camera – ensuring accurate patient identification. Best of all, it’s an entirely touchless process, something that is mandatory in a post-pandemic world.

RightPatient is the leading patient identification software in the healthcare industry and is used by prominent caregivers such as Terrebonne General Medical Center, Community Medical Centers, and Catholic Health Services of Long Island. Be a responsible healthcare provider and upgrade your patient identification system now to prevent misidentification cases, medical identity theft, and ensure compliance with the Interoperability and Patient Access Final Rule.

Upgrading the Patient Identification Process Can Help Combat the Opioid Crisis

October 1, 2020/8611 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety, Privacy /by Matt Gibson

Opioid abuse has been a constant problem for the U.S. healthcare system for years now. When opioid medications were introduced, it was said that they would help caregivers and patients by improving healthcare outcomes. However, many didn’t count on the fact that it might create problems such as opioid addictions, leading to medical identity theft, overdoses, and even deaths of the addicts as well as their newborns. Even during the COVID-19 pandemic, there has been a sharp rise in opioid abuse cases. Let’s review some statistics associated with opioid abuse, where cases are happening now, why they usually happen, and how a proper patient identification process can help combat the opioid epidemic for healthcare providers.

The opioid epidemic is just one of the many problems

We’ve stated this more times than we can count – the U.S. healthcare system just doesn’t seem to catch a break. It has always been plagued with a number of serious problems. Expensive healthcare, lack of price transparency, lack of proper patient identification process, medical identity theft cases, healthcare data breaches, duplicate medical records – these are just some of the many issues faced by patients and caregivers. However, the opioid crisis is another significant issue that needs to be addressed – even during the pandemic, it’s getting worse. Thus, healthcare providers are not only facing the issues above, but they’re also fighting a pandemic as well as an epidemic. However, before getting into the current situation, let’s take a look at some stats.

The numbers show how serious the opioid epidemic is

According to the U.S. Department of Health and Human Services (HHS), 130+ people died every day due to opioid overdoses, 10.3 million Americans misused prescribed opioids in 2018, and 2 million patients misused prescribed opioids the first time they received them from their doctor.

However, the numbers have jumped significantly this year compared to 2019 in approximately 21 of the largest U.S. counties, according to The Wall Street Journal. Counties in California, Indiana, Michigan, Minnesota, Nevada, and Ohio saw an increase in deaths caused by opioid overdoses. Moreover, Los Angeles County suffered an increase in overdoses by 48% within the first 6 weeks of the novel coronavirus pandemic when compared to the same period from last year. But why are the opioid cases considered an epidemic?

The opioid crisis in a nutshell

In the late 90s, opioids were pushed by pharmaceutical companies – ensuring that they were either less addictive or nonaddictive compared to other drugs available at that time – morphine, for instance. They stated that even the less addictive ones had no dangerous side-effects. This instilled doctors and physicians with confidence and they started prescribing them to patients. It created an epidemic that the U.S. healthcare system has been battling for decades now – and the rates are only increasing. But how do addicted patients get their hands on these drugs from hospitals?

Lack of a proper patient identification process leads to more cases

Patient identification, as previously mentioned, has been problematic for years now. The addicted patients can simply go back to their caregivers and demand more of the dangerous drugs, stating that this is the first time they’re requesting them – abusing their prescriptions. Since the caregivers don’t have a proper way to verify such statements (as an effect of the lack of patient identification), they have no other choice.

Also, addicts might lie regarding their information and present themselves as a different patient in order to get access to the drugs. One way they can do that is by committing medical identity theft – they assume the identities of others to receive the drugs. Thus, hospitals can better battle the opioid crisis if they make the patients go through a proper patient identification process.

RightPatient can enhance your patient identification process

RightPatient has already been helping leading healthcare providers ensure positive patient identification for years now. With its photo-based search engine, RightPatient can prevent medical identity theft in real-time, ensure that patients are who they say they are, and track their last visits to the facilities to verify that they’re getting the prescribed medicine and nothing more.

RightPatient can also ensure accurate patient identification from appointment scheduling. After booking an appointment, the patient receives an SMS or email to verify their identity. A patient only needs to provide their selfie and a photo of their driver’s license. RightPatient matches the photos and remotely validates the patient’s identity. If it’s a new patient, the platform assigns biometric credentials for them, making it a seamless process.

RightPatient has several benefits – not only can it help curb the opioid abuse cases, but it can also prevent medical identity theft, avoid duplicate medical records, and help in improving patient safety and quality of care.

Telehealth Is Here to Stay – Ensure Patient Data Integrity While Using It

September 30, 2020/11180 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Safety, Photo Biometrics, Telehealth /by Matt Gibson

To put it bluntly, the coronavirus pandemic has been catastrophic for the entire world. The U.S. has been leading with the highest number of cases – 6,550,637 at this point. However, there has been a silver lining in the whole coronavirus pandemic – telehealth. Not only did it experience a meteoric rise in the U.S., but it also helped to flatten the curve – patients don’t have any risk of contracting the virus when they use telehealth. While the increased usage of telehealth demonstrates that it’s here to stay for the foreseeable future, healthcare providers must ensure that they are protecting patient data integrity during these visits. Let’s see how accurate patient identification can help.

Telehealth’s rise

Telehealth isn’t anything new – it’s been in the healthcare space for quite some time now. Sadly, people were busy debating its pros and cons for years. However, 2020 will be remembered as the year of telehealth – its potential was showcased during the pandemic.

People praised its elimination of the physical barriers required for healthcare – people would be able to consult with their caregivers without having to worry about the novel coronavirus – a stable internet connection and a communication device are all they need. It enabled healthcare services to be continued at a time when social distancing was required – creating a win-win situation for all. Laws were relaxed regarding telehealth while providers and officials urged patients to use telehealth instead of coming for hospital visits. Quite naturally, the usage increased exponentially. Let’s take a look at an example – MUSC Health and its experience with telehealth.

They used “virtual urgent care technology” – something that was initially created to provide patients with a way to be observed for non-critical cases, and converted that to screen potential COVID-19 patients. Moreover, they had the capabilities and resources to dramatically adapt tools to better fight the pandemic. They also enabled remote patient monitoring and a telesitter program as part of their approach, and they believe that telehealth is here to stay. Overall, healthcare providers in the past few months have observed that telehealth can be used to provide patient care while mitigating the risk of contracting COVID-19.

Some stats regarding telehealth usage

The current stats are in line with the providers’ experiences with telehealth. McKinsey & Company stated that in 2019, a meager 11% of the U.S. patients were using telehealth. As of April 2020, 46% of the patients are using telehealth. Even healthcare providers witnessed around 50-175 times more patients using telehealth visits compared to the pre-pandemic period. However, one has to consider the risks associated with it just like with inpatient visits, for instance, patient data integrity, patient identification, and medical identity theft.

Patient data integrity must be ensured

It’s quite natural that some of the issues plaguing conventional healthcare might be seen during telehealth visits as well. One of the biggest challenges is preventing medical identity theft.

Healthcare data breaches have been occurring more than ever, where most of the stolen patient data is sold off to fraudsters. They then assume the identities of the victims and use their healthcare services. This leads not only to billing the victims for services they never used but also corrupts the patient data – because the fraudsters’ data is saved in the victims’ medical records. Thus, patient data integrity is compromised in the process.

Experts believe that the pandemic will lead to increased numbers of medical identity theft cases. This is because patient data is not adequately protected by the majority of caregivers due to budgetary issues. Moreover, with the pandemic causing arguably the worst financial crisis healthcare has ever faced, providers need to consider every option in order to survive.

RightPatient ensures patient data integrity – even during telehealth visits

While healthcare data breaches are inevitable, medical identity theft can be prevented. One of the reasons why medical identity theft has become a major threat is because there is no proper patient identity verification system in place to prevent these crimes. Most of the patient identification systems use credentials – something that can be stolen or transferred.

Fortunately, RightPatient can help prevent medical identity theft. It uses the thing that fraudsters or hackers cannot steal – patients’ visual likeness. Using a photo-based search engine, RightPatient matches the photos of the selfie provided during appointment scheduling with the patient’s driver’s license. Fraudsters are red-flagged immediately, preventing medical identity theft in real-time.

During inpatient visits, all the patients need to do is look at the camera – the platform matches the photo it takes with the one it saved during registration. This creates a safe, hygienic, and touchless environment for everyone involved – something which became more crucial than ever due to the pandemic.

RightPatient helps maintain patient data integrity by ensuring that the accurate medical record is associated with the correct patient every time, preventing medical identity theft, and avoiding duplicate medical records. Try RightPatient now to see how it can help you enhance patient safety during these trying times.

Top Reasons for Using a Robust Patient Identification Platform

September 29, 2020/10419 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Infection Control, Medical Identity Theft, Patient Data, Patient Experience, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Even though the novel coronavirus and its effects are dominating headlines (as well as our social lives and safety), patient identification issues have not been far behind. Those who are up to date with the U.S. healthcare system know that the UPI (unique patient identifier) has been trending once again – healthcare leaders across the states are urging lawmakers to lift the ban this year as well. While the future is uncertain due to COVID-19, even if the ban is lifted and the UPI created, providers would need to couple it with a robust patient identification platform such as RightPatient. Let’s take a look at why such a platform would be perfect for patient identification, with or without the UPI.

It eliminates risks associated with contact-based patient identification platforms

There are many patient identification platforms available – we’ve talked about them several times. However, the responsible healthcare providers always choose touchless platforms as they don’t have the problems associated with touch-based patient identification systems – let’s take a precise look at what those are.

Patients have to touch the devices while using most patient identification systems. Naturally, this would entail concerns regarding infection control – these are used within the premises of healthcare providers who serve the sick, after all. Thus, there’s quite a high chance that one patient can unwittingly infect others when they verify their identity using such systems.

One unfeasible remedy to avoid infection control issues would be to clean the devices after every verification – imagine the administrative nightmare! Thus, even if these systems are accurate (fingerprint scanning, for instance), they are not at all suitable for such environments housing cases that may potentially lead to infection control issues.

Secondly, since these are contact-based, many, if not all the patients, would be reluctant to touch these devices. In the post-pandemic world, almost everyone is well-informed about how dangerous contact-based solutions can be. Thus, the COVID-19 crisis has rendered even accurate touch-based solutions ineffective as patient acceptance rates would be significantly lower now.

Thankfully, touchless patient identification eliminates all these issues – more on that later.

A robust patient identification platform helps avoid duplicate records and overlays

Since we’ve already established that touchless patient identification is the only feasible choice in a post-COVID-19 world, let’s look at the other proven benefits of such a system, starting with duplicate medical records.

Whenever a healthcare provider uses an obsolete patient identification platform (the most common one being asking patients questions), they’re bound to get confused when seeing the multiple medical records assigned to the single patient. They have to dig through them to find the accurate and most up to date one each time the patient arrives. In some cases, they might even create a new record just to avoid the hectic procedure – adding another duplicate record into the mix. These lead to delayed patient care, compromised patient safety, and impact healthcare outcomes.

Overlays are even more dangerous – these are the merging of medical records of the same or different patients. Imagine being treated with someone else’s medical history – the treatment will be botched right from the start.

A robust patient identification system, however, can avoid such issues. By ensuring that the correct medical record is identified every time across the care continuum, duplicate records and overlays are avoided as well as the issues associated with them.

It prevents medical identity theft

One of the bigger healthcare concerns is data breaches that ultimately lead to medical identity theft. After buying the stolen patient information from hackers, the fraudsters use that to bypass obsolete patient identification systems and gain unauthorized access to medicine, treatment, and expensive medical devices. However, robust patient identification systems like RightPatient can prevent medical identity theft in real-time. When the fraudster has to verify their identity, the identification platform red flags them upon detecting that the fraudster’s photo and the photo in the medical record saved by RightPatient don’t match. Thus, patients and providers are protected from the consequences of medical identity theft, even if the data is breached, thanks to positive patient identification.

It ensures that you send out proper e-notifications

Healthcare providers will require software that supports e-notifications to patients’ other caregivers beginning May 1st, 2021, as per the CMS. This system is designed to promote interoperability and ensure proper care coordination.

However, to send out e-notifications to the appropriate caregivers, the hospital needs to ensure that they are identifying the proper patient first. Otherwise, the hospital might end up sending alerts to the wrong caregiver or information about the wrong patient. This can easily be avoided if a proper patient identity verification system is in place.

RightPatient does all of the above – and more

RightPatient is the leading patient identification solution used by forward-thinking caregivers. Healthcare providers who are currently using RightPatient don’t need to think about infection control issues now – they thought about it before COVID-19. It uses photos of patients to identify their records. Patients take a selfie and a photo of their driver’s license after appointment scheduling. RightPatient checks the selfie and the driver’s license to ensure a proper match. During hospital visits, patients enrolled under RightPatient only need to look at the camera – the platform finds the appropriate record within seconds. If fraudsters try to assume a user’s identity, it red flags them, preventing medical identity theft in the process.

Patient Safety and Quality Healthcare Require Patient Identification During the Pandemic

September 23, 2020/10371 views / 0 Comments/in BLOG, COVID-19, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Errors, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

Another day, another new initiative by healthcare leaders regarding patient identification. One might wonder that given the pandemic and its ongoing effects on healthcare, why is that a top priority right now? Well, that’s what the healthcare experts have been demanding as inaccurate patient data negatively impacts patient outcomes during this crisis. The U.S. healthcare system has been suffering due to the absence of a patient identifier for decades now – the ban is still in effect on a UPI. Let’s look at what industry experts are saying and how positive patient identification can ensure patient safety and quality healthcare.

The importance of patient identification according to experts

This isn’t the first time leaders have talked about the need for accurate patient identification and it won’t be the last time. Healthcare providers have been struggling with patient identification for decades now, leading to compromised patient safety, inaccurate patient data, and unwanted healthcare outcomes. Add the pandemic to the equation, and identifying patients accurately becomes more important than ever as accurate data sharing is a topmost priority.

Recently, a session organized by the ONC (Office of the National Coordinator) for Health IT brought up the topic. According to Tom Leary, HIMSS VP of Government Relations, incorrect patient data leads to adverse impacts on public health response initiatives. He further elaborated on that – patient identification errors during the ongoing crisis led to several issues like improper data sharing, delays in sharing test results, and inaccuracies within longitudinal patient records. According to Mr. Leary, some nurses even tried to Google patients to identify them and contact them regarding their test results!

Preparing for COVID-19 vaccines, whenever they’re created, will require accurate patient identification during large-scale immunizations to identify the infected ones, the ones who got the shots, and to identify the outcomes of the cases, stated Mr. Leary. Not having any proper patient identity verification system in place is just worsening the health outcomes and adding fuel to the ongoing fires during the pandemic. Thus, to ensure patient safety and quality healthcare, proper patient identification is an absolute must.

Patient safety and quality healthcare depend on identifying patients

As previously mentioned, many might think that with the pandemic still impacting healthcare significantly, patient misidentification is the last thing we need to worry about. However, Mr. Leary, as well as other healthcare industry experts, thinks otherwise. During the ONC session, they have already demonstrated how patient misidentification is affecting healthcare outcomes. But even before the pandemic, patient identification errors were notorious for adversely impacting patient safety and quality healthcare.

Let’s go back to the time before the pandemic struck the U.S. Even then, the healthcare system had a plethora of issues, one of which was duplicate medical records and overlays. Imagine – a patient came to the hospital and they were assigned a duplicate record, based on which the whole treatment will be provided – so many things could go wrong!

An incomplete or inaccurate EHR leads to repeated lab tests, improper treatment, and even deaths due to a single misidentification. As a result, patient safety is severely impacted as well as healthcare outcomes. Patient misidentification cases are associated with unwanted incidents that can haunt caregivers – loss of goodwill and litigation costs are just some of the consequences.

Even before the pandemic, patient misidentification was a significant issue within the healthcare system. However, the COVID-19 crisis demonstrates how patient identification errors impact patient outcomes during a time when accurate patient information is of the essence.

Experts are urging for the UPI once again

It’s been around two decades since the ban was imposed on a state-funded UPI (unique patient identifier), but industry experts are once again rallying to remove the ban this year. Even if the UPI is finally mandated, responsible healthcare providers will combine it with an effective patient identifier. Such a patient identification policy will encompass several benefits such as enhanced interoperability, reliable patient matching, and improved healthcare outcomes. So, out of all the different patient identification solutions out there, which one is the best match?

Patient safety and quality healthcare require RightPatient

RightPatient has been ensuring accurate patient identification for years now, but why is it the best solution? Well, it can be seamlessly integrated with EHRs to become part of the workflow, making it perfect to be used alongside the UPI, should the latter get approval. Moreover, RightPatient eliminates the biggest headache of providers currently – infection control issues, as it is a touchless solution. With its photo-based search engine for identifying patients during appointment scheduling and beyond, RightPatient is the most feasible choice for positive patient identification post-COVID-19.

How Many Patient Identifiers Should be Used to Ensure Patient Safety?

September 17, 2020/8104 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Identification, Patient Matching, Patient Outcomes /by Matt Gibson

The US healthcare system has always been plagued by a number of issues. One very common but often overlooked issue is that of patient identification errors. Misidentification cases continue to be quite prevalent while there continues to be a ban on the creation of a state-funded Universal Patient Identifier (UPI). While debate continues around the risks and rewards involved with a UPI, one should also be asking about its efficacy. How many patient identifiers should be used to prevent patient safety issues? Will a UPI be enough to solve this colossal challenge?

UPI’s history in a nutshell

Since the idea for a unique patient identifier was formed, it’s seen constant criticism and opposition, resulting in a ban that’s lasted for around two decades. Last year, healthcare organizations came pretty close to finally having the ban removed when the US House of Representatives voted to repeal the ban. However, the ban is still in effect with the legislation failing to gain approval in the Senate.

As for the future of the UPI, let’s look at its past. It has not been funded for around two decades due to issues like privacy concerns and growing data breach incidents that could seriously jeopardize patient safety and privacy. Thus, chances are high that the future may not be kind to the creation of a state-funded UPI.

Lack of effective patient identification is felt throughout healthcare

The absence of reliable patient identification is widely felt throughout hospitals and health systems. Patient safety issues and patient data integrity failures are just some of the many issues associated with patient misidentification. However, a crisis like the COVID-19 pandemic clearly highlighted the importance of proper patient identification, impeding the ability of caregivers to provide healthcare services quickly and effectively without access to holistic patient information. Since the pandemic started, healthcare staff on the frontlines have been learning that the hard way.

Many experts are even thinking that this might be the time the UPI will finally be realized. But will it be enough? How many patient identifiers should be used to make sure it’s safe for patients and effective for providers? Fortunately, our Co-Founder, Michael Trader, has a comprehensive answer.

How many patient identifiers should be used?

Mr. Trader has stated that it’s crucial to find balance regarding a UPI and it’s equally important to establish an infrastructure that can house the UPI securely – only identifying patients accurately is not enough. Furthermore, the creation of duplicate medical records and overlays need to be prevented – they are some of the many issues that significantly hinder patient matching.

Mr. Trader adds that while the UPI will have benefits such as better interoperability as providers can share patient data more reliably, it will not mitigate issues such as duplicates, overlays, and medical identity theft. How many patient identifiers should be used, then?

Mr. Trader stated that instead of relying solely on the UPI, responsible providers will pair it with another identification system, and preferably one that is tried and tested. Linking the UPI to a photo-based biometric patient identification platform comes to mind. This touchless solution can be scaled across all encounter touch points, even enabling patients to utilize their own smartphones, making it the ideal solution in our post-pandemic world. With such a combination, patient misidentifications can be eliminated.

For years, patient misidentification has been a persistent problem for patients and caregivers alike. Providers need to eliminate misidentification as soon as possible, with or without the UPI. After all, it’s a single mistake that can cause severe consequences for both providers and patients. Fortunately, RightPatient can help providers avoid such unwanted cases.

With its photo-based patient identification platform, RightPatient has been identifying patients accurately for years. Leading and responsible providers have chosen RightPatient instead of waiting for the UPI – they know the effects of patient identification errors better than anyone else. Thus, if the UPI is created, responsible leaders will be coupling it with the leading patient identification platform, ensuring interoperability, accurate patient identification, and reliable patient data exchanges.

Dirty Patient Data Can Have Severe Consequences for Healthcare Providers

September 9, 2020/13063 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, Facial Reciognition, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

The US healthcare system has always been facing problems that stopped it from realizing its full potential. These issues are longstanding barriers to providing immaculate healthcare services to patients, and thus affect healthcare outcomes for all involved. One of these issues has been the “dirty” patient data accumulating within EHR systems over the years. With the COVID-19 pandemic causing even more issues like the unprecedented financial strain, layoffs, restructuring and so on, providers need to ensure that the patient information within their facilities is accurate, consistent and relevant. Let’s look at what unclean patient data is, how it affects patients and providers and how RightPatient can ensure the cleanest patient data with accurate patient identification.

Patient data

A brief definition

In the simplest terms, patient data refers to a single patient’s medical information – medications, medical history, vitals, illnesses and so on. Such data is critical in making informed decisions regarding the patient in question. What should be the current or future course of action and how to best handle the needs of the patient are some common examples.

From the explanation, it is clear why clean patient data is important for both caregivers and their recipients. Let’s look at the other side of the coin: dirty data.

“Dirty” patient information

By now, it should be quite clear what dirty data means. Whenever the data is inaccurate, incomplete, inconsistent, obsolete or corrupt, it is considered “dirty”. Unclean patient data can lead to a lot of problems for any given healthcare provider. It impacts everyday operations, makes effective data sharing difficult and impacts healthcare outcomes, among other issues. Let’s have a more detailed look at the common ones.

Effects of unclean patient data

Inaccuracy and inefficient operations

Imagine if a patient goes to their healthcare provider for a checkup. The registrar types in the patient’s name: several medical records pop up on the screen, all pertaining to the same patient. Understandably, this can confuse the registrar. They are faced with a difficult choice: either go through all the patient records and find out the accurate one or create a new one entirely. The former case will take up a lot of time, while the latter will just create another duplicate medical record within the system. Both of these are consequences of having unclean data within the system.

Huge losses

According to Gartner, unclean data can cost an organization anywhere from $9.7 to $14.2 million. For US healthcare providers, however, it’s an entirely different figure. AHIMA stated that duplicate medical records can cost up to $40 million for any given provider, while a health system having several facilities can house up to 20% duplicate records.

Imagine if a patient is treated with another patient’s medical information. When the record holder gets the bill for services they did not use, they’ll simply contact their insurance provider regarding the matter. This will lead to a denied claim. Thus, inaccurate data can lead to denied claims as well – costing around $4.9 million on average for the average health system.

Patient safety is compromised

One of the biggest issues of unclean data is that it impacts patient safety. One patient will receive inaccurate and even dangerous treatment because they are being treated based on an entirely different patient’s medical record. Even if it is the same patient, if there are multiple records under their name, each record will have inconsistent and incomplete information about the patient, leading to improper care, medications and procedures. All in all, healthcare outcomes will not be as expected as patient safety and quality of care is jeopardized severely. This can affect a provider’s ratings as well. Patients will not be happy if they are not receiving unreliable healthcare services. Thus, clean data is critical to improving quality and safety in healthcare.

Non-compliance issues

This one is quite new. However, most healthcare providers know this and are working on it: e-notifications support.

The CMS rule mandates that all caregivers having EHR systems must ensure they support e-notifications by May 1st, 2021. During any ADT event, the provider needs to send e-notifications to the patient’s caregivers, whether they be established primary care practitioners, post-acute providers & suppliers or any other entity primarily responsible for the patient’s care. This is done to boost positive healthcare outcomes and improve care coordination. If the data is unclean, providers will end up sending false alerts either to the wrong provider or the wrong patient.

In any case, unclean data will cause non-compliance issues, penalties and might even jeopardize CMS provider agreements.

Lower ROI

Health systems and hospitals have been investing significantly in population health management, big data, analytics and similar projects they find promising. The efficacy of these systems depends on high-quality data being fed into them. When data is corrupted due to duplicate and overlay records, those investments are diluted, leading to lower ROI.

Keep patient data clean with RightPatient

One of the best ways to ensure that patient data integrity is maintained is by identifying the accurate patient record from the get-go. That’s where we can help.

RightPatient is the leading patient identification platform that ensures data integrity is maintained within EHRs. It is a touchless, photo-based platform used by leading healthcare providers.

By making sure that you identify your patients accurately every time, you can avoid duplicate medical records, prevent medical identity theft, eliminate financial issues related to dirty data, improve patient safety and quality of care. Also, you can send out proper e-notifications to the accurate caregivers, eliminating any non-compliance penalties.

By ensuring accurate and consistent data that can be used by the aforementioned investments (population health management, big data, analytics, etc.), RightPatient improves ROI for healthcare providers, creating a win-win scenario for everyone.

Contact us now to know how RightPatient works and how we can help you ensure the cleanest data via positive patient identification.

CMS Compliance Requires Identifying Patients Correctly – Are you Ensuring it?

August 25, 2020/11779 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Infection Control, Medical Record Mix-ups, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

From the title, it is quite clear what this is about. The changes made to the Medicare CoPs (conditions of participation) have attracted attention within the US healthcare system, especially after the introduction of mandatory e-notifications during every ADT (admission, discharge, or transfer) of a patient. While providers are more focused on e-notifications, most of them forget about one very important prerequisite: identifying patients correctly. While we have already touched upon the topic regarding CMS (Centers for Medicare and Medicaid Services) Interoperability & Patient Access Final Rule, this time, we will focus more on the practical aspects and how patient identification is a crucial component that is absolutely necessary for e-notifications to work properly as well as CMS compliance. Without further ado, let’s dive deeper into the topic at hand.

A brief refresher

A few changes have been made regarding the CMS Interoperability & Patient Access Final Rule. As the name suggests, it has been done to boost interoperability efforts within the caregivers of the patients. Let us look at why it is required within the healthcare system.

There are many cases where a patient is not restricted to a single healthcare provider; especially if they have complications, multiple ailments and so on. Such patients need to visit and consult with multiple healthcare providers in order to receive the best patient care. For this to be effective, caregivers need to have access to the patient’s medical record, history, medications, vitals and other necessary information. In order to make the caregiving process seamless and boost interoperability, the Final Rule was introduced.

The “companion final rule” states that e-notifications must be sent out by healthcare providers (such as acute care, psychiatric, critical access providers, etc.) during every ADT to the appropriate recipients, i.e., the other caregivers (post-acute providers & suppliers, established primary care practitioners, or any other entity primarily responsible for the patient’s care). This rule applies to inpatient admissions as well as ED admissions.

Who needs to ensure it?

Applicable healthcare providers are those who use digital medical records like EMR or EHR systems. They need to ensure compliance and have proper systems set up by May 1, 2021 so that they can send out e-notifications during ADTs.

While that’s a succinct summary of the most recent change in the CoPs, every healthcare provider needs to ensure that they are sending out e-notifications. Otherwise, they can face undesirable consequences such as receiving penalties for non-compliance, or worse, jeopardizing their CMS provider agreements. But how is identifying patients correctly related to CMS compliance regarding e-notifications?

Identifying patients correctly is required for CMS compliance

As previously mentioned, the CMS rule requires healthcare providers to send out notifications during ADTs. But there’s a catch.

Identifying patients correctly is quite important for e-notifications to work. Think about it: if a patient is not accurately recognized or is misidentified as a different patient, the healthcare provider risks sending alerts to the wrong caregivers. Worst of all, the provider risks that they won’t be able to answer alerts other caregivers are requesting.

Without a reliable way to identify patients, things can escalate quickly. If a provider cannot fulfill alert requests or sends too many incorrect alerts, care coordination teams will start to lose faith and miss opportunities to improve patient outcomes. Noncompliance will also incur CMS penalties, which can result in hefty fines. After COVID-19, nobody can afford such costs.

While healthcare providers are busying themselves by deciding how to best implement e-notifications, they should also assess the effectiveness of their patient identity matching systems. Clearly, the former is dependent on the latter. Those who are struggling with patient identification need to upgrade their systems to futureproof, easy-to-use and hygienic ones.

RightPatient helps identify patients correctly

We ensure that patients are always identified correctly with our industry-leading touchless biometric patient identification platform.

How it works

After making an appointment, patients receive an SMS or email to validate their identity. During this process, the patient takes a photo of their driver’s license and a selfie. RightPatient automatically matches the selfie photo with the photo on the driver’s license to ensure a proper identity match. If the patient is not already in the system, RightPatient assigns biometric credentials to the new patient.

This is how we prevent patients from registering under a different identity or medical record mix-ups. There’s no need to worry about name changes, mistakes when entering a patient’s name or other common issues. Patients are recognized with their selfies.

We have been helping prominent health systems like TGMC, CMC and CHSLI fight the battle against patient misidentification for years. With RightPatient, responsible healthcare providers can send e-notifications and comply with CMS without worrying about faulty alerts.

If we haven’t convinced you by now, why don’t you try our free trial? No gimmicks – it’s really free!

Patient Identification Policy Impacts Data Integrity and Patient Safety Issues

August 10, 2020/8683 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Patient Errors, Patient Identification, Patient Matching, Patient Safety /by Matt Gibson

Let’s face it – patient identification errors are nothing new and it is a much-discussed topic among healthcare leaders. For instance, just a month ago, a new coalition was formed to urge Congress to develop a UPI (unique patient identifier) to be used nationwide. Sadly, such formations are quite common – groups, competitions, and alliances have formed for years for the same reason. The result is that no UPI exists yet and patient identification errors are still wreaking havoc. However, many healthcare providers are reaping the benefits of accurate patient identification – it boils down to the patient identification policy used by the caregiver. Let’s take a closer look at how patient identification errors can cause a multitude of problems, why accurate patient identification is so crucial, and how platforms like RightPatient can help ensure just that.

Patient misidentification

It is quite self-explanatory. Patient identification errors occur whenever a healthcare facility fails to accurately match the patient with their appropriate medical record present within the EHR system.

It happens for a number of reasons. As already mentioned, it is nothing new and has been the result of years of human errors and improper patient data maintenance like duplicate medical records, overlays, and missing, incorrect, and/or incomplete information, leading to low patient match rates.

To put it into perspective, AHIMA stated that health systems can house up to 20% duplicate records within their EHR systems. The financial impact? It can go as high as $40 million for any given healthcare facility.

Effects of patient misidentification

Low patient match rates is just the tip of the iceberg! Patient misidentification leads to several problems. Let’s look at the more prominent effects of patient misidentification.

Whenever you incorrectly identify a patient, it means that one patient’s data will get written into someone else’s medical record – creating patient data integrity issues. This leads to a lot of problems – incorrect medications, repeated lab tests, incorrect medical procedures, inaccurate patient history – the list just goes on. Both the patients will receive inaccurate care by the caregiver as a direct consequence of patient misidentification, hampering patient outcomes.

Naturally, patient misidentification leads to patient safety issues – these are bound to happen if your treatment is based on the wrong medical record. Consequences can be delays in treatment, worse patient outcomes, irreparable damages, and sometimes, patient misidentification can even result in deaths. According to a report by John Hopkins University, medical errors can cause up to 250,000 avoidable deaths per year, many of which happen due to patient identification errors.

Thus, the million-dollar question is how can healthcare providers ensure accurate patient identification across their facilities?

It depends on a provider’s patient identification system

The accuracy of patient identification is as good as the patient identification policy used by the hospital in question, and there are many options hospitals can choose from. Responsible leaders, in any case, must choose the patient identification system that ensures accurate patient identification, provides a seamless experience, and provides a safe and hygienic environment for all involved.

There are a plethora of options available that hospitals can use as their primary patient identification policy. Sadly, many are still choosing the most obsolete one – inundating patients with questions. Whenever a patient arrives, officials ask them questions to find the correct medical record. This policy is slow, outdated, and extremely insecure – anyone can pass themselves off as the patient. In fact, this leads to medical identity theft – fraudsters buy stolen medical records from the black market and have all the information to pose successfully as the victim.

One other policy is to use patient ID wristbands. While this is a tad more secure than asking questions, it can still be taken off a patient and used for fraudulent purposes. Moreover, it is a contact-based solution, and that’s not something hospitals would want after the COVID-19 crisis – everyone is extremely aware of infection control issues now.

The most secure solution is using an identification policy where the identifier cannot be transferred or stolen – biometric modalities come to mind. There is a caveat though – patients would be quite reluctant to accept touch-based solutions such as fingerprint or palm-vein scanning.

Implement a touchless patient identification policy

The best option has been left for last – touchless patient identification platforms. RightPatient is the leading photo-based biometric patient identification system used by progressive healthcare providers.

Locking the medical records of patients with their photos upon registration, returning patients only need to look at the camera and the platform matches the photo with the one saved alongside their medical record, ensuring accurate patient identity verification.

There are many patient identification platforms available – be the responsible leader by choosing the one that shares the common goal of improving patient safety and quality of care at your facility.

Patient Data Protection is Ensured by Responsible Healthcare Leaders

August 7, 2020/8998 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Patient Experience, Patient Identification, Patient Outcomes /by Matt Gibson

Healthcare providers in the US have a lot on their plates. Even before the coronavirus pandemic, they had their hands full with issues like patient identification errors, cybersecurity threats, HIPAA compliance issues, an abundance of duplicate medical records, medical identity theft, a distinct lack of patient safety, and more. Whatever the case may be, progressive healthcare leaders need to ensure patient data protection at all costs. In fact, many of the aforementioned problems can be mitigated by protecting patient data – leading providers have been doing that constantly. But why is it so important? How can providers safeguard patient data? Let’s dive in.

Patient data protection

Patient data protection has been one of the oldest and most important requirements for healthcare providers, and rightfully so – a patient shares critical and sensitive information with their caregivers. Names, Social Security numbers, dates of birth, contact information, addresses, facial photographs, medical history, and ailments are just some examples of the information stored within patient records. If these get compromised and land in the wrong hands, such cases can have disastrous consequences – healthcare insurance fraud, litigation costs for providers, and hampered patient safety are some common results. Thus, protecting patient data is crucial for any caregiver. Let’s take a look at a few more reasons why protecting patient data is necessary for hospitals and health systems.

Reasons to protect patient data

Ensuring Compliance

Concerns regarding data privacy are more common than ever – even more so when it comes to patient data. The frequency of healthcare data breaches proves that. However, providers, along with other healthcare organizations that deal with patient data, need to have safeguards in place to protect sensitive information.

HIPAA, also known as the Health Insurance Portability and Accountability Act, was introduced back in 1996 and is primarily used for patient data protection. It mandates that all healthcare organizations who deal with PHI (protected health information) must ensure that the data is protected at all times. If an organization fails to do so or violates HIPAA in any other way, they will face heavy scrutiny and hefty fines – up to $1.5 million per year. On top of that, the person committing the violation may face criminal penalties – fines and even jail time. Data breaches can cost up to $ 6 billion for the healthcare industry, and the US also tops the list of most expensive data breaches, besides Germany.

HITECH, or the Health Information Technology for Economic and Clinical Health Act, compliments HIPAA. It was created to make sure that healthcare information technology is adopted and utilized appropriately. Privacy and security concerns are addressed by HITECH as well.

Thus, patient data protection is a must to ensure compliance with the laws and regulations that are in place. While HIPAA compliance can be cumbersome and challenging, healthcare organizations can simplify compliance management and reduce HIPAA-related administrative burdens. There are solutions available to ensure HIPAA compliance – organizations should choose one that is simple but powerful and gets the job done effectively. HIPAAReady is such a solution. A robust HIPAA compliance software, HIPAAReady ensures training management and scheduling, reduces administrative burden, and keeps all HIPAA compliance documents in a centralized location. Organizations can even detect security gaps by conducting internal audits with HIPAAReady.

Preventing medical identity theft

One of the more crucial reasons why protecting patient data is so important is because failure to do so leads to medical identity theft. Let’s see how that happens.

Cybercriminals are always trying to breach the security of healthcare providers, and when they finally do so, they steal sensitive patient information and sell it on the black market for high prices. Fraudsters buy the data and assume the identity of the affected patients – committing medical identity theft, pushing off the expenses on the victims, and fraudulently obtaining healthcare services.

Medical identity theft can lead to lawsuits, demand significant time and costs from patients and/or providers to rectify the issues, and compromise patient data integrity. That leads us to the next reason for protecting patient data.

Enhancing patient safety

Failure to maintain patient data integrity means that the data is not accurate anymore. When a provider fails to protect patient data, it leads to medical identity theft. When the fraudster uses the victim’s healthcare services, he/she contaminates the patient data – the fraudster’s data gets written onto the victim’s patient record, rendering it inaccurate. If such cases remain undetected or unfixed, they can severely hamper patient outcomes. Medical errors, delays in treatment, incorrect procedures, and even deaths – these are just some of the numerous consequences of compromised patient data. Thus, patient data protection is critical for enhancing patient safety.

Protect patient data now

Protecting patient data is a huge challenge, but it is achievable. One of the first and foremost things providers can do to protect patient data is to ensure positive patient identification at each encounter. That’s where we can help.

RightPatient is the leading patient identification solution chosen by progressive providers. It is a photo-based and touchless biometric patient identification platform with common goals shared by caregivers – to enhance patient safety, to ensure accurate patient identification, and to prevent medical identity theft.

It locks the medical records of patients upon registration with their photos. Returning patients look at the camera and the platform matches the photos and provides accurate records within seconds. Even with healthcare data breaches, RightPatient protects your patients and their data as the platform will red-flag fraudsters during patient identity verification.

Protect patient data, prevent medical identity theft, ensure positive patient identification, and more – with RightPatient.