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Employees Can Compromise Medical Records – How Can Hospitals Protect Patient Data?

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As harsh as it may sound, employees getting fired for accessing medical records without any malicious intent is very common. More than 4.5 million records were compromised in unauthorized access or disclosure incidents caused by employee errors, negligence, and acts by malicious insiders in 2019, according to the HIPAA data breach statistics report. Thus, providers need to find out strategies to protect patient data better. 

In 2019 Northwestern hospital dismissed nearly 50 employees for accessing a celebrity’s medical record without consent. Recently mentioned in another similar series of unfortunate events is the Hawaii Pacific Health in Honolulu.  

RightPatient-can-help-protect-patient-dataHawaii Pacific Health discovered that an employee had erroneously accessed patients’ medical records. As a result, 3772 patients’ records may have been compromised, according to the HHS Office for Civil Rights data breach portal. The employee who worked at Straub Medical Center was later terminated. The organization believes that the employee only acted out of curiosity and did not intend to embezzle their identities. 

Consequences associated with compromised medical records

Medical records that may have been compromised include name, addresses, phone numbers, email addresses, dates of birth, religion, race/ethnicity, Social Security numbers, medical record numbers, primary care providers, dates of services, appointment notes, hospital account numbers, department names, provider names, account numbers, and health plan names.  

Nevertheless, accidental disclosure of sensitive personal information may lead to severe consequences, and lead to medical identity theft or even worse. If it falls into the wrong hands, this information can be used for theft or personal gains. The culprit may also fraudulently obtain medical benefits or sell this information to third parties, who may then misuse them.  

Healthcare organizations plagued by patient data breaches have had a sustained impact. Patient-trust is the driving force for effective and quality clinical practice. When an incident similar to Hawaii Pacific Health occurs, it will cause financial and reputational losses to medical service providers. On the bright side, Hawaii Pacific Health will provide the affected patients with free credit monitoring and identity restoration services for one full year. However, as data breaches make hospitals more vulnerable to identity theft, hospitals will again face an increasing administrative burden.

What can the healthcare providers do to protect patient data?

Currently, Hawaii Pacific Health is looking for alternatives and is willing to invest in technology. Technology can help prevent repercussions, such as medical identity theft. Nonetheless, compromised data can be easily safeguarded with a biometric patient identification platform that prevents unauthorized access. 

RightPatient – Biometric Patient Identification Platform

RightPatient has been serving several healthcare providers and medical institutions to avert repercussions like illegal access to patient data, and ultimately preventing medical identity theft. RightPatient is the most advanced biometric patient identification platform that can protect patient data by preventing inappropriate access to patient medical records.

How does it work?

During registration, patients will need to provide their biometric information (facial photos, irises, fingerprints) to the hospital. With the help of biometric encryption technology, patients’ medical data will be kept locked and secured. The next time patients come to receive medical services,  all they need to do is look at the camera or perform a fingerprint scan to unlock their data in seconds. This technology automatically prevents illegal access to medical records,  as to access the data, you will need the patient’s authentication. 

When all is said and done

There is no doubt that the patient’s medical record should be kept confidential, but the crux of the matter is human errors are inevitable. Hospitals should be aware and willing to invest in technologies that can prevent more damage and open the door to more opportunities for quality health service.

Patient identification helps improve revenue cycle

Hospitals Can Improve Revenue Cycle With Positive Patient Identification

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Patient identification helps improve revenue cycle

The importance of digitization in healthcare delivery is becoming inevitable. As medical institutions and hospitals try to deliver a more value-based care environment, the RCM (revenue cycle management) has become more critical. According to HFMA/Navigant analysis, healthcare revenue cycle leaders are willing to invest more in technologies that will boost their revenue integrity, eliminate human error, and increase productivity in the future. All in all, they are targeting to improve the revenue cycle. 

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According to a report from Sage Growth Partners, one-third of healthcare providers have confronted more than $10 million in outstanding debt every year. Every year up to $125 billion is lost due to unpaid bills and underpaid claims, and the situation is nowhere near improving. As a result, more healthcare providers are demanding revenue cycle managers to revamp and automate their processes. 

Understanding the process flow

To understand how to improve revenue cycle management, we should know that it is usually divided into two separate parts, the front-end and the back-end process. The front-end revenue cycle management deals with patients directly. For example registering new patients, collecting information for patients, and confirming insurance eligibility and coverage. The back-end involves dealing with claims management, denial management, medical billing, and ultimate patient financial responsibility collection.  

Even with all the innovative ideas the RCM managers are putting into effect, healthcare organizations are still worried about:

  • Decreasing cost to collect
  • Providing quality patient experience
  • Reducing initial denial rates, which have gone up in both public and private organizations
  • Concerns about increasing out of pocket costs from consumers, which leads to payments being held up, delayed care, and uncollectible receivables. 

What can be done?

Instead of reaching out to professional RCM vendors, the healthcare providers and medical institutions can solve the problem with proper patient identification. The first essential step which helps to improve revenue cycle and reduce denied claims is to identify the patients accurately and bill them accordingly. Let’s look at the solution and the possible gains from this solution. 

RightPatient – Biometric Patient Identification Platform

A biometric patient identification platform such as RightPatient is a cutting-edge digital cloud technology used by many healthcare providers to address the sorts of problems mentioned above. Using biometrics has proven to be effective in identifying patients accurately.

How it works

During initial enrollment at the hospital, a patient’s biometric data like their iris or facial photos, will be used to keep their information locked and secure. Next time when the patient arrives at the hospital to avail of healthcare services, all he/she needs to do is just look at the camera, and the platform will identify their accurate medical records within seconds.

Halt denials before they start

Eliminating the problem at the front-end will ensure that you do not have to worry about back-end RCM staff dealing with denied claims. RightPatient will do that for you. Accurate patient identification from the beginning of the care will eliminate the risk of improper use of patient information, resulting in the rejection of claims. 

Who is using this solution? 

Healthcare providers such as the University Health Care System and Terrebonne General Medical Center are using RightPatient’s biometric identification platform to reduce the number of denied claims and improve their revenue cycle.  

Improve revenue cycle now

Using biometrics to identify patients has also proven to be effective in improving patient experience, reducing administrative burdens, and eliminating errors. Naturally, more time and resources can be invested to ensure the provision of quality care. Adding the front-end and back-end functions through RightPatient can help the hospital create a steady revenue cycle that responds to an evolving industry.

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Hospital data breach results in an expensive lawsuit – Is yours next?

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Hospital data breaches have been rampant for quite some years now. Last year’s figures alone are quite frightening – one states that 41 million patient records were exposed, essentially making the patients potential victims of medical identity theft. Thus, both data breaches and medical identity theft has been in the limelight. These unwanted nuisances have turned the attention towards healthcare providers who are suffering from these events. One such provider is the University of Missouri Health Care (MU Health), who suffered a data breach of 14 thousand records and also were hit by a lawsuit by the impacted patients.

This happened back in 2019. The provider was sued by patients who were affected by the breach in question. The patients reasoned that the breach had made their sensitive records prone to medical identity theft – their fear was not irrational.

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The actual story

On the first day of May 2019, the healthcare provider found out that an outsider somehow accessed email accounts of two employees for more than a week. Following the incident, the concerned officials said that they took the necessary steps to secure both accounts. 

It was not disclosed how the hacker got access and whether it was a phishing incident or not. However, the healthcare provider revealed that the affected account had sensitive patient data stored, such as names, DOB, medical record numbers, insurance details, as well as treatment details. The hospital data breach even consisted of the Social Security Numbers of some unlucky patients.

The data breach, fortunately, did not affect all the patients of MU Health. However, it did affect around 14,400 patients, which is no small number. As soon as the provider’s inquiry ended regarding the breach on the twenty-seventh day of July, it started to inform the patients regarding the breach. Oddly, the organization notified the patients after the required timeframe of 60 days as per HIPAA regulations.

The aftermath

Within the same week of notifying the patients, one of them filed a lawsuit, followed by 19 others. Their reason was very simple – the data breach would likely result in medical identity theft and lead to lower-quality care. The patients also believed that they were paying quite an amount of money, and thus, MU Health should add stringent security with their services.

Hospital data breaches can arm hackers with enough information to obtain medical services assigned to the patients. The hackers could either expose the data, sell it, or use it for themselves. These could lead to the patients paying for healthcare services they did not avail. These could also become denied claims for healthcare providers. Whichever way one looks at it, data breaches and medical identity theft is extremely undesirable. 

How do hospitals prevent medical identity theft?

Although it is quite prevalent nowadays, medical identity theft can actually be prevented. One way to make sure that the medical records are safe is by locking them with a key that hackers cannot forge. That is exactly what RightPatient does. It is a biometric patient identification platform that locks the patient records with their biometric data. Once the platform attaches the medical record with the data during enrollment, a third party cannot come and claim that record, preventing medical identity theft and ensuring accurate patient identification. RightPatient has been preventing medical identity theft for leading hospitals such as University Health Care System and Grady Health System.

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Proper Patient Identification Can Help Fight the Opioid Crisis

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The opioid crisis has been a menace since it started. It spread like wildfire throughout the country, and everyone involved in healthcare is still struggling to keep the situation under control. PDMPs (prescription drug monitoring programs) have been set up in almost every state to monitor activities like prescribing, distributing, and using controlled substances such as opioids. These PDMPs help identify patients who might be prone to drug abuse and provides the hospitals with opportunities to prevent such scenarios.

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If that is true, then why is the opioid crisis still a thing?

PDMPs are dependent on the data they are given to work with. They receive patient data like logs, records, patient profiles, and even counseling records. Thus, if the data is clean, then the PDMPs will work perfectly, and vice versa. Here lies the challenge – most of the data can be incomplete or unreliable, to begin with.

According to Injury Facts, the odds of a person dying from opioids are greater than dying from a motor vehicle collision. This has made opioid overdoses to be the fifth largest cause of deaths in the country. Everyone is on edge regarding the issue, and it is paramount that the data needed by PDMPs are accurate, valid. And consistent with the patients. Accurate patient data at all times can drastically reduce the opioid overdoses and bring the whole situation under control.

The biggest challenges – data quality and patient matching errors

Hospitals and health systems have been adapting EHR systems quite rapidly for the past few decades, which has helped digitize medical records. Even after all these years, proper patient identification is still a significant challenge for many. Much of the patient data have errors or are incomplete. Many of these can be traced back to duplicate medical records or overlays. According to a survey conducted by PDMP Training and Technical Assistance Center, the majority of the states are facing problems with patient records – 53% said that there are data quality issues.

Can proper patient identification be the answer?

Accurate patient matching is the only solution – something which can identify the accurate patients within seconds. RightPatient is just that – a biometric patient identification platform. It locks the patients’ medical records with their biometric data such as fingerprints or irises. After enrollment, the patient needs only to scan their biometrics, and the platform identifies the accurate EHR within seconds. Several health systems such as University Health Care System are using it and are reporting enhanced patient safety, improved revenue cycle, and reduced medical identity thefts. No longer can drug abusers come in and claim someone else’s identity – the system flags them within seconds. Health systems that are using RightPatient have dramatically reduced opioid issues within their premises. Since accurate patient record matching is the key, RightPatient is the perfect solution for the problem. Proper patient identification has never been easier and safer!

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How Do Progressive Hospitals Prevent Medical Identity Theft?

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There are many things we need to be concerned about to avoid any identity theft and lose a significant amount of money. Social Security Numbers, bank accounts, credit cards, insurance, and even driver’s license need to be monitored continuously to make sure these are safe and sound. Another kind of theft has been increasing rapidly in numbers – medical identity theft. However, what are the problems associated with medical identity theft, and what can hospitals do to ensure that their patient data is safe and secure from such events? Let’s explore.

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What is medical identity theft?

As a refresher, medical identity theft occurs whenever an unauthorized person takes the credentials of a patient without the latter’s knowledge and uses it for personal gain. It can be used to obtain healthcare services such as prescription drugs, treatment, as well as medical equipment. Also, as we can see in the recent news, criminals are actively targeting medical data of patients, which has contributed to the meteoric rise of medical identity theft. These cause the patients to receive medical bills with shocking numbers – tens of thousands of dollars’ worth of services can be used or stolen by the criminals. One hundred seventy-one million patient records were exposed online, according to the Identity Theft Resource Center. On the other hand, the reputed Ponemon Institute estimates that patients pay around $13,500 either for the fixes or for the services used by the culprits.

How does it affect patients and hospitals?

Other than the previously mentioned financial impacts medical identity theft has on patients, it affects them in different ways as well. According to the Ponemon Institute, 3% of the patients were fired, 19% lost potential jobs. In contrast, a considerable number of patients faced embarrassment due to the exposure of sensitive healthcare data – all of which happened due to medical identity theft. It can also cause the medical data of the culprits to be embedded into the patient record. For instance, when a victim goes to their providers for healthcare services, the patient might be given treatment based on the culprit’s preferences, interfering with the preferences of the actual patient.

For hospitals, medical identity theft is equally damaging, if not worse. Half of the patients will switch their healthcare providers if their medical identities are stolen, according to the Ponemon Institute. Such an event would also impact their reputation, cause losses in millions due to denied claims, and so on. All in all, medical identity theft is a problem for everyone involved and can be very costly to fix.

How do hospitals prevent medical identity theft?

Many safeguards can prevent medical identity theft, but none are as effective as RightPatient. It is a biometric patient identification platform that ensures that the medical records are locked with the biometric data of the patients. The platform takes the biometric data such as fingerprints or irises of the patients and attaches them with the medical records. Without biometric verification, the records cannot be accessed by unauthorized parties, ensuring no medical identity theft takes place. RightPatient also ensures patient safety – the platform provides accurate medical records within seconds of scanning the patients’ biometric data. It reduces denied claims, improves revenue cycle, and saves hospitals and patients from unnecessary costs. Several pioneering healthcare providers like Terrebonne General Medical Center and Novant Health are using RightPatient. They are reducing denied claims, preventing medical identity theft, improving revenue cycle, and enhancing patient safety.

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Medical Identity Theft Prevention Enhances Patient Trust

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What is one of the crucial things a company needs to ensure so that it can thrive? Is it the employees, revenue, or size? While many may answer something along the lines of the previously mentioned characteristics, one of the most critical assets a company can have is the trust of its customers. The healthcare system is no different – various health systems and hospitals are successful today only because of their patients’ trust in their services. Since it is healthcare, patients put their lives in the hands of the hospitals – trust plays a huge role here. That trust can be enhanced with medical identity theft prevention.

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According to Morning Consult, in terms of trust from consumers, healthcare lies in the middle, while insurance, finance, and real state are underneath it, whereas airlines and technology are above it.

Morning Consult conducted a study which had several respondents about their perception regarding various US brands as well as firms. From these people, a meager 16% responded that they trust health systems a lot, whereas 36% said that they believe these organizations somewhat.

Also, while ranking the most trustworthy companies, people, ideas, among other things, the respondents ranked their physicians even above notable choices such as Google, police, and leaders.

Thankfully, the report went deeper and gave areas of improvement for hospitals and health systems to build up trust among patients. When the sample of the study was asked what the most crucial factor which helps build trust towards an organization is, three-fourth of the respondents said that protecting their sensitive data was extremely important for trust-building.

All of these are straight from the customers themselves, and these are even more applicable to the US healthcare system. The health systems and hospitals need to ensure that the sensitive patient data they keep are safeguarded, especially now. Breaches seem to be very common nowadays, which leads to exposure to the patients’ confidential medical data as well as documents like medical images, medication, and so on. It costs both patients and healthcare providers alike – patients become victims of medical identity theft, whereas healthcare providers’ reputations are dented. People question the security surrounding the medical records since HIPAA requires strict safeguarding of such sensitive information.

These lead to losses for both patients and health systems – patients may sue the hospitals, the culprits may use the identities to avail services illegally, costing the patients a significant amount of money for services that they never used. Medical identity theft may also occur if an individual steals a patient’s medical credentials and uses it for his/her gain. In such cases, the preferences of the culprit may get mixed up with that of the patients. For instance, the patient might be allergic to certain medications, and may still receive that after the culprit uses his/her ID.

Dynamic healthcare providers such as Novant Health, Terrebonne General Medical Center, and University Health Care System are preventing such issues by using RightPatient. It is a biometric patient identification platform that locks the medical records after attaching those with the biometric data of the patients. Once a patient enrolls with the biometric data, for instance, irises or fingerprints, the records can be accessed using only the same data, creating medical identity theft prevention. The hospital can also identify the accurate patient record within seconds after the patient scans his/her biometric data for verification. RightPatient not only aids in medical identity theft prevention, but also eliminates patient matching errors, ensuring accurate patient identification, enhancing patient safety, and improving the revenue cycle as well. It saves lives as well as millions for both patients and health systems, enhancing patient trust.

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Wrong Patient Identification Causes Kidney Transplant Fiasco at a Hospital

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Another day, another wrong patient identification. It just goes to show how common patient misidentification is in the US healthcare system. It has been plaguing the industry for several years and looks like there is no stopping it. However, what did it cause this time? Where did it happen? Who was affected? Was it fatal? Let’s dive deep.

The patient misidentification took place in Lourdes Hospital Transplant Center, located in New Jersey. This time, it was the case of a kidney transplant – the patient who had the surgery and got another patient’s required kidney. However, nobody at the hospital noticed that such a mix-up took place.

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Why did this mix-up happen?

Once again, it is because of the similar characteristics of the patients. This time, the patients had a similar name as well as age. Both of them needed kidneys, that’s why they were on the same list. However, the one who was supposed to get a kidney later got it first – this was found out by a hospital official while checking the organ donor list. It was quite lucky for the patient that the kidney was a perfect match, as the other scenario could have had dire consequences.

The good thing is that the hospital reported the incident on their own, according to Virtua Health (which owns the Lourdes Health System). Thus, it is quite transparent about the issue. Had this been some other hospital, it might have denied it or kept the matter under wraps.

Virtua Health’s Executive Vice President and Chief Clinical Officer said that this is a rare case occurring in its forty-years-old program and that they are ensuring they take the steps necessary to ensure that this unwanted incident does not happen again.

Later on, the patient who was supposed to get the kidney first got the surgery a week later, and both the patients are doing fine now.

This is not an isolated incident. It might be one of the very few cases where the patients were unscathed due to wrong patient identification, which did not cause any significant harm to them. Several patients get misidentified every day, almost due to medical record mix-ups, duplicate medical records, data overlays, and so on. This affects patients as they receive the wrong bills, medication, and even surgeries, like in this case. Hospitals are also affected – denied claims, lower ratings, data overlays, and medical identity theft all lead to huge losses.

How can hospitals avoid wrong patient identification?

The problem here is medical record mix-up and wrong patient identification. That is eliminated by using RightPatient – several progressive health systems and hospitals are using this biometric patient identification platform. It seamlessly integrates with existing EHR systems and keeps the biometric data of the patients. Once a patient registers with it, the biometric data such as irises or fingerprints are used to identify the accurate medical record within seconds and pulls it from the EHR system for use. RightPatient also locks the medical record with the patient’s biometric data so that unauthorized access is prevented – eliminating medical identity theft in the process. Had RightPatient been used in this case, this mix-up could have been prevented, just how health systems like Novant Health and Terrebonne General Medical Center are avoiding it. 

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2583 hospitals hit with penalties due to readmission reduction program

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Medicare hit 2583 health systems with penalties by cutting payments to them. This has been happening for the last eight years and thanks to the ACA, it is an effort to reduce the readmission rates of hospitals. This specifically focuses on the patients who return within the same month after they are primarily discharged which helps the readmission reduction program.

This is not something new, as it is a recurrent theme for the last few years, where Medicare predicts that it’ll cost the hospitals a whopping $563 million per year. This effort to reduce readmissions is known as the Hospital Readmission Reduction Program and has about 3129 hospitals attached to it. Out of them, a staggering 83% could not reduce the readmission rate and thus, were slapped with the penalties. This penalty to each of these hospitals will be in the form of deductions from the payments Medicare will pay them for future patients over the next year, starting this October 1st.

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One thing has been repeatedly said that these efforts have been going on for quite some time, since 2012, to be precise. However, many are still unclear whether these fines are helping to reduce readmission rates and thus generating better patient safety. On the other hand, these efforts have been reinforcing hospitals and health systems to reimagine how the patients are receiving care and focus on their health after discharging them so that minimal readmissions occur. Conversely, many industry pundits have chimed in that a few healthcare providers may intentionally avoid readmitting patients who require critical post-discharge healthcare services solely because of these penalties, which is severely detrimental for the patient’s health as well the hospitals’ reputations. Others are saying the program itself is not that effective, although it has brought in small benefits. 

Some studies were conducted, and it was revealed that this HRRP caused an increase in fatal incidents regarding patients. However, it was refuted by a study conducted by the Medicare Payment Advisory Commission (MedPAC).

Sometime last month, MedPAC’s study was released to the public, and it showed that the number of readmissions of Medicare patients within a timeframe of 30 days decreased to 15.7% in 2017 from 16.7% in 2010. 

Going into specifics, the hospitals are penalized for these readmissions when the patients are provided with healthcare services for heart failure, pneumonia, heart attack, hip and knee replacement, chronic coronary artery bypass graft surgery, or lung disease. One good thing regarding HRRP is that inevitable readmissions, for instance, scheduled ones, are exempted from penalties. Delving deeper, HRRP dictates that if patients return within the 30 days timeframe, the hospital will be penalized. Also, if the Medicare-funded patients go to a different hospital, the primary hospital which provided the care will be penalized. 

According to KHN, about 1177 hospitals were penalized higher than they were compared to last year, whereas 1148 received lower penalties compared to the previous period. 64 providers were stable since they received the same amount of penalty compared to last year. 194 new hospitals were added to the list of penalized hospitals, whereas 372 exemplary hospitals received no penalties for two consecutive years. However, one thing must be noted – 2142 health systems and hospitals were exempted due to the lower number of cases, veterans, or children’s hospitals. 

So, the readmission reduction program is one of the biggest headaches of hospitals and health systems. How can they be reduced? Well, a lot of health systems are using RightPatient to address it. It is a biometric patient identification platform that locks the medical records of the patents with their biometric data and the records cannot be accessed without biometrics. Other than ensuring positive patient identification, it also ensures that the hospitals receive a notification when a patient enters their premises within the 30-day period so that they can be provided with better care and thus ensuring better patient experience, reducing the penalties as well as better patient outcomes and thus, minimizing losses while creating a win-win situation for all.

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Another industry expert in favor of an effective patient identifier

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It has been a long, continuous, and never-ending fight for the unique patient identifier which has not been without its own share of controversies. At the moment, Congress is thinking about whether it should give the green signal regarding the financing of a unique patient identifier to be used across the health systems and hospitals in the US. Now, Julie Dooling, another prominent healthcare expert of the American Healthcare Information Management Association (AHIMA), has given her views regarding how an effective patient identification platform can change the game. Such a solution can generate accurate patient identifications with the existing electronic health records within any hospital that aims at helping and improving patient safety as well as to eliminate any detected fraud in the process. Thankfully, such a solution exists – more on that later.

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Patient matching – how hard could it be. That’s what may come to the minds of many. However, the truth is precisely the opposite when it comes to matching patients to their actual records, let alone duplicates which may be exceptionally complicated and thereby, making the failure rate to be quite significant. Moreover, according to Ms. Dooling, 8-12% of errors exist due to the duplicate records created for the same patient. Here is where the patient identification solution will come into play and it will identify the correct records for the patients every time, according to her.

However, it is not only AHIMA – a lot of health systems, hospitals, as well as other prominent healthcare organizations have been clamoring for a solution and are thus demanding for the abolishment of the archaic ban on funding and researching for a unique patient identifier by the Department of Health and Human Services which could be used nationwide.

HIPAA came into effect in 1996 and had a prerequisite for making reliable patient identification systems so that meaningful health information could be generated. However, as said multiple times, privacy concerns were cited by many parties, which ultimately led to the restriction in the development and funding for a national patient identifier. The opposition reasoned that medical records would be exposed and cybercriminals could steal data.

However, that did ultimately happen, and we see news regarding such cybercrimes every day. Also, fraudulent activities are quite common regarding the health information of patients. Ms. Dooling says that the consequences of privacy concerns such as healthcare fraud, which were given as reasons for not opting for a UPI, are happening even without its existence. Ms. Dooling also added that if a UPI is to be made, as everyone is clamoring for it now, it will take a lot of effort since it has to be nationwide and also should have interoperability, which is the primary concern. She also stated her concern regarding privacy issues; they would not be collecting Social Security Numbers so that the people can heave a sigh of relief regarding this matter.

Funding, researching, and creating such a solution would take a lot of time and resources. However, what if such a solution exists? Wouldn’t it be that much more feasible? Fortunately, such an exact solution exists.

A lot of health systems are already using RightPatient, which was made with accurate patient identification in mind. It is a biometric patient identification platform that locks the patient records with the biometric data of the patients. Once a patient registers their biometric data using RightPatient, it gets attached to their EHRs, and they can be identified within seconds whenever they visit the hospital. Also, this reduces medical identity theft and the medical records cannot be accessed without the biometric data of the patients, which can be irises or fingerprints. Likewise, health systems are using RightPatient to reduce denied claims as well, since they are eliminating patient misidentifications within their premises. It improves patient safety, enhances revenue cycle, and reduces millions of losses while saving both lives and money in the process. It does fit the bill for being a UPI since it is a tried and tested solution for accurate patient identification.

Source: Making the Case for National Unique Patient ID

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Why a Unique Patient Identifier is so important in the healthcare industry?

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Not a day goes by when we do not hear of patient identification errors – this has been plaguing the healthcare industry for a prolonged period of time; since the dawn of healthcare, patient misidentification has been present, and it still is, even to this very day. Accurate patient identification is of paramount importance – so much so, that it has forced the Joint Commission to prioritize patient identification as the first patient safety goal during 2014, and this has continued ever since. However, a unique patient identifier is yet to be found, funded, and determined due to privacy issues when it was first proposed.

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RightPatient is identifying millions of patients accurately.

Back when a unique patient identifier was initially proposed, it was thought to be integral for valid patient identification, since accurate patient matching will help reduce medical errors as well as costs incurred from misidentifications – speeding up the processes leading to improved and coordinated care. This is one of the reasons why UPIs are in the news again, regarding the abolishment of the ban on funds to create a unique patient identifier. However, this has yet to be processed, and it will be a long time into the future before it will see the light of day. Let’s focus on the here and now – what are these UPIs, and why are they so sought after? Let’s analyze.

If a standardized patient identification system were used nationwide, each patient would have a unique ID with which their healthcare providers, insurance companies, as well as other relevant parties will be able to identify the patients accurately, so that they would be able to manage all relevant information without mixing it up with someone else’s information. In times of necessity, this information can also be shared with other parties; for instance, if the patient goes to some other care provider. This can be done confidently and error-free using the unique patient identifier. These are only a few of the benefits of UPI. However, enjoying such benefits in the USA is still a dream.

The USA is one of the only developed countries in the world which does not utilize a UPI. The usage of UPIs varies from country to country; whenever the need has arisen, countries have implemented some form of UPI which could easily be used by everyone involved in the healthcare sector and sped up the identification process by simplifying it. However, it is badly needed in the US, and it looks like it is nowhere near being available shortly.

A single entity does not provide healthcare to an individual patient – it is a complex process where many parties are involved in providing healthcare services to the patients in exchange for their hard-earned money. Thus, it means that teamwork is very crucial in this industry so that the providers do not mix up the patients and provide consistent care.

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From a patient’s perspective, it would be extremely beneficial for them if a standardized patient identification system is chosen which will be used to treat them, bill them, and apply for all other formalities, so that everything is concise and present at one place, and so that the same set of data is available whenever their records are brought up. This will also help increase coordinated care so that if a patient has multiple healthcare providers for his/her different ailments, everyone can access the same level of data. For instance, everyone can access the same set of test results, medical records, and other relevant data regarding the patient. 

So, what can be a UPI? RightPatient seems to be a perfect candidate for becoming a unique patient identifier for the US healthcare system. It already has a lot of users, and all of them are reporting the same results – positive patient identification, enhanced patient safety, as well as improved patient experience. RightPatient focuses on biometrics, especially iris scanning, and once the patients are registered, all they need to do is look into the camera, and they are accurately matched with their medical records within seconds. A lot of health systems have used it to reduce losses by reducing misidentifications as well as insurance frauds. Not only does it speed up patient identifications, which earlier took forever, but it also cuts costs and helps save millions of dollars for the health systems using it.