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Patient Identity Verification Must be Touchless After COVID-19

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The coronavirus pandemic has been the biggest changemaker in recent decades. After months of lockdown, social distancing, and gradual reopening of society, new cases are being seen in the US again. While everything may seem uncertain for now, one thing is for sure – COVID-19 has changed reality for everyone. Going to restaurants and hanging out with friends are things of the past now and there is no telling when all this will be normal again. The coronavirus has highlighted one thing in particular that will stay for us with a long time to come – how to reduce physical contact with others. Healthcare providers have had headaches of infection control issues for years now, but it is the headache of the average patient after the pandemic shook the world. While there will be a rise in usage and demand in touchless technology in the future, such as facial/voice recognition attendance systems, printing board passes via gestures, etc., one area where it is crucially needed is during the patient identity verification process. Let’s analyze the current condition of patient identification processes used, why a uniform identifier is not used by providers, and how leading healthcare providers are ensuring accurate patient identification.

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Patient identity verification – the current scenario

Patient identification errors have been a much-discussed topic in this space, and for good reason. It is still one of the biggest problems healthcare providers are facing – leading to denied claims, medical identity theft, increased losses, and patient safety issues. While ineffective patient identity verification is a prevalent issue, different providers are implementing different solutions to solve them. But shouldn’t there be a uniform method of patient identification present? That is where the UPI comes in.

The mythical UPI

UPIs, or unique patient identifiers, have been the talk for years now. UPIs can be anything that is, as the name suggests, unique to a single patient. Its absence has led to quite a few problems within the US healthcare system, including duplicate medical records, waste, and preventable medical errors. In fact, John Hopkins has said that over 250,000 people in the US die due to medical errors, many of which are due to incorrect patient records and data. These unfortunate deaths could have been avoided with accurate patient identification. But why, then, is UPI still not a thing? Why do healthcare providers still struggle with patient identification? 

Healthcare providers, as well as respected leaders in the healthcare system, have been clamoring for a UPI for years now. In fact, HIPAA (Health Insurance Portability and Accountability Act) mandates that a UPI be created for patients. However, there have been concerns since the beginning of talks regarding a UPI – how it might be stolen, misused, or worse, just like Social Security numbers. Basically, lawmakers were concerned as to how UPI could be kept private and confidential so that third parties cannot gain unauthorized access to it. Thus, back in 1998, Congress banned the authorization of a state-funded UPI. The stance has not changed after all these years. Even in 2019, the House of Representatives voted to revoke the ban, but the Senate let it stay. The lack of an effective patient identifier has been haunting the US healthcare industry ever since the UPI was banned in 1998.

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How is the US healthcare system verifying patient identity?

Different healthcare providers are using different methods for patient identity verification. However, most of them are rendered ineffective now due to the coronavirus pandemic. Earlier, only healthcare providers used to think about infection control issues. Now, it is a headache for the patients as well.

While some are waiting around for the government to approve a state-funded UPI, they are facing a constant struggle with the usage of an obsolete means to identify patients – asking them questions. This has a lot of loopholes – it is slow, tedious, and anyone can assume the identity of the patient as long as they have the patient’s data with them, leading to medical identity theft.

Others are using patient ID wristbands. While more effective than asking questions, this, too, can be stolen, transferred, and used to commit medical identity theft. Not to mention, these require physical contact as well, something that patients will very much be reluctant to do nowadays – a result of the pandemic.

An effective patient identity verification system is biometric patient identification. Once again, not all modalities are effective, safe, and practical. As mentioned earlier, the pandemic has changed reality for all of us – patient identification is no exception.

While biometric modalities like fingerprint and palm-vein scanning are effective, they require the one thing patients will not be ready to do for a long time – touch the device to verify their identities. Hospitals are the epicenter of infection control issues, and while every provider has been dealing with COVID-19 patients, regular patients will be quite hesitant to touch anything. This is especially applicable during patient identification, as they know all patients pass through this location, and contact-based devices might lead to infections.

Touchless patient identity verification is the future

This is where RightPatient comes in. We have been providing hospitals with a touchless biometric patient identification platform for years now. Since the beginning, our focus was to ensure patient safety, which is why we always suggested healthcare providers consider our touchless solution that eliminates any infection control headaches related to patient identification. Unlike touch-based solutions, our devices do not require cleaning after every use.

The medical records of the patients are locked with their photos upon registration. Whenever the patient returns, RightPatient identifies the right medical record within seconds after the patient looks at the camera. 

RightPatient has been serving leading healthcare providers like Community Medical Centers, University Medical Center, and Duke Health. It has helped with eliminating the creation of duplicate medical records, preventing medical identity theft, and enhancing patient safety through accurate patient identification in a hygienic manner.

We shared the same concerns healthcare providers have – how to ensure accurate patient identity verification while eliminating infection control issues. After the pandemic, patients have the same concern too. Are you addressing it correctly? If not, contact us right away.

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How to Choose the Right Biometric Modality for Patient ID in Healthcare

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The following post on patient ID in healthcare was submitted by Michael Trader, Co-Founder and President of RightPatient®

We are excited to announce the release of a brand new white paper entitled: Choosing the Most Effective Biometric Solution for Patient Identification in Healthcare (Assessing the characteristics and capabilities of biometric options). The white paper assesses the capabilities and limitations of fingerprint, palm vein, and photo biometrics (iris and facial recognition) for patient ID in healthcare.

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Misinformation and confusion surrounding biometric patient ID hardware modalities are cleared up in our latest white paper.

The journey to select the most suitable biometric modality for patient identification in healthcare should include an assessment of hardware capabilities and limitations. This white paper was written and published as an educational resource for healthcare organizations to develop a deeper understanding of device characteristics and limitations. Due to persistent misinformation about the ability of select biometric modalities to perform accurate patient ID in healthcare and confusion on the realities of real world results post implementation we feel that this white paper stands as an authoritative guide that should be included in any and all comprehensive due diligence of biometrics.

Over 14 years of experience in real world implementations of fingerprint, palm vein, and photo biometrics has provided us with a wealth of knowledge and research on how these modalities operate when deployed and an authoritative resource to determine which devices can deliver on the promise that effective patient ID solutions offer:

  • Elimination of duplicate medical records and overlays
  • Prevention of medical ID theft and healthcare fraud
  • Increasing and sustaining patient data integrity
  • Increasing patient safety
  • Providing accurate patient ID at ANY point along the care continuum

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Did you know that select biometric modalities covered in the white paper do not have the ability to accomplish some of these goals? We encourage you to contact us and request your copy of this important and informative white paper to provide a more thorough background and understanding of biometric patient identification realities versus marketing fluff.

We are confident that you will find value in our research and analysis based on a decade and a half of experience in the biometric identification management industry and extensive experience with all of the modalities covered in the white paper. Please click here to request a copy of the research report. 

How to Choose the Right Biometric Modality for Patient ID in HealthcareMichael Trader is President and Co-Founder of RightPatient®. Michael is responsible for overseeing business development and marketing activities, government outreach, and for providing senior leadership on business and policy issues.

One-to-many-biometric-patient-ID-systems-are-the-only-way-to-prevent-duplicate-medical-records

The Difference Between 1:N, 1:1, and 1:Few and Why it Matters in Patient ID

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The following guest post was submitted by Joe Kubilius, Director of Product and Process Management at RightPatient®

Understanding the Digital World

In a world rife with digital devices and electronic gadgets, few of us probably know or understand how they actually work. Think about a smartphone for example – myriad buttons, switches, cameras, lights, and sounds instruct us to swipe this, or press that and we oblige. After all, the complexity of the backend processor and sensor network that makes these devices do what they do is probably of little interest to most of us, myself included.

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Did you know that not all biometric patient ID systems have backend matching types that can prevent duplicates, eliminate medical ID theft, and improve patient data integrity? Only 1:N biometric matching has this capability.

Instead what we focus on is the end result – what you see, hear, and experience when you use a digital device. Few would argue that it’s necessary or even mandatory to have a thorough understanding of backend functionality on any digital device in order to appreciate the value it brings to our lives. For biometric patient identification solutions, this is definitely not the case.

Why Biometric Patient ID Technology is Different

Understanding biometric matching types is critical when selecting a patient identification solution. Most of us probably see biometric matching as rather black and white — for example, you place your finger on a fingerprint reader, a backend software program recognizes and verifies your identity, and you are on your merry way. The problem is that backend biometric matching technology is not cookie cutter and there are different matching types that carry different capabilities.

Why is this important to know and understand? We know that most healthcare organizations invest in the use of biometric patient ID solutions to increase patient safety by:

  • Eliminating medical identity theft and fraud at the point of service
  • Preventing duplicate medical records and overlays
  • Achieving and sustaining patient data integrity
  • Safeguarding personal health information (PHI)
  • Identifying unconscious or unknown patients

What most people don’t realize is that depending on which biometric matching type you select, achieving these goals is not 100% attainable with select patient ID solutions. The ONLY way to achieve the bulleted objectives is to implement a system that, during patient enrollment, compares a patient’s stored biometric template against ALL stored templates in the biometric database. If the ultimate goal is to improve patient safety and patient data integrity, only a one-to-many (1:N) biometric matching type can accomplish this.

Let’s take a closer look at the available biometric matching types and what they have the ability to do.

Understanding the Differences Between Biometric Matching Types

Biometric matching types can be categorized as: One-to-many or “Identification” (1:N), one-to-one or “Verification” (1:1), and 1:Few Segmented “Identification” (1:Few). Here is a breakdown of each matching type and how to interpret their capabilities:

  • (1:1) Verification: 1:1 biometric “verification” matching authenticates a patient’s identity by comparing a captured biometric template with a biometric template pre-stored in a database. 1:1 biometric matching rejects or accepts a patient’s identity but before the comparison takes place, hospital staff must first input a personally identifiable credential (e.g. – a date of birth, gender, etc.) prior to comparing a stored biometric template against a live scan. This personally identifiable credential points to a specific enrollment template in the database so using a 1:1 matching type answers the question, “Is a patient who they claim to be.”

Example: A patient walks into the ED. Hospital staff asks the patient for their date of birth then scans the patient’s biometric credential to compare it against the stored template for that patient to verify that the patient is who they claim to be. With 1:1 biometric matching, the registrar has to retrieve a patient’s medical record first. Assuming the patient has been previously enrolled, they then scan their biometric and the system compares the captured data only against the data on file for that medical record.

Takeaway: 1:1 biometric verification is beneficial for verifying a patient’s claimed identity but since it does not search the stored biometric template database in its entirety, it does not have the ability to prevent medical identity theft or fraud at the point of service nor does it have the capability to identify an unconscious or unknown patient since a personally identifiable credential is needed prior to conducting the biometric scan.

  • (1:Few) Segmented Identification: 1:Few biometric matching compares a patient’s captured biometric template against a segmented portion of the entire biometric database, therefore a personally identifiable credential must be provided prior to the biometric scan to determine the subset of biometric templates to compare against. For example, a patient would provide a date of birth prior to the biometric scan and a 1:Few segmented identification system would then compare that patient’s biometric template only against the templates that share the same date of birth.

Example: A patient arrives at a medical facility for treatment. At registration, hospital staff asks the patient for their date of birth which segments the biometric database to only those records that share the same date of birth and then captures the patient’s biometric credential for comparison against the segmented database.    

Takeaway: 1:Few segmented identification does not have the ability to search an entire biometric database in real time to prevent the creation of duplicate medical records or eliminate medical identity theft or fraud at the point of service. What if a patient attempting to commit fraud had previously enrolled their biometric credentials and it was linked to another electronic medical record, then returns to the medical facility claiming another identity and providing a falsified, different date of birth? Hospital staff would then link that patient’s biometric credentials to another electronic medical record and a 1:Few segmented identification matching type would not be able to catch the fraud or prevent a duplicate medical record for this patient. In addition,  if a patient arrived unconscious without any identification credentials in the ED, 1:Few segmented identification does not have the ability to identify them because a personally identifiable credential is required. How would an unconscious, unknown patient be able to provide this? Biometric patient ID matching systems based on 1:Few segmented identification do not have the ability to identify unconscious/unknown patients.

  • (1:N) Patient Identification: A one-to-many (1:N) biometric identification matching system instantly compares a patient’s captured biometric template against ALL stored biometric templates in the system. No other information is required from the patient other than their biometric credentials and this matching type represents the only true de-duplication mechanism and the only way to prevent duplicate medical records to achieve and sustain patient data integrity. 1:N biometric mathcing types ensure that once a patient enrolls, it is impossible to create a duplicate medical record for that patient.

Example: A patient arrives at a hospital for outpatient surgery. At the registration desk, hospital staff takes a patient’s photo with an iris recognition camera. The backend software instantly compares that patient’s biometric credentials to every single stored biometric template in the database.

Takeaway: 1:N biometric matching is the only true way to prevent duplicate medical records and overlays and eliminate medical identity theft and healthcare fraud at the point of service. By searching the ENTIRE biometric enrollment template database, hospital staff ensures that a patient has not tried to claim another patient’s identity, and is able to access the only electronic medical record linked to that patient with confidence. If a healthcare organization seeks to improve and sustain patient data integrity and patient safety, 1:N biometric searches are the only way to accomplish this. In our 1:Few example above, if an unconscious, unknown patient arrived in the ED and a hospital had implemented a biometric patient ID   system with 1:N matching, hospital staff would only need to capture the patient’s biometric credential for accurate identification.

Understanding the capabilities and limitations of biometric matching types is key to select a biometric patient ID system that will accomplish the goals of improving patient safety and patient data integrity in healthcare. Take the time to ask the right questions when evaluating a biometric patient ID solutions so you won’t be left in the dark about what a solution can and can’t achieve.

Have you implemented a biometric patient ID system based on 1:1 or 1:Few segmented matching type and did not understand the limitations? Please share your comments and feedback below!

The Difference Between 1:N, 1:1, and 1:Few and Why it Matters in Patient IDJoe Kubilius is Director of Product and Process Management with RightPatient®. With over 10 years of experience in the design, development, and implementation of biometric identity management solutions, Joe has been integral to the success of hundreds of large and small scale deployments across the globe.