Patient Data Accuracy is More Crucial Than Ever for Value-Based Care

November 11, 2020/9164 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety, value-based care /by Matt Gibson

While the US healthcare system, as well as the entire world, is still facing the effects of the COVID-19 pandemic, the former has several issues not directly associated with the novel virus. For instance, the lack of price transparency, increasing healthcare costs, healthcare data breaches, medical identity theft, the lack of interoperability, and the lack of effective patient identification in hospitals are just some of the many problems that plague healthcare providers. While we’ve already covered many of the aforementioned topics, today’s focus will be on value-based care, some upcoming adjustments, and why accurate patient data is crucial for it.

Value-based care in a nutshell

Value-based care is a frequently discussed topic within the healthcare space – it’s supposed to transform healthcare for everyone. While healthcare costs have been ever-increasing and accompanied by all-too-often poor healthcare outcomes, value-based care is thought to be the game-changer. Instead of focusing on the fee-for-service model, value-based care focuses on paying hospitals and physicians based on the patients’ health outcomes.

Due to value-based care, patients will experience lower costs and better healthcare outcomes, healthcare providers will experience better patient satisfaction scores and improved efficiencies, and everyone involved in the model will experience reduced costs and better overall results.

Value-based care has been heavily focusing on:

reducing price and providing transparency regarding it,
enhancing care quality by providing a competitive environment for caregivers,
pushing for enhanced interoperability to improve coordinated care.

However, value-based care will be focusing on more areas as it seeks to improve healthcare as a whole. Let’s take a look at some of the recent updates.

Some current updates regarding value-based care

Medicaid will finally be integrated into value-based care, according to Seema Verma, Administrator of the Centers for Medicare & Medicaid Services (CMS). Medicaid directors across the States have been sent letters including ideas that will help incorporate value-based incentives within programs. Moreover, CMS wants all public and private entities to participate alongside Medicare and Medicaid.

The Center for Medicare and Medicaid Innovation (CMMI) was established to test alternative payment models. It created fifty-four models; however, only five of them demonstrated savings, and only three of them are applicable for national expansion. CMS is hard at work observing the data in order to mitigate these issues.

Being flexible regarding regulations might do the trick, as the CMS believes that the exemptions introduced during the pandemic might be offered within the models for more participants.

There are many other proposed changes as well as those already underway, along with what might be the future of value-based care. A more detailed explanation can be found here.

However, even when value-based care was introduced, one thing was certain – accurate patient data is crucial for it to work. Let’s take a look at why patient data will make or break CMS reimbursements that focus on such models.

Accurate patient data is required for value-based care

Since the focus of value-based care is better healthcare outcomes, providers need to ensure that the right patient is receiving the right treatment at the right time. However, if patient data is inaccurate, it will significantly degenerate healthcare outcomes. For instance, if a patient is misidentified during registration, that patient will be treated using someone else’s medical record – someone with different diagnoses, test reports, ailments, allergies, and so on. If one takes previous patient misidentifications into account, both the misidentified patient, as well as the record holder, have faced adverse health outcomes. Thus, patient data integrity must be maintained to ensure that the information is consistent, accurate, and useful. That’s where RightPatient can help.

RightPatient enhances patient data integrity

Right from the beginning, RightPatient ensures accurate patient data by eliminating patient misidentification, avoiding duplicate medical records, and preventing medical identity theft.

It is a touchless patient identification platform used by several caregivers such as Community Medical Centers, Grady Health, MediSys Health, and Catholic Health of Long Island. By using patients’ faces, RightPatient locks the medical records upon registration with their photos. While scheduling appointments, patients only need to provide a personal photo along with a photo of their driver’s license – the platform automatically verifies the photos to ensure a proper match.

Within healthcare facilities, patients only need to look at the camera – the platform verifies the identities to see if the patients are who they say they are, preventing patient misidentification, avoiding duplicates, and maintaining patient data integrity as well. All these lead to better healthcare outcomes, something which is crucial for value-based care.

Choose RightPatient now and enhance healthcare outcomes by ensuring patient safety across the care continuum.

Preventing Wrong Patient Errors Can Mitigate Hospitals’ Losses During the Pandemic

November 10, 2020/8582 views / 0 Comments/in BLOG, healthcare, Patient Data, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The US healthcare system has been facing one of its worst periods in decades due to the pandemic. Not only does the US have the highest number of COVID-19 cases in the world, but because of this – as well as the cancellation of elective procedures, regular appointments, etc. – its healthcare system is also facing unprecedented financial strain. AHA has estimated that $323 billion will be lost this year – can you believe that? In order to cope with this financial strain, providers are having to lay off employees, close down facilities, introduce furloughing, and some are even shutting their doors permanently. But are these cost-cutting strategies enough, or should providers also look into improving other areas that can help mitigate losses, such as reducing wrong patient errors? Let’s explore some of the recent losses incurred by hospitals, how some of them are trying to cope with it, and how upgrading the patient identity verification process can significantly reduce costs.

Consequences hospitals are facing due to the pandemic

M Health Fairview will lay off 900 and more

The health system stated that 16 of its 56 clinics in Minnesota and Wisconsin will be closed, it will shut the doors of its 90-bed Bethesda Rehabilitation Hospital, and will also reduce some of the services it offered at St. Joseph’s Hospital. Moreover, neurology and bariatrics, as well as other specialties, will be moved to other facilities, and it will also close the doors of St. Joseph’s ED at the end of 2020. All of this is being done to cope with the financial losses that the pandemic introduced – around $250 million – leading to the layoff of 900 employees.

Saint Luke’s Health System will close 2 hospitals

Missouri’s Saint Luke’s Health System has made the hard decision to close down two of its community hospitals at the end of this year. While it has been reported that it’s being done to streamline services, these hospitals have seen lower patient volumes – a direct result of the pandemic. They’ve also stated that the hospitals are being closed to help deal with the pandemic more efficiently.

Wellforce laid off 232 employees

Wellforce, located in Massachusetts, laid off 232 employees due to the losses caused by the pandemic. Quite naturally, some of its facilities faced huge reductions in patient volume, leading to an operating loss of around $32 million. Prior to that, the health system had opted for furloughing over 700 employees and introduced pay cuts for others. It even subsequently culled many of the affected employees, ultimately laying off 232 of them.

Why these techniques might not work

While healthcare providers are doing everything they can to offset the losses caused by the pandemic, it’s clear that strategies like pay cuts, furloughs, or laying off employees will not be enough, and may have undesirable consequences for the future.

For instance, when potential employees see that a hospital is laying off its employees, they’ll lose faith in it and apply at other workplaces. As a result, hospitals will lose out on talented individuals. Many are even laying off their topmost officials – it might be hard to find someone else to fill that position when the candidates see what happened to their predecessor!

Moreover, even after implementing such cost-cutting strategies, many are still having to resort to others as well – look at Wellforce, for instance. While these strategies might reduce costs, what about reducing costs by eliminating other financially significant issues, such as wrong-patient errors?

Preventing wrong patient errors can reduce more costs than you think

Patient identification errors have always been a huge issue within the US healthcare system. Especially during the pandemic, it is now causing more errors than ever – wrong patient data, mix-ups, and inaccurate healthcare outcomes are some of the unfortunate consequences.

Incorrectly identified patients lead to more duplicate records, preventable medical errors, litigation costs, denied claims, and more – all of these cause hospitals to lose a lot of money. Moreover, if caregivers don’t have an effective patient identifier in place medical identity theft cannot be detected in real-time, which leads to significant costs down the line.

Looking to the future, healthcare providers will need to ensure CMS (Centers for Medicare/Medicaid Services) compliance by supporting e-notifications by May of 2021. If the facilities are suffering from wrong-patient errors, the caregivers will lose out on CMS reimbursements in the future.

It’s quite clear that preventing patient identification errors is a feasible strategy to reduce costs, but how should caregivers do so?

RightPatient effectively prevents wrong patient errors

RightPatient has been the touchless patient identification platform of choice for several caregivers. By confirming patients’ identities using their photos, RightPatient ensures that all the issues associated with patient misidentification are eliminated. Even medical identity theft can be prevented – fraudsters are flagged when they face its verification process, reducing significant costs for providers and enhancing patient safety.

Contact us now to learn how we can help mitigate your losses and ensure accurate patient identification across the care continuum.

Patient Safety and Communication are Critical as Patient Visits Return to Pre-pandemic Levels

November 3, 2020/11305 views / 0 Comments/in BLOG, COVID-19, Data Integrity, EHR, healthcare, Infection Control, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

COVID-19 has changed everything in unparalleled ways. Gone are the days when we could hang out casually with friends, be safe without PPE, and commute without the fear of catching the virus. It is quite natural that COVID-19 has impacted organizations and industries as well, and arguably, the US healthcare system is facing the worst consequences. The pandemic has affected every aspect of healthcare as we know it, and healthcare providers will be facing the consequences for years. They were forced to postpone elective procedures and outpatient visits to accommodate the surge of COVID-19 patients. While that was at the beginning of the year, many caregivers are now witnessing increased outpatient visits. Let’s take a look at some numbers regarding the fluctuation of outpatient visits, what caregivers should focus on now, and how patient safety and communication can be achieved with positive patient identification.

What has been the situation since the pandemic hit?

While the novel coronavirus has rattled almost every country’s healthcare system, America’s is the one it hit the worst. In addition to the many pre-existing issues with the healthcare system, the US has the highest number of COVID-19 cases in the world. In order to make room for the numerous COVID-19 cases, as already mentioned, caregivers had to cancel elective surgeries and also encourage non-critical patients to opt for telehealth visits.

Updates regarding outpatient visits

The Commonwealth Fund was closely following the updates of patient volumes within hospitals – let’s take a look at the numbers.

Outpatient visits took a significant hit – they had reduced by almost 60% during the early stages of the pandemic. The update provided by the Commonwealth Fund during May showed that patients were returning for outpatient visits, however, they were still one-third lower compared to pre-pandemic numbers. Also, the latest report shows that weekly outpatient visits are somewhat higher now, compared to the pre-pandemic period.

Outpatient visits vary

While this is a good sign for healthcare providers, it must be noted that these vary greatly depending on age, location, specialty, etc. For instance, in-person visits from younger patients are still lower than they were before the pandemic. Visits are higher for urologists, dermatologists, and adult PCPs, whereas behavioral health providers are experiencing lower visits. More Medicare patients are coming for inpatient visits compared to the pre-pandemic period. Telemedicine visits were higher when inpatient visits declined, but its usage is declining. However, its usage is still much higher than it was before the pandemic.

All these comparisons show that providers and patients are adapting to the new normal. Many patients are suffering from complex diseases and, due to the pandemic, they have been postponing healthcare visits for far too long. However, since restrictions are being lifted, patients are returning for outpatient visits in order to avail healthcare services. While providers are opening their doors to treat patients, they also need to ramp up their patient safety and communication efforts. After all, the post-pandemic world is completely new for everyone – there’s no tried and tested formula to ensure everyone’s safety. Healthcare providers also must make sure that their patients are not contracting COVID-19. Let’s see how this can be a possibility.

How patient safety and communication are hampered

All of the patients of any given hospital must first be identified. This happens either at the registration desks or within the emergency department. Different caregivers have different patient identity verification methods in place. Now, many caregivers either use inefficient methods, like questioning patients, or use solutions that have become outdated, such as contact-based patient identification platforms.

When asking patients questions, there are high chances that the registrar or nurse will identify the wrong medical record – they might need to find the record from an EHR system that contains thousands. Moreover, duplicate medical records are quite prevalent. Whatever the case may be, such inefficient methods hamper patient safety, lead to poor communication, and adversely impact patient outcomes.

While many used touch-based solutions to identify patients before the pandemic, COVID-19 has rendered these solutions unsatisfactory. Many caregivers have witnessed significantly lower utilization of these solutions – patients simply are reluctant to touch them. This is because of the pandemic and the fear of contracting the virus, which is not unreasonable. Every patient of any given hospital is processed from registration desks and EDs – can you imagine how disastrous it would be if one of them had COVID-19? Once the infected patient touches the device, it would lead to everyone else becoming infected. Before, infection control was a common headache of caregivers, and now it is a concern for patients too. Touch-based solutions have always had an impact on patient safety, but only the most forward-thinking caregivers foresaw this. That’s why they went with RightPatient, improving patient safety and communication in the process.

RightPatient enhances patient safety

RightPatient is the leading patient identification platform used by caregivers who prioritize patient safety. It’s an entirely touchless solution that uses a powerful photo-based engine and patients’ faces to identify them across the care continuum.

Whenever patients arrive at the hospital, all they need to do is look at the camera – the platform matches the saved photo taken during registration with the present one, ensuring an entirely touchless, hygienic, and safe experience for everyone involved. This eliminates the risk of contracting infectious diseases and enhances patient safety.

By identifying patients accurately right from appointment scheduling, as well as other touchpoints, RightPatient ensures patient data integrity by preventing data corruption, improving communication across the care continuum and reducing the chances of medical errors based on incorrect patient data.

Hospitals Are Facing Lower Reimbursements – Reduce Losses by Preventing Wrong Patient Identification

November 2, 2020/8115 views / 0 Comments/in BLOG, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The COVID-19 pandemic has – and still is – left an unprecedented impact on our lives, and it’s safe to assume that it will leave a mark for years, if not decades. While the novel virus has claimed over 1 million lives around the world, over 219,000 of them were Americans. The US healthcare system is also on the receiving end – it is expected to face unprecedented losses of around $323 billion this year. Many healthcare providers have been forced to shut their doors permanently, furlough or lay off employees, or introduce pay cuts to deal with the financial blows. To make matters worse, healthcare providers are receiving small amounts of reimbursements for treating uninsured COVID-19 patients. Let’s take a look at the scenario, the numbers associated with the issue, and how providers can mitigate these losses by preventing wrong patient identification.

COVID-19 has created an unprecedented financial strain for hospitals

COVID-19 has been spreading like wildfire, impacting everything and everyone it comes in contact with. After it hit the US, the healthcare system braced for impact the best way it could; hospitals canceled elective procedures and reassigned all resources to handle the surge of incoming COVID-19 patients. Naturally, hospitals and health systems are still suffering from the financial strain caused by COVID-19 as well as the cancellation of elective procedures.

Providers would get reimbursed for treating uninsured COVID-19 patients

Back in April, the Trump administration’s coronavirus treatment reimbursement program was announced. Healthcare providers who treated uninsured COVID-19 patients would be reimbursed using the money from the Coronavirus Aid, Relief, and Economic Security (CARES) Act. This has been done so that caregivers don’t incur any more losses as well as to avoid uninsured patients facing shocking bills related to COVID-19. As a result, the Department of Health and Human Services (HHS) has reimbursed $881 million to around 8,000 providers to date.

However, it was estimated previously that the reimbursement for treating uninsured COVID-19 patients would range from $13.9 billion to $41.8 billion. As hospitals are facing losses of around $323 billion this year, they need higher reimbursements if they are to survive in the post-pandemic world.

Why is this happening?

One of the reasons pointed out by the Kaiser Family Foundation is the eligibility for receiving reimbursements – hospitals treating uninsured patients who have a primary diagnosis of COVID-19 will be receiving reimbursements. This means that even though healthcare providers might treat uninsured patients, if their primary diagnosis isn’t COVID-19, the caregivers won’t be eligible for reimbursements.

Another issue with the program is that it doesn’t guarantee that all caregivers treating uninsured COVID-19 patients will receive the reimbursements – it depends on the availability of funding.

Hospitals must cut costs by mitigating wrong patient identification

The biggest challenge hospitals are facing now is to survive the financial strain. As previously mentioned, many have already closed their doors. Others are utilizing alternative cost-cutting methods such as furloughing or laying off employees, introducing reduced salaries, or restructuring their operations.

However, healthcare providers have a long list of problems that stem from wrong patient identification, and if they can eliminate it, they can significantly reduce costs and mitigate losses – enough to survive the financial crisis. Moreover, patient identification errors have been impacting healthcare outcomes even during the pandemic – for instance, test results went to the wrong patients, treatment was delayed due to incorrect patient data, and so on. All of these issues can be eliminated with RightPatient.

RightPatient effectively prevents wrong patient identification

Wrong patient identification has been a significant problem for years. While many healthcare providers wisely chose RightPatient before the pandemic (thanks to its touchless nature) others are facing issues with their touch-based solutions. Many have even reported a significant drop in utilization of the touch-based patient identification solutions as patients are extremely reluctant to use them due to concerns regarding infections. While infection control used to be a concern for hospitals only, since the pandemic, patients are well aware of the consequences.

Thankfully, patients and caregivers don’t have to worry about this with RightPatient, the industry’s leading patient identification platform. It uses a characteristic that others cannot replicate or steal: patients’ faces. Using patients’ photos and a photo of their driver’s license or other identification cards after scheduling an appointment, RightPatient automatically matches the photos to ensure accurate patient identification right from the start and across the care continuum.

Leading providers have deployed RightPatient across their facilities and are reducing denied claims, preventing duplicate medical records, and enhancing patient safety – ultimately eliminating redundant costs and boosting their bottom line in the process. After the pandemic, every hospital needs to reduce such costs to survive – use RightPatient to help you do so.

Healthcare Data Breach Cases Lead to Medical Identity Theft – How Are You Protecting Patients?

October 28, 2020/9320 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Anyone who knows about the US healthcare system also knows that it has always been riddled with issues, even before the COVID-19 pandemic hit. Astronomical costs, the lack of price transparency, and the insurance system are not the only problems. Poor healthcare outcomes, preventable medical errors, medical identity theft, duplicate medical records, and lack of interoperability also plague healthcare facilities across all states. While we have covered many of these topics at one point or another, this time we will focus on healthcare data breach cases. Let’s take a closer look at recent healthcare data breaches, why providers are being targeted so frequently, how they generate medical identity theft, and how healthcare providers can protect patient data even after breaches.

Healthcare data breaches are becoming increasingly common

When the pandemic hit the US healthcare system, many hackers had pledged that they won’t attack healthcare providers and steal patient information – something that was unprecedented. However, not all of the hackers shared the same mindset, and there have been many healthcare data breach cases over the past few months. As a result, healthcare providers are having to fight multiple battles at the same time. Let’s review two of the recent attacks.

UHS reportedly suffered a huge breach

Pennsylvania-based Universal Health Services, a health system that consists of 26 hospitals, suffered a breach. On the 30th of September, they stated that some of the systems had been recovered. While there are no specifics as to how many patients were affected, the health system was forced to go offline on all of its locations to reduce the risks. However, it is working tirelessly to restore the affected systems.

Ashtabula County Medical Center

The Ohio-based medical center also suffered a cybersecurity attack on the 27th of September which forced it to cancel procedures.

What are healthcare providers saying regarding data breaches?

Many are stating that healthcare data breach cases are becoming quite common and they need better cybersecurity measures to reduce these unwanted events. While cybersecurity has always been a concern of CIOs and IT leaders, the budgets don’t allow them to realize their visions of having breach-free health systems. Moreover, they are expecting even more data breaches in the future, as they don’t see data breaches going away anytime soon. Sadly, the problems do not end here.

Healthcare data breaches generate medical identity theft

Data breaches are huge nightmares for any healthcare provider. The worst part is that they’re inevitable, and even the biggest health systems can be vulnerable – hackers are constantly uncovering new strategies to attack and steal patient information.

After stealing the patient information, fraudsters buy it from the black market and they assume the identities of the patients. Not many healthcare providers have effective patient identity management systems, so scammers can easily pass themselves off as the patients, since they have their credentials. If providers use effective patient identification platforms, they can prevent medical identity theft in real-time. Thus, while data breaches are inevitable and, without proper cybersecurity measures, unavoidable, medical identity theft can be prevented.

RightPatient mitigates the losses associated with data breaches

Using a robust photo-based engine, RightPatient ensures accurate patient identification using the feature fraudsters or hackers cannot steal or imitate: patients’ faces.

The platform can also identify patients right from appointment scheduling – patients are asked for a personal photo and a photo of their driver’s license after scheduling an appointment. After patients provide the photos, RightPatient matches the photos to verify the patient’s identity to see if they are who they say they are. If a fraudster is assuming the identity, RightPatient red-flags the anomaly, preventing medical identity theft in real-time. New patients are provided with biometric credentials, making it a seamless process.

If the patients are coming in person to the healthcare facilities, all they need to do is look at the camera. RightPatient matches the new photo with the saved one – if it’s a scammer, RightPatient red-flags the incident, preventing medical identity theft. It ensures a touchless and hygienic environment for everyone, something that is mandatory in a post-pandemic world.

RightPatient is enhancing patient safety, protecting patient data from being corrupted, and improving healthcare outcomes. Mitigate your losses, prevent medical identity theft, and enhance patient safety now with RightPatient.

Medical Identity Theft Prevention Becomes Crucial as Telehealth Usage Rises

October 23, 2020/9388 views / 0 Comments/in BLOG, Data Breach, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Outcomes, Patient Safety, Privacy, Telehealth /by Matt Gibson

The novel coronavirus, infamously known as COVID-19, is a phenomenon that has changed our lives forever. Wearing masks, using sanitizers, and practicing social distancing has become a part of our daily lives, especially for those who need to leave their houses every day. It has disrupted business operations and even forced many into bankruptcy, causing businesses to shut down. One of the most affected industries is healthcare, and it is safe to say that the US healthcare system has been severely affected by the pandemic. Hospitals have shut down, and those that are open are facing unprecedented losses. However, telehealth has experienced a meteoric rise in both popularity and usage. While more patients and caregivers are adopting telehealth, healthcare providers need to ensure that such visits are not plagued with medical identity theft cases. Let’s take a look at the rapid rise of telehealth, how people are adapting to it, and how medical identity theft prevention can be ensured with RightPatient.

Telehealth is becoming mainstream

Let’s take a look at a recent survey by Amwell. The research sheds light on the fact that patients and caregivers are far more open to using telehealth now compared to the pre-pandemic period. The numbers clearly illustrate this: in 2019, 8% of patients and 22% of caregivers had virtual sessions, whereas in 2020, the number is around 22% for patients and a whopping 80% for caregivers. This is predominantly because the pandemic forced hospitals to shift their focus to the COVID-19 patients, leaving others with the option to get treated via virtual sessions rather than inpatient visits.

Some of the key findings from the study regarding telehealth are:

More scheduled virtual visits compared to urgent care visits

According to the survey, patients leaned towards scheduled virtual visits compared to urgent care visits. 54% of patients had scheduled virtual visits with their physicians, whereas 21% of patients who had at least a virtual visit had an urgent care visit as well during 2020.

Virtual specialty care is growing rapidly

Unsurprisingly, telehealth is being used by more patients every day. 42% of patients had virtual visits with their regular specialists, and 13% had virtual visits with new specialists this year. Moreover, specialists such as cardiologists, surgeons, and others stated that they had seen more patients virtually compared to 2019. This led to specialists being more open to telehealth as well – it was the only way to treat some patients due to COVID-19.

More patients were opting for telehealth

2020 had three times the number of patients using telehealth compared to 2019. 59% of the patients who used telehealth stated that their first usage was during the pandemic, and an overwhelming 91% of the patients were “very” or “somewhat” satisfied with the visits.

Healthcare providers, on the other hand, said that they saw almost four times more patients this year compared to 2019, and 84% of providers were “very” or “somewhat” satisfied with the platforms.

Medical identity theft prevention must be ensured

While all of the above statistics show that telehealth has a promising future ahead, it also has to ensure patient safety. There are many risks associated with conventional inpatient visits such as medical identity theft, patient misidentification, medical errors, and so on. While not all of these issues will bleed over to telehealth, many experts are predicting that telehealth might witness medical identity theft cases. Thus, responsible caregivers should ensure medical identity theft prevention to secure safe, undisrupted healthcare visits – for both virtual and inpatient visits.

How data breaches, medical identity theft, and telehealth are related

Healthcare data breaches are becoming common because hackers can steal patient information and sell it for up to $1000. Data breaches are endless nightmares for healthcare providers – causing HIPAA compliance issues, loss of goodwill, unwanted publicity, and finally, medical identity theft. Fraudsters buy the information from the hackers to assume the identities of the patients and use the victims’ healthcare services illegally. Since many healthcare providers don’t have robust patient identity verification systems, they are unable to identify the scammers. These are the cases that occur within healthcare facilities.

Telehealth has been largely ignored in the pre-pandemic world. People were debating about its pros and cons, and since it didn’t provide the same level of flexibility as conventional healthcare, its future was uncertain. However, the pandemic changed the public’s perception regarding telehealth. As the statistics above demonstrated telehealth’s acceptance, experts have predicted that hackers and fraudsters will focus on it as well. If they acquire the login credentials of patients, fraudsters can also impersonate the victims during telehealth sessions, committing medical identity theft virtually. Thus, medical identity theft prevention becomes crucial.

RightPatient ensures medical identity theft prevention

Thankfully, healthcare providers can prevent medical identity theft with RightPatient. It is a touchless biometric patient identification platform that uses the faces of the patients to prevent healthcare fraud and protect patient data. With a powerful photo-based engine, RightPatient ensures that the patients are who they say they are. After scheduling appointments, patients receive an SMS or email and they need to provide a personal photo and a photo of their driver’s license to verify their identity. The platform automatically matches the photos, ensuring remote identity verification.

RightPatient ensures accurate patient identification across the continuum of care, starting right from appointment scheduling. During hospital visits, all the patient needs to do is look at the camera – the platform matches the current photo with the one saved during registration, creating a touchless, easy, and hygienic experience. RightPatient is preventing duplicate medical records, reducing claim denials, preventing medical identity theft, and enhancing patient safety for leading healthcare providers. Be a responsible provider and protect patient data with RightPatient now.

Patient Safety and Quality Improvement Can be Achieved with Positive Patient Identification

October 21, 2020/10172 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, healthcare, Infection Control, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Among the several issues faced by the US healthcare system, one of the more prominent is patient misidentification. We know this to be true because even during the coronavirus pandemic, experts have stated that patient matching issues were continuing. Moreover, coalitions were formed to demand the fabled “unique patient identifier” once again. But why do healthcare providers demand patient identifiers time and again? Let’s take a look at some statistics that show how serious the issue is, some consequences caused by the absence of effective patient identification, and how patient safety and quality improvement are related to it.

Patient identification issues are nothing new

The last decade has been a transition towards technology for the US healthcare system. Caregivers such as physician practices, hospitals, and health systems have made the jump from traditional paper medical records towards the more standard electronic health records (EHRs). However, as they did so, they saw the issues that occurred due to the absence of an effective patient identifier nationwide. One of the biggest challenges is matching patients to their accurate medical record whenever they arrive for healthcare services. Let’s review some recent statistics about how common misidentifications are.

Some stats to back it up

According to a study conducted by eHealth Initiative, approximately 38% of the respondents have suffered from an unwanted event caused by patient misidentification within the last 2 years. Many of these events are caused by duplicate medical records, and an overwhelming 66% of the respondents blame data entry errors that lead to duplicates. Moreover, 80% of the providers have dedicated FTEs (full-time employees) or third-party contractors to solve these issues. The biggest barriers to reducing poor patient matching were the lack of prioritization and the lack of technology. 32% of the caregivers stated that they had around 3-10% duplicates within their EHR systems. All of these statistics show that patient misidentification is growing and needs to be addressed by caregivers. Fortunately, many hospitals and health systems are already using touchless patient identification platforms like RightPatient to solve these issues, but more on that later. Let’s see how patient misidentification is a barrier to patient safety and quality improvement.

Patient misidentification hampers patient safety and quality improvement

While patient misidentification causes a lot of problems for any given caregiver and patient, let’s take a look at how it impacts patient safety, and in turn, healthcare quality.

Patient misidentification is closely related to duplicate medical records

Duplicates can lead to patient misidentification and vice versa. For instance, if a patient comes in and provides their nickname instead of the name on the medical record, the registrar won’t be able to accurately identify the medical record. Thus, after failing to find the record, a new one gets created, leading to another duplicate record within the EHR system.

Likewise, if there are many duplicates within the system against the same patient, there are high chances that all of them have incomplete and inconsistent information. This will lead to matching the patient to the improper medical record. Both of these scenarios will lead to incorrect procedures, adversely impacting patient safety.

Patient misidentification hampers patient data integrity

As previously stated, data entry errors are quite common during registration. Thus, if patients are associated with the wrong medical record, they will be treated based on someone else’s medical history, illnesses, allergies, and so on. One single pill can severely impact the patient’s health – one can imagine what would happen if the whole procedure was wrong! Such cases have led to delayed care, repeated lab tests, and compromised patient safety.

Patient misidentification leads to medical errors

Quite closely tied with the previous point, patient safety and quality improvement cannot be achieved if medical errors keep occurring. While medical errors happen for a variety of reasons, many are preventable, and as stated previously, 38% of the healthcare providers surveyed reported that they suffered from medical errors tied to patient misidentification. These errors could have easily been prevented had the caregivers used robust patient identity matching solutions.

Patient safety and quality improvement is achievable with RightPatient

Leading healthcare providers such as Catholic Health Services of Long Island, Terrebonne General Medical Center, Community Medical Centers, among others, have been using RightPatient and improving patient safety and quality of care. As the healthcare industry’s leading touchless patient identification platform, RightPatient has years of experience helping hospitals and health systems identify patients’ accurate medical records across the continuum of care. The platform uses patients’ photos to identify their accurate medical records, prevent medical identity theft, avoid duplicate records, and prevent medical errors – enhancing patient safety and ensuring a hygienic environment that will be crucial in a post-pandemic world.

Patient Matching and Interoperability Are Ineffective Without Positive Patient Identification

October 19, 2020/9372 views / 0 Comments/in BLOG, Duplicate Medical Records, EHR, healthcare, Medical Record Mix-ups, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

The U.S. healthcare system has been inundated with several issues even before the pandemic. The lack of price transparency, medical identity theft, duplicate medical records, high costs, medical errors, and patient safety issues are just some of the issues plaguing providers. However, today’s focus is on another problem – the lack of interoperability. Many providers are thinking that interoperability will get a significant boost due to changes such as the 21st Century Cures Act and the CMS Interoperability and Patient Access Final Rule. While that might be true, many are overlooking the fact that it needs a particular component to work immaculately – patient matching. While some might believe that it is just a cog in the wheel, everything in healthcare heavily relies on accurate patient identification – without it, everything will go wrong.

Let’s take a closer look at the rules, how they will boost interoperability, and why patient identification is crucial for interoperability to work.

The 21st Century Cures Act and Patient Matching

What it means

Several healthcare experts are quite content with the Cures Act, believing that it will usher in the era of true interoperability. In a nutshell, the implementation of certain provisions within the act will enhance interoperability and also support accessing, exchanging, and using electronic health information. What all this means is that patient data can be easily shared among caregivers, leading to better, more personalized care, as well as enhanced healthcare outcomes – but that’s only one side of the coin.

Interoperability requires more than the Cures Act

While the Act is a step in the right direction, interoperability won’t be successful solely because of it – other factors need to be considered. The most important factor is patient matching.

Imagine a scenario where a healthcare provider is abiding with the Act and has taken all the necessary measures to do so. However, due to issues like patient misidentification or duplicate medical records, matching patients to their proper EHRs will become nearly impossible. As a result, the wrong medical record will be sent to the wrong caregiver – jeopardizing patient safety and adversely affecting coordinated care efforts along the way. Thus, proper patient matching is an absolute must to make sure that the patient data exchanges are successful and error-free. Healthcare providers can do so by ensuring accurate patient identification across the care continuum by using solutions like RightPatient – more on that later.

The Interoperability & Patient Access Final Rule

We’ve already talked at length about this rule and how it will enhance interoperability as well. In a nutshell, healthcare providers using EHR or EMR systems need to enable e-notifications support so that they can receive and send out real-time notifications during ADT (admission, discharge, and transfer) events with the patients’ other caregivers. While this rule has been established to boost interoperability and coordinated care efforts, this also requires proper patient matching. If a patient is misidentified, the caregiver will send out false alerts, jeopardizing the care coordination efforts. It will also put the provider’s CMS reimbursements at risk.

Thus, patient identity matching must be accurate at all times, if the providers want to ensure CMS compliance and abide by the 21st Century Cures Act. This is where RightPatient can help caregivers ensure accurate patient identification – and more.

RightPatient can improve patient matching

RightPatient has years of experience with reputed healthcare providers such as Terrebonne General Medical Center, Community Medical Centers, and University Medical Center. It is a touchless patient identification platform that identifies patients with the element that cannot be copied or stolen – their face. Right from appointment scheduling, the platform ensures remote patient authentication – patients are asked for a selfie and a photo of their driver’s license. RightPatient matches the photos and ensures that patients are identified accurately – ensuring positive patient identification.

3 Patient Safety Measures Hospitals Must Take in a Post-Pandemic World

October 14, 2020/10578 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, healthcare, Medical Identity Theft, Patient Data, Patient Errors, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

COVID-19 has changed reality for us – it has changed the way we lead our lives. Sanitizers, masks, and social distancing have become quite integral parts of our daily lives now. Wherever we go, social distancing practices are encouraged for a safer environment. However, it has shaken the healthcare systems of the world to their core, especially that of the U.S. With the highest number of cases in the world (as of now), hospitals are slowly opening their doors for regular patients. Keeping that in mind, hospitals must take patient safety measures while they are opening to ensure that patients receive care in a safe and hygienic environment. Let’s take a look at some common steps hospitals can take to prevent patient safety issues.

Some insightful statistics

According to a survey by Sage Growth Partners, 24% of the respondents (healthcare professionals) believe that issues such as disparate EHRs and lack of actionable data at the point of care lead to patient safety issues.

Improving patient safety is also among the top three priorities of the respondents, besides delivering high-quality care and increasing efficiency and reducing costs – all of which can be done by ensuring accurate patient identification (more on that later).

Let’s explore what kind of patient safety measures will help hospitals enhance patient care.

Patient safety measures that can help enhance patient care

Planning everything well in advance

While many might think that everything is slowly returning to normal, it’s quite the opposite. Working from home is still being utilized by most organizations, social distancing is still being practiced, and wearing masks and sanitizing regularly are still highly encouraged.

Since hospitals are opening slowly, they should plan every step carefully along with contingencies while keeping worst-case scenarios in mind. Hospitals need to plan the opening days and rather than opening the whole facility at once, they should open in phases. This will help reduce the risk of any mass outbreaks of COVID-19 – managing a mass outbreak at a single location will be much easier than managing outbreaks at all the facilities.

Also, hospitals should decide at what capacity will they operate and the duration for that testing phase. If all goes well, they can slowly increase the capacity of patients they will be serving.

Finally, the inventory required for all of the above needs to be planned to ensure that the necessary materials are available at all times. For instance, PPE has become quite critical, and these should be ordered well in advance before the stock runs out within the facilities. Thus, instead of reordering the materials when they’re at 30%, they should be reordered at, say, 45% – these are essential materials, after all.

Enforce safety measures for everyone

It goes without saying that every individual must practice a minimum level of social distancing to help themselves and others stay safe from the novel coronavirus. Sadly, not everyone follows that. Thus, the hospitals must enforce that everyone within the facility must follow the social distancing rules to a T. Not only is this one of the most common patient safety measures, but it also enhances safety for the physicians, nurses, and every other healthcare staff.

Keep brightly colored posters in places where they will catch everyone’s attention. Place stickers on the floor with six feet between them to show where patients or caregivers must stand, especially in busy places like registration desks. Make sure that everyone is wearing masks and that sanitizers are available everywhere. Keeping the facilities hygienic is crucial to enhance patient safety.

Ensure accurate patient data

One of the most crucial factors that make or break patient safety is patient data, as the former is heavily reliant on the accuracy of patient data. Imagine this, if the patient is treated based on inaccurate patient data, they will face delayed or incorrect medications, leading to poor healthcare outcomes. One of the most common ways patient data gets corrupted is via duplicate records.

If a patient has multiple records, there are high chances that the registrar will select the one with inconsistent or fragmented data, leading to adverse outcomes. Thus, ensuring that patient data integrity is maintained at all times is crucial for improving patient safety. Fortunately, RightPatient does all that – and more.

RightPatient is the leading patient identification platform used by healthcare providers like Terrebonne General Medical Center, Grady Health, and Catholic Health of Long Island. With a robust photo-based engine, it ensures that the patients are identified accurately at all times across the care continuum, helping patient data integrity by avoiding duplicate medical records. Moreover, it ensures that the patients are who they say they are and not impostors, preventing medical identity theft in real-time.

Finally, a platform like RightPatient is critical in a post-pandemic world because it is entirely touchless. Thus, it helps caregivers and patients operate in a hygienic environment by preventing infection control issues.

Use RightPatient now and enhance patient safety at your facilities, prevent medical identity theft, and prevent duplicate medical records – enhancing patient data integrity along the way.

Patient Safety and Quality Can Be Improved by Preventing Duplicate Medical Records

October 12, 2020/9712 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Data, Patient Identification, Patient Matching /by Matt Gibson

Patient safety is one of the more integral aspects of any given healthcare system. It ensures that patients are getting the required treatment without any medical errors or harm, healthcare outcomes are optimal, and healthcare services are delivered to the highest possible standard. While those are the common aims, the reality is quite different in the U.S. healthcare system. It has always been inundated with a number of serious issues – healthcare data breaches, medical identity theft, patient identification issues, lack of price transparency, and duplicate medical records are just some of them. The root cause of many of the issues are duplicate medical records. While we already had a closer look at duplicate medical records and how it impacts revenue cycle optimization, let’s have a look at how preventing duplicates can lead to enhanced patient safety and quality, among other things.

How duplicates impact patient safety and quality of healthcare

In a previous article, we’ve already seen how medical record errors like duplicates and overlays are created and how they cause claim denials. Let’s see how they impact patient safety and quality of healthcare as well.

AHIMA’s Shannon Harris and Shannon H. Houser stated in an issue of the Journal of AHIMA that duplicates and overlays don’t only cause financial woes, but lead the physicians and healthcare staff to inadvertently causing medical errors. For instance, imagine that a single patient has duplicate medical records in a hospital’s EHR system. While treating the patient, the physician will see the duplicates but chooses the one that has obsolete information. Since the information is not updated, the treatment or medication might very well cause adverse effects. Such cases might even lead to transferring the patients for emergency treatments, leading to jeopardized patient outcomes.

That’s not the only way duplicate medical records impact patient safety and quality of healthcare – let’s look at the latter. When you have fragmented information within duplicate records, issues such as repeated lab tests and delays in treatment are quite common. Since the majority of the healthcare providers’ registration systems have ineffective patient identity matching techniques, the number of duplicates keeps on increasing, leading to patient safety issues, patient data corruption, and financial troubles in the form of denied claims.

How are hospitals addressing duplicates?

Sadly, rectifying duplicates and overlays are quite complex and a nightmare for any given healthcare provider. While most of the hospitals are trying to fix duplicates by reallocating their HIM resources and even dedicating some of their FTEs (full-time employees) to identify and rectify the erroneous records, unless they address the frontend issues (read: identify patients accurately), it will be a never-ending cycle. Patients will be misidentified, duplicates will be created, and FTEs will be assigned to fix them on the backend, taking up valuable time and resources.

So, can hospitals address these issues and prevent duplicate medical records on the frontend?

RightPatient enhances patient safety and quality of healthcare

As previously mentioned, if the patients are accurately identified during the registration process, duplicates can be prevented right from the beginning. That’s what we do best with our industry-leading patient identification platform. RightPatient, with its touchless design, ensures that patients are identified across the care continuum, starting from appointment scheduling. Patients only need to provide their selfies and a photo of their driver’s license when they schedule appointments. RightPatient matches the photos and makes sure that the accurate patient record is identified every time the patient accesses healthcare services, remotely or otherwise.

When the patients arrive at the hospital, all they need to do is look at the camera – RightPatient matches the saved photo and the real-time photo during the check-in process, preventing duplicates, eliminating denied claims, and enhancing patient safety. The best part of RightPatient is that the entire identification process is touchless, creating a safe environment for all involved in a post-COVID-19 world.