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Patient Data Protection Is One of the Topmost Priorities in a Post-Pandemic World

June 18, 2021/7180 views / 0 Comments/in BLOG, Data Breach, Data Integrity, EHR, healthcare, Medical Identity Theft, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

COVID-19 has changed the fabric of reality for the entire world. While it has spread like wildfire and ravaged the entire world for more than a year, its effects are waning in the U.S. thanks to millions being vaccinated. However, the notorious virus has impacted virtually everything, and arguably, it affected healthcare the most. Not only did it make hospitals overflow with patients, but it also led to new challenges for hospitals – keeping hospitals clean, reducing hospital-acquired infections, and preventing compromised patient information. While we’ve focused on infection control in hospitals a number of times, let’s take a look at how COVID-19 impacted patient data, why hackers are after it, and how patient data protection can be ensured.

Patient data protection took a backseat during the pandemic

The U.S. healthcare system has always had several issues that restricted it from reaching its full potential – one of which is inadequate patient data protection. COVID-19, unfortunately, made it worse and introduced brand new challenges for hospitals and health systems – let’s see how.

COVID-19 forced entire sectors of the population to work from their homes and stop commuting. As a result, organizations had to adopt remote working policies in order to survive. While frontline healthcare workers didn’t have the luxury to work from their homes, many healthcare workers were able to work remotely. Many of these employees handled patient information, and as they worked from home, they used various devices to access, transmit, receive, and work on sensitive patient information.

The problem here is that prior to the pandemic, such patient information was only accessible using devices, networks, and tools authorized by the organization – ensuring an adequate level of patient data protection. However, to ensure hospitals and clinics could continue operating, many rules were relaxed by organizations – some of which are these stringent device policies.

As a result, patient data security was substantially compromised by sizable healthcare providers. Even without the relaxed rules, it would have been a nightmare to track who accessed the information using their personal devices – there are just too many complications involved.

How secure is patient data currently?

However, several hospitals have opened their doors to patients, for in-person visits, and more. But even in those hospitals, many healthcare workers are still working remotely, meaning that patient data protection is still at considerable risk due to unsecured networks, personal devices, etc. Moreover, healthcare providers have had their hands full with COVID-19, not to mention that numbers of data breaches have increased significantly – you can just google it and see how many patients are at risk.

But why are hackers so determined to cause breaches to steal patient information?

Patient data is heavily targeted by hackers

Well, healthcare providers have many restrictions – one of which is very meager budgets to upgrade their cybersecurity measures. As a result, they are quite vulnerable to breaches. Other than being a relatively easy target, stealing patent information is extremely profitable for hackers – they can sell each record for up to $1000 in the black market! The buyers impersonate the patients and since there’s no effective patient identity verification system present for all healthcare providers, many of these fraudsters get away with it. Many hackers are even holding the data and demanding a ransom to not leak or sell it online.

Healthcare providers are having quite a tough time. Before the pandemic, they had a plethora of issues, during the pandemic, pandemonium reigned. And after the pandemic, rising data breaches are among the existing issues.

However, if healthcare providers focus on accurate patient identification, they can solve several problems – let’s see how.

Protect patient information with accurate patient identification

Accurately identifying patients solves a number of issues. For starters, patient misidentification itself is a huge but overlooked issue – caregivers rally each year for a patient identifier. Accurate patient identification prevents duplicate medical records right from the start, prevents claim denials, ensures that the right patient is receiving the treatment, enhances healthcare outcomes, and improves patient safety too. All of these lead to improved goodwill, lower patient safety incidents, and better bottom lines. RightPatient is the leading touchless biometric patient identification system that checks all the boxes above and has even more benefits , but how does it protect patient data?

Well, RightPatient uses a database of patients’ faces to validate their identities. When fraudsters attempt to impersonate the patients, even if the data is breached, RightPatient detects the difference between the live photo and the one saved during registration. It easily red-flags the fraudsters, prevents medical identity theft in real-time, and protects patient data in the process.

RightPatient has been proudly protecting millions of patient records in several healthcare facilities for years – are you protecting your patients’ information and ensuring their safety?

Protecting Patient Data Is Crucial – 2.7 Million Patients Were Affected this May

June 16, 2021/7128 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, Data Integrity, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Safety /by Matt Gibson

Even before the pandemic, protecting patient data has been a big headache for most healthcare providers. This is mostly because cybersecurity measures employed by most hospitals are not state of the art, which means hackers constantly attempt to break in and steal patient data, many cases ended up in lawsuits, and cost hospitals a lot of money as well as cause patient safety issues down the line. However, during the pandemic, there have been cases of data breaches, and just last month (May), around 2.7 million people were affected by them collectively. Let’s take a look at how some of these happened, how most of these cases lead to medical identity theft, and how the latter can be stopped in real-time with a positive patient identification platform.

Some very recent data breach cases that show protecting patient data is crucial

While ransomware has been a major component of data breaches in recent times, phishing and other tactics are also used and are still some of the primary tools employed by hackers during breaches. Let’s take a look at some of the recent cases that have been filed in May – you can view the full list here.

HPSJ’s email breach affected over 420,000 medical records

Health Plan of San Joaquin suffered a breach that occurred because unauthorized personnel had gained access to the provider’s email system. This occurred back in 2020 and, after inspection, it was discovered that this affected a number of official emails. While password reset was mandated on the accounts, it might have been too late, and it was found that this happened between the end of September and the middle of October last year. Moreover, after a thorough review, it was detected that over 420,000 patients’ information was compromised, and it included names, addresses, SSNs, and more. While it has been said that there has been no misuse of the information yet, HPSJ itself is being cautious since it knows that the breached information might be used in the future for medical identity theft.

Arizona Asthma and Allergy Institute suffered a breach that compromised 50,000 patients

This one is a bit vague since there is no concrete information as to how it happened. However, the Arizona-based institution has stated that PHI (protected health information) of up to 50,000 individuals was “temporarily exposed online” under the name of a different organization back in September 2020.

It took till March 8 2021 to uncover that sensitive information was compromised including – last names, healthcare provider names, health insurance information, and patient identification numbers.

Just like the last case, there is no hard evidence that the compromised information has been misused – yet. However, the institute has notified affected patients to monitor their statements for fraudulent activities arising from medical identity theft.

These were just two examples – around 35 hospitals and healthcare organizations such as Arizona Asthma and Allergy Institute, CareSouth Carolina, New England Dermatology, and more, were hit by similar breaches, affecting around 2.7 million individuals! This clearly shows how many people data breaches can affect and how they are becoming increasingly common and inevitable. But why are hackers focused on data breaches and why do they target healthcare?

Data breaches – why target healthcare and what happens next

Well, hackers typically steal information in order to sell it in the black market, and in the U.S. the most profitable information is medical records. You see, stolen patient information can be sold for up to $1000. Compared to selling stolen credit card information, that’s a lot, which is why more hackers focus on healthcare. Moreover, healthcare providers have a lot of constraints which prevent them from utilizing the best cybersecurity practices, leading to data breaches.

After the breach, when the hackers try to sell off the information on the black market, there are many individuals who are willing to buy it. Since buying the information for $1000 is cheaper than paying for their own healthcare, many fraudsters find this feasible. Afterward, they pose as the patients when they go to the hospitals. Unfortunately, as these fraudsters are armed with the information and since there’s no accurate patient identifier used by the caregivers, most of these bad actors get access and avail healthcare services fraudulently.

Protecting patient data is possible even after a breach

While most healthcare providers focus on protecting patient data before data breaches, others utilize innovative solutions to protect it after breaches too. Most of the fraudsters can be red-flagged and medical identity theft can be prevented if a proper patient identification platform is used, and that’s exactly what RightPatient does.

Whenever fraudsters come in, they need to verify their identity, and RightPatient validates that by comparing the live photo with the saved one. When it detects that the fraudster’s face does not match with the saved one, it red-flags them, preventing medical identity theft in real-time.

RightPatient prevents medical identity theft, reduces denied claims, ensures accurate patient identification, enhances patient safety, and more – would your facility benefit from this solution to protect patient information and prevent millions in losses?

Improving Healthcare Outcomes with 4 Strategies

June 3, 2021/7640 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

COVID-19 has the U.S. healthcare system sweating through probably the most volatile phase in its history. Hospitals are opening up their doors and gradually receiving patients as things are getting much better with the distribution of vaccines. However, the danger of underlying issues that have plagued the healthcare system for decades still remains. Despite these problems, the burden of hospitals providing immaculate healthcare services is still there. That being said, here are some of the practices that can help hospitals with improving healthcare outcomes and reducing their issues.

Improving healthcare outcomes is a major priority currently

Administering proper care at the proper time and the avoidance of patient safety incidents is a major objective of hospitals. Thus, hospitals are under pressure to implement relevant strategies and solutions that will enhance their effectiveness. This includes partnering with other care providers to protect patient data integrity. While implementing some of these strategies can be pretty expensive, they do help with improving healthcare outcomes – here are some of the most important ones:

Ensuring efficient collaboration with the patients’ care providers

The right kind of collaboration is important in healthcare nowadays and CMS has established new conditions that require caregivers to work together. It has upped the ante on the degree of seriousness of it all.

So, what is the correlation between collaboration and patient outcomes? How does it work to improve healthcare outcomes?

Before terms such as interoperability and collaboration existed, people often were loyal to a single healthcare facility. This has changed, especially with data sharing, EHRs, and interoperability – patients are now free to visit multiple caregivers for treatments to their various conditions and ailments. There might be an interrelation between patients’ conditions and this provides ground for caregivers to associate to ensure that they obtain all the necessary data and up-to-date information that will enable them to make the best decisions with regards to handling the patient and thus improving healthcare outcomes.

A hospital that is open to collaboration and the implementation of required strategies and relevant solutions will go a long way in helping to improve patient outcomes. The CMS requirements mandate that caregivers support sending and receiving electronic notifications during ADT events that provide updated information about a patient’s condition. RightPatient is a useful tool that caregivers can use to ensure the proper identification of patients and prevent false alerts – more on that later.

Ensuring patient data integrity

The integrity of patient data is often overlooked when it comes to its effects on healthcare outcomes but it is crucial nonetheless. Inadequate positive patient identification can ultimately affect the integrity of patient data. This occurs when a patient is treated with the medical record of another patient or the data gets corrupted in the EHR as the wrong information gets saved in it. When the actual patient comes in for treatment, he gets the wrong administration due to inaccurate information. Thus, medical errors arise, leading to incorrect treatment plans, wrong medication, and more, which lead to negative healthcare outcomes.

Impersonation by a fraudster can also lead to the compromise of patient data integrity – it occurs during medical identity theft. This case is similar to patient misidentification, the only difference might just be that the impersonator does it deliberately. The fraudster receiving the treatment then gets his/her information added into the victim’s EHR thus corrupting patient data. If this passes on undetected, the victim could end up undergoing the wrong treatment procedure.

Therefore, a patient’s data has to be protected against tampering to further improve the healthcare outcome of the patients due to the reception of the proper treatment on schedule.

Avoiding preventable medical errors

The focus has also shifted to limiting the occurrence of otherwise avoidable medical errors. The statistics behind such errors are quite alarming. These are common as a result of technical errors, medication errors, medical record mix-ups, wrong information, and so on. Poor patient identification is also responsible for most of the preventable medical errors. Thus, if patients can be accurately identified, then it will significantly improve patient outcomes.

Preventing patient misidentification

The common problem in all the scenarios above is patient identification errors. It causes a huge problem for hospitals and health systems in general as discussed earlier. With patient misidentification, patient safety can be jeopardized with false alerts rampant during collaboration with other caregivers, sharing corrupted patient information, and the consequence is medical error. The bottom line is that misidentification can affect healthcare outcomes and it can even lead to the death of patients.

Fortunately, accurate patient identification with RightPatient can help improve healthcare outcomes.

RightPatient has been helping improve patient safety

RightPatient, with its touchless biometric patient identification platform, has become the top choice for several healthcare providers. It has helped them to enhance patient safety, improve patient healthcare outcomes, and reduce the occurrence of medical errors. The benefits are numerous for both patients and caregivers and this includes safety – it is contactless and perfect for use in a post-pandemic world.

Hospital Acquired Infections are the Topmost Patient Safety Concerns – 4 Ways to Address Them

May 30, 2021/6583 views / 0 Comments/in BLOG, healthcare, Infection Control, Patient Experience, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

We started feeling the effects of the pandemic towards the end of 2019. The committed efforts in the US to create vaccines that would aid the hospitals and health systems in their fight against the pandemic have aided their return to a degree of normalcy. Caregivers are often concerned about the dangers of hospital-acquired infections (HAIs) as one of the foremost patient safety concerns. The cases of COVID-19 made it an even bigger cause for worry for everyone. Patients are conscious of getting infected in the hospital with the virus and with the rate at which it spreads, caregivers have to be extra committed to infection prevention. Understanding this, we can move further to look at how HAIs can be prevented in the hospital and how patients can be assessed without touching them, for instance, by using a touchless patient identity verification platform.

Addressing one of the trending patient safety concerns – HAIs

Hospitals are often perceived as a haven where people can be cared for as per their healthcare needs. However, the need to consider establishing policies to address the problems associated with patient safety concerns to forestall adverse health outcomes. Here are some ways in which hospitals can deal with HAIs.

Clean surfaces and patient equipment regularly

This is so important and almost traditional. It is one sure practice that either eradicates HAIs or reduces them to the barest minimum. Thorough cleaning and care for all surfaces in special parts of the hospitals such as where samples of blood, bodily fluids, or instruments that would be used to treat a patient are stored. Such care has to be administered to areas where people such as medics, suppliers, patients, or visitors are attended to. This will help to control the spread of germs that might have attached to their persons from outside. This is how control over infections can be achieved in the hospital.

The responsibility falls on healthcare providers to continue to institute practices that improve infection control in all facilities. Ensuring a clean environment with clean surfaces such as walls, chairs, tables, beds, doorknobs being cleaned and disinfected regularly and thoroughly. This has become even more important to do now more than ever. Disinfection of patient materials such as sheets and gowns must be carried out after each use. The use of disposable plates, cups, and spoons alone should be encouraged.

Enforce hygiene practices on everyone

One of the things we have picked from the pandemic is the consistent use of nose masks as well a practicing social distancing. That applies even in less clinical circumstances. It shows you just how crucial those practices should be encouraged within hospitals. The consequences are much dire in the case of poor hygiene practices in the hospital and health system. Caregivers will have a nightmare experience if a Covid-19 patient comes in contact with hundreds of other patients in an unprotected manner. People tend to not enjoy the use of masks, because of this set of people, it is important to enforce social distancing protocols in hospitals.

The use of signs warning against such unhygienic practices should be encouraged. A sign that reads “NO MASKS, NO SERVICE” can be placed in strategic positions in the hospital to restrict such carefree attitudes in the hospital. Informative designed posters can be used to educate people on the social distancing protocols should also be used. Hand sanitizers should be made available and compulsory for anyone who wants to enter the clinic. Maintenance might be costly but it is worth the effort nonetheless.

Workers in the hospital must project adherence to these rules for patients to emulate by maintaining hand hygiene, use masks, and maintain social distancing. New workers must be adequately trained and enlightened about the essence of a clean and disinfected environment.

Have a robust and updated infection control policy in place

The above-mentioned practices are but a few that help to maintain infection control protocols being administered by a standard caregiver. These policies must be renewed and retaught regularly enough and they must be shared with staff members to prevent HAIs.

Other recognizable practices that are commonly an important infection control policy include

The use of gloves
Use of personal protective equipment
Regular and proper disposal of weight
Ensuring proper etiquette while coughing
Avoiding needlestick sores and injuries

Using contactless solutions to prevent prominent patient safety concerns

Providing quality care and ensuring patient safety as a practice is extremely difficult and important. In improving patient safety and quality of care, multiple solutions can help care providers reduce HAIs and deal with other patient safety concerns such as poor identification of patients or a case of mistaken identity.

One of such solutions available is RightPatient, a touchless biometric patient identification platform that helps identify patients in any care situation and time. It also does this in a simple, safer, and more hygienic manner. The patient only needs to gaze at the camera to register and on subsequent visits by the care provider staff. The platform compares the live photo with the saved one and displays their accurate medical record after the match is found.

It significantly minimizes the dangers of infection control issues, prevents medical errors, reduces misidentification of patients and other patient safety concerns. It played an active role in the post-pandemic scenarios but it has been in existence for years in some health institutions because it has no deleterious effects attached to its usage.

Question is, what are you using to accurately identify patients and reduce HAIs in the healthcare systems while doing it?

How Professional Patients are One of the Crucial Challenges of Clinical Trials

May 28, 2021/6498 views / 0 Comments/in BLOG, Clinical Trials, Data Integrity, Patient Data, Patient Identification, Patient Safety, Professional Patients, Research /by Matt Gibson

Clinical trials have been around for years. They’re often a way of testing new treatments on people who are already requiring treatment for something. For those with terminal diagnoses, they may prolong life or improve the quality of their remaining time. Chronic conditions may be alleviated, and treatment once considered experimental and new may become mainstream after a successful clinical trial. They might allow the development of new drugs or instead, look at prevention or better diagnosis of disease. Clinical trials can help establish whether screening, imaging, or testing can assist early diagnosis or investigate how best to support those people diagnosed with a particular disease. However, all of these can be damaged by the challenges of clinical trials, and one of the overlooked ones is professional study subjects – let’s see how.

Clinical trials attract different types of individuals

For some, a clinical trial can simply be a way of getting a free treatment or being paid for the time the trial takes. Some patients will use any underhand means at their disposal to ensure their place on these trials, as for them, they are lucrative little earners. So many people are living with multiple illnesses that simply paying for all the medications can get expensive. Any chance that they find to try something for free is a lucky break for their finances. Then, many individuals are more altruistic. They simply want the chance to take part in something which might potentially change the course of treatment for other patients, some of whom may be their loved ones.

So, it was with the trials of the COVID-19 vaccines. The light at the end of the pandemic tunnel; a chance to gain a measure of protection against this virulent disease. Some people, however, were purely in the trials for their own ends. They wanted the vaccine first, both doses, and they would stop at nothing to get it – the majority of the trials face these types of individuals.

So how could these professional study subjects play the system like this and become one of the overlooked challenges of clinical trials? Lax patient identification is not the only answer, it’s far more complicated than that.

One way these professional study subjects game the system is to ignore the terms and conditions of the trial. They maintain they meet the criteria, when in fact they have an underlying condition that would automatically exclude them from taking part. Or they choose not to disclose that they are already participating in another trial when the rules of the second trial they are applying for clearly state that it must be the only trial they are enrolled in at any time.
Earning money may not be the sole motivator for everyone. Some people like to take advantage of freebies to save money on their medical bills. Others could have more nefarious reasons, like acquiring the drugs for recreational purposes. There is also a group of professional patients who hope the medicine or treatment being trialed will stop or slow down their disease, even if that’s not the prime reason for the trial. These patients are more likely to travel long distances to ensure they are in the group testing the new treatment, rather than receiving a placebo. They may also enroll in multiple sites under different identities. This has the potential to skew the results of the trial, which could affect the chances of a treatment being brought to the market.

Assuming a false identity is the way many of these professional patients get around the rules on participating in clinical trials. If they look alike, they could masquerade as their sibling, or simply purchase a forged identity online for a fraction of the money they stand to earn from the trial. For those who know where to look, fake documents are available for $50 to $100, and the earnings from a trial could run into thousands of dollars for each participant.
These professional patients are willing to game the system in any way possible. Even falsifying participation is not unknown – saying they took the drugs when they haven’t. That means they won’t show any effects, although they will still be treated as a trial member. If enough people on one trial game the system in various ways, the results could be irretrievably altered, and the rollout could be delayed or halted, no matter how promising the previous work had looked.

RightPatient prevents professional patients

Using a touchless biometric patient identification platform like RightPatient can prevent one of the overlooked but crucial challenges of clinical trials. It can detect blacklisted participants who try to use the trial to their own ends – eliminating professional patients in clinical trials. This increases the integrity of the trial and ultimately improves results. Because it allows accurate recording of someone’s participation in the trial, it prevents fraud, wasted effort, and delayed approvals – saving millions in the process and preventing trials from being shut down.

Clinical trials can benefit from using the RightPatient platform to correctly identify their trial participants. The trials will have accurate data, and the patients’ records will be correctly updated with their participation and the outcome.

5 Strategies That Can Rebuild Revenue Cycle for Healthcare Facilities

May 27, 2021/8606 views / 0 Comments/in BLOG, Data Integrity, Denied Claims, healthcare, Medical Record Mix-ups, Patient Data, Patient Experience, Patient Identification, Patient Outcomes, Patient Safety, Revenue Cycle Management /by Matt Gibson

As the pandemic wanes, at least for now, many businesses are rebuilding. The US healthcare sector is no exception, picking itself up and dusting itself down gingerly, preparing to welcome back patients and see an uptick in revenue again. Working on the revenue cycle for healthcare providers has never been more important.

For some hospitals and departments, it’s already too late – the pandemic forced them to close. Others are hanging on, with staff returning from furlough and machinery being switched on and recalibrated for the first time in over a year. As more people are fully vaccinated, it becomes simpler to see patients in person again, which will lead to the increase in revenue the healthcare sector badly needs. However, it’s not all plain sailing. Providers could still lose over $120 billion this year, so it is vital to be careful with any attempts to ramp up income. The fewer denied claims there are, the better the bottom line will be. That being said, let’s take a look at some strategies that will help optimize the revenue cycle for healthcare providers.

5 strategies to enhance revenue cycle for healthcare providers

Check the existing revenue cycle management processes

The first option is to see whether any immediate improvements can be made to the existing system. This will be down to the back-end developers and IT specialists and will not be visible to patients. After that, it’s time to look at the patient-facing part of the cycle. Ensuring staff members are fully trained in customer service is a good place to start with optimizing revenue cycle management. That way, they will know what questions to ask when registering or checking in patients and how to check their insurance, treatment codes, and eligibility. They will know how long to allocate for different types of appointments and when to ask for immediate payment.

Use technology to your advantage

The easiest way to ensure that everything runs smoothly is by identifying patients accurately right from the start of the treatment process. This could be done using a patient identity verification platform such as RightPatient that eliminates the need for asking patients questions, patient record mix-ups, and more, reducing denied claims in the process.

That was just one example – optimizing the revenue cycle for healthcare providers is not difficult, it just needs a bit of help at times. Technology can be that hidden assistance.

Prompt, correct coding, and billing is key

An organization should not expect prompt payment if its internal processes are lax. Ensuring accurate coding and billing leads to lower chances of denied claims. Complete elimination of denied claims is impossible, because of some uncontrollable factors, but rigorous checking of coding will, in turn, generate accurate bills which are more likely to be agreed on the first time by the insurers.

Utilize up-front collection

If possible, the up-front collection is the best way to optimize the revenue cycle for healthcare providers. This eliminates an entire step in the revenue collection process, as the bill does not need to be seen by accounts receivable at all. Instead, it lands on the collected revenue team’s side for processing. While this approach will not work for every patient, it can be an effective tool for immediate revenue generation.

Accurate patient identification underpins everything

Well-trained staff members are likely to know exactly how to identify a patient and take payment politely using a fast processing system, but the whole thing falls if the patient’s identity is incorrect on the system, or if changed details are input wrongly. Denied claims are annoying and time-consuming to rectify. There are ways in which technology can help minimize the chances of this happening, however.

Getting the patient’s identity and billing details correct from the first interaction with them makes things so much smoother. It prevents duplicate medical records and overlays, for a start. If a patient only has one EHR, there is little to no chance that the insurer will find fault with the claim and so will settle the amount faster. Denied claims cost millions of dollars for every provider, often due to poor electronic health records and a lack of robust identity checks. Incorrect patient identification puts the patients at risk too.

One of the most innovative ways of ensuring accurate patient identification from the get-go is by using RightPatient. This touchless biometric patient identification platform is being used by several healthcare providers and has several benefits. It allows patients to identify themselves even in virtual consultations and during in-person visits, all they need to do is look at the camera, meaning that they don’t have to run the risk of others overhearing sensitive personal data when checking into a clinic. Nor do they have to use touchscreens or keypads to enter information – making it hygienic and safer than ever.

RightPatient is the solution that ensures accurate patient identification, reduces denied claims, duplicate medical records, and ensures fast billing.

The Advantages of Telehealth and Why Hospitals Must be Cautious With It

May 26, 2021/8209 views / 0 Comments/in BLOG, healthcare, Medical Identity Theft, Patient Data, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety, Privacy, Telehealth /by Matt Gibson

Telehealth has been around for a while now, even if it only came to prominence during the last year. A paper from the University of California, Davis suggests that telehealth started in the early 1960s. Authoritative websites run by major healthcare providers have been around for at least 20 years. The last year or so has seen remote solutions come into their own, with regular consultations held by video call, support groups for all kinds of ailments moving to online platforms, and routine telephone screening used to allocate patients to the appropriate staff member – exposing virtually everyone to the advantages of telehealth.

Given the pandemic, people were told to shelter in place. The healthcare system had no spare capacity to deal with seeing patients face to face. Patients were told not to attend the hospital or their regular clinic. Elective surgeries were canceled and routine appointments became virtual, conducted first by telephone and then by video call. The stuff of science fiction suddenly hit the mainstream – slowly demonstrating the advantages of telehealth.

Medical staff members are dealing with ever more complicated cases, among other things. Anything which can simplify and streamline this necessary engagement has to be tried, at least. The pandemic allowed a trial that otherwise might have been seen as driving patients away.

Remote healthcare has been growing in the last few decades. From emails requesting medical records or consultant second opinions, to routine online forms to fill out for regular repeat prescriptions or book appointments, the ability to integrate technology in healthcare is clear. Many primary healthcare practitioners no longer accept requests for repeat prescriptions by telephone but instead require patients to fill in their details online. Imaging reports can be filed online and shared electronically with a patient’s care team, while telephone or video consultations can save a patient having to visit the clinic unless a physical exam is necessary. This may allow the patient to fit the call into a scheduled break at work or arrange for others to take care of dependents for a short time.

The advantages of telehealth everyone loves

Telehealth does not necessarily even need anything more than a cellphone connection. A video connection may be preferable in some cases, but most screening and initial consultations can be carried out over the phone. No costly and time-consuming travel for the patient, no risk of delays for the practitioner. In these times of social distancing, it is best to minimize in-person contact, and telehealth is ideal for this. Patients who have been advised to shelter in place can still receive advice, treatment, prescriptions, and counseling with no risk to themselves or their specialist.

Telehealth also speeds up the sharing of information between healthcare teams. A report and images can be shared by email over a secure link far quicker than a physical package can be delivered. Sharing patient information online can expedite care, which in turn can improve patient outcomes, quality, and safety in healthcare.

Telehealth needs to be used with caution

While there are numerous advantages of telehealth, it still needs to be used with caution. Technology can be used to help healthcare, as long as it is used securely and correctly. No one wants a patient safety incident resulting from misdirected confidential information or an incorrect bill, after all. Telehealth is more than simply a way to help hospitals improve their finances. Facilities need to ensure they can demonstrate to patients and staff that telehealth is secure as well as slick. It can allow patients to access healthcare when they wouldn’t otherwise be able to, as it will put them in touch with a regular member of their team who is familiar with their case. This means a higher quality of care than if the patient was simply searching online for treatment options.

One option which is not mentioned so often is that telehealth visits can be billed faster. Good for the provider, not so great for the patient, who may also have to attend an in-person appointment for a physical examination after screening. Both the initial virtual consultation and the appointment on site are likely to be chargeable, even though initial screening has often previously been free. Some providers may decide to offer a package of mixed virtual and face-to-face appointments, but should always make this clear to the patient.

Telehealth is not for everyone

Telehealth is convenient for those who are busy and anyone who can get to grips with new software quickly. For patients who are not technologically aware, anyone who lives off the beaten track, in rural locations, or off-grid altogether, it is likely to be more of a challenge to access. Virtual consultations have their place, but in-person healthcare must remain for those who cannot or choose not to access it online.

Some patients will, after all, have reservations about virtual appointments due to concerns about data and personal security. A biometric touchless patient identification platform like RightPatient may help calm their worries. Because it is biometric rather than in-person or touchscreen activated, it can prevent medical identity theft during both telehealth or in-person visits.

Improving Revenue Cycle in Healthcare Facilities in a Post-Pandemic World

May 25, 2021/7757 views / 0 Comments/in BLOG, Data Integrity, Denied Claims, healthcare, Patient Identification, Patient Outcomes, Revenue Cycle Management, Telehealth /by Matt Gibson

The pandemic hasn’t only been difficult for the healthcare sector in terms of the number of patients treated and the severity of symptoms. For the American healthcare system, it meant a huge loss of revenue for everyday treatments, as every available resource pivoted to caring for the patients affected by COVID. Those facilities that couldn’t pivot were left with no option but to close and file for bankruptcy as their income was hit. Some managed to survive by furloughing their staff or redeploying them to care for the large number of seriously ill patients which COVID produced. As a result, revenue cycle in healthcare facilities took a huge hit.

Some organizations, though, were luckier than others and were able to deploy remote triaging and virtual consultations by phone and video using the latest videoconferencing software – all of which can be bolstered by utilizing a touchless biometric patient identification platform such as RightPatient. This allowed them to continue to treat patients, and earn income, which softened the blow to their finances and helped both patients – who suffered no break in treatment – and staff – who were retained rather than furloughed.

Revenue cycle in healthcare facilities during the pandemic tanked, to put it mildly. Normal service dropped off a cliff and around three-quarters of healthcare providers had to put revenue cycle management in place, as well as ensuring employees could practice remotely and maintain effective social distancing when they did have to attend their workplace.

The return has started, remotely

Now that treatment cycles are returning to pre-pandemic levels in many places, the staff members are also returning to their usual roles. They are returning to treating their regular patients and making sure of their incoming revenue whilst minimizing the losses their facility may have suffered.

In order to optimize their abilities, staff members have learned how to use technology to help them assist patients remotely during the pandemic. This approach is likely to remain in place for those patients who are unable for any number of reasons to attend an in-person consultation.

One of the most popular ways to use tech in medicine is by organizing a remote consultation, by telephone or video call. This helps staff to find out quickly what ails their patient and can help them triage the patient more effectively, immediately. They can tell the caller at once whether they need to attend, offer an appointment if so and have all the notes from the call available when the patient comes in. If a referral is needed, the process can be started straight after the phone call, without waiting for an appointment or paperwork.

Of course, processes still need to be followed. Not only does that enhance patient safety, but it also embeds the familiar for both patient and healthcare employee. Sorting out the paperwork before the patient arrives is of prime importance, and means everyone will know what is going to happen and what they can expect to be billed or paid for. Staff should check whether there is an authorization for the service under the patient’s insurance and what the patient’s responsibility is regarding this. Ensuring everyone is aware of charges and can reconcile them quickly is better for the provider’s income levels too. Being organized allows accurate expenditure planning, which helps everyone balance incoming revenue against outgoing expected payments.

Communication is key for improving revenue cycle in healthcare

Face-to-face, by email, text, shared app, or phone: no matter how teams communicate, it is best that they do. Patients with comorbidities or multiple conditions need dovetailed treatment, a patient pathway across several providers, and it is best to schedule appointments logically. Scheduling several simple appointments across nearby providers in one day is a possibility to reduce travel headaches for the patient, although it may make it an expensive time when the bills come due. That also relies on the finance and revenue cycle team knowing that they are to bill a particular insurance company for a defined treatment to a named patient on a given date. Communication makes all of these processes simpler and can help provide the necessary paper or electronic trails to ensure timely billing, and therefore prompt payment. The notification to finance should come from the clinical team, as they are treating the patient. They also know exactly which procedure was undertaken and how, so are best placed to ensure the billing is correct.

An efficient billing cycle is one way to ensure reliable income, as everyone knows what is due to be paid, by whom, and when. It’s not just the medics and revenue billing team who have a part to play here either. Every healthcare professional who attends to the patient has a responsibility to produce documentation for their part in the patient’s care – all of this works towards optimizing revenue cycle management in healthcare facilities.

Technology can enhance revenue cycle in healthcare facilities

Accurate billing is essential when attempting to collect revenue. Billing the wrong patient, or a different insurance company, can delay payment and cause extra effort and paperwork for no gain. Correct patient identification at the start of the treatment cycle makes billing much simpler. A biometric touchless platform such as RightPatient can help eliminate patient misidentification and the nearly $5 million of denied claims which result.

How to Improve Healthcare Outcomes and Reduce Readmission Rates

May 23, 2021/7591 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Medical Record Mix-ups, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Improving a patient’s outcome (for instance, their quality of life or life expectancy) is obviously the prime reason for treating them. Patients approach a medical professional with the hope of ‘being cured’ of whatever ails them, whether that’s by being prescribed medication to ease symptoms or having an operation or procedure to relieve pain or remove or transplant a body part to offer a better quality of life. When they are paying for their treatment, they have every right to expect that their life is better afterward. Hospitals that do not achieve the required levels of treatment outcome are routinely penalized, thus, they need to improve healthcare outcomes. These levels are measured by readmission rates. On average, over 2,500 hospitals are likely to be penalized because of their monthly readmission rates, even though the pandemic will have increased the chances of some patients having to be readmitted.

Improve healthcare outcomes with an effective patient identification platform

However, there are some very simple ways in which hospitals can improve healthcare outcomes and reduce readmission rates.

Identify your patient. Continue to identify your patient.

Correct patient identification is key. Ensuring that staff members are treating the right patient for the right ailment is, perhaps, needless to say, the best way to improve healthcare outcomes. Getting identification wrong can lead to any number of issues, from unnecessary operations or incorrect scans to potentially dangerous prescription medication being offered.

The best way of ensuring correct patient identification is by using a touchless biometric patient identification platform such as RightPatient. It helps improve healthcare outcomes, ensures timely sharing of appropriate information with other professionals, and ultimately helps lower the chances of a patient safety incident.

The data may be on the screen, and may well be correct. But front desk staff, nurses, medics, and others are only going to know this for sure if they use such a solution. The available data is also likely to show previous admissions, incidents that the patient may have been involved in, allergies, vital statistics, next of kin, and areas of concern for the patient’s health.

Many hospitals undertake patient surveys to help them improve patient care, and this option can be offered as a patient reaches discharge date, if appropriate.

Goals, KPIs, outcomes, HSMRs – whatever you call them, they help improve healthcare outcomes.

Improving the patient’s experience of their stay in the hospital will also improve their view of how well they were treated. A positive outlook has been shown to raise recovery rates. Plus, helping patients recover makes staff feel better too. Making a good outcome a key goal of the organization and the staff will help both sides. Suggesting a reduction in incidents from the previous year is a friendly way to ask for an improvement in figures, whilst still recognizing that employees are human and can make mistakes.

RightPatient identifies patient records accurately

No matter how good the records, unnecessary scans can be requested and patient information can be incorrectly recorded. It happens. If the patient’s identity can be verified accurately, then mistakes can be avoided.

Sharing is caring.

Sharing information with other caregivers can also improve healthcare outcomes and provide healthcare professionals with a rounded picture of the person they are treating. Not all patients will be happy with this option, but for primary care doctors, knowing where else their patients have already been treated is of great benefit when referring them to other specialties. Many people have to see a different physician for every ailment, and joined up care can make things much easier. When someone with a chronic condition ends up in the ER, a shared electronic health record allows everyone to know what medication the patient has already been prescribed and even whether certain common treatments have already been attempted.

CMS, therefore, requires healthcare providers to use CoP electronic notifications to let other named physicians know that they have a patient in their care. These notifications also alert others in the chain about patient discharge or transfer, which is important for ongoing care – using RightPatient can help with that. RightPatient also aims to prevent duplicate medical records, so acting against medical identity theft. All of this helps CMS compliance, which is good news for a facility’s finances, as fines for CMS breaches can be crippling after a while.

Contact us for more information on how RightPatient can help your facility and your patients stay safer from medical mix-ups and online impersonation by using our biometric patient identity management system.

The Professional Patient Problem Still Exists in Clinical Trials – Are You Preventing Them?

May 2, 2021/6077 views / 0 Comments/in BLOG, Clinical Trials, Data Integrity, Patient Identification, Professional Patients, Research /by Matt Gibson

We’ve been talking about clinical trials for some time now. Usually, we talk about how integral these studies are for discovering new drugs, devices, or treatments, and how their outcomes affect all our lives as well as healthcare in general. However, today we are focused on one of the overlooked issues – the professional patient problem, and how the long-standing issue continues to skew overall results.

That being said, let’s take a look at a real-life case of a professional patient that participated in multiple clinical trials, how their involvement and actions can hamper trials and cause billions in losses, and how a patient identity verification platform like RightPatient can help prevent their participation.

RightPatient can prevent professional patients in clinical trials.

The professional patient problem is very real – a recent example

A case that occurred in 2019 in Louisiana

At the end of 2019, patient X had signed up for a clinical study for asthma. While she was accepted into the trial like most of the individuals that volunteered for it, she had falsified some of her information to make herself appear eligible for the trial.

There was a prerequisite stating that the subjects shouldn’t have had a certain steroid within the past two to three weeks. However, patient X did take it only a few days before signing up for the trial, and when she was asked, she flat-out denied taking it, as per Medscape Medical news. Unfortunately, she did make it into the trial, and her statement regarding her use of the steroid wasn’t verified.

However, that was just one clinical trial patient X participated in – there’s more. Otherwise, this wouldn’t have been an example of the professional patient problem!

Same professional patient, different study

Patient X participated in an entirely different study on nasal polyps, and in this case, she once again provided misleading information. While the trial focused on reducing nasal polyps using a certain spray, patient X was already using the same medication, but she informed the officials that she wasn’t. The study compensated her handsomely, which is why she was tempted to falsify information.

But what did the officials do to verify her information?

They requested a note from her physician, checked her driver’s license, required access to her patient portal, and viewed photos of her medications, among other things. Even then, they couldn’t detect the fact that she falsified information to sign up for the clinical trial.

Professional patients skew overall results and delay effective trials

The tale of patient X is not a rare incident, unfortunately. These cases are examples of the professional patient problem, and they occur too often to be ignored. The participation of these individuals is a significant blockage to carrying out clinical trials effectively, and more often than not, these cases are discovered only when it’s too late. Their involvement in the trials affects data significantly and might cause even promising drugs to be delayed or even announced to be ineffective. Not only does their participation cause promising drugs to not see the light of day, but it also causes much-needed breakthroughs in medicine to be delayed. These are the consequences of professional patients falsifying data, participating in multiple trials simultaneously or consecutively, and faking results, and might cause trials to not proceed to the subsequent phase(s). As a result, the participation of professional patients, or “professional study subjects”, must be eliminated.

Fortunately, professional patients in clinical trials can be prevented with RightPatient.

RightPatient helps combat the professional patient problem

A touchless biometric patient identification platform, RightPatient has been helping responsible healthcare providers prevent scammers from using healthcare services within their facilities. The platform identifies patients using their photos that are taken during registration and prevents fraudsters from assuming the identities of registered patients – it can do the same for clinical trials too.

RightPatient can help maintain a database of the registered patients in clinical trials at multiple sites, and whenever a fraudster or these professional patients try to sign up, the platform can red-flag them – saving billions, protecting the integrity of your trials, and preventing delays.

Use RightPatient now to see how it can ensure that your investments are protected and improve the efficacy of your clinical trial(s).