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The Importance of EHRs Shows Why Medical Record Errors Must be Prevented

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When caregivers are asked about the most important tool they have at their disposal to treat their patients, what answers are expected? Some would say their healthcare team, the cutting edge technology/procedures they have access to, the different solutions they have that improve healthcare outcomes, and so on. However, the most underrated and crucial tool is definitely the electronic health records or EHRs. Think of it – where would healthcare be without EHRs? EHRs ensure that the right information regarding the right patient is provided to the right medical team. However, this is applicable only as long as certain issues are prevented, especially medical record errors.

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That being said, let’s take a deeper dive into how EHRs are the most important tool for healthcare providers and why ensuring patient data integrity is a must. 

Healthcare is evolving but the starting point remains the same

Let’s go back to a time before the deadly pandemic. If someone went to a healthcare provider and told them that telehealth would become mainstream in the future, the provider would most likely say that they’re crazy! Look at the reality now – telehealth is still preferred by many, even while users are decreasing due to hospitals opening up. 

Healthcare has been evolving – rapidly in some areas and steadily in others. One certain thing is that healthcare isn’t limited to the four walls of hospitals and health systems anymore – one of the consequences of the pandemic. However, whether it’s in-person visits or virtual ones (telehealth/telemedicine), the foundation for providing care to patients remains the same – EHRs. 

EHRs are more important than most realize 

Patients, caregivers, and others are quite satisfied with telehealth now.

Patients on the younger side have stated that they would like to continue using telehealth even if the national health emergency is over. That’s probably because it’s more convenient, easier, and safer – all the patients need is an internet connection with a communication device. 

Caregivers have a bit more complex process to go through. 

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Caregivers who are providing telehealth services have to consider a lot of factors – the telehealth platform, the portal, the EHR system, identifying the right patient, rules and regulations, ensuring patient safety online, and more. Also, while providing virtual services to the patients, the physicians need to ensure that the necessary information is being fed to the EHRs of the patients accurately – just as they do during an in-person visit. 

The bottom line is that whether the healthcare provider is seeing the patient within their facility or online, the one thing that basically remains constant is the patient’s EHR. However, issues such as medical record errors can mess EHRs up, derailing healthcare outcomes among other things – let’s see how. 

Why it’s crucial to prevent medical record errors

One of the starting points of providing healthcare is the EHR. When the patient interacts with their healthcare provider, usually to schedule an appointment, one of the first things done by the caregiver is pulling up the patient’s EHR. It basically provides the entire medical history, recent lab test results, and other information required to treat the patient. Moreover, any new information captured by the caregiver will be added to the EHR. EHRs, by providing timely, relevant, comprehensive, and accurate information to the physicians, improve healthcare outcomes, optimize healthcare delivery, boost coordinated care, and reduce adverse events. 

Now, imagine if an inaccurate EHR is selected – the consequences can be devastating! 

Medical record errors such as duplicates and overlays lead to patient mix-ups. Patient A’s treatment will be based on patient B’s medical record, leading to detrimental healthcare outcomes, adverse effects, and worse. Patient data within the EHRs becomes unreliable as it is fragmented, erroneous, and inconsistent. 

However, all of this can be prevented with positive patient identification with RightPatient.

RightPatient prevents medical record errors – and more!

By identifying patients correctly right off the bat, RightPatient ensures that accurate, high-quality data is fed to the EHRs every time the patient checks in for a healthcare visit. Patients only need to look at the camera – the touchless biometric patient identification platform does the rest.

With RightPatient, responsible healthcare providers are not only ensuring patient data integrity, but they are also improving patient outcomes, preventing patient safety incidents, and providing optimal healthcare services to patients.

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Hospitals that Identify Patients Correctly Enjoy Several Benefits

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We typically talk about grave situations – stories of patient mix-ups, healthcare data breaches, medical identity theft cases, denied claims, and more. However, this time, we will look at the more positive aspects – the additional benefits that healthcare providers who identify patients correctly enjoy. These range from preventing unwanted patient safety incidents within the premises to enhancing patient outcomes.

However, did you know that our touchless biometric patient identification platform can provide far more benefits? More on that later – let’s dive deep into the topmost benefits of ensuring proper patient identification in hospitals.

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Why hospitals must identify patients correctly 

Well, in order to understand that, first, one must understand why patient identification is such a big deal. For starters, patient identification is quite problematic in the U.S. healthcare system for several reasons. Since no effective standardized patient identifier has ever been implemented in the U.S., healthcare providers use different methods, solutions, or strategies to verify their patients, and most of them suffer from patient identification errors and the consequences that follow.

Fortunately, responsible healthcare providers don’t have to suffer from these issues because they have made patient safety their number one priority. These providers are utilizing effective solutions like RightPatient to eliminate errors by helping them identify patients correctly. 

So, what are the benefits of accurately identifying patients? 

Top benefits enjoyed by hospitals that identify patients correctly

Prevents fraudulent cases right from the start

Although wrong patient identification and medical identity theft are both crucial issues of the U.S. healthcare system, many don’t know that preventing the former can also prevent the latter.

It’s quite simple – since there’s no standardized and rigid way to identify patients accurately in most hospitals, fraudsters aren’t identified right off the bat. In fact, many medical identity theft cases remain undetected until the patient receives a shocking bill or notices anomalies with their EHRs. 

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Hospitals that identify patients correctly can prevent medical identity theft in real-time. When the fraudster comes in, proper patient identification will help officials flag them and catch them red-handed.

This is also applicable even in the case of data breaches. Even if healthcare data is breached, accurate identification will lead to fraudsters being caught in the act, preventing medical identity theft and reducing substantial expenses of rectifying medical record errors and litigation costs down the line.

Prevents expensive and dangerous medical record errors

One of the reasons why patient identification is such a mess has already been mentioned – the lack of an effective patient identifier. However, another reason is the overwhelming medical record errors that already exist in the systems. Duplicate medical records and overlays, namely, have been causing patient mix-ups, leading to the wrong patients getting transplants, incorrect treatments, and more. These duplicate medical record errors typically are created during the registration process, and both their creation and use can be eliminated if patients are identified accurately.

See, if the patient is accurately identified right from the start and the appropriate medical record is used throughout the patient’s medical care history, then duplicates and overlays can be avoided – eliminating the issues caused by them for both caregivers and patients, preserving authentic patient data. This leads to another benefit of proper patient identification.

Ensures patient data integrity

As mentioned, medical record errors, and patient misidentification in general, lead to patient data corruption. Unless patient data integrity is maintained, the information is useless for healthcare providers and quite dangerous for patients. Imagine if a patient has cancer but gets treated for heart disease – it would be catastrophic! 

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Patient data integrity failures lead to the wrong treatment plans, detrimental healthcare outcomes, readmissions, and even deaths. However, accurate patient identification ensures that the correct information is being recorded in the appropriate medical records – ensuring patient data integrity.

Enhances patient safety

By now, it should be clear that positive patient identification prevents a plethora of issues such as duplicates, patient data corruption, medical identity theft, among other things. However, identifying patients accurately also leads to better healthcare outcomes and prevents medical errors, improving patient safety in the process.

Medical errors caused by mix-ups are prevented which also reduces readmissions – improving patient outcomes. Accurate information arms healthcare providers with the relevant details about the right patient, helping them make informed decisions, something that’s not possible when patients are wrongly identified. 

Reduces denied claims

Denied claims are a huge burden for any given healthcare provider, however, most of them can be prevented with accurate patient identification. Let’s look at an example of exactly how denied claims and patient misidentification are related. 

Suppose a patient, A, comes in for a checkup and the physician recommends a follow-up, and a small surgical procedure is planned. During the first two visits, A has been identified properly and their medical record includes the proper information. However, prior to the surgery, A is misidentified and the wrong EHR is assigned. Moving forward, everything will be recorded in the wrong EHR.

Now, when it comes to receiving payment for the surgery, the hospital sends a claim to the patient’s insurance provider. However, when the insurance company detects inaccurate coding due to incorrect information, the insurance company “denies” the claim. These billing and coding errors need to be fixed which takes up a considerable amount of resources and time – creating inefficiencies.

Denied claims can cost north of $4 million for the average health system, making it extremely costly for even the largest provider. 

Positive patient identification can prevent most denied claims as they are often caused by medical record mix-ups. Moreover, this also frees up FTEs (full-time equivalents) to do their jobs properly – improving efficiency and eliminating bottlenecks. 

Improves the quality of healthcare services

Patient identification errors have been rampant for almost two decades, leading to data quality issues. As a result, this information cannot be trusted – if the data is inaccurate, then everything moving forward will also be full of issues. 

Proper patient identification ensures that the right patient is connected to their accurate medical record at all times – this itself drastically improves the quality of services they receive. For instance, they won’t get redundant lab tests, incorrect medication, or the wrong treatment plans.

All in all, patient misidentification might seem trivial to many, but if accurate patient identification is ensured, then it brings several benefits for healthcare providers, patients, insurance companies, and everyone else involved.

However, did you know that our patient ID platform, RightPatient, can do even more than everything mentioned above?

RightPatient helps healthcare providers identify patients correctly

RightPatient is the leading biometric patient identification platform that has been helping several healthcare providers protect their patients. However, the factor that sets RightPatient apart from others is that it’s entirely touchless – patients only need to look at the camera during the verification process. The platform matches the saved photo with the live one and provides the accurate EHR once a match is identified.

The fact that RightPatient is contactless is why prominent healthcare providers have chosen it. The platform improves infection control and reduces HAIs (hospital-acquired infections) as there’s no physical contact required, making it ideal in a post-pandemic world.

Caregivers such as Community Medical Centers, Catholic Health Services of Long Island, and the University Health Care System have been using RightPatient and enjoying several benefits such as preventing medical identity theft, reducing duplicates and overlays, protecting patient records, and boosting their bottom lines. Be a responsible healthcare provider now and use RightPatient to see the difference it makes.

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Ensuring Data Integrity in Healthcare Facilities is Critical in a Post-Pandemic World

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Starting on a positive note, it’s safe to say that we’ve seen the worst of the pandemic, at least in the U.S. Now that over 310 million Americans are vaccinated against the notorious COVID-19, almost everything is slowly but surely returning to the “old normal”. We’re saying “almost” because COVID-19 is still affecting a lot of people, businesses, institutions, and industries. The U.S. healthcare system, for instance, arguably faced the worst challenges it has ever had last year, leading to astronomical losses. While providers are opening their doors slowly, it’s estimated that they will face collective losses of over $120 billion this year. This makes it quite clear – hospitals need to implement strategies that can reduce losses, and ensuring patient data integrity in healthcare facilities might just be the answer, leading to improved quality and safety in healthcare – let’s dive deep.

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How COVID-19 changed our realities

Well, even if you’ve been living under a rock, you’d have noticed that the entire world changed last year. Social gatherings, sporting events, rallies, basically anything that included a large number of people were suspended and lockdowns were imposed to flatten the curve and reduce the infection rate. While different countries implemented lockdowns differently, all of them had one thing in common – the healthcare systems were shaken to their cores due to the unprecedented challenges.

COVID-19 was devastating for healthcare providers

In the U.S., hospitals had to suspend their regular operations, elective procedures, and in-person visits to take care of the COVID-19 patients. Healthcare teams and frontline workers did everything possible to fight COVID-19 as they risked their lives. As a result, hospitals had to cut off sources that normally would bring in revenue, and losses were around $323 billion last year. Surgeries usually are a huge source of revenue for healthcare organizations, and as they were postponed indefinitely, hospital finances plummeted.

Before going into how ensuring patient data integrity in healthcare facilities can reduce significant losses down the line, let’s take a look at some stats regarding surgeries. 

Some worrying stats regarding surgeries

According to research conducted by McKinsey & Company, hospitals and health systems saw (on average) a 35% decline in surgical cases from March 2020 to July 2020. The same research also mentions that working on this backlog might require at least two years even if facilities can operate at 110% capacity!

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According to additional research, elective surgeries declined by around 193% after CMS recommended healthcare providers postpone non-emergency procedures back in 2020 – leading to unprecedented losses.

Moreover, only half of the healthcare providers want to implement strategies or solutions that can help them deal with this growing backlog. Moreover, around 80% of these same individuals believe that they can grow next year.

What they are failing to realize is that times have changed and so has the healthcare space. Telehealth is dominating and everyone is worried about hospital-acquired infections – healthcare has changed significantly. In this case, the hospitals and clinics that adapt themselves to the new changes will be the ones that will not only survive but will also thrive in the long run. While data integrity in healthcare has been sidelined during the pandemic, ensuring it becomes an important priority now can make all the difference.

But how is that relevant to surgeries? 

Patient data integrity in healthcare facilities can go a long way

Well, collecting and analyzing data properly can prevent losses, ensure smoother operations, and lead to boosted bottom lines. In fact, healthcare organizations that properly utilize data can make accurate forecasts, provide improved healthcare outcomes, and prevent medical errors. One of the key components of that is patient data – something which must be accurate at all costs. 

Ensuring patient data integrity in healthcare facilities can be challenging, but using the proper tools can drastically reduce adverse effects.

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For instance, patient data integrity failure can lead to duplicate medical records or overlays, patient safety incidents, detrimental healthcare outcomes, patient mix-ups, wrong procedures, and more. However, RightPatient is a solution that ensures patient data integrity right off the bat. 

RightPatient ensures patient data integrity in healthcare facilities

RightPatient is a robust touchless patient identification platform that solves one of the most crucial but overlooked issues of healthcare – patient misidentification. However, it brings several other benefits to healthcare providers and their patients.

By ensuring that the accurate medical record is used every time the registered patient comes in, RightPatient prevents mix-ups and duplicates, ensures patient data integrity, and ensures that data quality is maintained at all times.

RightPatient has been proudly protecting millions of patient records at several hospitals for years now with positive patient identification – are you protecting your patients properly?

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Preventing Medical Record Errors Improves Patient Safety

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Healthcare providers in the U.S. never seem to catch a break – they’ve always faced a plethora of issues even before the pandemic. For a brief refresher, the U.S. healthcare system suffers from outrageous costs, the lack of price transparency, ancient laws that hamper healthcare outcomes, the lack of proper interoperability, medical record errors, preventable medical errors, patient safety incidents, and more.

While all of that seems like a bit too much, there are actually far more issues that regularly challenge health systems and hospitals and hold them back from providing positive patient outcomes. One such crucial but overlooked issue that hampers healthcare outcomes is medical record errors. Let’s explore how they are created, what are the consequences, and how proper patient identification can enhance the quality and safety in healthcare facilities.

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Medical record errors jeopardize healthcare outcomes in several ways

Patient safety incidents, detrimental healthcare outcomes, denied claims, patient mix-ups, and other adverse effects can be traced back to errors with medical records – the most common ones are duplicates and overlays. In fact, whenever an EHR error occurs, it typically goes undetected until an unfortunate event occurs such as the ones listed above. However, if one goes even further back, patient identification errors are likely to be the main culprit – let’s see how that happens. 

Patient misidentification leads to most medical record errors

One of the most common causes that lead to medical record discrepancies is patient misidentification, and that’s because most healthcare providers are using obsolete means to identify their patients – more on that later. Let’s take a look at how duplicates and overlays are created within EHR systems.

Duplicate record creation 

It’s quite straightforward – let’s start from the beginning. A patient comes into the hospital for a checkup, and since most hospitals suffer from patient identification problems, the EHR user is left with a difficult choice if they can’t find the accurate medical record. This happens because:

  • The patient has a common name
  • There are multiple patient records with the same characteristics
  • Searching for the right medical record is virtually impossible

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Now, the choices the EHR user has are either diving deep and painstakingly finding the accurate medical record, assigning the medical record that seems to be the “closest match”, or, just to be safe, creating an entirely new medical record. However, the latter can be catastrophic for both the patient and the hospital. Saving a discussion about the consequences for a later part, let’s see how overlays are far more damaging.

Overlays are extremely dangerous

Duplicate records are created when a patient has multiple medical records. Overlays, however, are single medical records that contain information about multiple patients – clearly, these medical record errors can be very dangerous.

Let’s continue from the previous example – the EHR user selected a medical record that best matched the patient (X), but it actually belongs to a different patient (Y). When patient X has their medical checkup, their health information is recorded into patient Y’s medical record, rendering it corrupt, unusable, and dangerous. Next time, when either patient returns for medical treatment, they’ll be facing detrimental healthcare outcomes because the data in their medical record is unreliable.

Moreover, with the growing adoption of EHR systems, these issues are becoming far more common. In fact, according to AHIMA, smaller hospitals have around 5-10% of these duplicate medical records whereas larger health systems can have a whopping 20%. These errors can cause around $40 million in unnecessary costs in clean-ups, litigation costs, and others.

Unfortunately, the biggest issue with these duplicates and overlays is that, as previously mentioned, they remain undetected until an adverse event occurs. The best way to resolve medical record errors is by preventing them right from the start – accurate patient identification can help with that. 

RightPatient prevents duplicates and overlays

RightPatient has been helping responsible healthcare providers accurately identify patients at any touchpoint with its robust biometric patient identification platform. It can be seamlessly integrated with any EHR system and it becomes a part of the EHR workflow. 

Patients only need to look at the camera – the platform automatically locates the accurate medical record for the EHR user, making it a seamless, safe, and hygienic experience for everyone involved. It has been helping reputed caregivers like Grady health, TGMC, and Community Medical Centers prevent duplicate record creation, ensure patient safety, and boost the bottom line.

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The Importance of EHR Optimization and 3 Strategies for Improvement

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EHRs and EMRs are used interchangeably and they more or less serve the same function. In a nutshell, EHRs are a crucial part of the U.S. healthcare system and contain virtually all the information physicians and caregivers need to know about the patients. EHRs are required to ensure that the patients are receiving proper treatment plans, healthcare services, and so on. However, using EHRs is not enough – understanding them properly and ensuring EHR optimization is crucial as well, and the latter is something that many care providers miss out on.

That being said, let’s take a look at the importance of optimizing EHRs, how it benefits caregivers, and some strategies that help with optimization. 

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Importance of EHR optimization

Before diving deep into its optimization, let’s do a quick overview of EHRs. 

EHRs are the commonly used abbreviation for electronic health records and may contain a vast amount of health information such as patient names, billing information, progress notes, vitals, medical histories, medications, and treatment plans, lab test results, and much, much more. It is obvious that EHRs are extremely important and have a huge part to play in healthcare outcomes, billing, treatment workflow, etc. As a result, EHR optimization becomes even more important if caregivers want improvements in healthcare outcomes, fewer errors in medical billing, and so on. 

Unfortunately, many caregivers don’t keep up with EHR optimization, which leads to piling up issues and errors, unintuitive interface(s), duplicate medical records, and overlays, which cause patient mix-ups. All of this leads to patient safety incidents, preventable medical errors, billing and coding errors, or denied claims – impacting the ROI.

Just implementing an EHR system is not enough – providing ample training, customizing it to the hospital’s needs, ensuring proper governance, and using innovative solutions to bolster EHRs are crucial components to make it work. 

That being said, let’s take a look at some strategies that help with EHR optimization and ensure higher ROI, better bottom lines, reduced clinician burnout, fewer medical errors, and improved patient outcomes.

Strategies that bolster EHR optimization

Keeping EHRs accurately updated 

Ensuring that EHRs are updated at all times and are free of errors is a must. There are many cases where EHRs aren’t maintained accurately, leading to duplicate medical records or overlays. Not only do these issues with EHRs lead to wrong patient identification, but they also lead to patient safety incidents, denied claims, and might even cause deaths. One way to prevent these issues is by identifying patients accurately at all touchpoints, maintaining patient data integrity in the process. 

Receiving and incorporating feedback

One crucial fact that is overlooked by most caregivers is that feedback can lead to a host of improvements and optimization. Being open to feedback, receiving it, and incorporating it from the actual EHR users can drastically improve EHR usability. Physicians, clinicians, and registrars, among others, are the ones who use EHRs, and caregivers who are open to feedback from them can significantly improve their EHR systems by implementing required changes that optimize the workflow. Unfortunately, only around 34% of physicians are asked for feedback regarding the matter.

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Using solutions that bolster EHR systems and seamlessly integrate with them

EHRs bring a host of benefits to their users, provided that they are used appropriately and with the right solutions. Even EHR systems require support but that’s due to external factors. For instance, the lack of positive patient identification is still felt across the U.S. healthcare system because there’s still no standardized effective national patient identifier present. If truth be told, there might not be one in the near future – the project has been pending for around twenty years! 

However, there are solutions that seamlessly integrate with EHR systems and become part of the EHR workflow, one of the leading ones is RightPatient. 

As a touchless patient identification platform, RightPatient has been helping leading healthcare providers by identifying patients accurately in a safe and hygienic manner. Within hospitals, registered patients only need to look at the camera, and once RightPatient finds a match, it provides the EHR user with the accurate medical record.

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Improving Healthcare Outcomes with 4 Strategies

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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.

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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.

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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.

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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.

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Hospitals Might Lose $122B – Can a Robust Patient Identification System Help?

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Healthcare providers in every nook and cranny of the world have had their hands full with COVID-19 dealing damage everywhere. The US was not left out as its healthcare system could not cope with the unexpected events that persisted when the virus hit hard. The loss incurred in 2020 was massive for healthcare providers and difficult decisions had to be made. Unfortunately, the year 2021 doesn’t look like much of an improvement. The Kauffman Hall report suggested that healthcare providers could end up losing as much as $122 billion in 2021 in the worst-case scenario. On the less pessimistic side, they will lose up to $53 billion, which is still a significant amount. That being said, we need to look in-depth at how the impact could be reduced significantly and how the administration of an effective patient identification system can reduce significant losses.

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Loss is inevitable for most healthcare providers in 2021

The major difference between 2020 and 2021 is that now people are getting treated with vaccines against the devastation that was the theme of the previous year. Most hospitals have opened up and there is a gradual decrease in the amount of COVID-19 cases. Hospitals will, however, have to settle for a loss of about 10%, which is still considered a pretty serious loss by experts.

Patient identification errors are still plaguing health systems and, even before the pandemic, there had been huge losses for caregivers. But not all of them were suffering from the losses.

NYU Langone Health, Baylor Scott & White Health, the Mayo Clinic, and some others are just some of the large hospitals that benefited from a bout of federal healthcare bailout grants. Baylor Scott & White, in particular, earned profits in 2020. Many others didn’t come off with such luck as they had to shut their doors permanently, lay off most of their workers, introduce pay cuts, and furlough employees. The losses have further extended into 2021 and it could persist into 2022. The focus must. however. be shifted to existing problems – ensuring positive patient identification is one of them.

How an effective patient identification system helps reduce losses

The major strategy which healthcare providers are using to mitigate losses is by cutting expenses. Reducing the workforce shouldn’t be a priority as they could focus on solving problems associated with patient safety problems, medical records mix-up, duplicate medical records, patient outcomes, denied claims, preventable medical errors – the list goes on. The cord that connects them all is patient identification errors. 

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Poor identification of patients will cause hospitals to administer wrong treatments that often result in patient safety incidents, harmful patient outcomes, readmissions, etc. There is a consequential ripple effect of patient misidentification on hospitals and patients alike. These effects can be too heavy and costly on either side. Preventable medical errors, denied claims, litigation costs, and fixing duplicate medical records can lead to massive losses for any healthcare provider. An effective patient identification system must be adopted by hospitals – RightPatient is the best fit for the task.

RightPatient is the leading patient identification system

RightPatient is a touchless biometric patient identification platform that solves the problems plaguing healthcare providers and patients nowadays. It is just what we all need in this post-pandemic era. It is easy to use and hygienic for both caregivers and patients due to its touchless nature. RightPatient can help to prevent losses in millions by preventing patient misidentification, medical identity theft, denied claims, duplicate medical errors, etc. It is a must-have for responsible healthcare providers to reduce losses and enhance positive patient outcomes.

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Proper Patient Identification Mitigates Hospital Losses in Several Ways

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Patient safety can easily be achieved by making proper patient identification one of the basic requirements within hospitals. Misidentification of patients creates a host of problems for the care provider, the patients, the insurance companies, to say the least. Medical record mix-ups, preventable medical errors, wrong administration, patient safety issues, or death can be the result of patient misidentification. Repetitive cases of misidentification can spell doom particularly if it is concurrent post-pandemic, caregivers have their hands full to deal with huge losses as a result of coronavirus.

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Subsequently, we will look at the effects of patient misidentification on healthcare providers, the financial losses incurred, and how using RightPatient can be used for proper patient identity management to assist caregivers in overcoming issues that may arise as a consequence.

COVID-19 further compounds the financial loss on healthcare providers 

In 2020, it was thought that hospitals will lose $323 billion due to COVID-19. Things are much better now that we have seen a large portion of the United States’ population get vaccinated but the immense financial pressure on hospitals remains an impediment. About $122 billion is the estimated value of the total possible loss for hospitals and health systems following the lingering effects of the pandemic. Despite the immense efforts invested in vaccination, the losses haven’t abated in 2021 according to experts. The situation is dire and healthcare providers have to cut down on unnecessary costs in a meaningful way.

2020 was a dark year for healthcare providers

In the wake of last year’s events, caregivers had to develop new strategies to overcome the challenges posed by the pandemic. They were forced to adopt cost-cutting strategies such as furloughing, temporarily closing down departments, closing hospitals, and laying off workers. These strategies aided some hospitals but it was pretty ineffective for others. The focus has to be on fixing existing problems that will ultimately minimize their losses. Proper patient identification is one of the most underrated and lingering problems that are being experienced in many hospitals and health systems. Next, we will be considering how we can reduce losses.

Ways how proper patient identification cuts losses

Accurate patient identification reduces denied claims

Denied claims often result from situations in which the person paying for a service observes discrepancies in the information sent by the caregiver compare to a patient’s actual data. Such claims are denied based on patient misidentification. 

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Possibly, the patient might have been misidentified right from the beginning. The case of patient misidentification does not necessarily mean that the patient was given another patient’s EHR, it could also be a case of duplicated medical details. If such occurs in the EHR system, and the fragmented data are used in treating the patient, the issues that may arise will be critical. Peradventure by a long shot, a miracle happens and no patient safety concern incident occurs, the claims will be flagged off by a statement of the insurance company that it was the wrong medical record. Medical record mixups may mean that a patient receives the wrong bills and these rarely pass through to approval.

It is, thus, important to properly identify a patient from the beginning. An adequately evaluated identification will mean that the same EHR will be used in developing appointment schedules as well as payment collection. It will also be useful in fighting denied claims. The necessary bills will be issued to the patients and the caregiver’s patient revenue cycles will be optimized and losses reduced drastically.

Accurate patient identification improves patient safety

Dangers to patient safety such as wrong treatments, readmissions, wrong surgeries, preventable medical errors depending on the situation can arise from a wrong EHR is used to administer treatment to patients. A patient with diabetes can get treated with a plan for a heart condition as a result of a patient record mix-up. Even the slightest patient safety incident can cost healthcare providers a lot of money, undesirable media attention, and others which can lead to penalties down the road.

Making sure that accurate patient identification often limits the chances of medical record mix-ups, drastically reduces the occurrence of otherwise preventable medical errors, and ensures improvement in healthcare outcomes by making the right patient get the right treatment plan. An averted problem of patient safety concerns saves the hospital a whole lot of trouble and financial implications.

RightPatient ensures proper patient identification

Efficient healthcare providers are finding great use for RightPatient in identifying their patients. Our touchless biometric patient identification platform is easy to use, and it is also ideal in a post-pandemic world as it limits the chances of infection control issues.

The platform has a proven track record of aiding healthcare providers to enhance patient safety, forestalling cases of patient medical record duplication, and diminishing denied claims. The bottom line is ultimately improved upon in the process. Are you ready to use a feasible solution like RightPatient to cut your losses?

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5 Strategies That Can Rebuild Revenue Cycle for Healthcare Facilities

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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.

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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.

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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.

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4 Strategies for Patient Safety Quality Improvement

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Patient safety has always been a much-discussed topic for healthcare experts, hospitals, and well-informed individuals. After all, by not ensuring patient safety, healthcare outcomes will be detrimental due to medical errors, mix-ups, hospital-acquired infections (HAIs), lack of proper communication, and more. These events lead to hospitals being hit with lawsuits and losing goodwill. In fact, one of the issues that cause patient safety incidents is medical errors, and a study indicates that they are the third leading cause of U.S. deaths. Moreover, with COVID-19, ensuring patient safety is a much bigger challenge and responsibility than ever before. The focus of this article is patient safety quality improvement and it’s quite clear that it is a must for U.S. hospitals and health systems.

That being said, let’s take a look at 4 strategies that improve patient safety quality, how medical errors are related to patient misidentification and mix-ups, and how ensuring positive patient identification can help.

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RightPatient improves patient safety.

4 strategies for patient safety quality improvement

Providing proper training to healthcare staff members

One of the first tasks for patient safety quality improvement is to evaluate and identify which employees within your healthcare facility require training – they’re the ones dealing with the patients directly, after all. Whether it be nurses, registrars, patient safety professionals, or other staff, improving their skills can significantly improve patient safety. 

Use quizzes, short interviews, and their recent performance to identify the ones that require training regarding the do’s and don’ts and patient safety incidents. Ensure that they know the critical aspects that can make or break patient safety within your facility. 

Identify and work on reducing patient safety incidents

Patient safety incidents are ever-present in hospitals – they’re just waiting to happen unless addressed appropriately. Take a more proactive approach than a reactive one in identifying issues that might cause patient safety incidents down the line by conducting audits. While this might seem repetitive, it does ensure patient safety quality improvement and can help you avoid hefty costs in the process.

One belief many healthcare providers have is that conducting routine checks is enough. However, healthcare is a dynamic environment and there are new challenges every day that need to be addressed appropriately and in due time. Conducting checks regularly or whenever a serious incident occurs in your facility and monitoring to prevent these incidents using apps can also boost patient safety significantly.

 

Work on reducing hospital-acquired infections

During COVID-19, this is a strategy all healthcare providers must implement for patient safety quality improvement. Enforcing social distancing practices for everyone in the facilities is the only way to reduce transmission of infectious diseases. Ensure that people (both patients and healthcare staff members) are standing six feet apart, and use proper PPE. Moreover, provide sanitizers or handwashing facilities at crucial points to ensure better protection. Also, minimize or eliminate physical contact as much as possible, especially in registration areas for all incoming patients. Using a touchless patient identity verification platform can significantly help with improving hygiene, and in turn, patient safety.

Preventing medical errors

As previously mentioned, one of the biggest issues that cause patient safety incidents is medical errors, and most of these can be associated with patient misidentification, patient mix-ups, and duplicate medical records.

Imagine this – if a patient is misidentified right from the start, or is associated with an incomplete medical record, their entire treatment will be full of errors. Not only does this lead to wrong medications, but also leads to wrong transplants, longer hospital stays, readmissions, irreversible physical damage, and even deaths. Preventing medical errors, thus, becomes the topmost priority to enhance patient safety within hospitals – and that’s exactly what RightPatient does. 

Achieve patient safety quality improvement with RightPatient

RightPatient is a touchless biometric patient identification platform that is used by leading healthcare providers to identify their patients accurately at every interaction. By using patients’ photos, RightPatient identifies them accurately right from the start and across the care continuum, preventing duplicate medical records, patient safety incidents, and medical errors.

Are you a responsible healthcare provider that is working to enhance patient safety? Contact us now to learn how you can improve patient safety, and more, with RightPatient.