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

October 12, 2020/9716 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Data, Patient Identification, Patient Matching /by Matt Gibson

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

How duplicates impact patient safety and quality of healthcare

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

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

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

How are hospitals addressing duplicates?

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

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

RightPatient enhances patient safety and quality of healthcare

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

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

Revenue Cycle Optimization Efforts Are Hampered by Duplicate Medical Records

October 9, 2020/10470 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, HIM, Medical Record Mix-ups, Patient Experience, Patient Identification, Patient Matching, Patient Safety /by Matt Gibson

Medical record errors such as duplicate medical records and overlays are issues that keep resurfacing time and again, especially when they lead to patient identification errors. We’ve already taken a closer look at duplicate medical records, how they are created, and how they impact patient safety. However, these are not the only problems medical record errors create. Another prominent issue is that duplicates jeopardize your revenue cycle optimization efforts by creating denied claims. Let’s take a look at exactly how that happens, how denied claims can take up your valuable resources, and how RightPatient can help combat duplicates and overlays, and in turn, optimize revenue cycle management.

How duplicates get created

To understand how duplicate medical records affect the revenue cycle, let’s take a brief look at how duplicates and overlays get created. These usually originate during the registration process, especially if the healthcare providers don’t have any effective patient identity verification system in place.

For instance, patients keep coming in and they need to be identified immediately so that they can be treated. This clearly shows that hospital registration desks are environments that are always hectic and staff is under pressure, more so for busy or larger hospitals. If you factor in outdated or ineffective patient identification platforms, duplicates are bound to occur, along with problems such as infection control issues that are associated with touch-based patient identification platforms.

Coming back to duplicates, the registrars have a very small window to identify the accurate medical records from an EHR system that might house thousands of records. Name changes, common names, misspellings, and nicknames only make matters worse. For instance, the medical record is saved under the name “Richard Grayson”, but the patient uses his nickname “Rick Grayson”. These are bound to create identification issues, and when the registrar can’t find the accurate record, they might end up creating a new one – leading to a duplicate record. Furthermore, existing duplicates will create more confusion for the registrars – AHIMA (The American Health Information Management Association) has stated that larger healthcare facilities have around 20% duplicates.

That’s how medical record errors usually begin, and while we’ve already talked about how it impacts patient safety, how exactly does it affect revenue cycle optimization and a hospital’s financial performance? Let’s analyze the issue.

How revenue cycle optimization is hampered by duplicates

According to a Black Book report, 33% of denied claims were caused by patient identification errors in 2017, costing the average healthcare provider $1.5 million and the entire U.S. healthcare system a whopping $6 billion per year. Let’s see how duplicates lead to denied claims that hamper the revenue cycle.

It’s quite straightforward – as duplicate medical records consist of incorrect, obsolete, fragmented, or incomplete information, these lead to coding and billing errors. Moreover, as duplicates hamper patient care, litigation costs regarding such cases are not unheard of. Not only do healthcare providers lose money, but they also lose their goodwill – these stories spread like wildfire, whenever they occur.

Coming back to duplicate records and revenue cycle, let’s take a look at how they are related. One of the more common places where denied claims occur due to duplicates is during surgical procedures, according to an article from HIM Briefings. Let’s use the example provided by Letha Stewart from QuadraMed within the article.

During the presurgery phase, the patient comes in and is registered as “Richard Grayson” and has the medical record number 111. As previously mentioned, common names lead to confusion among the registrars, and thus, without an effective patient identifier, the registrar couldn’t find the accurate medical record on the day of the surgery. As a result, a new record gets created under “Rick Grayson” with a different number, for instance, 222. When the insurance provider verifies the claims regarding this surgical procedure, it will notice the glaring discrepancy – there are different medical records involved for a single procedure. Moreover, the insurer most likely will use the patient record available at their end, and seeing that the records don’t match, the claim will be denied. While this is a simple but illuminating scenario, this is how most of the claim denials that stem from duplicate medical records occur. To sum it up, incorrect, fragmented, or incomplete patient data and discrepancies lead to denied claims that impact revenue cycle optimization efforts.

Providers dedicate FTEs for fixing medical record errors

Duplicate records and overlays need to be identified and fixed to prevent impediments to revenue cycle optimization. Most providers do that by dedicating their full-time employees (FTEs) from their HIM departments. While these activities are necessary, they also consume a significant amount of resources and time. According to Stewart, many providers dedicate around five FTEs to solve these issues. However, if providers don’t have an effective patient identifier in place, they cannot take the load off their FTEs and they’ll need to continue fixing these errors for quite some time, leading to lower productivity and higher costs. Given the current pandemic, providers need to mitigate costs as much as possible. That’s where RightPatient can help them.

RightPatient enhances revenue cycle optimization

As we’ve mentioned several times, going to the root of the issue, patient identification, is the best strategy. If you avoid duplicates and overlays at the frontend, you won’t have to deal with them later and face consequences like denied claims, allocating FTEs for fixing the issues, and higher costs. But how can RightPatient help with that?

RightPatient is the leading touchless biometric patient identification platform used by many providers to prevent duplicates. With its photo-based search engine, RightPatient identifies patients from appointment scheduling and beyond. Be it remote patient validation or identification within the healthcare facility, RightPatient ensures that the correct medical record is provided every time within seconds. Reduce denied claims, prevent duplicates, and enhance patient safety with RightPatient now.

A Closer Look at Duplicate Medical Records and How They Can Be Prevented

October 8, 2020/11041 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Data, Patient Identification, Patient Matching, Patient Safety /by Matt Gibson

There are a lot of issues with the U.S. healthcare system, but a few of them can be traced back to medical record errors – duplicate medical records and overlays, to be precise. For instance, duplicate records and overlays lead to patient safety issues, reduced healthcare outcomes, patient misidentification, billing and coding errors, denied claims, and revenue cycle management issues. Even during the coronavirus pandemic, duplicates have been leading to poor patient identification – hampering the response rate and patient outcomes. Let’s take a closer look at how and why duplicates are created, their effects on patients and caregivers, and how they can be prevented with RightPatient.

Duplicate medical records and overlays

With the technological advancements available today and being arguably the world’s most advanced country, one might ask why are duplicate records a thing in the U.S. healthcare system? Well, there can be many explanations for this – errors made during registration, already existing duplicate records, the lack of a proper patient identification system, pressure at the frontend, and so on.

Duplicate medical records and overlays occur especially within the premises of busy healthcare providers – when under a tremendous amount of pressure, registration employees are more likely to make mistakes. While hiring more staff to reduce the pressure might work, without an effective patient identification platform, these errors will inevitably continue to be created. Before diving into how they are created, let’s distinguish between duplicate records and overlays.

Duplicate records

It’s self-explanatory from the name itself. Duplicate records refer to more than one medical record assigned to a single patient – this itself implies the complications such records bring. For instance, it means that there will be redundant records within the EHR system, leading to patient data integrity issues. Moreover, each duplicate record will have different, incomplete, obsolete, or inconsistent information – leading to data corruption. Caregivers have to make important decisions based on the information within medical records (lab test results, vitals, medications, allergies), and when they are using wrong or fragmented information, quality of care takes a hit. Overall, patient safety is compromised – more on that later.

Overlays

Overlays are in a league of their own. The main difference between overlays and duplicates is that overlays are created when one patient’s medical record or its information is entered into an entirely different patient’s record – merging the information together. While they only occur rarely, they can be expensive and extremely dangerous for both patients and caregivers according to HIM Briefings as well as our own experience. Not only do overlays corrupt patient data, but they also lead to patient safety issues, repeated lab test results, wrong treatment, and so on.

Now that we’ve seen what duplicate records and overlays are, let’s see how they get created.

How are duplicate medical records and overlays created?

These medical record errors are usually made during the patients’ and caregivers’ first point of contact – registration. These are typically busy areas for any given hospital – naturally, the employees have a short amount of time and a huge amount of work. Add to that the lack of an effective patient identifier, patients sharing the same information (names, DOBs, etc.), and a sea of medical records, and you have an environment that is likely to result in duplicate records and overlays.

Most of these issues occur because the registrars have no concrete way to identify patients accurately. Moreover, common names, nicknames, name changes, entering incorrect data, and misspelling patient names are some factors that will hinder the attempts to find accurate records. For instance, there might be quite a few “Will Smiths” in the EHR system. Also, “William Smith” might have his record saved under “Will Smith”, but he mentions himself as the former in front of the registrar. Moreover, many patients have their names changed after marriages or separations. All in all, there are a lot of factors in play here.

The impact of medical record errors

There are many consequences of having duplicate records and overlays in EHR systems for both patients and caregivers.

AHIMA has stated that 20% of the medical records in healthcare systems with multiple facilities are duplicates, and they can cost up to $40 million for any healthcare provider. Moreover, these lead to wrong treatment, undesirable patient outcomes, and thus, lower ratings and loss of goodwill for hospitals. Other consequences faced by hospitals are denied claims and poor revenue cycle optimization, hitting their bottom lines, and reducing their already razor-thin margins.

Patient safety takes a huge hit – when a patient gets treated with a fragmented or an entirely different medical record, there are so many things that could go wrong! Wrong medications, delays in treatment, repeated lab tests, and even death are the consequences for patients. All of these issues are avoidable if the caregivers use an effective patient identifier to prevent duplicate medical records and overlays. This is where RightPatient comes in.

RightPatient prevents duplicate medical records and more

For years, RightPatient, with its touchless biometric patient identification platform, has been preventing medical record errors such as duplicates and overlays. Not only that, but it also ensures accurate patient identification using the one factor that doesn’t change and cannot be stolen or transferred – the patients’ faces.

After scheduling an appointment successfully, patients are sent an SMS or email and are asked to provide their selfies and a photo of their driver’s license. The platform matches the photos and ensures that the patients are accurately identified right from the start. Whenever patients visit the hospital, those enrolled under RightPatient only need to look at the camera – the platform identifies them with the saved photo, retrieving the appropriate medical records, preventing duplicates in the process.

Prevent duplicates and enhance patient safety now with RightPatient.

CMS Interoperability and Patient Access Final Rule Requires a Robust Patient Identification Software

October 6, 2020/10330 views / 0 Comments/in BLOG, Connected Health, Data Integrity, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

This has been quite a year for the U.S. healthcare system – nobody could’ve predicted all the series of events. While the novel coronavirus is still raging on, telehealth is experiencing unprecedented growth. On the other hand, hospitals are facing immense financial strain due to the pandemic’s consequences such as the cancellation of elective procedures and lower inpatient visits. However, despite all the recent developments healthcare providers need to work on something else as well – supporting e-notifications. CMS has made some additional changes to the Medicare Conditions of Participation (CoPs), and while providers will be busy brainstorming about how to best approach the requirements, many will overlook one critical factor that will either make or break their e-notifications – patient identification. Let’s take a look at what the rule specifically says about e-notifications, who is eligible, how it helps caregivers, and how a robust patient identification software like RightPatient is a must for ensuring proper e-notifications.

The Interoperability and Patient Access Final Rule – in a Nutshell

While the rule itself is quite vast and detailed, we’ll cover the e-notifications part briefly. The basic meaning of the rule is clear from its name. For years, the U.S. healthcare system has been suffering from the lack of proper interoperability for a number of issues – patient misidentification being a major reason. However, with the “companion final rule”, as per CMS, things are about to change for the better, as it will introduce a certain level of interoperability that will ultimately boost coordinated healthcare efforts.

The “companion final rule” states that healthcare providers such as critical access providers, acute care, or psychiatric hospitals must send out real-time e-notifications during ADT (admission, discharge, or transfer) events to a patient’s caregivers such as established primary care practitioners, post-acute providers & suppliers, primary care practice groups & entities, as well as any other practitioners, groups, or entities primarily responsible for the patient’s care. The information sent must contain the patient’s name, the treating practitioner’s name, and the sending institution’s name, at the very least. Finally, these are applicable during inpatient ADT events and ED admissions or discharges.

Any caregiver that uses digital medical records such as EHRs or EMRs must support e-notifications by May 1, 2021, to ensure CMS compliance.

With that out of the way, let’s look at how the rule requires accurate patient identification and how a robust patient identification software is critical for its success.

Why patient identification will make or break your CMS compliance

Healthcare providers are already busy working on e-notifications support, and while there are a lot of great solutions out there, providers shouldn’t forget the foundation upon which e-notifications depend on – proper patient identification.

The Interoperability and Patient Access Final Rule requires hospitals to identify their patients accurately across the care continuum, especially if they want to send out e-notifications to the proper caregivers. Sadly, patient identification has always been problematic – it is an overlooked but significant concern for the U.S. healthcare system. One might ask how are patient identification and e-notifications related – let’s learn more.

Imagine this – a hospital already has patient misidentification cases because they don’t use an effective patient identification software. If a patient comes in and is misidentified, not only will the treatment be affected, but the hospital will be sending out false alerts to the wrong caregivers. This will wreak havoc for all the caregivers involved with the patient.

If such cases become common, then the patients, as well as the care coordination teams, will start questioning the credibility of the caregiver sending out false alerts. As a result, the hospital will lose goodwill and risk its CMS reimbursements. After COVID-19, not a single hospital can afford to make such mistakes – the pandemic has already caused the worst financial strain on hospitals and health systems in recent times. Thus, patient identification is a crucial component for the e-notifications to work. If caregivers don’t have a robust patient identity matching system in place, they need to upgrade it before the e-notifications support deadline.

RightPatient is the most robust patient identification software

RightPatient has been accurately identifying patients for years. With its touchless patient identification platform, RightPatient ensures that patients are identified accurately and safely right from the start.

After a patient schedules an appointment, they are sent an SMS or email and are required to provide a selfie and a photo of their driver’s license. The platform automatically matches the photos and remotely ensures patient identification. If it’s a new patient, the platform will automatically assign new biometric credentials for them.

During hospital visits, patients only need to look at the camera – RightPatient matches the saved photo with the photo taken by the camera – ensuring accurate patient identification. Best of all, it’s an entirely touchless process, something that is mandatory in a post-pandemic world.

RightPatient is the leading patient identification software in the healthcare industry and is used by prominent caregivers such as Terrebonne General Medical Center, Community Medical Centers, and Catholic Health Services of Long Island. Be a responsible healthcare provider and upgrade your patient identification system now to prevent misidentification cases, medical identity theft, and ensure compliance with the Interoperability and Patient Access Final Rule.

Upgrading the Patient Identification Process Can Help Combat the Opioid Crisis

October 1, 2020/8618 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety, Privacy /by Matt Gibson

Opioid abuse has been a constant problem for the U.S. healthcare system for years now. When opioid medications were introduced, it was said that they would help caregivers and patients by improving healthcare outcomes. However, many didn’t count on the fact that it might create problems such as opioid addictions, leading to medical identity theft, overdoses, and even deaths of the addicts as well as their newborns. Even during the COVID-19 pandemic, there has been a sharp rise in opioid abuse cases. Let’s review some statistics associated with opioid abuse, where cases are happening now, why they usually happen, and how a proper patient identification process can help combat the opioid epidemic for healthcare providers.

The opioid epidemic is just one of the many problems

We’ve stated this more times than we can count – the U.S. healthcare system just doesn’t seem to catch a break. It has always been plagued with a number of serious problems. Expensive healthcare, lack of price transparency, lack of proper patient identification process, medical identity theft cases, healthcare data breaches, duplicate medical records – these are just some of the many issues faced by patients and caregivers. However, the opioid crisis is another significant issue that needs to be addressed – even during the pandemic, it’s getting worse. Thus, healthcare providers are not only facing the issues above, but they’re also fighting a pandemic as well as an epidemic. However, before getting into the current situation, let’s take a look at some stats.

The numbers show how serious the opioid epidemic is

According to the U.S. Department of Health and Human Services (HHS), 130+ people died every day due to opioid overdoses, 10.3 million Americans misused prescribed opioids in 2018, and 2 million patients misused prescribed opioids the first time they received them from their doctor.

However, the numbers have jumped significantly this year compared to 2019 in approximately 21 of the largest U.S. counties, according to The Wall Street Journal. Counties in California, Indiana, Michigan, Minnesota, Nevada, and Ohio saw an increase in deaths caused by opioid overdoses. Moreover, Los Angeles County suffered an increase in overdoses by 48% within the first 6 weeks of the novel coronavirus pandemic when compared to the same period from last year. But why are the opioid cases considered an epidemic?

The opioid crisis in a nutshell

In the late 90s, opioids were pushed by pharmaceutical companies – ensuring that they were either less addictive or nonaddictive compared to other drugs available at that time – morphine, for instance. They stated that even the less addictive ones had no dangerous side-effects. This instilled doctors and physicians with confidence and they started prescribing them to patients. It created an epidemic that the U.S. healthcare system has been battling for decades now – and the rates are only increasing. But how do addicted patients get their hands on these drugs from hospitals?

Lack of a proper patient identification process leads to more cases

Patient identification, as previously mentioned, has been problematic for years now. The addicted patients can simply go back to their caregivers and demand more of the dangerous drugs, stating that this is the first time they’re requesting them – abusing their prescriptions. Since the caregivers don’t have a proper way to verify such statements (as an effect of the lack of patient identification), they have no other choice.

Also, addicts might lie regarding their information and present themselves as a different patient in order to get access to the drugs. One way they can do that is by committing medical identity theft – they assume the identities of others to receive the drugs. Thus, hospitals can better battle the opioid crisis if they make the patients go through a proper patient identification process.

RightPatient can enhance your patient identification process

RightPatient has already been helping leading healthcare providers ensure positive patient identification for years now. With its photo-based search engine, RightPatient can prevent medical identity theft in real-time, ensure that patients are who they say they are, and track their last visits to the facilities to verify that they’re getting the prescribed medicine and nothing more.

RightPatient can also ensure accurate patient identification from appointment scheduling. After booking an appointment, the patient receives an SMS or email to verify their identity. A patient only needs to provide their selfie and a photo of their driver’s license. RightPatient matches the photos and remotely validates the patient’s identity. If it’s a new patient, the platform assigns biometric credentials for them, making it a seamless process.

RightPatient has several benefits – not only can it help curb the opioid abuse cases, but it can also prevent medical identity theft, avoid duplicate medical records, and help in improving patient safety and quality of care.

Telehealth Is Here to Stay – Ensure Patient Data Integrity While Using It

September 30, 2020/11190 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Safety, Photo Biometrics, Telehealth /by Matt Gibson

To put it bluntly, the coronavirus pandemic has been catastrophic for the entire world. The U.S. has been leading with the highest number of cases – 6,550,637 at this point. However, there has been a silver lining in the whole coronavirus pandemic – telehealth. Not only did it experience a meteoric rise in the U.S., but it also helped to flatten the curve – patients don’t have any risk of contracting the virus when they use telehealth. While the increased usage of telehealth demonstrates that it’s here to stay for the foreseeable future, healthcare providers must ensure that they are protecting patient data integrity during these visits. Let’s see how accurate patient identification can help.

Telehealth’s rise

Telehealth isn’t anything new – it’s been in the healthcare space for quite some time now. Sadly, people were busy debating its pros and cons for years. However, 2020 will be remembered as the year of telehealth – its potential was showcased during the pandemic.

People praised its elimination of the physical barriers required for healthcare – people would be able to consult with their caregivers without having to worry about the novel coronavirus – a stable internet connection and a communication device are all they need. It enabled healthcare services to be continued at a time when social distancing was required – creating a win-win situation for all. Laws were relaxed regarding telehealth while providers and officials urged patients to use telehealth instead of coming for hospital visits. Quite naturally, the usage increased exponentially. Let’s take a look at an example – MUSC Health and its experience with telehealth.

They used “virtual urgent care technology” – something that was initially created to provide patients with a way to be observed for non-critical cases, and converted that to screen potential COVID-19 patients. Moreover, they had the capabilities and resources to dramatically adapt tools to better fight the pandemic. They also enabled remote patient monitoring and a telesitter program as part of their approach, and they believe that telehealth is here to stay. Overall, healthcare providers in the past few months have observed that telehealth can be used to provide patient care while mitigating the risk of contracting COVID-19.

Some stats regarding telehealth usage

The current stats are in line with the providers’ experiences with telehealth. McKinsey & Company stated that in 2019, a meager 11% of the U.S. patients were using telehealth. As of April 2020, 46% of the patients are using telehealth. Even healthcare providers witnessed around 50-175 times more patients using telehealth visits compared to the pre-pandemic period. However, one has to consider the risks associated with it just like with inpatient visits, for instance, patient data integrity, patient identification, and medical identity theft.

Patient data integrity must be ensured

It’s quite natural that some of the issues plaguing conventional healthcare might be seen during telehealth visits as well. One of the biggest challenges is preventing medical identity theft.

Healthcare data breaches have been occurring more than ever, where most of the stolen patient data is sold off to fraudsters. They then assume the identities of the victims and use their healthcare services. This leads not only to billing the victims for services they never used but also corrupts the patient data – because the fraudsters’ data is saved in the victims’ medical records. Thus, patient data integrity is compromised in the process.

Experts believe that the pandemic will lead to increased numbers of medical identity theft cases. This is because patient data is not adequately protected by the majority of caregivers due to budgetary issues. Moreover, with the pandemic causing arguably the worst financial crisis healthcare has ever faced, providers need to consider every option in order to survive.

RightPatient ensures patient data integrity – even during telehealth visits

While healthcare data breaches are inevitable, medical identity theft can be prevented. One of the reasons why medical identity theft has become a major threat is because there is no proper patient identity verification system in place to prevent these crimes. Most of the patient identification systems use credentials – something that can be stolen or transferred.

Fortunately, RightPatient can help prevent medical identity theft. It uses the thing that fraudsters or hackers cannot steal – patients’ visual likeness. Using a photo-based search engine, RightPatient matches the photos of the selfie provided during appointment scheduling with the patient’s driver’s license. Fraudsters are red-flagged immediately, preventing medical identity theft in real-time.

During inpatient visits, all the patients need to do is look at the camera – the platform matches the photo it takes with the one it saved during registration. This creates a safe, hygienic, and touchless environment for everyone involved – something which became more crucial than ever due to the pandemic.

RightPatient helps maintain patient data integrity by ensuring that the accurate medical record is associated with the correct patient every time, preventing medical identity theft, and avoiding duplicate medical records. Try RightPatient now to see how it can help you enhance patient safety during these trying times.

Top Reasons for Using a Robust Patient Identification Platform

September 29, 2020/10428 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Infection Control, Medical Identity Theft, Patient Data, Patient Experience, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Even though the novel coronavirus and its effects are dominating headlines (as well as our social lives and safety), patient identification issues have not been far behind. Those who are up to date with the U.S. healthcare system know that the UPI (unique patient identifier) has been trending once again – healthcare leaders across the states are urging lawmakers to lift the ban this year as well. While the future is uncertain due to COVID-19, even if the ban is lifted and the UPI created, providers would need to couple it with a robust patient identification platform such as RightPatient. Let’s take a look at why such a platform would be perfect for patient identification, with or without the UPI.

It eliminates risks associated with contact-based patient identification platforms

There are many patient identification platforms available – we’ve talked about them several times. However, the responsible healthcare providers always choose touchless platforms as they don’t have the problems associated with touch-based patient identification systems – let’s take a precise look at what those are.

Patients have to touch the devices while using most patient identification systems. Naturally, this would entail concerns regarding infection control – these are used within the premises of healthcare providers who serve the sick, after all. Thus, there’s quite a high chance that one patient can unwittingly infect others when they verify their identity using such systems.

One unfeasible remedy to avoid infection control issues would be to clean the devices after every verification – imagine the administrative nightmare! Thus, even if these systems are accurate (fingerprint scanning, for instance), they are not at all suitable for such environments housing cases that may potentially lead to infection control issues.

Secondly, since these are contact-based, many, if not all the patients, would be reluctant to touch these devices. In the post-pandemic world, almost everyone is well-informed about how dangerous contact-based solutions can be. Thus, the COVID-19 crisis has rendered even accurate touch-based solutions ineffective as patient acceptance rates would be significantly lower now.

Thankfully, touchless patient identification eliminates all these issues – more on that later.

A robust patient identification platform helps avoid duplicate records and overlays

Since we’ve already established that touchless patient identification is the only feasible choice in a post-COVID-19 world, let’s look at the other proven benefits of such a system, starting with duplicate medical records.

Whenever a healthcare provider uses an obsolete patient identification platform (the most common one being asking patients questions), they’re bound to get confused when seeing the multiple medical records assigned to the single patient. They have to dig through them to find the accurate and most up to date one each time the patient arrives. In some cases, they might even create a new record just to avoid the hectic procedure – adding another duplicate record into the mix. These lead to delayed patient care, compromised patient safety, and impact healthcare outcomes.

Overlays are even more dangerous – these are the merging of medical records of the same or different patients. Imagine being treated with someone else’s medical history – the treatment will be botched right from the start.

A robust patient identification system, however, can avoid such issues. By ensuring that the correct medical record is identified every time across the care continuum, duplicate records and overlays are avoided as well as the issues associated with them.

It prevents medical identity theft

One of the bigger healthcare concerns is data breaches that ultimately lead to medical identity theft. After buying the stolen patient information from hackers, the fraudsters use that to bypass obsolete patient identification systems and gain unauthorized access to medicine, treatment, and expensive medical devices. However, robust patient identification systems like RightPatient can prevent medical identity theft in real-time. When the fraudster has to verify their identity, the identification platform red flags them upon detecting that the fraudster’s photo and the photo in the medical record saved by RightPatient don’t match. Thus, patients and providers are protected from the consequences of medical identity theft, even if the data is breached, thanks to positive patient identification.

It ensures that you send out proper e-notifications

Healthcare providers will require software that supports e-notifications to patients’ other caregivers beginning May 1st, 2021, as per the CMS. This system is designed to promote interoperability and ensure proper care coordination.

However, to send out e-notifications to the appropriate caregivers, the hospital needs to ensure that they are identifying the proper patient first. Otherwise, the hospital might end up sending alerts to the wrong caregiver or information about the wrong patient. This can easily be avoided if a proper patient identity verification system is in place.

RightPatient does all of the above – and more

RightPatient is the leading patient identification solution used by forward-thinking caregivers. Healthcare providers who are currently using RightPatient don’t need to think about infection control issues now – they thought about it before COVID-19. It uses photos of patients to identify their records. Patients take a selfie and a photo of their driver’s license after appointment scheduling. RightPatient checks the selfie and the driver’s license to ensure a proper match. During hospital visits, patients enrolled under RightPatient only need to look at the camera – the platform finds the appropriate record within seconds. If fraudsters try to assume a user’s identity, it red flags them, preventing medical identity theft in the process.

Patient Safety and Quality Healthcare Require Patient Identification During the Pandemic

September 23, 2020/10379 views / 0 Comments/in BLOG, COVID-19, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Errors, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

Another day, another new initiative by healthcare leaders regarding patient identification. One might wonder that given the pandemic and its ongoing effects on healthcare, why is that a top priority right now? Well, that’s what the healthcare experts have been demanding as inaccurate patient data negatively impacts patient outcomes during this crisis. The U.S. healthcare system has been suffering due to the absence of a patient identifier for decades now – the ban is still in effect on a UPI. Let’s look at what industry experts are saying and how positive patient identification can ensure patient safety and quality healthcare.

The importance of patient identification according to experts

This isn’t the first time leaders have talked about the need for accurate patient identification and it won’t be the last time. Healthcare providers have been struggling with patient identification for decades now, leading to compromised patient safety, inaccurate patient data, and unwanted healthcare outcomes. Add the pandemic to the equation, and identifying patients accurately becomes more important than ever as accurate data sharing is a topmost priority.

Recently, a session organized by the ONC (Office of the National Coordinator) for Health IT brought up the topic. According to Tom Leary, HIMSS VP of Government Relations, incorrect patient data leads to adverse impacts on public health response initiatives. He further elaborated on that – patient identification errors during the ongoing crisis led to several issues like improper data sharing, delays in sharing test results, and inaccuracies within longitudinal patient records. According to Mr. Leary, some nurses even tried to Google patients to identify them and contact them regarding their test results!

Preparing for COVID-19 vaccines, whenever they’re created, will require accurate patient identification during large-scale immunizations to identify the infected ones, the ones who got the shots, and to identify the outcomes of the cases, stated Mr. Leary. Not having any proper patient identity verification system in place is just worsening the health outcomes and adding fuel to the ongoing fires during the pandemic. Thus, to ensure patient safety and quality healthcare, proper patient identification is an absolute must.

Patient safety and quality healthcare depend on identifying patients

As previously mentioned, many might think that with the pandemic still impacting healthcare significantly, patient misidentification is the last thing we need to worry about. However, Mr. Leary, as well as other healthcare industry experts, thinks otherwise. During the ONC session, they have already demonstrated how patient misidentification is affecting healthcare outcomes. But even before the pandemic, patient identification errors were notorious for adversely impacting patient safety and quality healthcare.

Let’s go back to the time before the pandemic struck the U.S. Even then, the healthcare system had a plethora of issues, one of which was duplicate medical records and overlays. Imagine – a patient came to the hospital and they were assigned a duplicate record, based on which the whole treatment will be provided – so many things could go wrong!

An incomplete or inaccurate EHR leads to repeated lab tests, improper treatment, and even deaths due to a single misidentification. As a result, patient safety is severely impacted as well as healthcare outcomes. Patient misidentification cases are associated with unwanted incidents that can haunt caregivers – loss of goodwill and litigation costs are just some of the consequences.

Even before the pandemic, patient misidentification was a significant issue within the healthcare system. However, the COVID-19 crisis demonstrates how patient identification errors impact patient outcomes during a time when accurate patient information is of the essence.

Experts are urging for the UPI once again

It’s been around two decades since the ban was imposed on a state-funded UPI (unique patient identifier), but industry experts are once again rallying to remove the ban this year. Even if the UPI is finally mandated, responsible healthcare providers will combine it with an effective patient identifier. Such a patient identification policy will encompass several benefits such as enhanced interoperability, reliable patient matching, and improved healthcare outcomes. So, out of all the different patient identification solutions out there, which one is the best match?

Patient safety and quality healthcare require RightPatient

RightPatient has been ensuring accurate patient identification for years now, but why is it the best solution? Well, it can be seamlessly integrated with EHRs to become part of the workflow, making it perfect to be used alongside the UPI, should the latter get approval. Moreover, RightPatient eliminates the biggest headache of providers currently – infection control issues, as it is a touchless solution. With its photo-based search engine for identifying patients during appointment scheduling and beyond, RightPatient is the most feasible choice for positive patient identification post-COVID-19.

Data Breaches are Occurring During the Pandemic – Prevent Healthcare Identity Theft Now

September 22, 2020/10811 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

Despite the relaxed rules and the U.S. slowly opening up, the COVID-19 crisis is still going strong. With no treatment found (as of yet), everyone is still feeling the effects of the coronavirus. However, there’s no doubt that the U.S. healthcare system has been affected more significantly than systems in other countries. For starters, the number of patients is overwhelming, the financial strain is unprecedented, not to mention the existing issues such as data breaches. When faced with so many impediments from all sides, how can providers prevent healthcare identity theft? Let’s explore some of the recent data breaches, how they lead to medical identity theft, and how a solution like RightPatient can protect patients and providers.

Some recent cases

It’s not only healthcare providers – all types of healthcare organizations are being targeted by hackers. Let’s review the healthcare organizations who became recent victims of data breaches.

Dynasplint Systems suffered a data breach that might have resulted in stolen health information. After an investigation, they identified that names, addresses, social security numbers, and other information might have been accessed or stolen. Over 102,800 people were affected.

Another healthcare organization, Pinnacle Clinical Research specializing in clinical trials, suffered a phishing attack. The breach consisted of clinical trial participants’ information.

Mental Health Partners suffered a phishing attack as well – names, DOBs, social security numbers, among other information was potentially stolen.

How data breaches lead to healthcare identity theft

There are many other recent cases like the ones above. However, they have one thing in common – the hackers were after patient information. Any healthcare organization is a potential target for hackers. But why do hackers target them, especially for their patient information?

After stealing the patient information, the data is sold on the black market for high prices. Since healthcare in the U.S. is quite expensive, the demand is high for the stolen information – those why buy the data believe that it’s worth buying, as opposed to getting healthcare coverage for themselves. When these fraudsters use the victims’ information, they get access to healthcare services, expensive medical devices, and treatments, whereas the victims get fraudulently charged with the costs.

That’s not all – patient safety is jeopardized as well. When the fraudsters use the victims’ medical information, the patient data gets corrupted as the fraudsters’ information and preferences are recorded in the victims’ medical records. Unless such healthcare identity theft cases are rectified, the patient will be receiving improper treatment based on a medical record consisting of corrupted patient data. These cases lead to repeated lab tests, delays in treatment, as well as negative patient outcomes. Healthcare providers also face litigation costs due to medical identity theft cases.

With the pandemic still raging across the world, one would think that medical identity theft would be the last thing caregivers are worried about. While data breaches are quite inevitable, steps can be taken by healthcare providers to ensure patient safety.

How to prevent healthcare identity theft cases

Ensure HIPAA compliance and safeguard PHI

One way of protecting patient information is by getting back to the source – data breaches. Anyone familiar with healthcare in the U.S. has heard of HIPAA. The law basically sets the groundwork for protecting patient information known as PHI (protected health information). However, it’s quite a comprehensive and multilayered law – even the biggest healthcare providers have a hard time ensuring compliance as the rules and regulations change frequently.

Even during the start of the pandemic, some rules were relaxed to ensure faster healthcare delivery. The bottom line is that if providers ensure HIPAA compliance, put enough safeguards in place, detect security vulnerabilities using internal audits, and are well versed about data breaches, they can protect themselves better against cybersecurity attacks. That’s what HIPAA Ready does – it is a simple but powerful HIPAA compliance software that keeps all the HIPAA related information centralized, helps you conduct internal audits to detect vulnerabilities, and helps you set up HIPAA training sessions to keep your employees up to date on the latest changes.

Ensure patient identification

Responsible healthcare providers can go the extra mile and add an extra security measure that no fraudster can pass through – even in the cases of data breaches. That’s where RightPatient comes in.

It is a touchless patient identification platform that uses a photo-based search engine to ensure that the patients are who they say they are and not some fraudster. During hospital visits, the platform takes a photo of a patient during enrollment and locks the medical record with it. If a fraudster attempts to commit healthcare identity theft, the platform will red flag the individual, preventing medical identity theft in real-time.

RightPatient has been helping leading healthcare providers for years now, and with its touchless platform, it is the only sensible option in a post-COVID-19 world.

Try RightPatient now and be a responsible healthcare provider.

Lack of Proper Patient ID Leads to “Professional Patients”

September 21, 2020/10919 views / 0 Comments/in BLOG, Clinical Trials, COVID-19, Patient Data, Patient Identification, Patient Outcomes, Patient Safety, Professional Patients, Research /by Matt Gibson

Patient ID issues have always been prevalent in the U.S. healthcare system – we help solve these issues for healthcare providers. Today, however, we won’t talk about patient identification issues that exist in hospitals and healthcare systems – we will focus on the fact that the problem extends beyond the average provider. Unfortunately, many patients take advantage of the lack of a proper patient identity verification system and go repeatedly to their providers’ facilities and take advantage of healthcare services. Did you know that this happens within clinical trials as well? Let’s learn more.

The importance of clinical trials

Clinical trials have a significant impact on conventional healthcare. They lead to breakthroughs that boost healthcare outcomes, reduce recovery times, and can even provide medicine to treat complex and previously untreatable diseases. When considering this topic, COVID-19 would likely pop up in most people’s minds. That’s what the whole world is fighting against currently, and the proposed vaccines developed by leading professionals are going through several clinical trials to determine the effectiveness of the vaccines and whether they have any undesirable side effects.

Thus, the importance of clinical trials is paramount for everyone involved. Likewise, the individuals who volunteer, known as clinical research patients, are essential as well. Let’s see what their motivations are to participate in these activities and what factors are at play that might put the entire trial at risk.

The lack of patient ID systems hurts clinical trials

Patients who participate in clinical trials are well compensated for volunteering. Many do it for altruistic reasons, and while compensation is based on the risks involved, the research is also vetted by an institutional review board. This is done to determine whether anybody enlisted solely for monetary benefits – many patients even enlist in multiple trials or sites. But why do they do so? How do they affect the integrity of the trials? How can an effective patient ID platform prevent this issue?

Professional patients

There are some types of clinical trials where the financial benefits are quite lucrative for individuals who join more than one trial or participate at multiple sites simultaneously. Naturally, many do join these trials and expose themselves to either multiple doses of the same drug or single doses of multiple drugs undergoing testing. These types of patients cannot afford the money to pay for healthcare and thus sign up for multiple trials – they participate to gain access to both the treatment and the compensation. This is just one type of “professional patient” – let’s look at others.

The other type of professional patients falsify information regarding their medical condition – they don’t have the required condition but want to be a part of the trial. They can falsify information regarding the results and effects of the trial to show that they are participating – only to receive the compensation. As you can imagine, their participation in clinical trials may be extremely dangerous.

Another type of professional patient is individuals who actually have the required medical condition but they fake the results – they don’t want to be treated for the condition. These are quite common in trials involving research into treatment for addiction.

The consequences of professional patients

Getting exposed to multiple drugs that are still undergoing testing can lead to adverse effects for the patients. Other than patient safety, the reliability of the trials will be reduced due to integrity failure. Overall, the trials will experience significant losses due to the actions of a few.

COVID-19 has already claimed over 965,000 lives while experts around the world are racing against time to come up with a cure so that we can finally go back to leading normal lives. If these professional patients participate in the clinical trials for a COVID-19 vaccine, the affected trials will be rendered useless due to the unreliable data these patients will provide. Even when a vaccine is developed it will lose credibility due to professional patients, delaying the most significant breakthrough we need. Is there any way to stop these harmful practices and ensure data integrity of clinical trials?

An accurate patient ID platform is the key

Professional patients are getting smarter about how to enter clinical trials now that information is available on social media. However, if there was an effective patient identification platform in place, it would be enough to prevent professional patients’ participation right from the start. That’s where we can help.

RightPatient is the leading touchless patient identification platform used by healthcare providers. They are using it to protect millions of patient records and prevent duplicates in their EHR systems by ensuring that patients are identified correctly across the care continuum.

Since RightPatient has both the experience and expertise, it can easily prevent professional patients in clinical trials from fraudulent participation. This leads not only to enhanced safety of the participants within the trials but also makes the data immaculate and reliable – speeding up the trials and reducing losses along the way.