improve patient outcome

Strategies which help ACOs to improve patient outcomes

The individual entities in any Accountable Care Organization (ACO) are always under the pressure to reduce their costs as well as strengthen their healthcare strategies to improve patient outcomes and maximize the benefits of being a part of the ACO. Thus, they are familiar with the fact that they need to develop strategies for accomplishing these targets- reduce costs, improve patient data sharing, care coordination, and improve patient outcomes as well, with an emphasis on post-discharge patients via reduced hospital readmission rates.

improve patient outcome

Take post-acute care networks as an example- north of 40% of Medicare patients receive post-acute care after they are discharged from the hospital, costing more than a whopping $60 billion back in 2015. Variation in post-acute care also caused Medicare spending variance by more than 73%- these variances were tied to healthcare costs, outcomes, and quality- the better the quality, the lower the costs, and vice versa.

If these standards are not satisfied, then the ACO receives penalties in the form of lower payments or fines. Thus, any given ACO needs to generate an exceptional patient experience via better healthcare, improving the coordination among the organizations regarding data sharing, reducing the readmission rates and minimizing the costs incurred. 

Here are some strategies which will help the ACOs to achieve these targets: 

Use biometrics for patient identification

Biometric patient identification systems are being used by over one hundred health systems and are reported to increase patient matching significantly- something which is sorely needed within the healthcare industry currently. In the case of ACOs, a single patient’s data is shared by all the systems within them, such as health systems, hospitals, physician groups, and insurers. Thus, interoperability is a must-have feature. EHRs are already known to cause identification errors and have unintuitive interfaces, inherently low patient match rates, and lack of interoperability, which is why health systems are using add-ons like RightPatient to accurately match the patient with his/her appropriate medical record. EHRs are supposed to cause physician burnouts as well, as they need to click through the interface thousands of times. Thus, adopting a solution like RightPatient will not only improve the match rates but also improve the patient experience as well as reduce physician burnouts, generating improved coordination. Patients only need to get their irises scanned to retrieve their accurate medical record for usage. Thus, faster matching creates better coordination and sharing of uniform and clean data among the organizations funded by Medicare. 

Ensure proper medication adherence 

One of the biggest problems for ACOs is ER (emergency room) visits, which generate hospital readmission rates- occurring due to the unhealthy population under their care. According to a study, two-thirds of the patients who are supposed to take medications are non-adherent; that is, they do not take their medications properly. This non-adherence creates around 50% of treatment failures among those patients and causes up to 125,000 deaths per year. The fact is that these deaths could have been prevented if the patients were adherent to their medications. All these generate up to an unbelievable $300 billion in costs. Apps like CircleCare have a feature which could have ensured medication adherence- Medicine Box- a medicine reminder where patients can easily set reminders for their medications.

 

Thus, even if the medication regimen is complex, CircleCare makes it easier than ever for the patients to take the right medicine at the right time.

Provide patient education

Another challenge for ACOs is that their patients are not adequately educated regarding their medical conditions. Research shows that over 50% of adult patients experience difficulty in using and understanding their health-related information, whereas around 40% forget most of the data. CircleCare provides health-related information which is customized according to the patient’s disease(s)- this helps to keep the patient up to date with the latest information regarding his/her medical condition so that informed decisions can be made. This ensures effective patient education, leading to better patient outcomes. Once an ACO registers with CircleCare’s service, all it needs to do is direct the patient to download it. Afterward, the patients can schedule their medicine, track steps, record blood glucose levels, record blood pressure, and communicate with their healthcare provider- all of which helps to improve patient outcomes, lower readmission rates, and reduced costs as well as higher quality healthcare. 

patient matching challenges

Unique identifiers will lead to a reduction of patient matching challenges

If you are a follower of this blog, then you will know how huge a problem patient matching challenges actually are for the whole healthcare industry. As the health systems are brainstorming workarounds to make sure patient matching is increased, they should also keep in mind some other factors. According to a report from Pew Charitable Trusts, if the industry wants to ensure that patient matching errors are eradicated or at least substantially reduced, they should focus on developing robust data standards and patient engagement alongside the search for an effective patient identification system.

patient matching challenges

But why should it matter? According to the researchers, they have found positive correlations between patient matching errors and adverse effects. To put it simply, if a health system cannot match a patient correctly to his/her existing medical record, then problems like rising costs, medication errors, and adverse patient experiences will take place. Thus, patient matching is not an issue which can be underestimated. Concerns such as data integrity failures, lack of clean records, and patient mix-ups can all lead to patient identification errors and disrupt the patient experience as well as threaten patient safety. For example, if patient A has heart disease and patient B has kidney complications, and their records somehow got mixed up, then both of them will receive improper care, which could be fatal. Such mix-ups usually occur because of common names, demographics, addresses, as well as the format of the data stored within the EHRs of the patients. Formatting refers to how a health system saves the data and how many data fields it uses. For example, one health system may keep email addresses, whereas another one may not.

Another example can be a health system saving the full name of a patient in a single data field, whereas another may use three fields to save first, middle, and last names of the patients. Due to such errors, interoperability is generated as well. Other issues which cause patient matching errors can be incomplete or blank data. 

The research said that if common elements used by all the health systems were to be standardized, that is, the data is entered using a standard guideline rather than each health system doing so independently, these patient matching errors would decrease by a considerable amount. However, this may not reduce patient mix-ups between individuals with common characteristics like names and addresses, as these are still bound to happen. 

Another suggestion the research made was that active patient participation is needed to ensure that they are correctly identified and matched with their appropriate record. However, patients can sometimes absentmindedly or inadvertently choose a wrong record, while in other cases, the hospital staff may do it on their behalf and create a whole new record for the patient, known as a duplicate ID. 

The third and most effective suggestion the research made was to emphasize on using a unique patient identifier, something along the lines of RightPatient, that is, biometric patient identification systems. The study has shown that such a system helps in improving accurate patient identifications. The research further stated that biometric modalities are unique, cannot be counterfeited, and have excellent potential in the healthcare industry. They also found that hundreds of health systems have widely utilized some form of biometric patient identification system, and among them, one health system stated that over 90% of their patients accepted to use their biometrics to be identified since it is easy to use as well as accurate. Both the providers of healthcare as well as the receivers agreed that biometrics are helping to reduce patient matching challenges. 

RightPatient falls in line with the research’s suggestion. It is a biometric patient identification system which uses iris scanning to identify patients. Once a patient’s irises are registered into the system, the data is then integrated with the patient’s health record. All the patient needs to do is look at their camera- RightPatient then accurately matches him/her with the proper ID- it is that easy and convenient. Since it does not require any physical contact, there are no risks for contracting new diseases during the identification process. Even the health systems love RightPatient since, with its help, the physicians can focus more on the patient rather than spend time matching the patient with the correct record, enhancing the patient experience along the way. Over one hundred health systems are using it and have reported that it has reduced losses which they incurred due to patient matching challenges, saving millions of dollars in the process. 

physician burnout

Physician burnout is a multi-billion dollar problem because of EHRs

Well, the cat’s out of the bag now. EHR (electronic health record) systems are not only causing problems for patients, insurance companies, and healthcare providers, but also among another critical player in the healthcare industry- the physicians. According to new research, this new problem- physician burnouts- are associated with EHR systems, and causes losses starting from $2 billion to an outrageous $6 billion annually. That is an obscene amount of money lost. Moreover, the researchers also gave an estimated amount of $4 billion lost due to lower productivity, physician turnovers, as well as other aspects relevant to burnout.

physician burnout

Other findings of the research demonstrate that a single physician employed by the healthcare provider generates an estimated amount of $7,000 in burnout costs per year for the hospital. However, that is an average estimate, as the cost can be as low as almost $4,000 and can go up to $11,000, depending on the severity of the issues they face due to the burnout.

It can be seen quite clearly as to how the physicians are being affected adversely due to these burnouts- reduced work-life balance, reduced wellbeing, tremendous workloads, which ultimately lead to more mediocre quality of healthcare for the patients, thus, a loss for everyone concerned. However, the holistic view of the economic problems physician burnouts can cause is yet to be seen.

But what is burnout? It is pent-up stress which is built over time and creates a sense of physical and mental tiredness, low levels of accomplishments, and monotony- all of which is generated from a lot of work-related factors, primarily EHR related ones.

Thanks to this research, it is now known that not only do burnouts cause damages to physicians and patients, but also the healthcare providers’ financials. According to the researchers, the study did not consider indirect burnout related costs like reputational damage, disruption, and so on- the costs which added up to $4 billion are directly related to physician burnouts.

However, a positive thing which can be taken away from this study is that the estimated figure it gave is quite lower than previously conducted studies. A 2018 report claimed that burnouts incur losses of around $1.7 billion per year, physician turnover costs are as much as $17 billion per annum, while nurse burnouts cost $9 billion per year. 

Industry pundits estimate that almost half of the physicians suffer burnouts, with an AMA study claiming that 44% of physicians suffered from at least one symptom of burnout in 2017. Another aspect is physician burnouts influence some individuals more than the rest, citing that females are more likely to face burnouts as well as those individuals who are at larger, more prominent health systems since they face more pressure.

But why are the physicians facing such burnouts? Most physicians have reported that they have to click through the EHR interface thousands of times every day, going through several layers of EHRs, searching for patient data and matching them with the patients instead of focusing on the patients themselves and providing the services they signed up for. Thus, the immense pressure they face, especially if they are from larger, more complex health systems, as well as administrative tasks, all contribute towards physician burnouts and hampers patient care as well as the healthcare industry as a whole.

How does RightPatient fit here? Well, it matches the patients with their electronic health records, so that the physicians do not have to. RightPatient is a biometric patient identification system which uses iris scanning to detect the patients and match them with their proper EHR. Patient matching has never been easier, as all the patient needs to do is to look at the camera, and they are identified quickly. RightPatient integrates seamlessly with major EHR systems and thus is used by over a hundred health systems, effectively combating physician burnouts. It also reduces patient matching errors as well as enhances patient safety and reduces losses caused by burnouts as well as identification errors, as reported by its users. 

patient identification errors

Patient identification errors are the most common EHR generated issues

According to a recent survey, patient identification errors are the most common problems caused by EHRs; thus, jeopardizing patient safety and causing a rise in patient harm. This phenomenon is not unexpected, as there have been numerous cases, studies, and research stating the exact thing – patient identification errors cost organizations greatly.

patient identification errors

Researchers who conducted this study did so with the claims submitted to official databases regarding EHR systems, and with this data, they detected the most frequent errors which cause patient harm and are directly related to EHRs.

According to the researchers, the information they found while carrying out the study was meaningful as it provided enough evidence to the fact that the usage of EHR systems has negative consequences. Also, the complaints they found showed that in extreme cases, EHRs could be correlated to severe consequences for patients, sometimes even resulting in deaths.

According to the study, 31% of claims consisted of medication errors, and the same number was found for claims regarding treatment complications. This can be traced back to patient identification errors- they are provided with wrong treatment plans or wrong medications thanks to either duplicate records or mix-ups. Another finding was that the number of errors occurring in outpatient facilities was higher than those occurring in inpatient services. 

Another interesting fact is that in the study, these errors occurred due to human mistakes more than the errors caused by the system – 63% were user errors, while the rest were system related issues. Problems caused by the systems refer to several things like the general interface of the EHR, which can be clunky and unintuitive. For instance, there were numerous reports of physicians not being able to access the information on time which caused delays in treatment procedures. Human errors can range from creating duplicate records, as the hospital staff could not find the accurate medical record and created a new, redundant one, to misidentifying a patient and causing record mix-ups. In any case, regardless of the errors being caused by humans or the system itself, patient misidentifications are extremely dangerous and pose a threat to all individuals who are on the receiving end of healthcare services. This statement is supported by another fact – 80% of these EHR related errors caused severe patient safety issues. However, the researchers believed that the inpatient cases were more likely to be fatal when compared to the outpatient ones, citing that outpatient patients arrive with minor ailments in the first place, thus, are less likely to be harmed.

In the concluding part of the study, the researchers said that patient safety could be severely jeopardized at any healthcare setting and circumstance, especially if the patients are misidentified – only adding more complexities to deal with. Lack of interoperability, design issues, unintuitive systems, and lack of alarms over duplicate records only contribute to more errors.

So, how are health systems dealing with these patient misidentification issues generated by EHRs? Most of them are struggling with it. EHRs were introduced in the ‘90s and were made with the vision to go paperless and completely digital, improving the patient experience. While EHRs did accomplish some of those goals, it gave birth to duplicate records, mix-ups, and with no data standardization or interoperability, there seems to be no escape from this. Thanks to studies like these, this overlooked issue has grabbed the attention of most of the leading health systems of the US, and many are now clamoring for a solution or a unified patient identification system. While the latter is still far away from happening, the former is already available. Over one hundred health systems are using RightPatient – a biometric patient identification solution. It focuses on iris scanning to make sure that identification is hygienic (non-contact), quick, accurate, and easy to use; patients only need to look at the camera, and they are identified. The users are reporting promising results, like increased patient safety, enhanced patient experience, and reduced losses which previously occurred due to misidentifications and denied claims, creating a favorable environment and a win-win situation for all.

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Patient experience in healthcare is vital for both hospitals and patients

Patients are customers of the healthcare industry, and like conventional customers, they anticipate an improved patient experience- shorter wait times, accurate identifications, and more focus of physicians. However, emphasizing on patient experience is not only beneficial for the patients but also the health systems, as well. Let’s see how exactly this is true.

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There’s a common saying in the healthcare industry- healthcare is continuously evolving, and those serving the industry need to be on top of the situation by adapting to the situation. This means that if health systems do not adapt to technologies improving the patient experience, they will lag behind. Just like customers, patients can shift to other health systems offering the best patient experience possible.

Because of this, several experienced personnel in the healthcare industry agree on two things which are common nowadays, regardless of these technological advancements – patients are the core of their care strategies and health systems are focusing on positive patient outcomes and patient experience in healthcare.

The changing landscape 

As previously mentioned, the healthcare industry works almost like any other industry. Patients now have access to a massive amount of information with which they can make informed decisions regarding themselves or their close loved ones. Thus, patients have evolved according to the transformation of the healthcare industry. Thanks to digitization, they have become more knowledgeable, more informed, and are better prepared for decision-making compared to before. Patients interact with other sectors as well, daily, and from those interactions arise the expectations of superior customer (patient) experience from the healthcare industry.

How is the healthcare industry responding?

As the demands of the patients keep changing, many healthcare providers are tailoring their services accordingly to keep up with the formers’ expectations. Health systems are doing so by adopting the latest technologies available to meet the demands of the patients; for instance, using patient engagement apps to keep the patients connected and ensuring active participation from the patients’ ends and establishing loyalty among the patients in the process. This also generates in lower patient readmissions, as non-critical issues can be solved efficiently via the apps through communication between the doctors and patients, thus, better patient outcomes.

However, patient experience goes both ways. There have been multiple studies which refer to the positive correlation between patient experience and physician experience. The better the patient experience is, the better the physicians are motivated, as well. Also, physicians have had burnouts due to inefficiencies like clunky EHRs. The physicians reported that they would rather focus on their patients than look at the screen all day long and click the mouse a thousand times, which is the case every day for any given physician. Thus, removing such tedious tasks and improving patient experience can result in an overall better experience for all of those involved.

The multibillion-dollar question

There is another aspect of the patient experience which has been overlooked by many – patient misidentification. This is a massive problem of the healthcare industry, and the losses caused by it are unprecedented. Thus, it is aptly called a multibillion-dollar issue. However, it not only causes financial losses but also results in various degrees of problems for the patients, ranging from wrong treatment plans to even untimely deaths. Also, as previously mentioned, this is the aspect of healthcare which causes burnouts in the physicians – interacting with EHRs to identify patients, and sometimes it takes a long time to do so correctly.

Every day, we read an article about patient matching errors, how it impacts the patients, the health systems, and how big of a problem it is. Thanks to numerous studies, statistics, and facts, it is not sidelined anymore, as health systems are now clamoring for solutions to it. But is there an effective solution? There is, and it is called RightPatient. RightPatient is a biometric patient identification system which focuses on iris scanning to provide a safe, secure, and hygienic way to accurately identify the patients, as there is no necessity for physical contact and all the patient needs to do is look at the camera. Once a patient is registered in RightPatient, there are no chances for any duplicate records, as the data is linked to the EHR of the patient. RightPatient also seamlessly integrates with any significant EHR system and is effectively used by over a hundred hospitals to ensure patient safety, enhance the patient experience (which in turn improves the experience of all involved with patient identification), and cut losses caused by misidentifications.

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What are health systems doing to improve the patient experience?

Unsurprisingly, there is a lot of competition present in the healthcare industry. To stay ahead, loyalty and patient experience are must-have attributes for any given healthcare provider. In some cases, healthcare can indeed be consumer-driven; for instance, take patient engagement. According to a recent study, patients are five times more likely to choose the health system with whom they have had positive experiences, rather than those who attempt to attract new patients with their marketing strategies. This study demonstrates that patient loyalty and positive patient experience are the characteristics to strive for, which is why healthcare providers are looking for strategies to improve the patient experience.

improve-the-patient-experience

Thanks to many tools which are improving patient outcomes, patients today are anticipating effective and seamless patient experiences. However, these tools and strategies have to be patient-centric to be successful, as well as being competent enough to induce loyalty, and the most necessary characteristic is trust. Without trust, no health system can survive, let alone be successful, in the long run. Thus, healthcare providers are increasingly focusing on constantly revamping and helps to improve the patient experience.

Healthcare providers are improving the patient experience by focusing on the following.

Patient engagement technologies

Patient engagement is a buzzword recently, and everyone is pursuing ways to improve it within their health systems. Why is this so? Because it is one of the core characteristics which contributes to not only improving the patient experience but also assisting in patient retention. There are a plethora of solutions available in health systems under the umbrella of patient engagement, like health programs, surveys, participative courses, and so on. However, therein lies the problem- the solutions are many, and only a very few are effective as patients deem most as unnecessary and tedious. These are termed so by the patients because these tools’ functionalities are mostly unclear- many overpromise while delivering minimal benefits. To find patient engagement tools which are useful, health systems are diving deep into the technological side of the healthcare industry. Thus, active patient engagement is powered by technologies which help to connect the patients with their health systems seamlessly and assist the patients in leading healthy lifestyles.

Even though many would go for surveys, participative courses, and similar patient engagement strategies, research has shown that these are not very effective. Most of the time, patients are absentminded while answering, and as long as they do not see the potential benefits of these tools, they will not be interested in participating wholeheartedly.

On the other hand, there have been quite a few advancements in technologies which are helping to effectively engage with patients, such as patient retention apps like CircleCare. It is an app that helps patients stay connected to their health systems and doubles as a patient engagement platform. Once a healthcare provider registers with CircleCare, all it needs to do is refer the patient to download it and register. After that, patients can effectively engage in several ways with their health systems, and not only that, they can also work on leading healthier lifestyles. It can be used to track steps, schedule medicine reminders, record blood pressure, record glucose level, and exchange relevant health information with other individuals. It also helps them to stay connected to the physicians, so that if a problem arises, it can be solved outside the hospital’s premises as long as it is not critical. These functions help in cutting down hospital readmissions, as well.

Improving patient safety

Patient safety is currently one of the biggest concerns of the healthcare industry, especially those linked with patient identification errors. Recent surveys, statistics, and studies have shown that patient misidentification is a multibillion-dollar issue. Since the introduction of EHRs, things have gotten worse. To put things into perspective, the identification and correction of a single duplicate record cost around $1000, whereas if there are multiple records attached, it requires a whopping $5000 for any given health system! So, how are healthcare systems avoiding these patient matching errors? They are adopting technologies which are helping to eliminate these errors- solutions like RightPatient. RightPatient is a biometric patient identification system that utilizes iris scanning, thus making it easy to use for both the patients and hospital staff. It is also hygienic as it does not require physical contact and is also safe and accurate. The health systems using it are reporting that it helped to improve the patient experience, improved patient safety, and reduced denied claims. All of these lead to minimizing the losses incurred due to misidentifications significantly.

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Another one added to the endless list of patient misidentifications stories

Another day, another one added to the endless patient misidentifications stories- makes the need for an effective patient identification solution like RightPatient even more urgent. 

biometrics-helping-with-patient-identification

However, medical record mix-ups occurred even before EHRs were implemented. Years ago, a woman called Liz Tidyman’s parents decided to spend more time with their daughter and grandchildren, and thus moved close to their home. While they did so, they carried everything important with them, especially the hard copies of their medical records (EHRs did not exist back then).

Exactly two days after the parents moved in with Liz, the father unfortunately fell. Since this has never happened before, the family was concerned, and they took him to a hospital for a checkup. While sitting in the waiting room, Liz took out her father’s medical record right on time, or else there would have been some grave consequences in store for the family. As Liz went through her father’s health record, she saw some abnormalities- there were numerous pages regarding the medical history of an entirely different person. The only thing Liz could associate with her father was the name of the other patient, everything else regarding the medical history was unrecognizable by Liz- the other patient had much more complex problems than her father did. At that instant, she took out those irrelevant pages about the mistaken patient and decided that she will always double-check such sensitive records, medical or otherwise, in the foreseeable future.

This was just one story, and that too before the introduction of EHRs and the mess they created. There are many such stories and incidents before and after EHRS which have created the billion-dollar problem- patient misidentifications. These have also led to numerous patient misidentifications stories, due to which everyone is taking it seriously now.  

No patient, old or young, is safe from patient matching errors, but since the older ones are less comfortable with technology, they need to be more careful regarding their medical records. According to a healthcare official, one out of ten patients who have seen their records say that there are inconsistencies and demand corrections. This is not really surprising, given the number of problems we read about everyday regarding patient identification. For instance, some patients may see that inaccurate medical test results, treatment plans, or diagnoses have been attached to their medical records, raising doubts regarding what else is mixed up with other patients. However, this actually happened with Liz’s father as well.

When asked about kidney cancer, Liz’s father denied he had it. Afterward, Liz viewed the materials and realized that the mix-up was due to the name, and it was listed kidney cancer instead of skin cancer, the latter which her father actually had. Likewise, omissions, patient mix-ups, and duplicate records create all kinds of ruckus and devastate families, end the lives of individuals and cause losses in millions of dollars. This has been the scenario for years, and EHRs did not fix them, they only amplified the problems further.

Health systems have finally begun to address how serious of an issue patient misidentifications can be, thanks to the endless pile of patient misidentifications stories. While some hospitals are struggling with using only EHRs for patient identification, others are clamoring for an effective solution to end these patient matching errors. However, other advanced and forward-thinking healthcare providers opted for RightPatient– a biometric patient identification system. It uses the iris scanning modality to identify the patients. Once the hospitals enroll the patients with RightPatient, they can be recognized and matched with their records easily and conveniently, all it needs is a look at the camera- it’s that easy! Patient acceptance to RightPatient has been high as well since they perceive it as safe and hygienic- no physical contact required; thus, no risks of contracting any diseases. RightPatients helps in saving the lives of patients and reducing denied claims and ultimately saving money along the way. 

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Patient misidentification cases are persistent as no industry-wide solution exists

Synchronizing medical information with the appropriate patients accordingly- how hard can it be, right? Well, it is precisely the opposite. It is easier said than done- patient misidentification cases are abundant. Since the introduction of electronic health records (EHRs), people thought that it would make the lives of everyone involved easier, but the reverse has happened. EHRs are filled with issues like misspellings, incomplete data, common names, outdated addresses, and so on, which overall leads to duplication of records. One of the consequences of all of this, according to a reputed organization, is the match rates being an average of 80%, sometimes even lower. It doesn’t sound all that bad, but it is the result obtained from the same healthcare provider the records have been created in! 

patient-misidentification-cases

One out of every five patients is likely to suffer from patient identification errors and become one of the many patient misidentification cases in the US. This is not the only problem, however. Patient matching errors are like a web created by spiders- trapping all the parties who are connected to patient identification- patients, healthcare providers, physicians, insurance companies, and so on. 

Patient misidentification cases are also synonymous with rising costs as patient misidentification is famous for being a persistent multibillion-dollar problem in the healthcare industry. A patient matching error costs a hospital around $2000, and if we look at the bigger picture, there are $1.5 million of denied claims for a single hospital in a given year. That is an outrageous amount of money which is completely wasted due to these errors.

As per the definition, patient matching refers to obtaining the accurate medical record for a given patient whenever necessary, to make informed decisions regarding the health of the patient. Healthcare professionals are frustrated that this is not what they experience whenever they are matching the patients with their records and are clamoring for something which will change the industry and generate accurate patient identification- something RightPatient is very good at doing. 

Let’s explore more in-depth into why patient matching errors occur. Patient matching is also reliant on the hospital employees who come into contact with it- they need to fill in the gaps for the new data, or else they might need to update changes in data like a surname, address, etc. to ensure accuracy. However, errors, in this case, maybe made by either the patient, the staff, or both. A patient might not be attentive and may not check whether accurate data has been entered; likewise, an employee may not check with the patient to ensure he has put in the correct data or not. They might think that it is not a big deal, but there lies the problem. Such inconsistencies which they believe are inconsequential lead to increased waiting times, worse patient outcomes, financial losses, wrong treatments, and sometimes even result in deaths. 

A reputed individual in the industry stated that to combat these errors, a lot of countries have switched to unique IDs for patients. Sadly, the US is not doing that yet, as it has no nationwide standardized patient identifier nor any effective strategy to do so. Thus, the responsibility is pushed onto the shoulders of the healthcare providers, each coming up with their own approach for identifying patients. 

A lot of suggestions have been made by experts to solve these errors, like software for patient identification, improvements in data standards, and ID cards, among many other options. However, the only one which is being pursued by many and used by early adopters are biometric patient identification systems. RightPatient is the most appropriate choice to eliminate patient matching errors. It uses iris scanning to ensure that the correct patient is identified, and it does so with ease, as reported by over a hundred healthcare providers who are using it. As it is using iris scanning, it is also hygienic and safe, as it requires no physical contact, and is convenient for the patients, as all they need to do is look into the scanner to match with their records. Since it is also less time consuming than traditional patient matching, it is lauded by many for improving the patient experience as well as patient safety. Patient matching has never been easier and more accurate, according to the users of RightPatient

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Patient identification error causes yet another grave mistake

Another day, another mistaken patient identification error. However, it was a bit different in this case. Two sisters were informed that their brother was on life support and that is the premise of the whole fiasco.

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The sisters, Rosie Brooks, and Brenda Bennett-Johnson received a call from an official that someone they believed to be their brother Alfonso was breathing with the help of a ventilator at Mercy Hospital and Medical Center of Chicago. However, the sisters stated that they didn’t talk much to their brother. The call started with someone enquiring about relatives of Alfonso, and Brooks replied that she was the sister, and then the official broke the news- that he was fighting for his life in the ICU, explaining that he was beaten quite severely, especially the face.

 The Chicago police had found the man beaten to a pulp, and according to reports had neither clothes nor any means of identification on his body. A police spokesperson said that witnesses of the incident identified the injured man as one Elijah Bennett. Later on, he was rushed to the hospital and was on life support. 

 During his time in the hospital, as nobody came looking for him, the hospital staff had to take the help of the police in identifying him. The spokesperson said that their database had no “Elijah Bennett,” however, they did find “Alfonso Bennett.” The police later on handed over a picture so that the hospital could help identify any family members of the unfortunate patient. All these events led to the call to Brooks, yet another patient identification error. 

 When the sisters rushed to the hospital, they failed to identify the man as their brother Alfonso. However, CPD kept saying that it was their brother. According to the nurse, police used the help of mugshots to identify him, but due to budgetary issues, a proper ID could not be made. 

 However, the patient’s situation was worsening, and the sisters faced a challenging situation- whether or not to remove his life support. With immeasurable sadness, they had to sign papers stating that this man was their brother and to remove his life support, and as expected, the man passed away, unfortunately.

 After this series of events, the story did not end. After the untimely death of the “brother,” the sisters started making preparations for his funeral, to give him a proper sendoff. Before they could carry out the planning, however, what happened next was a scene out of a dramatic movie- the brother, Alfonso, walked right through the front door of the house of the one sister! She shouted over the phone to her other sister, exclaiming that the brother they had thought was dead is very much alive and healthy and that it almost gave her a heart attack. 

However, this newfound relief and happiness quickly turned into sadness, regret, and remorse- they realized that they had given the green light to end the life of a stranger, thinking it was their brother. They shared how they felt with the media and that they were extremely remorseful about deciding everything about someone unknown. However, the police, later on, identified the person with the help of fingerprints and started looking for his family. Everyone involved was deeply disturbed by this incident and thinking that there are no procedures or strategies to ensure such cases do not happen again in the future. However, this is not an isolated incident, as a very similar situation occurred in 2018. 

Many people are worried that as these incidents are recurring, there is no way to avoid this. They are wrong. RightPatient would have helped the situation in reducing such errors. It is a biometric patient identification system which, and with the help of iris scanning modality, it reduces not only any kind of patient identification error but is also safe, convenient, and quick. Since no physical contact is required, all it needs is a glance from the patient for registration and matching- thus being hygienic and easy to use for both patients and physicians. All these features help to enhance patient safety as well as improve the patient experience, reducing claims by 35% and saving a lot of costs of healthcare systems in the process.

patient matching improvements

Hospitals are Prioritizing Patient Matching Accuracy

Patient identification has been haunting the healthcare industry since its inception. Using the existing practices in the industry, accuracy rates are significantly low and cannot be used to exchange health data effectively, as reported by officials from different healthcare systems such as hospitals and physicians. The industry is in dire need of patient matching improvement. 

patient matching accuracy

However, the above report is not the only one- other statements point towards the same conclusion of requiring patient matching improvement, as per the research brief from Pew Charitable Trusts. A study was conducted by Pew researchers along with Massachusetts eHealth Collaborative (MAeHC) that sought to identify the current situation of patient identification in the healthcare industry. They did so by collecting information from different healthcare executives with the use of interviews. Another aspect of the study was to identify how to achieve patient matching improvement. The sample of this study was healthcare experts and influential figures from various practices and sizes who served numerous patients in diverse regions all over the country.

A vast majority of the sample expressed the same view- patient identification and matching were quite inaccurate and desperately needs an overhaul, thanks to the increasing demand for interoperability.

Healthcare providers are now motivated to exchange more health data due to the recent CMS Promoting Interoperability program. That’s not all! CMS is also going to be granting incentives to accountable care organizations (ACOs) who will show savings through activities which support care coordination.

According to the Pew researchers, healthcare systems like hospitals and clinicians eligible for these programs need to exchange information with others so that all of the parties have the latest patient data from other various institutions.

The hospital officials stated that it is quite challenging to measure the match rates, resulting in their efforts being ineffective to examine and improve the patient identification rates. They also had difficulty providing a number when asked for the identification rates within their organizations. This was because many hospitals only keep a record of the duplicates identified through EHRs, whereas others do not know which files are relevant and which are unlinked.  Thus, without knowing the actual number of correct matches, these healthcare systems cannot determine their match rates. Therefore, only the amount of misidentifications was provided by them, thus summarizing the research.

It was also identified that healthcare systems could easily match patient identities when asked by organizations they are in constant contact with. Both automated and manual processes are utilized to link records to the correct individual.

However, whenever it is an organization with whom the healthcare system is not in contact with regularly, match rates are inclined to be lower. This is because these unsolicited requests introduce more blockades because the healthcare system may not have a record of that individual, and the healthcare system uses automated processes for such applications. On top of that, the research also showed that urban areas require better identification rates compared to rural areas as not much-sharing activities take place in the latter.

Some healthcare executives also think that improved patient identification matching requires significant costs. However, many believe that biometric patient identification is the solution to improve matching rates and is worth the cost. Some hospitals are even utilizing iris scanning solutions like RightPatient to identify all their patients and pull their relevant data from their EHRs and show a significant change. They report that it is fast, accurate and improves the overall patient experience as well as speeding up the whole process and saving valuable time of the physicians so that they can concentrate on more critical tasks such as the patients themselves.