RightPatient-ensures-patient-data-protection

Patient Data Protection is Ensured by Responsible Healthcare Leaders

Healthcare providers in the US have a lot on their plates. Even before the coronavirus pandemic, they had their hands full with issues like patient identification errors, cybersecurity threats, HIPAA compliance issues, an abundance of duplicate medical records, medical identity theft, a distinct lack of patient safety, and more. Whatever the case may be, progressive healthcare leaders need to ensure patient data protection at all costs. In fact, many of the aforementioned problems can be mitigated by protecting patient data – leading providers have been doing that constantly. But why is it so important? How can providers safeguard patient data? Let’s dive in.

RightPatient-ensures-patient-data-protection

Patient data protection

Safeguard-electronic-health-records-with-RightPatientPatient data protection has been one of the oldest and most important requirements for healthcare providers, and rightfully so – a patient shares critical and sensitive information with their caregivers. Names, Social Security numbers, dates of birth, contact information, addresses, facial photographs, medical history, and ailments are just some examples of the information stored within patient records. If these get compromised and land in the wrong hands, such cases can have disastrous consequences – healthcare insurance fraud, litigation costs for providers, and hampered patient safety are some common results. Thus, protecting patient data is crucial for any caregiver. Let’s take a look at a few more reasons why protecting patient data is necessary for hospitals and health systems.

Reasons to protect patient data

Ensuring compliance

Concerns regarding data privacy are more common than ever – even more so when it comes to patient data. The frequency of healthcare data breaches proves that. However, providers, along with other healthcare organizations that deal with patient data, need to have safeguards in place to protect sensitive information.

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HIPAA, also known as the Health Insurance Portability and Accountability Act, was introduced back in 1996 and is primarily used for patient data protection. It mandates that all healthcare organizations who deal with PHI (protected health information) must ensure that the data is protected at all times. If an organization fails to do so or violates HIPAA in any other way, they will face heavy scrutiny and hefty fines – up to $1.5 million per year. On top of that, the person committing the violation may face criminal penalties – fines and even jail time. Data breaches can cost up to $ 6 billion for the healthcare industry, and the US also tops the list of most expensive data breaches, besides Germany.

HITECH, or the Health Information Technology for Economic and Clinical Health Act, compliments HIPAA. It was created to make sure that healthcare information technology is adopted and utilized appropriately. Privacy and security concerns are addressed by HITECH as well.

Thus, patient data protection is a must to ensure compliance with the laws and regulations that are in place. While HIPAA compliance can be cumbersome and challenging, healthcare organizations can simplify compliance management and reduce HIPAA-related administrative burdens. There are solutions available to ensure HIPAA compliance – organizations should choose one that is simple but powerful and gets the job done effectively. HIPAAReady is such a solution. A robust HIPAA compliance software, HIPAAReady ensures training management and scheduling, reduces administrative burden, and keeps all HIPAA compliance documents in a centralized location. Organizations can even detect security gaps by conducting internal audits with HIPAAReady.

Preventing medical identity theft

One of the more crucial reasons why protecting patient data is so important is because failure to do so leads to medical identity theft. Let’s see how that happens.

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Cybercriminals are always trying to breach the security of healthcare providers, and when they finally do so, they steal sensitive patient information and sell it on the black market for high prices. Fraudsters buy the data and assume the identity of the affected patients – committing medical identity theft, pushing off the expenses on the victims, and fraudulently obtaining healthcare services. 

Medical identity theft can lead to lawsuits, demand significant time and costs from patients and/or providers to rectify the issues, and compromise patient data integrity. That leads us to the next reason for protecting patient data.

Enhancing patient safety

Failure to maintain patient data integrity means that the data is not accurate anymore. When a provider fails to protect patient data, it leads to medical identity theft. When the fraudster uses the victim’s healthcare services, he/she contaminates the patient data – the fraudster’s data gets written onto the victim’s patient record, rendering it inaccurate. If such cases remain undetected or unfixed, they can severely hamper patient outcomes. Medical errors, delays in treatment, incorrect procedures, and even deaths – these are just some of the numerous consequences of compromised patient data. Thus, patient data protection is critical for enhancing patient safety.

Patient Data Protection is Ensured by Responsible Healthcare Leaders
Patient Data Protection is Ensured by Responsible Healthcare Leaders

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

Protect patient data now

Protect-patient-data-now-with-RightPatientProtecting patient data is a huge challenge, but it is achievable. One of the first and foremost things providers can do to protect patient data is to ensure positive patient identification at each encounter. That’s where we can help.

RightPatient is the leading patient identification solution chosen by progressive providers. It is a photo-based and touchless biometric patient identification platform with common goals shared by caregivers – to enhance patient safety, to ensure accurate patient identification, and to prevent medical identity theft

It locks the medical records of patients upon registration with their photos. Returning patients look at the camera and the platform matches the photos and provides accurate records within seconds. Even with healthcare data breaches, RightPatient protects your patients and their data as the platform will red-flag fraudsters during patient identity verification.

Protect patient data, prevent medical identity theft, ensure positive patient identification, and more – with RightPatient.

Patient-identification-errors-in-hospitals-can-be-eliminated-with-RightPatient

Patient Identification Errors in Hospitals Should be Eliminated Now Instead of Waiting for a UPI

Patient identification errors have been haunting the US healthcare system for decades now. In fact, the lack of effective patient identity management within the majority of hospitals and health systems is quite well-known as it is prevalent. Otherwise, groups would not have formed every year to appeal to Congress to finally approve a state-funded unique patient identifier (UPI). However, the coronavirus pandemic has been wreaking havoc across the US, which is why accurate patient identification is needed more than ever. But should they still wait for Congress for a UPI, or is there a way to eliminate patient identification errors in hospitals now? The short answer to the latter is yes – RightPatient. Let’s dive deep into the issues caused by patient misidentification, what the healthcare industry is doing about it, and how leading providers are solving it.

Patient-identification-errors-in-hospitals-can-be-eliminated-with-RightPatient

Issues caused by patient misidentification

Patient misidentification has always caused a plethora of problems – for patients, healthcare providers, insurance companies – basically anyone involved with patient care. However, the pandemic has deemed the elimination of patient identification errors in hospitals more necessary than ever, so that patients can get faster, more accurate care, leading to improved health outcomes. So, what are the issues caused by patient identification errors?

Patient Identification Errors in Hospitals Should be Eliminated Now Instead of Waiting for a UPI
Patient Identification Errors in Hospitals Should be Eliminated Now Instead of Waiting for a UPI

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

The lack of accurate patient identification can create duplicate records or overlays (merged medical records of the same or different patients), causing a ripple effect and hampering patient safety by generating inaccurate patient information. For example, a patient with a common name comes into a provider’s facility, and without a robust patient identification platform, it will be quite difficult for the EHR user to determine the correct medical record for the patient. Thus, the healthcare official will either painstakingly search for the correct record, which is quite time-consuming, or else an entirely new record will be created, leading to just another duplicate record among the several existing ones. Duplicate records create patient safety issues – patients will be treated based on an incomplete or inaccurate medical history. For providers, the financial cost of duplicates can be up to $40 million, according to AHIMA.

Patient misidentification can also cause denied claims, which have a severe impact on the financials of hospitals and health systems. Suppose a patient is misidentified by the provider using an obsolete patient identification system. While the patient at the facility will be receiving the care, someone else will be charged inadvertently for the services as a result of patient identification errors. However, the medical record holder can simply let the authorities know that someone else had used the healthcare services, and thus, he/she will not be charged – leading to a case of claim denial. Denied claims can cost up to $4.9 million on average for any given healthcare provider.

Even during this ongoing and unprecedented health crisis, patient misidentification is quite common. It occurs because there is no proper way to match patients to their electronic health records (EHRs) within those providers’ facilities, and it leads to patient safety issues as well as reduced quality of care. Other issues patient misidentification causes are incorrect treatments, medications, and lab test results – hampering patient outcomes significantly. Given the current scenario of the healthcare system, these issues should be minimized as much as possible – something that RightPatient can help hospitals with.

What is the healthcare industry doing about it?

During a virtual briefing, the CEO of AHIMA, Wylecia Wiggs Harris, stated that COVID-19 shows how important accurate data is and why patient misidentification issues must be solved as soon as possible. 

Leading-healthcare-providers-use-RightPatient-for-positive-patient-identificationLikewise, other experts have been making similar statements. For instance, even COVID-19 test results were affected by patient identification errors. After the results came in, it was quite difficult to identify and search for the patients, as no accurate patient identity management system existed within the facilities.

Thus, healthcare leaders across the states are coming together to once again to ask Congress to lift the archaic ban on a state-funded UPI. However, if the past has anything to teach, it is the fact that the ban has been in effect for decades now. Lawmakers and officials placed the ban citing privacy concerns regarding a UPI, and it is quite unlikely that they will budge now.

Instead, many leading providers have taken it upon themselves to eliminate patient identification issues within their premises themselves. How are they doing that?  

Eliminate patient identification errors in hospitals now

Forward-thinking providers did not rely on Congress to remove the ban, which might not happen anytime soon, admittedly. Instead, they deployed RightPatient – the leading photo-based biometric patient identification platform.

It locks the medical records of the patients with their photos – a returning patient looks at the camera, allowing the platform to identify the correct medical record within seconds. It is completely hygienic and ideal for the current crisis. 

Our platform has been successfully reducing patient identification errors in hospitals and health systems. RightPatient ensures accurate patient identification, reduces claim denials, avoids duplicate medical records, and even prevents medical identity theft – improving patient safety and quality of care in the process.

Contact us now and ensure accurate patient identification at your facilities to stay ahead of the curve.

How-can-medical-identity-theft-occur-during-telehealth-visits

How Can Medical Identity Theft Occur During Telehealth Visits?

Telehealth has been around for years, but it has only been growing exponentially for the past few months. One of the biggest propellers that caused the surge in telehealth usage is the coronavirus pandemic, while the other reason is its benefit of taking healthcare out of the regular setting and setting up safe and remote environments for the patients and caregivers. While many predict that telehealth is here to stay after seeing how it can benefit caregivers and patients, health systems and hospitals need to focus on another important aspect – how can medical identity theft occur during telehealth visits, and is it preventable? Fortunately, it can be – with RightPatient. Let’s dive deep.

How-can-medical-identity-theft-occur-during-telehealth-visits

Telehealth skyrocketed due to COVID-19

Since telehealth was introduced, experts in the US healthcare system have been busy debating its pros and cons, affecting its growth and questioning its capabilities. However, as the pandemic has shown, telehealth has been extremely crucial for the US healthcare system during its ongoing battle against the pandemic. It has helped reduce the risk of more COVID-19 cases as non-COVID-19 patients were recommended to use telehealth instead of inpatient visits.

As previously mentioned, the biggest benefit of telehealth is that it enables patients and caregivers to engage in healthcare remotely. All they need is a good internet connection and devices to communicate with each other – eliminating any chances of contracting the virus as opposed to inpatient visits during the pandemic. Thus, it is no surprise that telehealth demand has been sky-high, with experts predicting over one billion visits during 2020 alone. While providers are quickly adapting to the changes and using telehealth, hospitals and health systems must also think about a serious problem – how can medical identity theft occur during telehealth usage?

How Can Medical Identity Theft Occur During Telehealth Visits?
How Can Medical Identity Theft Occur During Telehealth Visits?

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

Medical identity theft is all over the place

Medical identity theft is nothing new. Hackers steal valuable patient information through healthcare data breaches. They sell it for up to $1000 per record on the black market to fraudsters. Since healthcare is quite expensive, these fraudsters prefer buying patient information from hackers for a much cheaper price, shifting the healthcare costs onto the shoulders of the victims.

Medical identity theft is becoming quite prevalent. In 2019 alone, more patient records were breached in comparison to the previous three years combined. Medical identity theft leads to lawsuits, patient safety issues, settlement costs up to $250,000, unwanted attention, and loss of goodwill. Thus, it becomes increasingly necessary to ensure that medical identity theft is prevented, even during telehealth visits.Medical-identity-theft's-effects-can-be-mitigated-with-RightPatient

But how can medical identity theft occur during telehealth? Well, the stolen information can be easily used by the fraudster to bypass the obsolete patient identification systems most hospitals have – just like inpatient visits. Moreover, many patients sometimes even give their credentials to their family members or friends willingly – aiding them in medical identity theft. 

Such cases lead to added costs like medical record clean-ups, lack of patient data integrity, and patient safety issues, among other problems. Hospitals are facing huge losses already due to the pandemic, and they need to recover their losses if they want to survive in the future. One of the best ways to do all of that is by ensuring positive patient identification.

Accurate patient identification with RightPatient

RightPatient is the healthcare industry’s leading touchless patient identification platform. It locks the medical records of the patients with their photos upon enrollment. Whenever the patient comes, all he/she needs to do is look at the camera and the platform matches the photos and provides the correct medical record within seconds. RightPatient seamlessly integrates with the major EHR systems, enhancing the experience for providers as well. It is hygienic too, enhancing patient safety and reducing infection control issues.

While it has been ensuring accurate patient identification for providers for years, RightPatient brings the same expertise to telehealth. It can also be used to remotely validate a patient’s identity. Patients receive an SMS or email after scheduling an appointment, after which they need to take a selfie and photos of their driver’s license. RightPatient automatically matches the photos of the driver’s license and the selfie to validate patient identity – preventing medical identity theft in the process.

RightPatient has been successfully protecting over 10 million patient records and preventing fraudsters from harming patients while reducing healthcare costs, denied claims, lawsuits, and boosting the bottom lines in the process. Protect your patients – even during telehealth visits – with RightPatient. 

Identifying-patients-accurately-is-possible-with-RightPatient

Identifying Patients Accurately is Critical for Ensuring CMS Compliance

The US healthcare system has been going through a very challenging phase due to the coronavirus pandemic. However, it looks like healthcare providers are going to have their hands full – they have another rule to comply with and must plan accordingly to ensure compliance by May 1, 2021. The fact that there have been additional changes to the Medicare Conditions of Participation (CoPs) is already well known among healthcare leaders. However, while many providers are already thinking about how they can ensure compliance, they might leave out one significant factor that can make or break the entire effort – are they identifying patients accurately? Why is this important? How does patient identification fit in with the new changes? How can providers ensure accurate patient identification? Let’s explore in detail.

Identifying-patients-accurately-is-possible-with-RightPatient

CMS Interoperability & Patient Access Final Rule

While the entire healthcare system has been suffering from the lack of interoperability, the Centers for Medicare and Medicaid Services (CMS) have made some changes to the CoPs to ensure that there is some degree of interoperability, believing that it will have positive effects on care coordination as well.

The “companion final rule”, as per CMS, mandates that healthcare providers like acute care, psychiatric, and critical access hospitals send out e-notifications during every patient admission, discharge, or transfer (ADT) to the designated recipients (read: providers and other entities primarily responsible for patient’s care). This is applicable for both inpatient admissions and patients registered in the emergency departments (EDs).

Patient-identification-in-hospitals-using-RightPatientMoreover, the providers obligated to follow the ADT requirements must make enough effort to ensure that they have sent out the notifications to the applicable parties (suppliers, entities, practitioners, etc.) in real-time.

Any given healthcare provider that uses digital medical records like EMRs or EHRs needs to ensure compliance with the updated CoPs for e-notifications. COVID-19 has extended the deadline – healthcare providers now have until May 1, 2021 to ensure compliance with the recent changes. 

Why are the CoPs important?

What is the biggest reason to ensure CMS compliance? Financial factors like CMS reimbursements and avoiding non-compliance penalties are more than ample motivators. Healthcare providers need to be compliant in order to safeguard their CMS provider agreement – it determines whether the providers are able to receive reimbursements or not, which can be quite significant in some cases. If providers do not ensure compliance, not only will their agreements be in jeopardy, restricting them from receiving reimbursements, but they might also face penalties. Given the current healthcare crisis that has crippled almost every caregiver, more financial woes are something any provider would want to avoid. 

What the healthcare providers are doing

Since the deadline has been extended to May 1, 2021, leading figures of healthcare providers are brainstorming about how to comply with the change – should they build an in-house e-notification system themselves, or should they buy from experienced vendors? Whatever option providers go with, they are not addressing the elephant in the room – are they identifying patients accurately?

Identifying Patients Accurately is Critical for Ensuring CMS Compliance
Identifying Patients Accurately is Critical for Ensuring CMS Compliance

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

How identifying patients accurately is related to e-notifications

Think of it this way – patient identification in hospitals is already inaccurate. In fact, many healthcare providers face patient identification errors due to duplicate medical records, medical record overlays, and patient mix-ups, among other problems. These lead to issues like compromised patient safety, unwanted patient outcomes, avoidable medical errors, and even deaths.

So, it has already been established that if a hospital does not have an accurate patient identity management system, then it causes a lot of problems for the facility. Can you imagine what will happen if the hospital goes for an e-notification platform without identifying patients correctly first?

Issues like common names and characteristics shared by patients are already quite prevalent and cause patient mix-ups. If such a case occurs while sending out e-notifications, then the wrong patient’s data will be provided to the subsequent caregiver. Thus, patient mix-ups and incorrect patient identification cases during ADT notifications will wreak havoc – delays in treatments, medical errors, and lawsuits are just some of the consequences of such scenarios. It will be a nightmare for any given provider. Hospitals and health systems that are not identifying patients accurately at their facilities need to eliminate these errors to ensure CMS compliance and avoid any unwanted consequences. They need to ensure patient data integrity by ensuring positive patient identification every time a patient comes in. That’s where we can help.

Identifying patients accurately with RightPatient

CMS-compliance-requires-proper-patient-identification-for-e-notificationsRightPatient is the healthcare industry’s leading photo-based biometric patient identification platform. It seamlessly integrates with the major EHR systems and becomes part of the workflow. Patients are registered by locking their medical records with their photos. After enrollment, incoming patients only need to look at the camera and the platform matches the photos and provides accurate medical records within seconds. This ensures a safe, easy, touchless, and hygienic patient identification experience for everyone.

RightPatient ensures that the correct patient is identified every time across the care continuum, helping you maintain patient data integrity. With RightPatient, you can send out the correct patient’s notification every time, ensuring CMS compliance and safeguarding your patients and, in turn, your business.

RightPatient-helps-to-identify-patients-correctly

Identify Patients Correctly to Reduce Significant Healthcare Costs

The coronavirus pandemic has thrown the whole world off-balance, and even though the world is opening up in places, it is still continuing to affect lives on a daily basis. Amidst all the chaos, healthcare became one of the most important parts of the economies across the world, and the US is no exception. However, with the overwhelming number of coronavirus patients who needed the utmost care, hospitals had to reallocate all of their efforts towards the affected patients – leading to hard decisions for other services provided. This resulted in the past few months being full of furloughs, layoffs, and salary cuts due to huge financial instabilities. As the US healthcare system slowly continues to open up in phases and resume its normal practices, healthcare providers need to focus on reducing costs further. One of the most effective ways to do that is to identify patients correctly. 

RightPatient-helps-to-identify-patients-correctly

Why hospitals need to identify patients correctly

There are a lot of issues associated with the US healthcare system. Even before the coronavirus pandemic, hospitals had their fair share of problems. One of the more prominent ones was the lack of accurate patient identification.

Whenever a patient comes to the hospital, the EHR (electronic health record) user will ask for information such as name, DOB, address, etc., which will help them obtain the correct medical record from the system. This will prepare the patients to obtain healthcare services, expecting to leave with better health after the treatment. Thus, healthcare begins with the hospital identifying the accurate medical record of the patient. 

Even though it sounds quite easy and straightforward, that is not the case. Human errors, negligence, and inconsistencies can lead to issues within the EHR systems. Even the smallest of mistakes can lead to large problems, jeopardizing patient safety. The most common problems within the EHR systems are known as duplicate medical records and overlays. Other than that, even patients with common names and demographic characteristics can be mixed up by healthcare providers, leading to disastrous consequences.

Some examples 

Last November, Virtua Our Lady of Lourdes Hospital mixed up two patients, which led to a patient getting the wrong kidney transplant. Thankfully, the wrong patient was compatible with the kidney, so no serious harm was done. However, not every patient mix-up case is as lucky. The same is true for misidentifications caused by duplicate records and overlays. After the incident at Virtua Our Lady of Lourdes Hospital, they started using four identifiers altogether. Practically, it will still be quite ineffective, as human errors are bound to happen. Moreover, if there are duplicate medical records or overlays in the EHR system, like the majority of healthcare providers, then even the four identifiers will not prove useful. The EHR user will simply get confused between the duplicates and overlays and may end up choosing the wrong record inadvertently.

RightPatient-reduces-significant-healthcare-costs

Finding the accurate medical record of a patient within an EHR system that has duplicates is akin to finding a needle in a haystack. Take the case of Harris Health System. After a thorough analysis, they found some interesting numbers. It houses around 3.4 million patient records, out of which 7.3% had the common case where two or more patients had the same first and last names. 2.2% had a common case where five or more patients shared the same first and last names. There were 2,488 patients named Maria Garcia, out of which 231 Maria Garcias had the same DOBs. It is more than likely that some of those 231 records of Maria Garcias are duplicates or overlays. This can easily confuse any given EHR users while identifying patients, and unless an effective way to identify patients is used, the problems will keep on compounding.

How big a problem is patient misidentification?

According to AHIMA, smaller hospitals can have around 5-10% of duplicate medical records. On the other hand, larger health systems can house up to 20% duplicate records within the EHR systems of their different hospitals. These duplicates can easily cost up to $40 million for any provider.

Patient misidentification also hampers patient safety. Whenever a patient is wrongly identified, he/she will be treated based on the wrong medical record, medical history, allergies, medication, lab test results, and so on. The bigger the complexity, the more danger the patient faces. There have even been cases where patient mix-ups have caused deaths. These seriously damage the goodwill of the healthcare providers. Not only that, but providers also face heavy financial repercussions in the form of denied claims, lawsuits, and poor revenue cycle management. Lack of proper patient identification leads to increased medical identity theft as well – all of which RightPatient can prevent.

Is it possible to identify patients correctly?

RightPatient-makes-accurate-patient-identification-possible

Patient misidentifications have been around for years, and with them, talks of an effective patient identifier have been around as well. While many healthcare leaders have been clamoring to get the archaic ban on state-funded UPI (unique patient identifier) lifted for years, it has not led to fruition yet. Last year, while the House of Representatives supported abolishing the ban, the Senate did not agree, leading to more misidentification cases, increased medical identity theft, and avoidable deaths.

However, healthcare leaders have taken it upon themselves to identify patients correctly. Many are using different platforms to identify patients accurately – fingerprint scanning, palm-vein scanning, and so on. However, due to the coronavirus pandemic, all of these will be considered dangerous as they require patients to touch the device every time they come in for healthcare services. Everyone now knows how big of a deal infection control issues are, and patients will be extremely hesitant to touch any such device in the foreseeable future. Moreover, maintaining such devices is quite taxing – cleaning it after a patient uses it is itself a nightmare. 

Identify Patients Correctly to Reduce Significant Healthcare Costs
Identify Patients Correctly to Reduce Significant Healthcare Costs

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

Progressive leaders have opted for a futureproof solution – RightPatient. It is a touchless biometric patient identification platform that locks the medical records of the patients with their photos. After registration, all the patient needs to do is look at the camera and RightPatient matches their photos and accurately retrieves their medical records within seconds. It is not only easy to use but is also hygienic, as it requires no physical contact nor cleaning after every use, making it the only sensible choice as hospitals are opening up. Leading providers like Terrebonne General Medical Center, University Health Care System, and several others are using RightPatient to protect over 10 million patients – preventing duplicate record creation, preventing medical identity theft, reducing denied claims, and minimizing losses. Are you cutting down these costs effectively, since it is of utmost importance now?

rightpatient-leader-in-patient-identity-matching

Patient Identity Matching – Solving an unsolved crisis with RightPatient

Accurate patient identity matching holds paramount significance across the U.S. healthcare system. Delivering the best possible patient experience, including safety and outcome, hinges on the ability of the healthcare providers to keep and maintain accurate medical records. Healthcare providers continue to struggle to accurately match their patients’ identities to their health records, and blame it on inaccurate and incomplete patient data, says the Government Accountability Office (GAO). Physicians should be able to retrieve accurate records on each patient’s medical history, including lab results, diagnoses, medications, imaging, surgeries, etc. to deliver the best patient care. Needless to say, accurate patient identity matching during the COVID-19 crisis is vital for ensuring a positive patient experience.

rightpatient-leader-in-patient-identity-matching

Can healthcare providers solve the patient identity matching crisis? Yes, and the solution is RightPatient – a leading touchless biometric patient identity management platform that has been successfully helping many leading hospitals address this specific issue.

Accurate patient identity matching ensures that the right patient is associated with the right medical records within a healthcare system. It means knowing with certainty that a piece of medical information belongs to the correct individual. There are many consequences if records are mismatched, such as incorrect treatment, improper data entries which can lead to the creation of duplicate records, and medical identity theft. Effective patient identity matching is not just about patient safety, it also helps healthcare providers avoid financial losses associated with duplicate records and claim denials from medical identity theft. 

How costly are patient identity matching errors?

Let us look at this example. A patient’s kidney was surgically removed by the time physicians realized that there was no tumor. This blunder in the operating room of Saint Vincent Hospital in Worcester, Mass., occurred when the patient’s CT scan was accidentally mixed up with the record of another patient who had the same name. The incident was widely reported in July 2016 when regulators came to investigate what exactly happened. Most people who read the accounts thought it was a rare blunder. But this type of blunder is not rare at all. 

Every day in medical clinics and hospitals, physicians assume they have an accurate picture of a patient’s medical history, diagnoses, lab results, and other information when they click into an electronic medical record (EMR). But this assumption can lead to fatal consequences, like the example mentioned above.

The problem is called patient identity matching error, a crisis that RightPatient has been addressing for years. One of the most severe match errors is when two patients’ medical records, with a similar or same name, get merged, leading to an erroneous organ removal or other nightmares. More common than this is the creation of duplicate medical records. For instance, Christina Elizabeth Smith, Cristina E. Smith, and C. E. Smith refers to the same individual, but her medical information is filed under three separate records. Neither the physician nor the patient will be aware of missing data points when they are discussing treatment decisions or procedures. 

The problem with common identifiers

Duplicate medical records can be created in many ways. One of the most common sources of duplicate records is making errors during the patient registration process. Other variations can be associated with identifying an unconscious patient when they are in the ER. Many times, duplicate records are also created due to demographic changes for the patient. Registrars face difficulties when patients change their last name or move to another place, so they create a new record for that individual. 

Patient identity matching errors can also occur when there is a variation in using common identifiers during the registration or identification process. A simple typo or mishearing the correct word can result in a mismatch in records. 

Common identifiers are also used to commit medical identity theft, an issue that healthcare providers have been trying to avoid for the past several years. A fraudster can easily get access to this type of information and fraudulently imitate someone else’s identity to get medication/benefits for their own use. 

These kinds of problems can be mitigated if common identifiers such as names, DOB, SSNs, or other demographic data used during the initial registration and identification process are replaced with the unique identifiers that RightPatient uses. For instance, identifying and authenticating an individual by using their iris pattern or a photo of their face. 

Accurate Patient Identity Matching with RightPatient

RightPatient is a touchless biometric patient identity management platform. Problems pertaining to duplicate records, medical identity theft, and record mismatch have been successfully mitigated by using RightPatient. Leading healthcare providers such as Terrebonne General Medical Center and The University Health Care System have successfully eliminated these sorts of problems and are continuously delivering the best experience for their patients with utmost clinical efficiency. 

ensure-medical-record-accuracy-by-improving-patient-identity-matching-with-rightpatient

During the initial patient enrollment process, RightPatient will lock an individual’s medical records using their iris pattern or a photo of their face. Each time a patient arrives at the continuum of care, RightPatient will verify and authenticate their identity through an iris scanner, camera, or a webcam and retrieve their accurate medical records.

As a leader in the patient identity matching process, RightPatient helps healthcare providers to keep and maintain accurate medical records of their patients. Patient identity matching problems related to aggregating patient data via Health Information Exchanges (HIE) can be eliminated if all the healthcare providers adopt RightPatient, ensuring the best clinical outcome and data integrity across the healthcare system.

Patient Identity Matching - Solving an unsolved crisis with RightPatient
Patient Identity Matching - Solving an unsolved crisis with RightPatient

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

Due to the COVID-19 pandemic outbreak, touchless biometric technologies will play a key role in the next few years. RightPatient ensures safety and hygiene in a health facility by limiting physical contact between people and frequently touched high-risk surfaces, such as fingerprint scanners. Adopt RightPatient and make sure that one patient does not have multiple records in the master patient index (MPI) and that each piece of health information ends up in the correct patient record.

RightPatient-is-the-leading-patient-identification-platform

Another industry expert in favor of an effective patient identifier

It has been a long, continuous, and never-ending fight for the unique patient identifier which has not been without its own share of controversies. At the moment, Congress is thinking about whether it should give the green signal regarding the financing of a unique patient identifier to be used across the health systems and hospitals in the US. Now, Julie Dooling, another prominent healthcare expert of the American Healthcare Information Management Association (AHIMA), has given her views regarding how an effective patient identification platform can change the game. Such a solution can generate accurate patient identifications with the existing electronic health records within any hospital that aims at helping and improving patient safety as well as to eliminate any detected fraud in the process. Thankfully, such a solution exists – more on that later.

RightPatient-is-the-leading-patient-identification-platform

Patient matching – how hard could it be. That’s what may come to the minds of many. However, the truth is precisely the opposite when it comes to matching patients to their actual records, let alone duplicates which may be exceptionally complicated and thereby, making the failure rate to be quite significant. Moreover, according to Ms. Dooling, 8-12% of errors exist due to the duplicate records created for the same patient. Here is where the patient identification solution will come into play and it will identify the correct records for the patients every time, according to her.

However, it is not only AHIMA – a lot of health systems, hospitals, as well as other prominent healthcare organizations have been clamoring for a solution and are thus demanding for the abolishment of the archaic ban on funding and researching for a unique patient identifier by the Department of Health and Human Services which could be used nationwide.

HIPAA came into effect in 1996 and had a prerequisite for making reliable patient identification systems so that meaningful health information could be generated. However, as said multiple times, privacy concerns were cited by many parties, which ultimately led to the restriction in the development and funding for a national patient identifier. The opposition reasoned that medical records would be exposed and cybercriminals could steal data.

Another industry expert in favor of an effective patient identifier
Another industry expert in favor of an effective patient identifier

#1 Biometric Patient ID Platform

Superior flexibility, power & ROI

However, that did ultimately happen, and we see news regarding such cybercrimes every day. Also, fraudulent activities are quite common regarding the health information of patients. Ms. Dooling says that the consequences of privacy concerns such as healthcare fraud, which were given as reasons for not opting for a UPI, are happening even without its existence. Ms. Dooling also added that if a UPI is to be made, as everyone is clamoring for it now, it will take a lot of effort since it has to be nationwide and also should have interoperability, which is the primary concern. She also stated her concern regarding privacy issues; they would not be collecting Social Security Numbers so that the people can heave a sigh of relief regarding this matter.

Funding, researching, and creating such a solution would take a lot of time and resources. However, what if such a solution exists? Wouldn’t it be that much more feasible? Fortunately, such an exact solution exists.

A lot of health systems are already using RightPatient, which was made with accurate patient identification in mind. It is a biometric patient identification platform that locks the patient records with the biometric data of the patients. Once a patient registers their biometric data using RightPatient, it gets attached to their EHRs, and they can be identified within seconds whenever they visit the hospital. Also, this reduces medical identity theft and the medical records cannot be accessed without the biometric data of the patients, which can be irises or fingerprints. Likewise, health systems are using RightPatient to reduce denied claims as well, since they are eliminating patient misidentifications within their premises. It improves patient safety, enhances revenue cycle, and reduces millions of losses while saving both lives and money in the process. It does fit the bill for being a UPI since it is a tried and tested solution for accurate patient identification.

Source: Making the Case for National Unique Patient ID

RightPatient-is-the-leading-patient-identifier

Why should the Senate choose biometrics as a unique patient identifier?

Unique patient identifiers have been talked about several times, not only in this space but also everywhere else in the US – especially quite recently. This is because there have been positive signs which might finally grant the health systems and hospitals alike with the mythical unique patient identifier, which is sorely needed in the healthcare industry for positive patient identification. But why is it so badly needed? What are the problems faced due to patient misidentification? What will be the benefits? What can be a viable unique patient identifier in healthcare? Let’s explore these questions.

RightPatient-is-the-leading-patient-identifier

One does not need even to imagine losing someone close and dear due to patient misidentification – these stories have been all over the news for years, and there’s no stopping them, unfortunately. Whenever you turn on the television or watch healthcare-related news on your smartphone or tablet, you’ll see at least one problem which has been caused by patient misidentification. It might be medical ID theft, insurance fraud, patient mix-up, a denied claim, or in extreme cases, death. These are just some of the real-life examples which have occurred over the years and are also very valid reasons why a proper patient identification system should be in place for health systems all over the US. For instance, there was once a case where a patient was misidentified and was denied care due to the wrong medical record being pulled. Or, take the opioid crisis – an addictive medication can inadvertently be suggested to patients who are addicts. 

These are scenarios that could have easily been avoided if only the patients were identified accurately and matched with their appropriate records. Over one hundred health systems are already doing that, but more on that later. Thanks to the recent talks regarding UPIs, the US Senate has a unique chance to do something about it and save lives as well as healthcare costs. It has the opportunity to do that when the members get to vote on Senate Fiscal Year 2020 Labor, Health & Human Services, & Education & Related Agencies Appropriations bill. Back in June, positive news spread throughout the news portals that the House of Representatives passed an amendment regarding the removal of the old ban on the creation of an effective UPI that can be used across the health systems of the US. However, everything now rests on the US Senate to make this a reality by creating a UPI or adopting something across the lines which have been helping to identify patients accurately.

What happened previously?

It has been around twenty years since the previous talks regarding unique patient identifiers occurred, which have resulted in zero progress. This has caused major problems regarding patient misidentification like medical errors, as well as insurance fraud, medical ID theft, and in extreme cases, and deaths of unfortunate patients. Earlier, patient misidentifications were overlooked, but recently, everyone recognizes it as a serious threat to patient safety – even a prominent entity like the ECRI institute has listed patient misidentification as one of the biggest impediments to effective patient safety.

Why should the Senate choose biometrics as a unique patient identifier?
Why should the Senate choose biometrics as a unique patient identifier?

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However, that’s not all. The absence of a proper patient identification system also causes problems for healthcare providers, as well. As previously mentioned, insurance frauds, as well as denied claims, and increased losses are quite common issues for health systems, hospitals, and physician practices, as well as ACOs. Conventional EHRs have also shown an absence of interoperability, due to which the healthcare providers cannot share the same information regarding the same patient who may need to go to different health systems for various ailments.

Some statistics

A study conducted in 2016 states that patient misidentification costs any given healthcare provider approximately $17.4 million yearly, as a result of denied claims, thus cutting down their revenue. According to the study, the more pressing issue is that these misidentifications not only cause losses but also hamper patient safety. The same survey states that 26% of the sample had witnessed a medical error firsthand or at least have known about it, which were generated by misidentifications.

What should be the unique patient identifier in healthcare?

Thus, it is seen how vital an effective patient identification system is for the healthcare industry. But what should the Senate choose as a unique patient identifier in healthcare and why? RightPatient is the answer. It is a biometric patient identification system that over one hundred respectable health systems are using, such as Novant Health, Duke Health, UMC, and TGMC. All of them are providing the same feedback – better patient experience, enhanced patient safety, and improved patient matching, all of which lead to reduced duplicate medical records as well as reduced insurance fraud. A patient only needs to register into RightPatient using their biometric data like their fingerprints or irises – afterward, they are identified within seconds, and their appropriate medical record is pulled from the EHR system. Thus, RightPatient seems like the perfect candidate to be a unique patient identifier in healthcare since it has the capability as well as the experience and proven track record to be one.

RightPatient-accurately-identifies-patients

Why a Unique Patient Identifier is so important in the healthcare industry?

Not a day goes by when we do not hear of patient identification errors – this has been plaguing the healthcare industry for a prolonged period of time; since the dawn of healthcare, patient misidentification has been present, and it still is, even to this very day. Accurate patient identification is of paramount importance – so much so, that it has forced the Joint Commission to prioritize patient identification as the first patient safety goal during 2014, and this has continued ever since. However, a unique patient identifier is yet to be found, funded, and determined due to privacy issues when it was first proposed.

RightPatient-accurately-identifies-patients

Back when a unique patient identifier was initially proposed, it was thought to be integral for valid patient identification, since accurate patient matching will help reduce medical errors as well as costs incurred from misidentifications – speeding up the processes leading to improved and coordinated care. This is one of the reasons why UPIs are in the news again, regarding the abolishment of the ban on funds to create a unique patient identifier. However, this has yet to be processed, and it will be a long time into the future before it will see the light of day. Let’s focus on the here and now – what are these UPIs, and why are they so sought after? Let’s analyze.

If a standardized patient identification system were used nationwide, each patient would have a unique ID with which their healthcare providers, insurance companies, as well as other relevant parties will be able to identify the patients accurately, so that they would be able to manage all  relevant information without mixing it up with someone else’s information. In times of necessity, this information can also be shared with other parties; for instance, if the patient goes to some other care provider. This can be done confidently and error-free using the unique patient identifier. These are only a few of the benefits of UPI. However, enjoying such benefits in the USA is still a dream.

The USA is one of the only developed countries in the world which does not utilize a UPI. The usage of UPIs varies from country to country; whenever the need has arisen, countries have implemented some form of UPI which could easily be used by everyone involved in the healthcare sector and sped up the identification process by simplifying it. However, it is badly needed in the US, and it looks like it is nowhere near being available shortly.

A single entity does not provide healthcare to an individual patient – it is a complex process where many parties are involved in providing healthcare services to the patients in exchange for their hard-earned money. Thus, it means that teamwork is very crucial in this industry so that the providers do not mix up the patients and provide consistent care.

Why a Unique Patient Identifier is so important in the healthcare industry?
Why a Unique Patient Identifier is so important in the healthcare industry?

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From a patient’s perspective, it would be extremely beneficial for them if a standardized patient identification system is chosen which will be used to treat them, bill them, and apply for all other formalities, so that everything is concise and present at one place, and so that the same set of data is available whenever their records are brought up. This will also help increase coordinated care so that if a patient has multiple healthcare providers for his/her different ailments, everyone can access the same level of data. For instance, everyone can access the same set of test results, medical records, and other relevant data regarding the patient. 

So, what can be a UPI? RightPatient seems to be a perfect candidate for becoming a unique patient identifier for the US healthcare system. It already has a lot of users, and all of them are reporting the same results – positive patient identification, enhanced patient safety, as well as improved patient experience. RightPatient focuses on biometrics, especially iris scanning, and once the patients are registered, all they need to do is look into the camera, and they are accurately matched with their medical records within seconds. A lot of health systems have used it to reduce losses by reducing misidentifications as well as insurance frauds. Not only does it speed up patient identifications, which earlier took forever, but it also cuts costs and helps save millions of dollars for the health systems using it.

RightPatient-is-used-by-caregivers-for-accurate-patient-identification

Seven strategies ACOs use for better patient outcomes and lower costs

According to recent studies, it is expected that Medicare’s projected spending will be well over $1.5 trillion by the year 2028 – that is more than double what the value was just two years ago! All Medicare asks from ACOs are better patient outcomes.

RightPatient-is-used-by-caregivers-for-accurate-patient-identification

Many ACOs have already reduced costs and thus saved Medicare approximately $1 billion during 2013-2015. Not only did they reduce costs, but they also improved quality across the majority of the metrics required by Medicare. These exemplary ACOs depended on primary care visits, which they used to reduce ER visits and in turn, cut costs by around $700 per patient. 

Some of the strategies which ACOs can follow to improve their healthcare spending patterns and generate better patient outcomes are: 

Collaborate with the physicians they work with

ACOs highlighted the fact that one of the ways to enhance the quality of healthcare as well as reduce the costs was to work closely with the assigned physicians. They also stated that these physicians are usually ordering services like lab tests for the patients or referring to other specialists without keeping the costs in check, and may inadvertently end up incurring more costs than necessary. However, if the physicians and ACOs collaborated frequently, the former can make informed decisions regarding the costs which will be beneficial for both the patients as well as the ACOs by reducing costs while keeping quality in check. Other than that, the physicians have to be busy with administrative issues, which can be quite hectic for them, which causes them to focus more on these tedious tasks rather than focusing on the patients. ACOs can collaborate with the physicians regarding these issues, as well, to reduce the time spent on such matters and focus more on the patients instead.

Encourage the patients to take initiatives regarding their health

A common yet effective strategy used not only by ACOs but by any health system is to encourage their patients to take charge of their health and adopt a better, more active lifestyle. However, ACOs are reporting that this can be quite challenging, especially if there are multiple physicians which is common in ACOs. What ACOs can do is adopt the strategy used by conventional health systems – use patient engagement apps like CircleCare. It has all the necessary features required for active patient engagement. Patients can track not only their steps but also keep track of their blood pressure, blood glucose level, schedule medicine reminders, and so on. It helps patients to maintain even the most complex medication routines as well as encourages them to lead a healthier lifestyle. However, these are not the only features of such apps, as will be explored further down the line.

Seven strategies ACOs use for better patient outcomes and lower costs
Seven strategies ACOs use for better patient outcomes and lower costs

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Emphasize on patients requiring extra care

Care coordinators are professionals who are entrusted to make sure that the patients requiring extra care receive it, especially when they are discharged along with their proper medication as well as necessary materials. Nearly all the ACOs utilize such personnel who even help schedule follow-ups. However, ACOs can also use CircleCare in this context for better care, since these apps help patients and these caregivers to stay connected and exchange health information easily, perhaps about minor complications and so on. 

Reduce ER visits and readmission rates

Most ACOs face the problems of ER (emergency room) visits which in turn generate hospital readmissions, many of which are preventable. However, it is notably more of a concern for ACOs since they are fined based on the readmission rates. One strategy ACOs can use is providing digital solutions to patients such as patient engagement apps like CircleCare. Since these apps push the patients to be physically active, these can create better patient outcomes- the more active the patient, the healthier they will be. Also, since these apps have two-way communication facilities, they can contact their physicians regarding any minor health issues and resolve them outside the ACO premises, thus, reducing ER visits.

Enhance patient identification and data sharing

Patient identification is one of the major problems of the US healthcare system, and it is a massive concern for ACOs as well – they need to share patient data among themselves, and the data needs to be as immaculate and consistent as possible. Thus, ACOs can overcome the issues with conventional EHRs by using biometric patient identification solutions like RightPatient. It uses iris scanning to accurately identify the patients and match them with their appropriate records within seconds. This will improve the match rates as well as enhance the patient experience along with data sharing, which are all must-have features for any ACO as these lead to better patient outcomes.

Make sure medication adherence among patients is present

According to statistics, two-thirds of the prescribed patients are non-adherent regarding their medications. This generates 50% of treatment failures, causing up to 125,000 preventable deaths per year in the US. These could have been prevented if the patients were adherent to their medications, and for that, CircleCare is the perfect solution. Its medicine reminder makes medication adherence as easy as it gets – the patients using the app can set the type, color, look, frequency, dosage, starting/ending date, and duration through an intuitive yet simple interface. Even the most complex regimens become manageable due to CircleCare, ensuring medication adherence and thus fewer ER visits for ACOs.

Ensure patient education is provided

Patient education is another problem which generates frequent ER visits as well as hospital readmissions. Most patients have minimal knowledge regarding their health – 50% of them experience difficulty in understanding as well as using health information and 40% of them do not remember most of the information in the first place. CircleCare provides meaningful and easy to understand information for patients, customized according to their health conditions so that they can receive the latest knowledge regarding their health and make informed decisions if required. Moreover, it also provides general health tips regarding food and physical activities, which can help patients follow those tips for a better lifestyle and better patient outcomes.