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Improving Quality of Care for Patients – 3 Tech Trends to Watch Out for

2020 feels like yesterday – while it did seem like the longest year due to COVID-19 and a number of other issues, we’ve finally stepped into 2021. The pandemic did bring a lot of hardship, took a lot from us, and has changed our lives forever. However, it did also show new ways to do things we thought were never possible. For instance, virtually everyone has worked remotely (many still are doing it) and telehealth usage exploded. COVID-19 changed reality for everyone and everything, but it affected healthcare the most, especially that of the US. Many hospitals had to shut their doors, whereas many health systems closed down some of their facilities. However, one of the most dramatic changes to healthcare was telehealth, and it looks like it’s here to stay. The pandemic has also forced many to adopt or come up with technology that has the potential to improve the quality of care for patients – let’s take a look at some of the promising ones.

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3 tech trends that can improve the quality of care for patients 

Telehealth

Quite unsurprisingly, telehealth is the tech to look out for in 2021. Telehealth has been growing immensely, and it’s finally getting all the attention it deserves. Since the pandemic started, the focus has been on two things – treating COVID-19 patients by allocating whatever resources required and diverting non-critical patients to virtual sessions. Months later, telehealth has been the icing on the cake – it helped reduce infections as well as helped patients receive care online without having to leave the safety of their homes. While it still might have some issues to iron out, all trends point toward a healthcare system that significantly uses virtual care. 

Moving toward the cloud

Some large players are entering the healthcare system and they are definitely going to attract the attention of hospitals and health systems to store their data online. With data breaches becoming more common than ever, it shows that most of the existing cybersecurity measures taken by hospitals are not up to the mark, mostly because of budgetary issues. 

While not everything can be moved to the cloud, many critical pieces of information can be, and that can ultimately help healthcare providers as it can be used to securely access data from anywhere – something that has become mandatory since the pandemic. 

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All of this cannot only make sharing and retrieving data more convenient but also improve healthcare processes by making them faster and more reliable – improving the quality of care for patients.

Touchless solutions 

Due to the pandemic, the entire world is working hard to reduce or eliminate touch-based processes or solutions. Even in the healthcare space, touchless solutions will be seen in the coming years. However, did you know that such a solution already exists and that many forward-thinking hospitals have already been using it? 

RightPatient is a touchless biometric patient identification platform that has been helping responsible healthcare providers for years. It is tried and tested, is versatile, and is helping enhance patient safety. But why exactly should more healthcare providers adopt it going forward? Well, that’s because the pandemic has shown everyone how deadly physical contact can be and how quickly people can get infected.

Quite naturally, it means that everyone knows about the cons of touch-based solutions. Most patient identification platforms require physical touches from patients – raising infection control issues. Fortunately, RightPatient is entirely touchless – it attaches a photo and biometric data of the patient with their EHR. After enrollment, all a patient needs to do is look at the camera – the platform performs a search and provides the appropriate medical record in seconds. 

Moreover. RightPatient is versatile enough to be used at any touchpoint within the healthcare facility, making it feasible for telehealth sessions. Patients are sent an SMS or email after they schedule appointments. They are required to provide a selfie and a photo of their driver’s license – RightPatient automatically compares the pictures, ensuring remote authentication. 

RightPatient not only solves a crucial problem of healthcare providers (patient misidentification), but it also helps improve patient safety, reduce duplicate medical records, and prevent medical identity theft effectively. Be a responsible healthcare leader now and use RightPatient to improve your bottom line by improving the quality of care for patients.

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Improving Remote Patient Outcomes by Addressing 5 Elements

The pandemic has been an unprecedented event that has taken much away from us since it started. However, hospitals in the affected countries felt its heat the most, and arguably the worst affected one is the US healthcare system. COVID-19 forced hospitals to divert regular patients to telehealth, leading to the explosive growth that it very much needed. Since telehealth is here to stay, more and more caregivers are adopting it and allocating resources for their online patients. While doing so, healthcare providers need to ensure that patient outcomes are optimal and immaculate.

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Let’s take a look at five elements healthcare providers need to consider and address to improve the patient outcomes of their remote patients.

5 addressable elements that can improve online patient outcomes

Catering to patients’ expectations

While telehealth has been around for quite some time in the US healthcare system, healthcare providers and patients did not pay much attention to it. Experts kept arguing about its merits and drawbacks, whereas patients were reluctant to try it. 

Telehealth achieved mainstream popularity only after the pandemic hit the US, and after almost a year, both patients and caregivers still might need some adjustments. For starters, caregivers need to identify patients’ expectations and work on addressing them.

A seamless check-in process and reduced wait times are good starting points, as these are some common requests. Moreover, if there are any temporary issues with the service, patients need to be notified immediately to avoid dissatisfaction. Conducting small and engaging surveys is another good strategy to determine what patients expect during the virtual sessions.

Training telehealth staff members

One of the best ways to improve online healthcare outcomes is by ensuring that patients have the best possible experience, and that can be done only if the telehealth team works effectively.

As already mentioned, telehealth is quite new to virtually everyone, and providing training sessions to the telehealth teams is a must to ensure that they use this solution to its maximum potential.

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Not only can training help improve efficiency, but it can also help caregivers provide patients with a seamless, intuitive, and engaging experience, improving patient outcomes in the process.

Ensuring ample security

Patient safety and confidentiality are necessities that any and all healthcare providers must ensure, and virtual sessions are no different. Something that is often brought up in regard to telehealth is security – data breaches are at an all-time high. Experts have been predicting that there will be fraudulent cases during telehealth sessions, as hackers and fraudsters may try to disrupt the entire session.

Hospitals and health systems must ensure that ample safeguards are used to protect patient information, prevent data breaches, and identity medical theft. Caregivers must go the extra mile and ensure that patient outcomes are error-free, safe, and optimal. 

However, while data breaches have so far been inevitable, medical identity theft is not. It can be prevented, but more on that later.

Ensuring reliability

A solution is as good as its reliability, and the same goes for telehealth options. Healthcare providers have a variety of options – they can either choose from the vast number of third-party solutions, or they can develop their own in-house. Whichever option they choose, healthcare providers must ensure that the solution is reliable and doesn’t break down unexpectedly or under pressure. If it fails, it can result in detrimental patient outcomes. For instance, equipment or technology breaking down in the middle of a telehealth session can be potentially dangerous for the patients, especially those who need urgent care.

While choosing third-party telehealth solutions, reading reviews can be quite helpful to determine their reliability. Also, pilot testing them provides a first-hand experience as to how reliable they are in real-time.

Ensure accurate patient identification for improved patient outcomes

Patient identification errors have been a prevalent but overlooked issue within the US healthcare system, and while many caregivers are still struggling with it during the pandemic, it will very likely be an issue during telehealth sessions as well. Imagine this: if the patient is misidentified right from the start and the wrong EHR (Electronic Health Record) is used, then the entire process will be full of errors. Moreover, as previously mentioned, medical identity theft during telehealth services is a growing concern. However, all of this can be mitigated with RightPatient.

RightPatient is a touchless biometric patient identification platform that is used by responsible caregivers to accurately identify their patients. It locks patients’ medical records with their photos and their biometric data during registration. Moreover, it is versatile enough to be used at any touchpoint across the healthcare facility, making it ideal for virtual sessions like telehealth and telemedicine. 

Patients receive an SMS or email after scheduling their appointments, after which they have to provide a personal photo and a photo of their driver’s license. RightPatient automatically compares the photos for a match, ensuring correct patient identification. 

Within healthcare facilities, the patient only needs to look at the camera – RightPatient performs a biometric search and provides the correct medical record after finding a positive match.

Not only does RightPatient prevent medical record mix-ups, but it also red-flags fraudsters, preventing medical identity theft even after a data breach and improving patient outcomes in the process.

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Four Ways to Improve Protection of Patient Information Within Hospitals

Healthcare in the US has been facing considerable challenges for the past few years. Data breaches, medical errors, patient safety issues, patient mix-ups, medical identity theft, the lack of interoperability, and detrimental patient outcomes are just some of the many problems that plague healthcare providers. However, one of the more crucial issues for healthcare providers is data breaches as they lead to a number of problems, especially compromising patient information. Unfortunately, these are becoming more common, even during the pandemic. Let’s take a look at why protection of patient information is crucial and four ways to improve its protection – leading to better quality and safety in healthcare facilities.

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Why the protection of patient information is crucial

The importance of patient information cannot be overstated – it is one of the most sensitive pieces of information for any given individual. Since it contains data such as names, medical history, medications, vitals, diagnoses, allergies, test results, demographics, etc., it should be protected at all times. Otherwise, external and internal data breaches can lead to the exposure of patient information to unauthorized individuals who might use it for nefarious purposes.

Medical identity theft is one of the most common outcomes of data breaches, and the former leads to patient data corruption. Patient data becomes unreliable, fragmented, and dangerous, causing detrimental healthcare outcomes down the line. This is exactly why HIPAA focuses on protecting sensitive information, known as PHI (protected health information).

After seeing why the protection of patient information is important, let’s take a look at how to improve it.

Four ways to improve the protection of patient information

Monitor access rights

Another way to enhance patient data protection is by monitoring access rights periodically, at the very least. This can be done by conducting internal audits to detect whether any unauthorized individuals have access to patient records. It’s crucial to remember that patient data protection requires preventing both internal and external breaches as well, and monitoring access rights prevents internal ones. After detecting the issues, simply revoking the access given to unauthorized users enhances protection.

Conduct risk assessments regularly

The best way to protect patient information is by taking the proactive approach – identifying issues within the system before the hackers do. Thus, healthcare providers need to conduct internal audits in order to detect existing security gaps, come up with effective solutions, and implement corrective actions.

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Utilize blockchain

Blockchain is something that has been trending in the past few years, and using it can significantly improve patient data protection. But how exactly can it help healthcare providers do so?

Well, hackers usually attack a single point. Since patient information is grouped in a single location, it’s easier to attack it and tamper with it however they please. Fortunately, blockchain enhances the protection of patient information. As the stored data is distributed over the network, hackers no longer can attack a single point – they need to access the data at all the blocks repeatedly. Moreover, any changes will be picked up by the officials and such changes require the approval of the majority of those in charge, making it virtually impossible for conventional hackers to hamper patient information.

Use solutions that focus on patient data protection

There are many solutions available for protecting patient data, but responsible caregivers need to think beyond data breaches as well. Data breaches have been far too common, and that’s because most healthcare providers have budgetary constraints leading to poor cybersecurity measures. While data breaches might be inevitable, providers can prevent medical identity theft in real-time with RightPatient.

RightPatient is a touchless biometric patient identification solution that locks EHRs with patients’ photos. Moreover, it’s versatile enough to be used at any touchpoint across the hospital, making it ideal for remote sessions such as telehealth and telemedicine.

After scheduling an appointment, the patients receive an SMS or email. They need to provide a selfie along with a photo of their driver’s license, after which the platform compares the photos for a positive match, ensuring remote authentication.

Patients coming to hospitals only need to look at the camera. The platform compares the photos – red-flagging fraudsters and preventing medical identity theft in real-time. This ensures the protection of patient information as it prevents incorporating the fraudsters’ medical information within the EHR. In many cases, medical identity theft can be life-threatening for the patients if it remains undetected and unaddressed, something that RightPatient prevents.

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Ensuring Safety in Healthcare Is Crucial as COVID-19 Cases Rise

What a year this has been! While it’s almost the end of the unforgettable year of 2020, the effects of COVID-19 will be felt for many years to come, unfortunately. 2020 will be globally remembered as one of the worst years in recent times due to the pandemic and how it kept pushing everyone to their limits. Arguably, it hit the US healthcare system the worst – just take a look at the mindboggling statistics. COVID-19 has infected more than 15 million Americans while claiming just over 288,000 lives. That’s not all – cases are increasing rapidly every day, with healthcare providers being overwhelmed by the surge of COVID-19 patients. With all that’s going on, safety in healthcare providers’ facilities as well as accommodating patients is more important than ever.

Ensuring-safety-in-healthcare-facilities-is-possible-with-RightPatient

Let’s take a look at some of the recent moves taken in response to the pandemic, how they can improve healthcare outcomes and prevent hospital-acquired infections (HAIs), and how an effective patient identity management platform can help.

Recent moves to tackle COVID-19 challenges

Patients are being redirected to other facilities due to capacity limitations

Lifespan Health System of Providence, Rhode Island, is redirecting COVID-19 patients to a field hospital located at Rhode Island Convention Center, as the former reached its capacity and has no beds to spare. While it still has its ICU and ventilators available, its regular beds are full due to COVID-19 patients. Moreover, the field hospital, with a capacity for 600 patients, is accepting non-critical patients as well.

A similar case had occurred in Arizona’s Holy Cross Hospital. Instead of admitting the patient at a neighboring facility, the ambulance crew took the patient to the Nogales International Airport before transferring him to a different location (Flagstaff) due to capacity constraints.

COVID-19 surge forces Mayo Clinic to temporarily close clinics

The Mayo Clinic Health System closed one of its clinics temporarily and will do the same with its four other clinics. The affected clinics are its Mankato-Northridge, Belle Plaine, Le Sueur, Janesville, and Waterville clinics. The health system is doing so to reallocate its resources and prioritize critical care due to the COVID-19 surge. However, patients may still visit its other sites or use the online services they provide, such as virtual sessions, nurse line, etc.

A pediatric acute care hospital will accept adult cases

Cincinnati Children’s Hospital Medical Center will be accepting adults under 30, whenever possible, in order to help ease the pressure of COVID-19 on other hospitals. Many local healthcare providers that serve adult patients are almost nearing their capacities due to the overwhelming number of patients, which is why Cincinnati Children’s has made such a welcome decision.

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The existing practices aren’t enough to ensure safety in healthcare facilities

All of the healthcare providers have one priority right now – to ensure safety within their facilities. However, COVID-19 has been creating havoc in healthcare facilities for months now, leading to many of them shutting down, health systems suspending some of its facilities temporarily, or resorting to cost-cutting measures.

While a few might be benefitting from such measures, healthcare as a whole is suffering. Hospitals need to seek out ways to enhance patient safety, reduce HAIs, reduce response times, and improve patient outcomes to ensure survival during and after COVID-19. Thankfully, RightPatient can help.

RightPatient enhances safety in healthcare facilities

RightPatient is a touchless biometric patient identification platform that is extremely beneficial for healthcare providers, especially during the pandemic. Since it is touchless, it doesn’t have any infection control liabilities associated with it, leading to reduced hospital-acquired infections and improving safety in healthcare for everyone involved. Moreover, it maintains patient data integrity by associating correct medical records with the appropriate patients every time – it locks the medical records of the patients with their photos. Also, it is versatile enough to be used at any touchpoint in a healthcare facility, making it ideal for telehealth sessions.

After scheduling appointments, patients receive an SMS or email for verifying their identities. Patients are required to provide a selfie and a photo of their driver’s license or any other form of identification. RightPatient automatically compares the photos for a match, remotely authenticating patients. Biometric credentials are provided to the new patients. This helps ensure that the accurate patient is identified right from appointment scheduling.

At healthcare facilities, patients only need to look at the camera – the platform compares the photos for a match and provides accurate medical records within seconds, making it the most hygienic and feasible choice for patient identification. 

RightPatient improves safety in healthcare facilities not only by identifying patients accurately and ensuring patient data protection but by also reducing HAIs, something that is paramount right now. 

Be a responsible healthcare provider and use RightPatient now to improve healthcare outcomes, enhance patient safety, and protect patients.

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2021’s Patient Safety Goals Show that Patient Identification Is the Topmost Concern

This has been a devastating year all around for the entire world due to the COVID-19 pandemic and its effects. Even though there have been a lot of issues within the US healthcare system that surfaced during the pandemic, one of the more prominent problems healthcare providers faced (and are still facing) is patient identification errors. Experts have talked about and how patient misidentification is detrimental to both patient safety and quality healthcare. Thus, it isn’t surprising that improving the accuracy of patient identification takes the top spot of 2021’s patient safety goals as per the Joint Commission.

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Let’s take a look at the new goals set by the Joint Commission, why improving patient identification can help achieve the other goals, and how RightPatient can help healthcare providers.

Patient safety goals for next year

The Joint Commission outlines the top patient safety concerns that healthcare providers must address each year based on available information. Patient identification has been on the list almost constantly because errors can cause a lot of adverse effects for patient safety, healthcare outcomes, hospitals’ finances, etc. – more on that later.

Let’s take a look at the national patient safety goals for the upcoming year 2021:

  • Identify patients accurately.
  • Improve staff communication.
  • Safely use medicines.
  • Reduce patient harm by improving clinical alarm systems.
  • Reduce hospital-acquired infections.
  • Identify patient safety risks within the healthcare facility.
  • Prevent surgical mistakes.

While these are different issues, some of these patient safety goals can be met, or at least the unwanted incidents can be reduced, by ensuring accurate patient identification with RightPatient.

How patient identification ties in with other patient safety goals

While patient identification errors might seem trivial to some, there have been many complaints about the different problems which were consequences of misidentification – not finding the accurate medical record, delays in care, repeated tests, etc. As a result, many healthcare experts are clamoring for the mythical national patient identifier once again this year. However, national patient identifier or not, patient identification must be accurate to mitigate patient safety issues. Moreover, by ensuring accurate patient identification, other patient safety goals can be met – let’s explore how.

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Improving staff communication

Communication is crucial for ensuring improved healthcare outcomes and reducing patient safety incidents across the care continuum. By ensuring that patient data is accurate and consistent, it will enhance outcomes, as most patient safety incidents occur when patient data is corrupted, fragmented, obsolete, or inconsistent.

When patients are accurately identified every time at any touchpoint across the hospital, it helps maintain patient data integrity, ensures that the correct information regarding the patient is used, leading to accurate test results being passed to the appropriate personnel at the right time.

Safely use medicines

Many patient safety incidents occur because of simply giving the wrong patients the wrong medicine, incorrect doses, and/or at the wrong time, leading to preventable medical errors. While clearly labeling and rechecking do help, many medical errors occur because of patient misidentification. For instance, if the patient is misidentified right from registration, rechecking the name or information won’t help, as it belongs to someone else entirely.

If patients are accurately identified from the start, not only will patient misidentification be eliminated, but medical errors will be prevented too, enhancing patient safety and improving healthcare outcomes in the process.

Prevent surgical mistakes

This is somewhat related to the previous point, but medical record mix-ups do lead to the wrong surgeries being performed as well. If the patient is misidentified during registration, rechecking won’t help, as it will lead to the wrong surgery being performed on the wrong patient. 

Only by identifying patients accurately at the front-end can mistakes such as patient record mix-ups be prevented effectively.

Reduce hospital-acquired infections

Now, how can patient identification reduce hospital-acquired infections (HAIs)?

Well, as there is no standardized patient identifier present in the US healthcare system, many caregivers are using different solutions to fit their needs. However, many of these solutions can be ineffective and are touch-based, which is a major challenge, given the pandemic. These touch-based solutions can lead to infection control issues, as they require contact by multiple individuals. If an infected person uses it, the subsequent patients will be infected as well, leading to a disastrous situation.

However, many caregivers are using innovative solutions such as RightPatient – a touchless biometric patient identification platform. It uses the patients’ photos to ensure that the patients are who they claim to be, preventing patient identification errors, mix-ups, duplicate medical records, and more. It can also be used across any touchpoint, starting from appointment scheduling.

How RightPatient works – improving patient safety

Patients need to provide a selfie and a photo of their driver’s license – the platform automatically compares them for a match, remotely verifying their identities. During inpatient visits, the patients only need to look at the camera – the platform provides accurate medical records within seconds after comparing the live picture with the saved one.

RightPatient thus prevents HAIs as it is a contactless solution, enhancing patient safety, improving patient outcomes, and reducing preventable medical errors across the care continuum.

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Wrong Patient Identification Errors Lead to Several Issues – Are You Preventing Them?

Patient identification has always been hit or miss within the US healthcare system. Wrong patient identification errors cause a plethora of serious issues for not only healthcare providers but also patients. Patient mix-ups, patient safety issues, medical identity theft, duplicate medical records, and overlays are just some of the many issues that can be traced back to patient identification errors. These issues have been popping up even more during the pandemic, leading many experts to demand a patient identifier. While we’ve talked about all of that in previous articles, let’s take a look at a very recent patient mix-up, its consequences, and how positive patient identification can prevent such cases.

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Another one added to the list of wrong patient identification

The mix-up took place back in August at Washington-based Sacred Heart hospital. Interestingly, the person with whom the hospital mixed up the information was a former patient of the healthcare provider. 

For simplicity’s sake let’s call the actual patient Samantha and the former patient (who got the call) Rebecca.

Back in August, Rebecca’s daughter was called and she was informed that her mother was hospitalized due to a critical injury. However, the daughter responded that Rebecca was right in front of her and fine, but the staff at the hospital was adamant and said that her mother was injured and admitted. Understandably, Rebecca was quite worried about the real patient, Samantha.

Rebecca and her daughter reportedly informed the healthcare provider that they had a case of mix-up on their hands – she said that she didn’t know who was being treated under her name or why. In response, she was told that the hospital would rectify the issue. However, that was only the start.

What happened down the road?

Since Rebecca was a former patient of Sacred Heart, she checked her records to see if it was fixed or not. Unfortunately, the wrong information was still present, and to make things worse, other irrelevant materials were added, such as $3,000 worth of bills. Moreover, the provider also tried to bill her old insurer, which naturally didn’t work. Subsequently, the provider attempted to help her get insurance.

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The actual patient was safe

Rebecca heaved a sigh of relief when she found out that Samantha was out of danger – she kept in contact with the hospital over the phone. When this was over, Rebecca was also relieved that she didn’t receive the wrong bills as a result of the mix-up.

Wrong patient identification errors are quite common

While this case didn’t have any adverse consequences, not everyone is as lucky. Wrong patient identification errors occur every day and most are not identified until it’s too late. Not only are they problematic for patients, but they create issues for caregivers as well.

Patients face delays in treatment, incorrect procedures, and repeated lab tests – ultimately hampering patient outcomes as well as jeopardizing patient safety in the process. Moreover, they receive shocking bills for medical procedures or treatments they never received. The lucky ones can have them written off as denied claims, but this is still a huge cost for the providers. 

On the other hand, healthcare providers face unwanted attention, loss of goodwill, denied claims, lower scores, and might even risk losing CMS reimbursements (as they are tied to patient safety). 

All of this is leading to healthcare experts and leaders rallying for a state-funded patient identifier. While this appeal has been denied for over two decades, forward-thinking hospitals and health systems are not waiting for it, and have taken the initiative themselves to eliminate issues related to wrong patient identification errors.

Leading providers are using RightPatient

RightPatient is the industry’s leading touchless patient identification platform trusted by providers such as Grady Health, Catholic Health of Long Island, Terrebonne General Medical Center, and University Health Care System. Using the photos of patients, it prevents patient identification issues like mix-ups, duplicates, medical identity theft, denied claims, and more.

After successfully scheduling an appointment, patients receive an SMS or email, after which patients are required to provide a personal photo and a photo of their driver’s license. RightPatient matches the photos automatically and verifies the identity of the patients remotely. 

Be a responsible healthcare provider and prevent mix-ups and the issues associated with patient misidentification by deploying RightPatient.

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Revenue Cycle Optimization Efforts Are Hampered by Duplicate Medical Records

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

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How duplicates get created

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

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

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

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

How revenue cycle optimization is hampered by duplicates

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

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

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

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

Providers dedicate FTEs for fixing medical record errors

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

RightPatient enhances revenue cycle optimization

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

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

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

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

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The Interoperability and Patient Access Final Rule – in a Nutshell

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

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

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

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

Why patient identification will make or break your CMS compliance

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

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

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

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

RightPatient is the most robust patient identification software

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

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

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

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

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Top Reasons for Using a Robust Patient Identification Platform

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

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It eliminates risks associated with contact-based patient identification platforms

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

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

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

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

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

A robust patient identification platform helps avoid duplicate records and overlays

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

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

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

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

It prevents medical identity theft

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

It ensures that you send out proper e-notifications

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

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

RightPatient does all of the above – and more

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

Contact us now to see how we are helping leading providers like TGMC, CHSLI, and Grady Health.

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CMS Compliance Requires Identifying Patients Correctly – Are you Ensuring it? 

From the title, it is quite clear what this is about. The changes made to the Medicare CoPs (conditions of participation) have attracted attention within the US healthcare system, especially after the introduction of mandatory e-notifications during every ADT (admission, discharge, or transfer) of a patient. While providers are more focused on e-notifications, most of them forget about one very important prerequisite: identifying patients correctly. While we have already touched upon the topic regarding CMS (Centers for Medicare and Medicaid Services) Interoperability & Patient Access Final Rule, this time, we will focus more on the practical aspects and how patient identification is a crucial component that is absolutely necessary for e-notifications to work properly as well as CMS compliance. Without further ado, let’s dive deeper into the topic at hand.

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A brief refresher

A few changes have been made regarding the CMS Interoperability & Patient Access Final Rule. As the name suggests, it has been done to boost interoperability efforts within the caregivers of the patients. Let us look at why it is required within the healthcare system.

There are many cases where a patient is not restricted to a single healthcare provider;  especially if they have complications, multiple ailments and so on. Such patients need to visit and consult with multiple healthcare providers in order to receive the best patient care. For this to be effective, caregivers need to have access to the patient’s medical record, history, medications, vitals and other necessary information. In order to make the caregiving process seamless and boost interoperability, the Final Rule was introduced.

The “companion final rule” states that e-notifications must be sent out by healthcare providers (such as acute care, psychiatric, critical access providers, etc.) during every ADT to the appropriate recipients, i.e., the other caregivers (post-acute providers & suppliers, established primary care practitioners, or any other entity primarily responsible for the patient’s care). This rule applies to inpatient admissions as well as ED admissions. 

Who needs to ensure it?

Applicable healthcare providers are those who use digital medical records like EMR or EHR systems. They need to ensure compliance and have proper systems set up by May 1, 2021 so that they can send out e-notifications during ADTs. 

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While that’s a succinct summary of the most recent change in the CoPs, every healthcare provider needs to ensure that they are sending out e-notifications. Otherwise, they can face undesirable consequences such as receiving penalties for non-compliance, or worse, jeopardizing their CMS provider agreements. But how is identifying patients correctly related to CMS compliance regarding e-notifications?

Identifying patients correctly is required for CMS compliance

As previously mentioned, the CMS rule requires healthcare providers to send out notifications during ADTs. But there’s a catch.

Identifying patients correctly is quite important for e-notifications to work. Think about it: if a patient is not accurately recognized or is misidentified as a different patient, the healthcare provider risks sending alerts to the wrong caregivers. Worst of all, the provider risks that they won’t be able to answer alerts other caregivers are requesting.

Without a reliable way to identify patients, things can escalate quickly. If a provider cannot fulfill alert requests or sends too many incorrect alerts, care coordination teams will start to lose faith and miss opportunities to improve patient outcomes. Noncompliance will also incur CMS penalties, which can result in hefty fines. After COVID-19, nobody can afford such costs.

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While healthcare providers are busying themselves by deciding how to best implement e-notifications, they should also assess the effectiveness of their patient identity matching systems. Clearly, the former is dependent on the latter. Those who are struggling with patient identification need to upgrade their systems to futureproof, easy-to-use and hygienic ones. 

RightPatient helps identify patients correctly

We ensure that patients are always identified correctly with our industry-leading touchless biometric patient identification platform.

How it works

After making an appointment, patients receive an SMS or email to validate their identity. During this process, the patient takes a photo of their driver’s license and a selfie. RightPatient automatically matches the selfie photo with the photo on the driver’s license to ensure a proper identity match. If the patient is not already in the system, RightPatient assigns biometric credentials to the new patient.

This is how we prevent patients from registering under a different identity or medical record mix-ups. There’s no need to worry about name changes, mistakes when entering a patient’s name or other common issues. Patients are recognized with their selfies.

We have been helping prominent health systems like TGMC, CMC and CHSLI fight the battle against patient misidentification for years. With RightPatient, responsible healthcare providers can send e-notifications and comply with CMS without worrying about faulty alerts.

If we haven’t convinced you by now, why don’t you try our free trial? No gimmicks – it’s really free!