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Patient-Safety-Improvement-with-5-Strategies-RightPatient

Patient Safety Improvement in Hospitals with 5 Strategies

Patient safety is one of the key components that is crucial for preventing patient harm, ensuring proper healthcare outcomes, and reducing redundant costs for healthcare providers. Without it, adverse events lead to patients receiving the wrong care, and according to WHO, one in ten patients is harmed while receiving healthcare services. Fortunately, half of these adverse events are preventable – let’s take a look at some patient safety improvement strategies that can help with that. 

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5 strategies for patient safety improvement

Nurture a patient safety-focused culture

One of the best patient safety improvement strategies is to foster a culture that focuses heavily on improving patient care. All employees, from the janitors to the decision-makers, must be a part of the culture and focus on patient safety and quality healthcare more than anything else. In fact, healthcare providers that aren’t fostering such patient-centered cultures are struggling with adverse events, medication errors, and worse. For instance, physicians must focus on patients themselves rather than their medical records and involve them in the decision-making process. This way, they can get better insights into the patient’s ailments to help them identify the problems in a more reliable manner.

Identify and work on mistakes

Rather than only acknowledging the mistakes that lead to patient safety incidents, working towards preventing future incidents is a much more sensible strategy. What’s even better is identifying the issues before they happen and preventing them. For instance, there are different solutions available that can help identify potential issues and address them effectively. In the case of mistakes that already took place, identifying why they occurred and coming up with strategies that can prevent future occurrences is the tried and tested solution. 

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Reduce chances for human error

While technology is evolving rapidly, most healthcare providers, unfortunately, are still stuck with ancient processes and manual methods. This leaves room for human error, something that can jeopardize patient safety in hospitals significantly. For instance, if paper is used for recording medicine administration, handwriting or common names can lead to mix-ups, leading to an adverse impact on healthcare outcomes. On the other hand, if digital solutions are used, then not only will it speed up the process, but it will also make it more reliable and safe (especially if patient photos are used for identification). This is just a simple example, but reducing chances for human error ensures patient safety improvement across the care continuum.

Ensure a clean environment and enforce hygiene rules

While many might have forgotten that we’re still going through a pandemic, hospitals and health systems must ensure that they are providing a safe environment for everyone involved. Not only must hospitals ensure that they keep their facilities clean, but they also need to ensure that everyone in the facilities is complying with safety rules such as wearing masks and maintaining distance. All of this leads towards reducing HAIs (hospital-acquired infections), improving patient safety in the process. 

Ensure accurate patient identification

One of the topmost patient safety goals for many years has been improving the accuracy of patient identification, and according to the Joint Commission, it will once again be the number 1 goal for 2022. This just shows how important accurate patent identification is for patient safety improvement. 

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The problem is that patient misidentification leads to a number of issues – duplicate medical records, patient record mix-ups, wrong treatment, and even medical identity theft. All of these lead to adverse healthcare outcomes, hospital readmissions, and even deaths. 

Fortunately, accurate patient identification IS possible – hospitals that have been using RightPatient are protecting millions of patient records and improving patient safety. 

RightPatient is a touchless biometric patient identification platform that essentially locks medical records during the registration process with patient photos. Registered patients only need to look at the camera when they revisit hospitals – RightPatient compares the photos and provides the accurate medical records for use, preventing duplicates, overlays, and medical errors. Moreover, it also helps prevent HAIs as it’s entirely touchless – improving patient safety on two fronts. 

How are YOU improving patient safety at your hospital(s)?

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RightPatient Partners with Harris Healthcare to Secure and Maintain EMPI Data Integrity

Very recently, RightPatient and Harris Healthcare’s DIS (Data Integrity Solutions) Business Unit have announced a strategic partnership to tackle patient data integrity issues by ensuring accurate patient identification. 

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Harris DIS includes QuadraMed, which focuses on EMPI management and data cleanups, and Just Associates, focused on helping hospitals and health systems achieve and maintain a highly accurate and quality MPI. QuadraMed provides end-to-end patient identity management to prevent duplicate medical records and dirty patient data to improve patient data integrity. From data analysis to cleanups, Just Associates performs the critical tasks necessary for a pristine MPI. Its state-of-the-art suite of identity management solutions and services includes continuous duplicate detection (IDSentry™), ongoing MPI management (IDManage™), and customized MPI clean-up services (IDResolve™).

By using the RightPatient Integrity Platform with Harris DIS’ existing solutions, patient identity management will be much more secure, accurate, and efficient. The collaboration provides important protections against front-end contamination of the MPI and EMPI and helps eliminate patient misidentification and safety issues created by “dirty” patient identification data. 

The problem of patient misidentification and dirty patient data

Several factors cause front-end contamination and dirty patient data within an MPI or EMPI, such as frequent flyers, medical identity theft, and duplicate medical records. There may even be duplicate records that have very limited or contrasting information.

RightPatient Integrity Platform incorporates patient photos into the Quadramed SmartID platform, helping identify and resolve these challenging duplicate records that were created from cases of alias or stolen identities. This helps reduce new duplicate and overlaid medical records right from the start, while Just Associates focuses on creating and maintaining a pristine MPI/EMPI environment and supporting rapid and accurate patient identification. 

RightPatient advances Harris DIS’ ability to address key health information issues by reducing the volume of potential duplicate medical records, preventing patient misidentification, enhancing patient safety, and ensuring patient data integrity across the care continuum. Doing so is more important than ever as remote patient registrations have increased due to COVID-19. 

RightPatient and Harris DIS’ partnership aims to improve the overall efficacy of medical data clean-ups and ongoing data integrity efforts with RightPatient’s robust de-duplication engine. It secures patient information and minimizes the ongoing cost of maintaining quality patient data. 

How RightPatient and Harris DIS improve patient identity management

Typically, an EMPI contains patient information from a health system’s several facilities such as labs, hospitals, physician practices, and pharmacies. Front-end contamination is common if positive patient identification isn’t ensured during the registration process. This later leads to dirty patient data, duplicates, overlays, patient safety incidents, write-offs, and more. 

RightPatient and Harris DIS can address and solve patient misidentification right off the bat using patient photos.

During the registration process, hospitals collect the patient information along with their photos. The MPI data is then sent to QuadraMed for analysis and cleaning, after which RightPatient Integrity Platform receives a copy of the patient photos along with the corresponding MRNs (medical record numbers). Using RightPatient’s powerful photo-matching engine, the patient photos are deduplicated to bolster overall system analytics.

RightPatient Integrity Platform with Harris DIS can be used for:

  • Existing EMPI data cleanup projects
  • Identifying duplicates during the registration process
  • Hospitals that are starting to capture patient photos

The impact of effective patient identity management

RightPatient’s leading touchless patient identification platform is being utilized by numerous healthcare providers to identify their patients safely, reliably, and effectively.

During the registration process at hospitals and healthcare facilities, patients just look at the camera and the platform takes a photo and attaches it to the medical record. During remote registrations, patients receive an SMS after which they provide a selfie and a photo of their driver’s license. The platform then searches for a match between the two photos and assigns biometric credentials to new patients.

The same expertise comes with the RightPatient Integrity Platform which can be seamlessly integrated with any EHR, including QuadraMed’s SmartID Platform. This enables healthcare providers to:

  • Prevent duplicate and overlaid medical records during registration
  • Ensure remote patient photo capture and authentication
  • Bolster de-duplication and EMPI data cleanup efforts
  • Ensure clean patient data across the care continuum
  • Improve patient safety and prevent medical errors
  • Reduce write-offs and denied claims
  • Prevent cases of identity theft and “frequent flyers”
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Patient Verification Helps Hospitals Deal with Decreasing Revenue as COVID-19 Cases Rise

Hospitals and health systems are constantly being challenged by the pandemic. Sure, COVID-19 has affected virtually every business – many organizations have declared bankruptcy while others have shuttered their doors. However, most, if not all of these organizations, had their employees work from home. Healthcare providers, on the other hand, had to face unprecedented challenges head-on, such as frontline healthcare teams risking their lives, losing billions of dollars, patient verification issues, data breaches, and more.

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Unfortunately, it looks like the battle with COVID-19 is far from over for healthcare providers. With the Delta variant once again wreaking havoc, caregivers are experiencing razor-thin margins. That being said, accurate patient verification CAN prevent many issues, helping hospitals survive this challenging period. Let’s take a look at a few stats that show how concerning the new variant is and how positive patient identification can help caregivers.

Some recent statistics that show a rise in margins and expenses 

While things were definitely getting better with millions being vaccinated across the U.S. and businesses slowly opening up, the Delta variant of COVID-19 has struck back with full force. While healthcare providers have been facing lower losses and improved margins when compared to the first half of 2020, a new report sheds light on many facts. While many indicators show that things are going in the right direction, some show that the effects of COVID-19 are far from over.

The “median operating margin index” in June was 2.8%, excluding funding from the CARES (Coronavirus Aid, Relied, and Economic Security) Act. When taking funding into account, it was 4.3%.

What do these numbers mean for hospitals and health systems? Well, it’s an increase of almost 90% (excluding CARES Act Funding) or 48.7% (including the funding) when compared to the first half of 2020. All of these numbers are based on 900 hospitals that have participated monthly for the last three years. 

When it comes to patient volumes, it’s a mixed bag. Patient volumes were higher when compared to 2020, but lower than they were before the pandemic. For those who want specifics, discharges between January and June of 2021 were 10.1% higher than in the first half of 2020, but when compared to the first half of 2019, patient volumes are down 4.4%. A similar trend can be seen for ER visits in hospitals, i.e. higher than in the first half of 2020 but lower than in the first half of 2019.

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Fortunately, the revenue of hospitals and health systems has increased compared to both 2020 and 2019! According to the same report mentioned above, this is because of outpatient visits. “Gross operating revenue,” excluding CARES Act funding for January to June of this year, was 18.2% higher than the same period of 2020 and 7.9% higher than the same period of 2019.

But all of these statistics look good for hospitals, right?

Well, while all of these do look good, expenses have also increased – affecting margins significantly. The first half of 2021 saw an 8.5% rise in expenses when compared to the first half of last year, and an increase of almost 10% when compared to the first half of 2019. 

While margins are increasing, expenses are increasing as well

Unfortunately, the COVID-19 pandemic is far from over – the Delta variant has reached the U.S. and has been in the news for the past few weeks. While healthcare providers have opened their doors to regular patients, COVID-19 cases are spiking once again, and this might be detrimental to hospital margins according to an official associated with the study mentioned above. 

Hospitals need to identify ways to reduce losses, improve patient safety, and avoid unwanted incidents that hurt the bottom line. But how can patient verification help?

How patient verification helps improve hospital margins

Accurate patient identification has been a topic of discussion for several years now, and identification errors have also given rise to a number of studies.

Accurate patient identification helps

  • Prevent medical record errors such as duplicate medical records and overlays
  • Prevent medical identity theft in real-time
  • Protect patient data integrity
  • Reduce denied claims by ensuring accurate, consistent information within medical records
  • Prevent medical errors that might lead to patient safety incidents
  • Avoid dangerous patient mix-ups, including transplant mix-ups
  • Ensure CMS compliance by sending out proper e-notifications to appropriate caregivers
  • Improve patient outcomes
  • Reduce hospital readmissions

All of the above, when considered together, can drastically reduce losses and improve a hospital’s margin. We know this because our leading patient identification platform has been helping several healthcare providers for years.

Patient verification made easy with RightPatient

A number of healthcare providers have chosen RightPatient to manage their patients’ medical records. In a post-pandemic world, RightPatient’s touchless patient ID platform makes the most sense, as it keeps everyone safe by preventing physical contact (when compared to other methods of identification). 

RightPatient reduces denied claims, improves patient safety, prevents duplicates and overlays, and prevents patient identity theft – boosting the bottom line of hospitals. 

How are YOU planning to reduce losses and improve margins at your healthcare facility?

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Denied Medical Claims Are Costly but Preventable with Patient Identification

The U.S. healthcare system is no stranger to problems, unfortunately. In fact, it has been plagued by a plethora of issues for several years. While some of the problems are definitely solvable, external issues alongside other factors cause the problems to continue. Some of the many problems are astronomical prices, the lack of price transparency, interoperability issues, the abundance of data breaches, medical identity theft, and patient safety issues. While we have covered some of these topics at one point or the other, let’s take a look at another crucial problem, denied medical claims, how they are problematic for everyone, and how positive patient identification can prevent them. 

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Denied medical claims are costly and cumbersome for everyone involved

Denied claims are not a recent problem within U.S. healthcare – most hospitals and health systems are quite familiar with them. One can safely say that denied medical claims are quite expensive – an average hospital can lose around $3.5 million due to them. However, denied claims not only affect hospitals but also insurers and patients, albeit in different ways – let’s see how.

Claim denials in a nutshell

In the U.S., healthcare is closely related to reimbursements from Medicare, Medicaid, and commercial insurers. Patients get health insurance, go to their healthcare provider, get treated, and that’s about it. However, a lot more goes on behind the scenes regarding healthcare reimbursements. 

After providing healthcare services to the patients, the hospital processes the information and sends the claims to the insurance company. While healthcare providers usually get reimbursed by the payer, some of them face expensive hiccups. Due to billing or coding issues, patient identification errors, medical record mix-ups, or other problems, the payer identifies inconsistencies after receiving claims, and they might reject or deny said claims. While some claims can be resubmitted, checking for and fixing the errors is time-consuming, costly, and requires a considerable number of resources. 

All of the above leads to back-and-forth exchanges between care providers and payers. Insurers have to reject claims, caregivers lose out on a significant amount of revenue, and many patients even receive shocking, incorrect bills. However, some even lose healthcare services, especially those associated with Medicaid.

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Let’s take a look at a few statistics to see how Medicaid patients suffer due to denied medical claims. However, do keep in mind that denied claims can be detrimental for any patient. 

A worrying study regarding denied claims

A very recent study has shed light on denied claims and how physicians or hospitals are reluctant to see Medicaid patients due to reimbursement issues. 

According to the study, at least 25% of Medicaid claims have been denied upon initial submission. On the other hand, 7.3% of Medicare claims were denied whereas commercial insurers denied 4.8%.

Moreover, the study also states that around 17% of revenue is lost due to billing problems associated with Medicaid patients, whereas the numbers are quite lower for patients covered by Medicare (5%) and other payers (3%). 

While any type of denied claim is extremely costly, the statistics show that the Medicaid ones are quite problematic. Moreover, since Medicaid is associated with low-income families, reimbursements are lower as well.

All of this just leads to caregivers being reluctant to look after Medicaid patients. 

Denied medical claims are preventable 

One of the topmost priorities of physicians and healthcare providers is to look after the patients, Medicare or otherwise. Instead of worrying about denied claims, hospitals and health systems can work on reducing or eliminating them with the right tools and strategies. 

Fortunately, RightPatient, the industry’s leading touchless biometric patient identification platform, can help reduce denied claims substantially.

Denied and rejected claims typically occur because of billing and coding errors – most of which can be traced back to medical record errors, patient mix-ups, and identification issues. RightPatient eliminates all of that, and more, as it ensures that the accurate information is fed to the correct EHR at all times. As a result, billing and coding errors are drastically reduced and so are denied claims – boosting the bottom line. 

How are YOU reducing denied claims in your healthcare facility?

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Healthcare Revenue Cycle Management Optimization is Crucial as In-Person Visits Increase

Believe it or not, while COVID-19 was arguably one of the worst problems faced by the U.S. healthcare system, it was just ONE of many. That’s right, there are a plethora of issues that have been hampering healthcare for years, causing patient safety incidents, lost revenue, and more. Unfortunately, these losses went through the roof due to COVID-19 – they were estimated to be around $323 billion in 2020. While the pandemic is slowly waning, things are going in the right direction as providers are opening their doors for in-person visits. To recover from the pandemic’s financial losses, healthcare revenue cycle management optimization must be one of the topmost priorities for health systems – let’s take a closer look at why it’s important and some strategies that can help with revenue cycle optimization.

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Revenue cycle management in healthcare facilities

Healthcare revenue cycle management might be quite complex, as it contains many intricate processes, but it is simple enough to understand.

Revenue cycle management, in a nutshell, is used by hospitals and health systems to keep track of the “revenue” they receive by treating patients. It has many steps, but RCM starts from the first interaction with the patient, for instance, appointment scheduling, and continues until caregivers receive the final payment. 

If broken down, revenue cycle of healthcare facilities usually contains 7 components:

  • Preregistration
  • Registration
  • Charge capture
  • Claim submission
  • Remittance processing
  • Insurance followup
  • Patient collections

As this list shows, the revenue cycle starts from the first interaction with the patient and ends with receiving the full amount for providing healthcare services to the patient.

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While it might seem simple, healthcare revenue cycle management is quite complicated and difficult, especially when it comes to collecting claims from the payers (insurance providers). 

Why optimizing RCM has never been more crucial

While it was always important for healthcare providers to improve RCM within their facilities, doing so now might ensure their survival and get them through this trying time. COVID-19 has drastically affected healthcare providers, and while some received bailouts in billions, others had to close their doors permanently. The rest of them are simply struggling through the financial losses, but as in-person visits are increasing, things look brighter for the caregivers, as long as they are implementing strategies that optimize RCM right from the start. 

That being said, let’s take a look at some of the strategies that can be employed to optimize healthcare revenue cycle management.

Strategies that enhance healthcare revenue cycle management

Examine the entire RCM process to identify gaps

While the age-old saying is “If it isn’t broke, don’t fix it”, rapidly evolving environments beg to differ. How do you know that it’s working out fine for you? Unless your denied claims are reduced to virtually zero, there’s always room for improvement. 

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Analyze the entire RCM process to see if there are addressable gaps that require improvement – even the smallest ones matter. Talk to patients, survey your RCM team, take a look at the current numbers, and determine where you want the numbers to be. If issues are not found, then great – the problem might not lie in RCM, but if issues exist, work on them. RCM is evolving rapidly, and with the changes brought about by COVID-19, introducing technology in almost every aspect of the service to improve efficiency and collaboration has become the new normal. And speaking of collaboration, let’s move to the next point. 

Improve collaboration between your front-end and back-end RCM teams

The traditional practice is that the front-end and back-end teams work towards the same goals, but separately. However, if they work more collaboratively then the entire process will become seamless and it will help optimize RCM as information is never lost or misinterpreted – helping to receive payments much faster and in greater numbers, improving the bottom line. 

Using solutions that guarantee accurate patient information

When it comes to RCM, one of the biggest impediments to its optimization is denied or rejected claims – most of which can be traced back to billing and coding errors. On the front-end, if the patients are misidentified or if inaccurate medical records are used, then there are bound to be inconsistencies that are picked up by the payers. These errors lead not only to billing errors and denied claims, but can also be detrimental to positive patient outcomes – affecting the bottom line and the goodwill towards the hospital. As a result, ensuring patient data integrity and accurate patient identification is a must – both of which can be done with RightPatient.

RightPatient is a tried and tested biometric patient ID platform that safely and accurately identifies patients using their faces. The patient only needs to look at the camera – the platform does the rest, making it an entirely contactless process, something that is crucial in the post-pandemic world.

Not only does RightPatient make identification faster and accurate, but it also ensures that accurate information is fed to the registered patients’ EHRs every time they opt for healthcare visits, reducing billing and coding inconsistencies and denied claims in the process.

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Preventing Medical Record Errors Improves Patient Safety

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

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

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Medical record errors jeopardize healthcare outcomes in several ways

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

Patient misidentification leads to most medical record errors

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

Duplicate record creation 

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

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

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

Overlays are extremely dangerous

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

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

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

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

RightPatient prevents duplicates and overlays

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

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

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4 Innovative Ideas that can Bolster Transformation in Healthcare

It’s quite safe to say that healthcare has undergone radical changes since the pandemic struck with full force. While COVID-19 has had unprecedented effects on everyone and everything, it affected hospitals drastically and forced them to come up with alternatives that have led to transformation in healthcare, for instance, telehealth. While the pandemic is hopefully behind us as we return to the “old normal”, let’s take a look at some ideas that healthcare executives believe will transform healthcare and some technologies that already exist such as contactless patient identity verification solutions.

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4 ideas that bolster transformation in healthcare

Patient engagement and patient monitoring going full digital

While we have been hearing about remote patient monitoring and digital patient engagement for quite some time now, the CIO at Cherokee Nation Health Services believes that adopting said solutions into healthcare will vastly improve healthcare outcomes as patients will be more engaged regarding their health and wellness by putting the power in their hands. Not only do such solutions improve patient outcomes but they also allow both caregivers and patients to engage with each other in a more proactive manner beyond the healthcare facilities’ walls by means of text messaging, digital platforms, and chatbots, leading to a digital door, per se.

Introducing meaningful technology in relevant department(s)

The future of healthcare is digital, there is no doubt about that. Healthcare providers that are still using ancient methods and obsolete technology are beginning to feel the heat as the disadvantages keep on piling up. However, innovative hospitals and health systems are going the other way – they are overhauling their processes by implementing technology in almost all of their departments. For instance, while many are using RCM solutions, others are introducing technology in their HR department, inpatient services, nursing department, and so on. While it might not directly generate transformation in healthcare, implementing useful and relevant technology in various departments can bring in better talent, optimize operations, and improve healthcare outcomes – boosting the bottom line. 

Making telehealth a permanent part of the facility

While telehealth has been around for a long time and has not seen success until recently (in response to COVID-19), many caregivers are still quite wary about it. However, even the most skeptical ones cannot deny that it has introduced significant transformation in healthcare. For instance, patients can communicate with their caregivers from the safety and comfort of their houses and reduce significant risks and expenses, among other things. Caregivers can also divert non-critical patients towards virtual visits, reducing the pressure on physical locations and staff and keeping the physical patient volume low, something that is a must to keep COVID-19 at bay. 

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While telehealth can never replace conventional healthcare or in-person visits, it has definitely become an extremely useful tool of healthcare itself, something that caregivers must utilize to its full extent. It can save costs, improve patient satisfaction, enhance outcomes, and keep COVID-19 at bay – creating a win-win situation for everyone involved. 

Implement contactless technologies can truly introduce transformation in healthcare

Speaking of COVID-19, it has spread the fear of getting infected via physical contact to virtually everyone. This is quite surprising, as healthcare providers have always had this fear of hospital-acquired infections (HAIs). Hospitals that take patient safety seriously have always focused on infection control, and these are the ones that are always looking for contactless solutions. 

While COVID-19 has pushed infection control into overdrive, many recent innovations in this area include touchless IoT-based systems, patient check-ins, payments, and so on. However, did you know that touchless solutions were already being used in several hospitals across the U.S.?

That’s right – RightPatient is a touchless biometric patient identification system that responsible and innovative healthcare providers have been using for many years. Since it attaches patients’ photos to their medical records, patients only need to look at the camera to validate their identities. It can also be used at any touchpoint across the care continuum – making it ideal for telehealth. RightPatient has been ensuring patient safety, hygiene, reducing denied claims, preventing medical identity theft, and much more via accurate patient identification.

Are you one of the providers who’s looking to introduce transformation in healthcare to your facility?

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5 Strategies That Can Rebuild Revenue Cycle for Healthcare Facilities

As the pandemic wanes, at least for now, many businesses are rebuilding. The US healthcare sector is no exception, picking itself up and dusting itself down gingerly, preparing to welcome back patients and see an uptick in revenue again. Working on the revenue cycle for healthcare providers has never been more important.

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For some hospitals and departments, it’s already too late – the pandemic forced them to close. Others are hanging on, with staff returning from furlough and machinery being switched on and recalibrated for the first time in over a year. As more people are fully vaccinated, it becomes simpler to see patients in person again, which will lead to the increase in revenue the healthcare sector badly needs. However, it’s not all plain sailing. Providers could still lose over $120 billion this year, so it is vital to be careful with any attempts to ramp up income. The fewer denied claims there are, the better the bottom line will be. That being said, let’s take a look at some strategies that will help optimize the revenue cycle for healthcare providers.

5 strategies to enhance revenue cycle for healthcare providers

Check the existing revenue cycle management processes

The first option is to see whether any immediate improvements can be made to the existing system. This will be down to the back-end developers and IT specialists and will not be visible to patients. After that, it’s time to look at the patient-facing part of the cycle. Ensuring staff members are fully trained in customer service is a good place to start with optimizing revenue cycle management. That way, they will know what questions to ask when registering or checking in patients and how to check their insurance, treatment codes, and eligibility. They will know how long to allocate for different types of appointments and when to ask for immediate payment.

Use technology to your advantage

The easiest way to ensure that everything runs smoothly is by identifying patients accurately right from the start of the treatment process. This could be done using a patient identity verification platform such as RightPatient that eliminates the need for asking patients questions, patient record mix-ups, and more, reducing denied claims in the process.

That was just one example – optimizing the revenue cycle for healthcare providers is not difficult, it just needs a bit of help at times. Technology can be that hidden assistance.

Prompt, correct coding, and billing is key

An organization should not expect prompt payment if its internal processes are lax. Ensuring accurate coding and billing leads to lower chances of denied claims. Complete elimination of denied claims is impossible, because of some uncontrollable factors, but rigorous checking of coding will, in turn, generate accurate bills which are more likely to be agreed on the first time by the insurers.

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Utilize up-front collection

If possible, the up-front collection is the best way to optimize the revenue cycle for healthcare providers. This eliminates an entire step in the revenue collection process, as the bill does not need to be seen by accounts receivable at all. Instead, it lands on the collected revenue team’s side for processing. While this approach will not work for every patient, it can be an effective tool for immediate revenue generation.

Accurate patient identification underpins everything

Well-trained staff members are likely to know exactly how to identify a patient and take payment politely using a fast processing system, but the whole thing falls if the patient’s identity is incorrect on the system, or if changed details are input wrongly. Denied claims are annoying and time-consuming to rectify. There are ways in which technology can help minimize the chances of this happening, however. 

Getting the patient’s identity and billing details correct from the first interaction with them makes things so much smoother. It prevents duplicate medical records and overlays, for a start. If a patient only has one EHR, there is little to no chance that the insurer will find fault with the claim and so will settle the amount faster. Denied claims cost millions of dollars for every provider, often due to poor electronic health records and a lack of robust identity checks. Incorrect patient identification puts the patients at risk too.

One of the most innovative ways of ensuring accurate patient identification from the get-go is by using RightPatient. This touchless biometric patient identification platform is being used by several healthcare providers and has several benefits. It allows patients to identify themselves even in virtual consultations and during in-person visits, all they need to do is look at the camera, meaning that they don’t have to run the risk of others overhearing sensitive personal data when checking into a clinic. Nor do they have to use touchscreens or keypads to enter information – making it hygienic and safer than ever.

RightPatient is the solution that ensures accurate patient identification, reduces denied claims, duplicate medical records, and ensures fast billing.

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How to Improve Healthcare Outcomes and Reduce Readmission Rates

Improving a patient’s outcome (for instance, their quality of life or life expectancy) is obviously the prime reason for treating them. Patients approach a medical professional with the hope of ‘being cured’ of whatever ails them, whether that’s by being prescribed medication to ease symptoms or having an operation or procedure to relieve pain or remove or transplant a body part to offer a better quality of life. When they are paying for their treatment, they have every right to expect that their life is better afterward. Hospitals that do not achieve the required levels of treatment outcome are routinely penalized, thus, they need to improve healthcare outcomes. These levels are measured by readmission rates. On average, over 2,500 hospitals are likely to be penalized because of their monthly readmission rates, even though the pandemic will have increased the chances of some patients having to be readmitted.

RightPatient-can-improve healthcare-outcomes-and-reduce-readmission-rates 

Improve healthcare outcomes with an effective patient identification platform

However, there are some very simple ways in which hospitals can improve healthcare outcomes and reduce readmission rates.

Identify your patient. Continue to identify your patient.

Correct patient identification is key. Ensuring that staff members are treating the right patient for the right ailment is, perhaps, needless to say, the best way to improve healthcare outcomes. Getting identification wrong can lead to any number of issues, from unnecessary operations or incorrect scans to potentially dangerous prescription medication being offered.

The best way of ensuring correct patient identification is by using a touchless biometric patient identification platform such as RightPatient. It helps improve healthcare outcomes, ensures timely sharing of appropriate information with other professionals, and ultimately helps lower the chances of a patient safety incident.

The data may be on the screen, and may well be correct. But front desk staff, nurses, medics, and others are only going to know this for sure if they use such a solution. The available data is also likely to show previous admissions, incidents that the patient may have been involved in, allergies, vital statistics, next of kin, and areas of concern for the patient’s health.

Many hospitals undertake patient surveys to help them improve patient care, and this option can be offered as a patient reaches discharge date, if appropriate.

Goals, KPIs, outcomes, HSMRs – whatever you call them, they help improve healthcare outcomes.

Improving the patient’s experience of their stay in the hospital will also improve their view of how well they were treated. A positive outlook has been shown to raise recovery rates. Plus, helping patients recover makes staff feel better too. Making a good outcome a key goal of the organization and the staff will help both sides. Suggesting a reduction in incidents from the previous year is a friendly way to ask for an improvement in figures, whilst still recognizing that employees are human and can make mistakes.

RightPatient-identifies-patient-records-accurately

RightPatient identifies patient records accurately

No matter how good the records, unnecessary scans can be requested and patient information can be incorrectly recorded. It happens. If the patient’s identity can be verified accurately, then mistakes can be avoided.

Sharing is caring.

Sharing information with other caregivers can also improve healthcare outcomes and provide healthcare professionals with a rounded picture of the person they are treating. Not all patients will be happy with this option, but for primary care doctors, knowing where else their patients have already been treated is of great benefit when referring them to other specialties. Many people have to see a different physician for every ailment, and joined up care can make things much easier. When someone with a chronic condition ends up in the ER, a shared electronic health record allows everyone to know what medication the patient has already been prescribed and even whether certain common treatments have already been attempted.

CMS, therefore, requires healthcare providers to use CoP electronic notifications to let other named physicians know that they have a patient in their care. These notifications also alert others in the chain about patient discharge or transfer, which is important for ongoing care – using RightPatient can help with that. RightPatient also aims to prevent duplicate medical records, so acting against medical identity theft. All of this helps CMS compliance, which is good news for a facility’s finances, as fines for CMS breaches can be crippling after a while.

Contact us for more information on how RightPatient can help your facility and your patients stay safer from medical mix-ups and online impersonation by using our biometric patient identity management system.

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Improving Patient Outcomes Relies on Identifying Patients Even During COVID-19

Healthcare in the US has always had its fair share of troubles. Price transparency issues, medical identity theft, data breaches, denied claims, and interoperability issues are just some of the many issues plaguing it. However, it is having arguably one of the worst times it has ever faced due to COVID-19. To date, over 14 million American citizens have been infected with the infamous virus, whereas over 270,000 people have lost their lives battling it. Due to the spike, hospitals are shutting down, health systems are closing their emergency departments, elective surgeries are being canceled, and healthcare staff members are being pushed to their limits once again. It feels like a particularly bad déjà vu. While healthcare providers are doing whatever they can to help with improving patient outcomes, many are facing a critical issue that has been an impediment to quality healthcare for years – patient identification errors.

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Having said all that, let’s focus on: 

  • why patient identification errors are a big deal even during the pandemic
  • what healthcare providers are doing to address it
  • how a tried and tested solution ensures patient safety and quality healthcare, improving patient outcomes in the process

Patient misidentification is nothing new

Anyone who knows anything about the US healthcare system has heard at least one story about patient misidentification or something related to it, such as duplicate medical records, patient mix-ups, incorrect surgeries, medical errors, etc. It has been occurring for years, leading to delayed patient care, detrimental patient outcomes, repeated lab tests, among other consequences. While many caregivers have been facing all these challenges for quite some time, a large number of them didn’t pay much attention to the problems. Everything changed with the pandemic – let’s see how.

Improving patient outcomes is difficult due to existing issues

COVID-19 pushed everything to its limits, especially the healthcare providers, and they were forced to face the issues that significantly hamper patient outcomes. One of the more prevalent issues was, and still is, patient misidentification.

HIMSS VP of Government Relations, Tom Leary, said that public health response efforts can be significantly impacted by inaccurate patient data, and that’s exactly what happened during the first wave. Since patient identification was erroneous in most healthcare facilities, this led to improper data sharing, delayed test results, sending results to the wrong patients, and more. Nurses even tried to google patients so that they could send them the test results!

Improving-patient-outcomes-relies-on-patient-identification

COVID-19 is an unprecedented situation that requires prompt responses that can help save lives, and issues such as patient identification errors significantly hamper the efforts put forth by frontline teams. So, what are healthcare providers doing to address it?

Healthcare providers are urging for the UPI

The US healthcare system was supposed to get a unique patient identifier (UPI) years ago, but a bill had restricted state funding to create one. Since then, most healthcare providers have been struggling to identify their patients accurately. Each year, experts come together and urge the ban’s abolishment, but their requests get rejected every time – for almost two decades. Even if the mythical UPI is made, it won’t be enough to solve such a huge problem by itself.

However, not every hospital is struggling with patient identification errors – many forward-thinking ones are using RightPatient.

Improving patient outcomes is possible with RightPatient 

RightPatient is a touchless biometric patient identification platform that is the most feasible solution currently, given the pandemic. It uses the characteristic that cannot be stolen, lost, or transferred, patients’ faces, to verify identities. However, the part that makes RightPatient ideal for the pandemic is that it is entirely touchless, ensuring infection control and reducing hospital-acquired infections.

By locking medical records with patients’ photos, RightPatient protects patient data and accurately identifies patients. Moreover, it is versatile enough to be used across any touchpoint within a healthcare facility, starting from appointment scheduling.

After scheduling an appointment successfully, patients receive an SMS or email, and they are required to provide selfies as well as a photo of their driver’s license. The platform compares the photos for a match, ensuring remote authentication. If these are new patients, RightPatient provides them with new biometric credentials – making it a hassle-free experience. 

Within healthcare facilities, patients only need to look at the camera – the platform compares the live photo with the saved one. After finding a positive match, RightPatient provides accurate medical records within seconds. This helps prevent patient mix-ups, duplicate medical records, medical errors, denied claims, and patient safety incidents – improving patient outcomes. Moreover, it can also prevent medical identity theft in real-time, as it red-flags fraudsters who try to assume patients’ identities. 

RightPatient can enhance healthcare outcomes, improve patient safety, and reduce significant costs – something which is extremely crucial for hospitals right now in order to survive.

Contact us now to learn how we can help you improve your bottom line.