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Improving Patient Safety Depends on Error-Free ADT E-Notifications

November 25, 2020/10875 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, healthcare, Medical Record Mix-ups, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

While COVID-19 has been ravaging almost the entire world, healthcare industries have been facing an unprecedented number of patients and challenges. Arguably, the US healthcare system has been hit the worst. Just look at the numbers – over 10 million cases with a record of 100,000 new cases for seven consecutive days. Unfortunately, things will get worse, as spikes are seen across the states and experts predict far more cases during the fall. Healthcare providers are facing huge challenges while they deliver care, while keeping patient and provider safety as a top priority. That being said, CMS (the Centers for Medicare and Medicaid Services) has mandated that caregivers must support sending and receiving e-notifications during ADT (admission, discharge, and transfer) events, something that many believe will help with improving patient safety and quality of care. Let’s take a closer look at the rule, how it will enhance care coordination, and why it requires accurate patient identification.

Interoperability has always been problematic

COVID-19 has already shown the importance of sharing patient data among caregivers. Most of the patients have multiple caregivers located at different sites, and for seamless care coordination and improved healthcare outcomes, their data needs to be shared accurately and in real-time with the appropriate parties. That’s exactly what CMS aims to achieve: improved interoperability between caregivers with patients in common.

Interoperability has been a massive issue within the healthcare space as caregivers fail to share patient data accurately, mostly because of patient identification issues – more on that later. In order to bolster interoperability, enhance coordinated care, and improve patient outcomes, CMS announced a new CoP (Condition of Participation) surrounding e-notifications as a part of their Interoperability and Patient Access Final Rule.

The new Condition of Participation (CoP) in a nutshell

This CoP requires applicable healthcare providers (critical access, psychiatric, and regular hospitals) that use digital medical records to share and receive alerts that are triggered in real-time due to ADT events – both inpatient and ED (emergency department) events. Applicable parties are PCPs (primary care physicians), post-acute care providers, and primary care practitioners, among others. The notifications should at the least include patient information, such as the patient’s name, the treating practitioner’s name, as well as the sending institution’s name. Caregivers can share more information if they deem it necessary.

The applicable healthcare providers need to support e-notifications by May 1, 2021. This means they have around half a year to comply with the requirements.

Why it is critical for improving patient safety

By sharing critical patient information with other parties across the care continuum, all of them can make informed decisions using the most recent data, leading to seamless care coordination and better healthcare outcomes – improving patient safety along the way.

Healthcare in the US has become multifaceted and complex – gone are the days when a patient would go to a single caregiver for receiving care. Now, a single patient can have multiple doctors that are located at different healthcare facilities. E-notifications enable such caregivers to quickly send and receive information that can lead to faster outcomes and better decision-making. When you compare it to previous methods – fax, phone calls, etc. – you will understand how this is going to change patient data sharing and interoperability. In time-sensitive cases, for instance, these real-time alerts will save lives.

How healthcare providers are addressing this CoP

Caregivers are brainstorming to identify the best way to address this CoP. Many will develop e-notifications solutions in-house, whereas others will use third-party solutions. While healthcare providers do that, they might overlook a crucial aspect that will make or break their e-notifications solution: patient identification.

To improve care coordination and interoperability efforts, e-notifications won’t be effective on their own – let’s see how.

Improving patient safety requires accurate patient identification

One serious but overlooked issue faced by healthcare providers is patient identification errors. Even during the pandemic, patient identification errors have been brought up a number of times, as they lead to delayed care, repeated lab tests, and can even hamper patient safety. But how exactly is this related to e-notifications?

It’s quite simple – imagine a hospital that does not utilize an effective patient identity verification solution. It is bound to face a number of issues, such as duplicate medical records, overlays, medical record mix-ups, and so on. Now, imagine that a patient is misidentified during registration; the entire caregiving process will be dangerous and inaccurate as it will use the wrong medical record. This will also hamper interoperability – false alerts will be sent out, raising credibility concerns. It will wreak havoc in the facilities that are associated with the wrong medical record. Thus, accurate patient identification is crucial for improving patient safety as well as making e-notifications work. Fortunately, RightPatient can help with that.

RightPatient has been improving patient safety

Used by several caregivers, RightPatient is the leading biometric patient identification platform for a number of reasons. First, it ensures hygiene as it is a touchless solution, eliminating risks of hospital-acquired infections. Second, it has a vast amount of experience over the years, making it a trusted name within the healthcare space.

By using patients’ photos, RightPatient locks the medical records. Patients are asked for a personal photo and a driver’s license after they schedule appointments. The platform matches the photos to verify the identities remotely.

When patients arrive at the hospitals, all they need to do is look at the camera – the platform identifies them using the saved photo and provides the appropriate medical record within seconds.

Use RightPatient now and eliminate misidentification, ensuring that you send out proper alerts to the correct caregivers, enhancing patient safety and care coordination in the process.

4 Strategies to Optimize Revenue Cycle in Healthcare and Mitigate Losses

November 24, 2020/11743 views / 0 Comments/in BLOG, Duplicate Medical Records, EHR, healthcare, Medical Record Mix-ups, Patient Identification, Patient Outcomes, Patient Safety, Revenue Cycle Management /by Matt Gibson

The US healthcare system has been going through a rough patch for a number of years now. When one problem is solved, other critical issues arise. However, with all these preexisting issues, it is now facing its biggest challenge in decades: COVID-19. With patients postponing regular visits and elective procedures, COVID-19 has created a severe financial strain and plunged hospitals and health systems into unprecedented losses. While hospitals are having to cope with these losses by closing down emergency departments, laying off employees, and so on, they can significantly reduce costs by focusing on their revenue cycles. Let’s explore why revenue cycle in healthcare is crucial, some strategies to optimize it, and how positive patient identification can help significantly.

Why is revenue cycle in healthcare important?

Revenue cycle management is one of the most crucial aspects of any given healthcare provider. In a nutshell, it is the series of events that starts when a patient schedules an appointment and ends when the provider receives payment and is reimbursed. Since it’s related to patient service revenue, it has a direct effect on any hospital’s bottom line.

If a hospital’s revenue cycle is optimized, then it will face higher margins, and if not, it will face significant losses. Complications such as billing and coding errors, patient misidentification at the front-end, and miscommunication lead to denied claims and delayed payments. In the end, patient volume won’t matter if a hospital takes a long time to capture the revenue or faces denied claims. Thus, optimized revenue cycle in healthcare facilities is extremely important if hospitals want to continue to operate in the foreseeable future.

4 Strategies to optimize revenue cycle management

Improve front-end and back-end collaboration

The front-end consists of activities where the hospital’s staff members interact with the patient directly: patient information collection, appointment scheduling, eligibility, verifying insurance coverage, upfront patient collections, and registration of new patients are just a few examples.

The back-end, on the other hand, consists of medical billing, claims management, denials management, as well as the collection of final “patient financial responsibility”.

Usually, when it comes to revenue cycle management, most healthcare providers have their front-end and back-end tasks separated. However, collaboration between the two can significantly improve revenue cycle management. Effective and seamless communication is the key, and if that can be facilitated between the front-end and back-end teams, then it will result in faster, more accurate, and improved collections.

Improve front-end activities

According to a recent webinar, half of denied claims incurred by hospitals can be traced back to front-end activities, with the top contributors being registration and eligibility issues. These ultimately cause issues at the back-end of the revenue cycle in healthcare facilities, and the caregivers are forced to allocate significant resources such as FTEs (full-time equivalents) to fix billing and coding errors. If the front-end issues are not addressed, then this will lead to an endless cycle of lower productivity and an unoptimized revenue cycle.

If the front-end processes can be improved by preventing common errors such as patient misidentification or missing patient information, then issues like claim denials, underpayments, and lower productivity of the FTEs can be vastly reduced. Automating the front-end workflow is just one step towards improvement – but more on that later.

Adopt revenue cycle automation

Revenue cycle automation is becoming more popular within the healthcare space, and for good reason. It leads to a significant reduction in the pressure that is put on healthcare professionals, reduces avoidable errors, and streamlines the entire process. However, organizations have to be cautious in their search for an effective automation tool.

Identify patients accurately

The most prominent issues that cause revenue cycle inefficiencies are patient identification errors, duplicate medical records, and medical record mix-ups at the front-end. If the accurate medical record isn’t identified, then the subsequent processes will be riddled with errors, leading to denied claims. Hospitals lose a huge amount of money – around $4.9 million – due to denied claims, many of which can be traced back to patient identification errors. Thus, revenue cycle in healthcare can be optimized if patient misidentification, duplicates, and mix-ups can be eliminated. This is exactly what RightPatient does.

RightPatient is a touchless patient identification platform that is used by several healthcare providers. It uses the patients’ photos to verify their identities, eliminating misidentification, avoiding duplicates, and preventing mix-ups at the front-end.

New patients need to take a photo during registration, locking their medical records with it. Enrolled patients only need to look at the camera – the platform identifies the patients accurately by matching the photos and provides the appropriate medical records within seconds.

By eliminating misidentification, mix-ups, and duplicates at the front-end, RightPatient ensures that the accurate medical record is used across the care continuum, eliminating denied claims, boosting bottom lines, and enhancing patient safety in the process.

4 Strategies Hospitals Use to Prevent Medical Identity Theft Cases

November 20, 2020/10560 views / 0 Comments/in BLOG, Data Breach, healthcare, Medical Identity Theft, Patient Data, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The US healthcare system has been plagued with several issues over the years. The lack of price transparency, interoperability issues, sky-high prices, and the lack of a standardized patient identifier are just some of them. One of the more concerning, and increasingly common, issues is medical identity, affecting more and more healthcare providers and patients. While providers are already facing huge losses due to the pandemic, they need to mitigate them by reducing preventable costs. One viable solution can be to reduce medical identity theft cases, and doing so will bring several benefits.

Let’s take a look at how medical identity theft happens, how common it is, and some strategies that can prevent it and mitigate losses.

How do medical identity theft cases happen?

Medical identity theft can occur in many ways, but it can usually be traced back to stolen patient information or records – a consequence of healthcare data breaches. There’s a reason why medical identity theft cases are so common: hackers are focusing more on healthcare data breaches because stealing and selling patient information is quite lucrative.

After a hospital suffers a data breach, the hacker(s) then tries to sell the stolen patient information on the black market. Unfortunately, there are many buyers available for many reasons, and they are also willing to pay high prices – up to $1000 per record!

After buying the stolen patient data, the fraudster assumes the identity of the patient. This can happen within healthcare facilities as well as during telehealth sessions (which are surging in popularity right now).

The majority of hospitals have no effective patient identifier and therefore they fail to red flag the individual, leading to medical identity theft. The scammer then illegally uses the victim’s credentials to obtain prescription drugs, medical equipment, and healthcare services, charging the victim for the services. Not only that, but since the fraudster uses the medical record, their information will be recorded within the EHR (Electronic Health Record) and can lead to patient safety issues down the line.

While that was a simple example, many complex medical identity theft cases are occurring almost daily.

Is medical identity theft common?

The numbers don’t lie –more patient records were breached in 2019 compared to the prior three years combined! Moreover, 9.7 million patient records were affected by data breaches this September. There’s no doubt that the majority of these patient records will be used for medical identity theft, as experts are also predicting a sharp increase in the near future.

Hospitals must ensure that they are preventing medical identity theft cases to guarantee patient safety and reduce associated litigation costs. Let’s take a look at some strategies that can help prevent medical identity theft and all of its consequences.

4 strategies hospitals can use to prevent medical identity theft cases

Follow the rules and regulations

First and foremost, the healthcare facility must ensure that they are properly following the rules. For instance, HIPAA mandates that there should be some technical, administrative, and physical safeguards present to protect patient information, known as PHI (Protected Health Information).

While this might seem like a straightforward strategy, a lot of healthcare providers fail to ensure HIPAA compliance. This not only leads to data breaches and medical identity theft down the line, but also incurs HIPAA penalties. HIPAA itself is a multi-layered and complex law that requires continuous effort to ensure compliance.

Fortunately, healthcare organizations can use HIPAA Ready, a robust HIPAA compliance software, to reduce the administrative burden. It streamlines HIPAA compliance, ensures training management, keeps all the HIPAA-related information in a centralized location, and also helps conduct internal audits.

By ensuring HIPAA compliance, healthcare organizations can detect security gaps and address the vulnerabilities, mitigating data breaches and, in turn, medical identity theft.

Devise a policy to enhance security

As previously mentioned, HIPAA has several requirements and requires that networks and devices are secure at all times. To do that, hospitals must come up with and follow a strict device policy so that sensitive patient information is not leaked inadvertently. While a BYOD (bring your own device) practice might be more flexible, it will inevitably lead to data breaches and leakage of sensitive information.

Thus, the following tips will help enhance security:

Only allow official devices for storing sensitive information
Only allow logging into secure networks
Encourage usage of VPN
Ensure data encryption at all times
Keep logs of access requests to track any suspicious activity

Train employees regularly

Staff members such as registrars and nurses are the ones who regularly access patient data. Training them will provide them with the knowledge to avoid suspicious emails, as that is the primary weapon of hackers. Moreover, providing regular training – especially if it includes information on recent data breaches – can be beneficial. As previously mentioned, HIPAA Ready can help with training management.

Ensure accurate patient identification

Even if a data breach occurs, medical identity theft can be prevented if healthcare providers can red flag the fraudster during identity verification. That is exactly what RightPatient does.

RightPatient is the leading touchless patient identification platform used by several caregivers. It verifies identities by using patients’ photos. After scheduling appointments, patients need to provide a personal photo and a photo of their driver’s license. The platform matches them and verifies their identity remotely, red-flagging fraudsters. This system is ideal for telehealth sessions.

During inpatient visits, the scammer is red-flagged when the platform identifies that their face does not match the saved photo attached to the medical record, preventing medical identity theft in real-time.

How to Improve Patient Safety and Add Millions to Hospitals’ Bottom Lines

November 16, 2020/10154 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, healthcare, Medical Identity Theft, Patient Data, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The US healthcare system has been having a tough time for many years due to several issues, but the pandemic arguably tops all of them. It has damaged everything, leading to the cancellation of regular healthcare services in order to aid COVID-19 patients. While COVID-19 cases had decreased over time, cases rose across many states in the US. The American Hospital Association (AHA) also predicted that healthcare providers will face losses of at least $323 billion in 2020 due to the novel virus. As caregivers are still facing some of these challenges, as well as lower reimbursements, they can save significant costs and add millions to their bottom lines if they improve patient safety. Let’s take a closer look at the losses, what caused them in the first place, and how patient safety can be improved.

What contributed to the losses?

In short, a variety of factors contributed to the unfathomable losses. However, the key factors were elective procedures being canceled or postponed, drastically lower patient volumes, and high costs due to the surge in demand for crucial materials such as PPE (personal protective equipment). All of these were necessary so that caregivers could treat COVID-19 patients.

The losses didn’t stop there, which forced many healthcare providers to resort to cost-cutting strategies. Furloughing, laying off employees, restructuring the organization, introducing pay cuts, and even shutting down departments or entire healthcare facilities were just some common strategies seen during the pandemic. Unfortunately, there’s more bad news.

Hospitals reportedly received lower reimbursements for treating uninsured COVID-19 patients. It was estimated that the reimbursements might total from $13.9 billion to $41.8 billion. However, around $881 million has been provided at this point. Moreover, CMS fined half of the hospitals in 2021 as these hospitals readmitted patients too frequently. From every angle, hospitals are facing the worst financial strain in decades. Thankfully, these losses can be mitigated significantly if healthcare providers improve patient safety within their facilities with RightPatient.

How can RightPatient improve patient safety?

Ensures a hygienic environment

One aspect that makes RightPatient different from other patient identifiers is that it is touchless. The platform uses the faces of patients to verify their identities. In healthcare facilities, all a patient needs to do is look at the camera – the platform matches the saved photo and the live one for verification, making it a hygienic and safe experience for everyone involved.

Prevents medical identity theft

By identifying patients accurately across the care continuum, starting from appointment scheduling, RightPatient ensures that patients are who they claim to be and not some fraudster. After scheduling an appointment online, patients receive an SMS/email instructing them to provide a personal photo and a photo of their driver’s license – RightPatient does the rest. It red-flags any anomalies when it sees that someone else is assuming the patient’s identity, preventing medical identity theft in real-time.

When a scammer uses the victim’s medical record, it is contaminated with their data, rendering it dangerous, fragmented, and inconsistent. If such cases are undetected, they severely hamper patient safety and impact healthcare outcomes. Thankfully, RightPatient can prevent such cases and improve patient safety along the way.

Prevents duplicate medical records

Duplicate medical records are quite dangerous, as they lead to treatment based on incomplete and inaccurate medical data, creating incidents that hamper patient safety. RightPatient identifies patients right from the start, avoiding duplicates and overlays.

Protects patient data integrity

Patient data is useless and dangerous if it is corrupt, and such cases increase when patient misidentification is common. RightPatient eliminates patient misidentification and helps improve patient safety by using the most appropriate characteristic to identify them – their faces.

Reduces medical errors

Medical errors occur on a regular basis. In fact, a John Hopkins study claimed that each year, over 250,000 American patients lose their lives due to medical errors, whereas others claim the number to be above 440,000. This would make medical errors the third leading cause of death in the US, and as most of these errors stem from something as simple as patient identification issues, those deaths are preventable.

Imagine this – when a patient walks into the hospital, the registrar needs to identify their accurate medical record. However, if the wrong medical record is chosen, even if it is a duplicate medical record of the same patient, the treatment will be based on obsolete or incomplete information – even a single medication can severely hamper the patient’s outcome. RightPatient prevents these cases and eliminates preventable medical errors associated with misidentifications.

RightPatient can improve patient safety and mitigate losses simultaneously

RightPatient does all of the above and more – it reduces denied claims, litigation costs, and eliminates the costs associated with preventable medical errors. Leading caregivers have already experienced how useful RightPatient is and reduced losses significantly. Use RightPatient now to be a responsible caregiver and enhance patient safety, all while boosting your bottom line.

Hospitals Must Ensure Improved Patient Outcomes as COVID-19 Cases Spike

November 12, 2020/9177 views / 0 Comments/in BLOG, COVID-19, Data Integrity, healthcare, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The moment everyone’s been dreading is almost upon us – another wave of COVID-19. This was inevitable, as most experts had stated that there would be a significant surge during this year’s fall season. According to experts, almost half of the US – including Alabama, Alaska, Colorado, Texas, Utah, and Washington – is facing rising cases. The CDC (The Centers for Disease Control and Prevention) Director previously stated that the fall might well be one of the worst times the US healthcare system will face. That being said, as hospitals are steeling themselves for the upcoming surge, they need all the help they can get to ensure improved patient outcomes. Let’s explore the CDC’s most recent findings, what the future might hold, some problems faced by caregivers during the first wave, and how RightPatient can enhance patient safety and mitigate known issues.

Some frightening statistics

According to the CDC, COVID-19 tests have been increasing across the US. As of now, Rhode Island, Vermont, Wyoming, Colorado, Minnesota, Kansas, Maine, Massachusetts, Nebraska, Connecticut, and Iowa are the states experiencing the fastest spread of the novel virus, according to rt.live. Unfortunately, that’s not all – it’s just the beginning.

On the 30th of October, the US hit a record high for daily COVID-19 cases with a staggering 99,155 cases. Moreover, the previous day had also held that record, as per The New York Times. 100,000 daily COVID-19 cases might soon become a reality. Public health officials also told The New York Times that positive rapid test results are being severely undercounted. To make things worse, it’s virtually impossible now to track the COVID-19 cases back to a single source.

With all that said, hospitals are preparing for the worst, and they need all the help they can get for improved patient outcomes – let’s take a look at what happened during the first wave.

Problems faced by healthcare providers

Tom Leary, HIMSS VP of Government Relations stated that incorrect patient data leads to a number of issues that hamper any public health response initiative. Delays in sharing COVID-19 test results, inaccurate information within patient records, and the lack of properly shared patient data were some consequences that could be traced back to an overlooked but critical problem of the US healthcare system: patient identification errors. Moreover, whenever a vaccine is created, its deployment will require immaculate patient identification in order to make it effective – which patients received the shot, which are still waiting for it, and what are the outcomes.

Among other problems, patient misidentification was quite prevalent during the initial COVID-19 wave, and it’s natural to assume that it will happen again. Moreover, when COVID-19 spikes become overwhelming, regular patients will once again resort to using telehealth.

Thus, if caregivers want to ensure improved patient outcomes, they not only need to ensure positive patient identification but also ensure patient safety during both inpatient visits and remote sessions. Fortunately, as previously mentioned, that’s where RightPatient can help.

RightPatient ensures improved patient outcomes

RightPatient is a touchless biometric patient identification solution that has been helping healthcare providers for years. It locks the medical records of the patients using their photos upon enrollment.

During appointment scheduling, patients receive an SMS or email requiring them to provide a personal photo as well as a photo of their driver’s license. RightPatient automatically matches the photos and verifies their identities remotely, ensuring accurate patient data right from the start for improved patient outcomes.

In healthcare facilities, patients only need to look at the camera – the platform matches the photo saved during enrollment with the live image. After verification, it provides the appropriate medical record within seconds – enhancing patient safety and ensuring infection prevention.

RightPatient protects patient data integrity, prevents duplicate medical records, and enhances healthcare outcomes by identifying patients accurately across the care continuum. Be a responsible caregiver and protect patients now with RightPatient.

Blockchain in healthcare: from doubts to must-have

November 12, 2020/4185 views / 0 Comments/in Guest Blog Posts /by Guest

In 2019, blockchain in the healthcare market comprised 2.12 billion USD. Market experts forecast it to reach 3.49 billion USD by 2025 explaining the prominent growth by the increasing demand for secure technological boost. Being in the epicenter of hi-tech trends, blockchain is believed to be one of the key directions in healthcare innovations in the near future.

Drug origin tracking and patient data security have become major problems in the industry. HIPAA entities confirmed a massive patient data leakage in March 2019 when medical information of 912,992 people was exposed with uncertain outcomes. This number indicates a 14% increase in data breaches compared to the period of 2013-2018 when medical data of 15 million patients was stolen through the whole 5-year period.

According to the World Health Organization, about 30% of all drugs sold in Africa, Asia, and LATAM can be counterfeit. The tendency is gaining momentum yet along with the growing demand for diverse medicine.

Market trends

In Europe, starting from February 2019 the Falsified Medicines Directive obliges pharmacies, healthcare providers, and hospitals to follow strict authenticity control measures, otherwise, they may be removed from the legal healthcare market.

The US Food and Drug Administration has signed requirements for healthcare supply chain advancement to enable the government and market players to take control over drug production quality at no risk for consumers. By 2023, all medical entities falling outside the regulations will be forced from the market until full legal compliance.

To accelerate advancements in the industry, the US Synaptic Health Alliance has been created involving top market players such as Humana, UnitedHealth Group’s Optum, Quest Diagnostics, Multiplan, Ascension, and others, who aim to let the healthcare industry evolve with the help of blockchain. The companies believe that the technology’s peculiarities will eliminate the risk of data leakage and reduce operational costs for the entities.

Why blockchain?

Due to the distributed nature, blockchain is able to solve challenges in security, authorization, storage, compliance and other issues in healthcare.

To begin with, healthcare is about personal interaction which sometimes lacks systematizing, especially in unprecedented situations like the coronavirus pandemic. Having a trusted, one-for-all system could help mitigate most of the messy processes. Leaking patient data through platform sources would become transparent to all platform participants. What is more, the data won’t be leaked since each interaction with sensitive data would require confirmation by the system, or the majority of votes, i.e. users.

Automated compliance

Pharma supply chains involve dozens to hundreds of intermediary contractors, and each of them is obliged to abide by the laws and rules of certain legislations. Moreover, sometimes laws change and pharmaceutical companies must immediately obey them. A blockchain-based platform is built in a way that data and platform software is distributed among the platform participants. Once you set up regulations for automated compliance verification, they immediately apply to the whole platform if the majority of authorized users, i.e. consensus, approves it. Starting from that moment platform users will always be on the same page in all platform-tracked processes. Automated compliance would save a lot of time and man-hours without the risk of overlooking or missing something.

Removed counterfeit

Another huge challenge in healthcare is counterfeiting and fraud. The WHO expects that more than ten percent of all medicine worldwide is counterfeit, with 16.5 billion Euros lost due to this in 2019 according to the EUIPO. Every medicine needs to pass numerous tests and trials over a long period. At this point, drug-producing companies face the risk of failure due to component specifics or lifetime, drug inconsistency, market release date delay, troubled entry to national markets, or other reasons. And here some of them may opt to take an unknown, cheaper, trustless ingredient to accelerate the process. Blockchain removes this risk as all data on a blockchain-based platform is tagged and trackable up to its origin visibly to all authorized users. More than that, a company can tag drug ingredients and medicines with IoT sensors. In this way, the batches will be visible throughout their whole way up to sales to an end-user. Shady or careless contractors will be unable to add an unknown competent to a batch since all batch data will be transparent for the whole supply chain.

Improved trials

Blockchain allows for faster recalls and fair testing.

With blockchain’s opportunity to provide the same information to all platform users, collaboration improves by itself.

As a result, blockchain automates what can be automated, tracks what should be tracked, and drastically decreases failures due to human error. What is more, thanks to the use of blockchain data cannot be lost, compromised or hacked. In this way, a pharma supply chain gets full control over medical processes.

Use cases

At the moment all world’s biggest software developers utilize blockchain in their healthcare initiatives. IBM and Microsoft continue fitting blockchain in various domains. Other biggest blockchain in healthcare developers are Gem, Patientory, and Guardtime.

In January 2019, Aetna, Anthem, HCSC, PNC Bank, and IBM launched their initiative to develop a blockchain-based network for healthcare supply chains. At about the same time, Estonia announced it will use blockchain throughout the country to improve the overall performance of the healthcare system.

In 2019, a blockchain startup Solve. Care partnered with Arizona Care network and Uber Health for the development of a digital wallet for physicians, and Boehringer Ingelheim Pharmaceuticals for the development of a patient management platform.

In 2020, HealthVerity announced its blockchain-based project to solve cybersecurity challenges following HIPAA regulations. The future platform is expected to bring high security to patient data. Lumeric, another blockchain development company, was acquired by St. Joseph Health to tame smart contracts for improving their administrative supply chain.

In the midst of 2020’s pandemic, Aetsoft announced their digital health passport platform. The platform can be used by medical institutions for ongoing tracking of citizens’ healthcare. The company expects the project to be successful as it can help track patient and citizen’s COVID-19, tuberculosis, HIV, and other test results on an institutional and even national level. Personal data is secured and private unless a person decides to share the data view with others. Information cannot be faked as each piece of sensitive data is marked and individually identifiable.

Conclusion

Blockchain’s perspectives in healthcare continue evolving with more projects entering the industry on the wave of the ongoing pandemic. The technology can massively improve and simplify processes in the industry through hi-end security and data control. All sensitive information about patients, doctors, staff, medical tests and trials, stock, and any supply chain documentation can be safely stored on blockchain visibly only to authorized staff, and unreachable to people from outside the system due to the distributed nature of the technology.

Preventing Wrong Patient Errors Can Mitigate Hospitals’ Losses During the Pandemic

November 10, 2020/7925 views / 0 Comments/in BLOG, healthcare, Patient Data, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The US healthcare system has been facing one of its worst periods in decades due to the pandemic. Not only does the US have the highest number of COVID-19 cases in the world, but because of this – as well as the cancellation of elective procedures, regular appointments, etc. – its healthcare system is also facing unprecedented financial strain. AHA has estimated that $323 billion will be lost this year – can you believe that? In order to cope with this financial strain, providers are having to lay off employees, close down facilities, introduce furloughing, and some are even shutting their doors permanently. But are these cost-cutting strategies enough, or should providers also look into improving other areas that can help mitigate losses, such as reducing wrong patient errors? Let’s explore some of the recent losses incurred by hospitals, how some of them are trying to cope with it, and how upgrading the patient identity verification process can significantly reduce costs.

Consequences hospitals are facing due to the pandemic

M Health Fairview will lay off 900 and more

The health system stated that 16 of its 56 clinics in Minnesota and Wisconsin will be closed, it will shut the doors of its 90-bed Bethesda Rehabilitation Hospital, and will also reduce some of the services it offered at St. Joseph’s Hospital. Moreover, neurology and bariatrics, as well as other specialties, will be moved to other facilities, and it will also close the doors of St. Joseph’s ED at the end of 2020. All of this is being done to cope with the financial losses that the pandemic introduced – around $250 million – leading to the layoff of 900 employees.

Saint Luke’s Health System will close 2 hospitals

Missouri’s Saint Luke’s Health System has made the hard decision to close down two of its community hospitals at the end of this year. While it has been reported that it’s being done to streamline services, these hospitals have seen lower patient volumes – a direct result of the pandemic. They’ve also stated that the hospitals are being closed to help deal with the pandemic more efficiently.

Wellforce laid off 232 employees

Wellforce, located in Massachusetts, laid off 232 employees due to the losses caused by the pandemic. Quite naturally, some of its facilities faced huge reductions in patient volume, leading to an operating loss of around $32 million. Prior to that, the health system had opted for furloughing over 700 employees and introduced pay cuts for others. It even subsequently culled many of the affected employees, ultimately laying off 232 of them.

Why these techniques might not work

While healthcare providers are doing everything they can to offset the losses caused by the pandemic, it’s clear that strategies like pay cuts, furloughs, or laying off employees will not be enough, and may have undesirable consequences for the future.

For instance, when potential employees see that a hospital is laying off its employees, they’ll lose faith in it and apply at other workplaces. As a result, hospitals will lose out on talented individuals. Many are even laying off their topmost officials – it might be hard to find someone else to fill that position when the candidates see what happened to their predecessor!

Moreover, even after implementing such cost-cutting strategies, many are still having to resort to others as well – look at Wellforce, for instance. While these strategies might reduce costs, what about reducing costs by eliminating other financially significant issues, such as wrong-patient errors?

Preventing wrong patient errors can reduce more costs than you think

Patient identification errors have always been a huge issue within the US healthcare system. Especially during the pandemic, it is now causing more errors than ever – wrong patient data, mix-ups, and inaccurate healthcare outcomes are some of the unfortunate consequences.

Incorrectly identified patients lead to more duplicate records, preventable medical errors, litigation costs, denied claims, and more – all of these cause hospitals to lose a lot of money. Moreover, if caregivers don’t have an effective patient identifier in place medical identity theft cannot be detected in real-time, which leads to significant costs down the line.

Looking to the future, healthcare providers will need to ensure CMS (Centers for Medicare/Medicaid Services) compliance by supporting e-notifications by May of 2021. If the facilities are suffering from wrong-patient errors, the caregivers will lose out on CMS reimbursements in the future.

It’s quite clear that preventing patient identification errors is a feasible strategy to reduce costs, but how should caregivers do so?

RightPatient effectively prevents wrong patient errors

RightPatient has been the touchless patient identification platform of choice for several caregivers. By confirming patients’ identities using their photos, RightPatient ensures that all the issues associated with patient misidentification are eliminated. Even medical identity theft can be prevented – fraudsters are flagged when they face its verification process, reducing significant costs for providers and enhancing patient safety.

Contact us now to learn how we can help mitigate your losses and ensure accurate patient identification across the care continuum.

Patient Safety and Communication are Critical as Patient Visits Return to Pre-pandemic Levels

November 3, 2020/10535 views / 0 Comments/in BLOG, COVID-19, Data Integrity, EHR, healthcare, Infection Control, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

COVID-19 has changed everything in unparalleled ways. Gone are the days when we could hang out casually with friends, be safe without PPE, and commute without the fear of catching the virus. It is quite natural that COVID-19 has impacted organizations and industries as well, and arguably, the US healthcare system is facing the worst consequences. The pandemic has affected every aspect of healthcare as we know it, and healthcare providers will be facing the consequences for years. They were forced to postpone elective procedures and outpatient visits to accommodate the surge of COVID-19 patients. While that was at the beginning of the year, many caregivers are now witnessing increased outpatient visits. Let’s take a look at some numbers regarding the fluctuation of outpatient visits, what caregivers should focus on now, and how patient safety and communication can be achieved with positive patient identification.

What has been the situation since the pandemic hit?

While the novel coronavirus has rattled almost every country’s healthcare system, America’s is the one it hit the worst. In addition to the many pre-existing issues with the healthcare system, the US has the highest number of COVID-19 cases in the world. In order to make room for the numerous COVID-19 cases, as already mentioned, caregivers had to cancel elective surgeries and also encourage non-critical patients to opt for telehealth visits.

Updates regarding outpatient visits

The Commonwealth Fund was closely following the updates of patient volumes within hospitals – let’s take a look at the numbers.

Outpatient visits took a significant hit – they had reduced by almost 60% during the early stages of the pandemic. The update provided by the Commonwealth Fund during May showed that patients were returning for outpatient visits, however, they were still one-third lower compared to pre-pandemic numbers. Also, the latest report shows that weekly outpatient visits are somewhat higher now, compared to the pre-pandemic period.

Outpatient visits vary

While this is a good sign for healthcare providers, it must be noted that these vary greatly depending on age, location, specialty, etc. For instance, in-person visits from younger patients are still lower than they were before the pandemic. Visits are higher for urologists, dermatologists, and adult PCPs, whereas behavioral health providers are experiencing lower visits. More Medicare patients are coming for inpatient visits compared to the pre-pandemic period. Telemedicine visits were higher when inpatient visits declined, but its usage is declining. However, its usage is still much higher than it was before the pandemic.

All these comparisons show that providers and patients are adapting to the new normal. Many patients are suffering from complex diseases and, due to the pandemic, they have been postponing healthcare visits for far too long. However, since restrictions are being lifted, patients are returning for outpatient visits in order to avail healthcare services. While providers are opening their doors to treat patients, they also need to ramp up their patient safety and communication efforts. After all, the post-pandemic world is completely new for everyone – there’s no tried and tested formula to ensure everyone’s safety. Healthcare providers also must make sure that their patients are not contracting COVID-19. Let’s see how this can be a possibility.

How patient safety and communication are hampered

All of the patients of any given hospital must first be identified. This happens either at the registration desks or within the emergency department. Different caregivers have different patient identity verification methods in place. Now, many caregivers either use inefficient methods, like questioning patients, or use solutions that have become outdated, such as contact-based patient identification platforms.

When asking patients questions, there are high chances that the registrar or nurse will identify the wrong medical record – they might need to find the record from an EHR system that contains thousands. Moreover, duplicate medical records are quite prevalent. Whatever the case may be, such inefficient methods hamper patient safety, lead to poor communication, and adversely impact patient outcomes.

While many used touch-based solutions to identify patients before the pandemic, COVID-19 has rendered these solutions unsatisfactory. Many caregivers have witnessed significantly lower utilization of these solutions – patients simply are reluctant to touch them. This is because of the pandemic and the fear of contracting the virus, which is not unreasonable. Every patient of any given hospital is processed from registration desks and EDs – can you imagine how disastrous it would be if one of them had COVID-19? Once the infected patient touches the device, it would lead to everyone else becoming infected. Before, infection control was a common headache of caregivers, and now it is a concern for patients too. Touch-based solutions have always had an impact on patient safety, but only the most forward-thinking caregivers foresaw this. That’s why they went with RightPatient, improving patient safety and communication in the process.

RightPatient enhances patient safety

RightPatient is the leading patient identification platform used by caregivers who prioritize patient safety. It’s an entirely touchless solution that uses a powerful photo-based engine and patients’ faces to identify them across the care continuum.

Whenever patients arrive at the hospital, all they need to do is look at the camera – the platform matches the saved photo taken during registration with the present one, ensuring an entirely touchless, hygienic, and safe experience for everyone involved. This eliminates the risk of contracting infectious diseases and enhances patient safety.

By identifying patients accurately right from appointment scheduling, as well as other touchpoints, RightPatient ensures patient data integrity by preventing data corruption, improving communication across the care continuum and reducing the chances of medical errors based on incorrect patient data.

Hospitals Are Facing Lower Reimbursements – Reduce Losses by Preventing Wrong Patient Identification

November 2, 2020/7486 views / 0 Comments/in BLOG, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The COVID-19 pandemic has – and still is – left an unprecedented impact on our lives, and it’s safe to assume that it will leave a mark for years, if not decades. While the novel virus has claimed over 1 million lives around the world, over 219,000 of them were Americans. The US healthcare system is also on the receiving end – it is expected to face unprecedented losses of around $323 billion this year. Many healthcare providers have been forced to shut their doors permanently, furlough or lay off employees, or introduce pay cuts to deal with the financial blows. To make matters worse, healthcare providers are receiving small amounts of reimbursements for treating uninsured COVID-19 patients. Let’s take a look at the scenario, the numbers associated with the issue, and how providers can mitigate these losses by preventing wrong patient identification.

COVID-19 has created an unprecedented financial strain for hospitals

COVID-19 has been spreading like wildfire, impacting everything and everyone it comes in contact with. After it hit the US, the healthcare system braced for impact the best way it could; hospitals canceled elective procedures and reassigned all resources to handle the surge of incoming COVID-19 patients. Naturally, hospitals and health systems are still suffering from the financial strain caused by COVID-19 as well as the cancellation of elective procedures.

Providers would get reimbursed for treating uninsured COVID-19 patients

Back in April, the Trump administration’s coronavirus treatment reimbursement program was announced. Healthcare providers who treated uninsured COVID-19 patients would be reimbursed using the money from the Coronavirus Aid, Relief, and Economic Security (CARES) Act. This has been done so that caregivers don’t incur any more losses as well as to avoid uninsured patients facing shocking bills related to COVID-19. As a result, the Department of Health and Human Services (HHS) has reimbursed $881 million to around 8,000 providers to date.

However, it was estimated previously that the reimbursement for treating uninsured COVID-19 patients would range from $13.9 billion to $41.8 billion. As hospitals are facing losses of around $323 billion this year, they need higher reimbursements if they are to survive in the post-pandemic world.

Why is this happening?

One of the reasons pointed out by the Kaiser Family Foundation is the eligibility for receiving reimbursements – hospitals treating uninsured patients who have a primary diagnosis of COVID-19 will be receiving reimbursements. This means that even though healthcare providers might treat uninsured patients, if their primary diagnosis isn’t COVID-19, the caregivers won’t be eligible for reimbursements.

Another issue with the program is that it doesn’t guarantee that all caregivers treating uninsured COVID-19 patients will receive the reimbursements – it depends on the availability of funding.

Hospitals must cut costs by mitigating wrong patient identification

The biggest challenge hospitals are facing now is to survive the financial strain. As previously mentioned, many have already closed their doors. Others are utilizing alternative cost-cutting methods such as furloughing or laying off employees, introducing reduced salaries, or restructuring their operations.

However, healthcare providers have a long list of problems that stem from wrong patient identification, and if they can eliminate it, they can significantly reduce costs and mitigate losses – enough to survive the financial crisis. Moreover, patient identification errors have been impacting healthcare outcomes even during the pandemic – for instance, test results went to the wrong patients, treatment was delayed due to incorrect patient data, and so on. All of these issues can be eliminated with RightPatient.

RightPatient effectively prevents wrong patient identification

Wrong patient identification has been a significant problem for years. While many healthcare providers wisely chose RightPatient before the pandemic (thanks to its touchless nature) others are facing issues with their touch-based solutions. Many have even reported a significant drop in utilization of the touch-based patient identification solutions as patients are extremely reluctant to use them due to concerns regarding infections. While infection control used to be a concern for hospitals only, since the pandemic, patients are well aware of the consequences.

Thankfully, patients and caregivers don’t have to worry about this with RightPatient, the industry’s leading patient identification platform. It uses a characteristic that others cannot replicate or steal: patients’ faces. Using patients’ photos and a photo of their driver’s license or other identification cards after scheduling an appointment, RightPatient automatically matches the photos to ensure accurate patient identification right from the start and across the care continuum.

Leading providers have deployed RightPatient across their facilities and are reducing denied claims, preventing duplicate medical records, and enhancing patient safety – ultimately eliminating redundant costs and boosting their bottom line in the process. After the pandemic, every hospital needs to reduce such costs to survive – use RightPatient to help you do so.

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

October 30, 2020/12676 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

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.

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.

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.