Posts

Improving Revenue Cycle in Healthcare Facilities in a Post-Pandemic World

May 25, 2021/6861 views / 0 Comments/in BLOG, Data Integrity, Denied Claims, healthcare, Patient Identification, Patient Outcomes, Revenue Cycle Management, Telehealth /by Matt Gibson

The pandemic hasn’t only been difficult for the healthcare sector in terms of the number of patients treated and the severity of symptoms. For the American healthcare system, it meant a huge loss of revenue for everyday treatments, as every available resource pivoted to caring for the patients affected by COVID. Those facilities that couldn’t pivot were left with no option but to close and file for bankruptcy as their income was hit. Some managed to survive by furloughing their staff or redeploying them to care for the large number of seriously ill patients which COVID produced. As a result, revenue cycle in healthcare facilities took a huge hit.

Some organizations, though, were luckier than others and were able to deploy remote triaging and virtual consultations by phone and video using the latest videoconferencing software – all of which can be bolstered by utilizing a touchless biometric patient identification platform such as RightPatient. This allowed them to continue to treat patients, and earn income, which softened the blow to their finances and helped both patients – who suffered no break in treatment – and staff – who were retained rather than furloughed.

Revenue cycle in healthcare facilities during the pandemic tanked, to put it mildly. Normal service dropped off a cliff and around three-quarters of healthcare providers had to put revenue cycle management in place, as well as ensuring employees could practice remotely and maintain effective social distancing when they did have to attend their workplace.

The return has started, remotely

Now that treatment cycles are returning to pre-pandemic levels in many places, the staff members are also returning to their usual roles. They are returning to treating their regular patients and making sure of their incoming revenue whilst minimizing the losses their facility may have suffered.

In order to optimize their abilities, staff members have learned how to use technology to help them assist patients remotely during the pandemic. This approach is likely to remain in place for those patients who are unable for any number of reasons to attend an in-person consultation.

One of the most popular ways to use tech in medicine is by organizing a remote consultation, by telephone or video call. This helps staff to find out quickly what ails their patient and can help them triage the patient more effectively, immediately. They can tell the caller at once whether they need to attend, offer an appointment if so and have all the notes from the call available when the patient comes in. If a referral is needed, the process can be started straight after the phone call, without waiting for an appointment or paperwork.

Of course, processes still need to be followed. Not only does that enhance patient safety, but it also embeds the familiar for both patient and healthcare employee. Sorting out the paperwork before the patient arrives is of prime importance, and means everyone will know what is going to happen and what they can expect to be billed or paid for. Staff should check whether there is an authorization for the service under the patient’s insurance and what the patient’s responsibility is regarding this. Ensuring everyone is aware of charges and can reconcile them quickly is better for the provider’s income levels too. Being organized allows accurate expenditure planning, which helps everyone balance incoming revenue against outgoing expected payments.

Communication is key for improving revenue cycle in healthcare

Face-to-face, by email, text, shared app, or phone: no matter how teams communicate, it is best that they do. Patients with comorbidities or multiple conditions need dovetailed treatment, a patient pathway across several providers, and it is best to schedule appointments logically. Scheduling several simple appointments across nearby providers in one day is a possibility to reduce travel headaches for the patient, although it may make it an expensive time when the bills come due. That also relies on the finance and revenue cycle team knowing that they are to bill a particular insurance company for a defined treatment to a named patient on a given date. Communication makes all of these processes simpler and can help provide the necessary paper or electronic trails to ensure timely billing, and therefore prompt payment. The notification to finance should come from the clinical team, as they are treating the patient. They also know exactly which procedure was undertaken and how, so are best placed to ensure the billing is correct.

An efficient billing cycle is one way to ensure reliable income, as everyone knows what is due to be paid, by whom, and when. It’s not just the medics and revenue billing team who have a part to play here either. Every healthcare professional who attends to the patient has a responsibility to produce documentation for their part in the patient’s care – all of this works towards optimizing revenue cycle management in healthcare facilities.

Technology can enhance revenue cycle in healthcare facilities

Accurate billing is essential when attempting to collect revenue. Billing the wrong patient, or a different insurance company, can delay payment and cause extra effort and paperwork for no gain. Correct patient identification at the start of the treatment cycle makes billing much simpler. A biometric touchless platform such as RightPatient can help eliminate patient misidentification and the nearly $5 million of denied claims which result.

How to Improve Healthcare Outcomes and Reduce Readmission Rates

May 23, 2021/6753 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Medical Record Mix-ups, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

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.

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

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.

Duplicate Subjects in Clinical Trials Are an Overlooked Pain Point – But They Can Be Stopped

May 5, 2021/6553 views / 0 Comments/in BLOG, Clinical Trials, Data Integrity, Patient Data, Patient Identification, Patient Safety, Professional Patients, Research /by Matt Gibson

We’ve been talking about duplicate subjects in clinical trials for quite some time now. That’s because they continue to exist in significant numbers, and, contrary to popular belief, these individuals DO hamper clinical trials in one way or another. While the impact on different clinical trials varies due to their involvement, the worst-case scenario is that the affected trial shuts down due to skewed research outcomes. As a result, promising medicine, medical procedure(s), or device(s) don’t see the light of day due to these fraudsters. That being said, let’s take a look at more real-life cases of professional patients and how a robust patient identity management platform can prevent their participation in clinical trials.

Prevent professional patients in clinical trials with RightPatient.

A few more cases of duplicate subjects in clinical trials

While we’ve seen a few cases where professional patients participated in clinical trials for the money or the free treatment involved, let’s take a look at a different case that shows why it is difficult to detect these fraudulent participants during enrollment – the case of patient Z.

Exaggerated, self-reported conditions lead to duplicate subjects in clinical trials

Those who are familiar with clinical trials know that potential study subjects or patients are vetted thoroughly before enrollment. For those who don’t know, in a nutshell, background checks are conducted, their physical conditions are screened to identify whether they are ideal for the trial via various medical tests, and interviews are conducted to identify any unwanted traits.

While these tests usually do identify any anomalies, they cannot identify conditions such as depression, anxiety, and even chronic pain, among other relevant diseases. Unfortunately, there are no objective medical tests (as of yet) that can determine whether a patient has any of the aforementioned conditions or not, only self-report screening instruments. As a result, exaggeration by professional patients regarding their condition(s) can get them enrolled in clinical trials, and that’s exactly the story of patient Z.

According to Dr. Thomas Shiovitz, he saw the peculiar case of a duplicate subject who actually went to seven sites within 12 months! Dr. Shiovitz states that he detected the patient in seven trials – however, the patient may have gone to more sites without being detected. Unfortunately, some of these studies were being conducted simultaneously, thus, the patient adversely affected most of their results.

When finally caught regarding his nefarious activities, the patient simply exclaimed “You caught me!”

Duplicate-test-subjects-in-clinical-trials-are-preventable

RightPatient prevents duplicate test subjects in clinical trials.

Some cases might be caught if the PIs remain vigilant

According to Eric Devine, Ph.D., he had somewhat of a similar experience. While conducting clinical trials or when talking to the patients, he witnessed a number of them who kept lying about one thing or another related to their medical conditions or identities. How did Dr. Devine detect the lies? It’s quite simple – he glanced at their medical records. There were even cases where he would recall a professional patient who came in with a different identity earlier – they were just desperate to participate in the trial. And this was not an isolated incident, Dr. Devine witnessed that many people utilized the same tactics to get into one of the clinical trials. This is exactly why we keep saying that duplicate subjects in clinical trials still exist, and in considerable numbers.

Therefore, after finding these fraudulent individuals, Dr. Devine tried to ensure that no more duplicate subjects were involved in his trials as they not only invite danger for themselves but also threaten the integrity of the trials.

Thankfully, RightPatient can remove the burden of detecting professional patients in clinical trials manually for Dr. Devine and for anyone who wants to ensure the efficacy of their clinical trials.

RightPatient prevents duplicate subjects in clinical trials

RightPatient has been helping leading U.S. healthcare providers prevent scammers from assuming their patients’ identities. It is a touchless biometric patient identification platform that prevents medical identity theft within healthcare facilities and at any touchpoint across the care continuum.

RightPatient identifies patients using their photos, and during enrollment, attaches them to their medical records. For subsequent visits, patients only need to look at the camera – RightPatient locates the accurate medical record after searching for a match.

Since it’s already tried and tested to prevent fraudulent individuals, it can do the same for clinical trials as well and prevent professional patients in clinical trials – saving them millions, ensuring the efficacy of the studies, and ensuring the safety of the subjects involved.

4 Strategies for Patient Safety Quality Improvement

May 4, 2021/6314 views / 0 Comments/in BLOG, Duplicate Medical Records, EHR, healthcare, Medical Record Mix-ups, Patient Data, Patient Identification, Patient Safety /by Matt Gibson

Patient safety has always been a much-discussed topic for healthcare experts, hospitals, and well-informed individuals. After all, by not ensuring patient safety, healthcare outcomes will be detrimental due to medical errors, mix-ups, hospital-acquired infections (HAIs), lack of proper communication, and more. These events lead to hospitals being hit with lawsuits and losing goodwill. In fact, one of the issues that cause patient safety incidents is medical errors, and a study indicates that they are the third leading cause of U.S. deaths. Moreover, with COVID-19, ensuring patient safety is a much bigger challenge and responsibility than ever before. The focus of this article is patient safety quality improvement and it’s quite clear that it is a must for U.S. hospitals and health systems.

That being said, let’s take a look at 4 strategies that improve patient safety quality, how medical errors are related to patient misidentification and mix-ups, and how ensuring positive patient identification can help.

RightPatient improves patient safety.

4 strategies for patient safety quality improvement

Providing proper training to healthcare staff members

One of the first tasks for patient safety quality improvement is to evaluate and identify which employees within your healthcare facility require training – they’re the ones dealing with the patients directly, after all. Whether it be nurses, registrars, patient safety professionals, or other staff, improving their skills can significantly improve patient safety.

Use quizzes, short interviews, and their recent performance to identify the ones that require training regarding the do’s and don’ts and patient safety incidents. Ensure that they know the critical aspects that can make or break patient safety within your facility.

Identify and work on reducing patient safety incidents

Patient safety incidents are ever-present in hospitals – they’re just waiting to happen unless addressed appropriately. Take a more proactive approach than a reactive one in identifying issues that might cause patient safety incidents down the line by conducting audits. While this might seem repetitive, it does ensure patient safety quality improvement and can help you avoid hefty costs in the process.

One belief many healthcare providers have is that conducting routine checks is enough. However, healthcare is a dynamic environment and there are new challenges every day that need to be addressed appropriately and in due time. Conducting checks regularly or whenever a serious incident occurs in your facility and monitoring to prevent these incidents using apps can also boost patient safety significantly.

Work on reducing hospital-acquired infections

During COVID-19, this is a strategy all healthcare providers must implement for patient safety quality improvement. Enforcing social distancing practices for everyone in the facilities is the only way to reduce transmission of infectious diseases. Ensure that people (both patients and healthcare staff members) are standing six feet apart, and use proper PPE. Moreover, provide sanitizers or handwashing facilities at crucial points to ensure better protection. Also, minimize or eliminate physical contact as much as possible, especially in registration areas for all incoming patients. Using a touchless patient identity verification platform can significantly help with improving hygiene, and in turn, patient safety.

Preventing medical errors

As previously mentioned, one of the biggest issues that cause patient safety incidents is medical errors, and most of these can be associated with patient misidentification, patient mix-ups, and duplicate medical records.

Imagine this – if a patient is misidentified right from the start, or is associated with an incomplete medical record, their entire treatment will be full of errors. Not only does this lead to wrong medications, but also leads to wrong transplants, longer hospital stays, readmissions, irreversible physical damage, and even deaths. Preventing medical errors, thus, becomes the topmost priority to enhance patient safety within hospitals – and that’s exactly what RightPatient does.

Achieve patient safety quality improvement with RightPatient

RightPatient is a touchless biometric patient identification platform that is used by leading healthcare providers to identify their patients accurately at every interaction. By using patients’ photos, RightPatient identifies them accurately right from the start and across the care continuum, preventing duplicate medical records, patient safety incidents, and medical errors.

Are you a responsible healthcare provider that is working to enhance patient safety? Contact us now to learn how you can improve patient safety, and more, with RightPatient.

The Professional Patient Problem Still Exists in Clinical Trials – Are You Preventing Them?

May 2, 2021/5306 views / 0 Comments/in BLOG, Clinical Trials, Data Integrity, Patient Identification, Professional Patients, Research /by Matt Gibson

We’ve been talking about clinical trials for some time now. Usually, we talk about how integral these studies are for discovering new drugs, devices, or treatments, and how their outcomes affect all our lives as well as healthcare in general. However, today we are focused on one of the overlooked issues – the professional patient problem, and how the long-standing issue continues to skew overall results.

That being said, let’s take a look at a real-life case of a professional patient that participated in multiple clinical trials, how their involvement and actions can hamper trials and cause billions in losses, and how a patient identity verification platform like RightPatient can help prevent their participation.

RightPatient can prevent professional patients in clinical trials.

The professional patient problem is very real – a recent example

A case that occurred in 2019 in Louisiana

At the end of 2019, patient X had signed up for a clinical study for asthma. While she was accepted into the trial like most of the individuals that volunteered for it, she had falsified some of her information to make herself appear eligible for the trial.

There was a prerequisite stating that the subjects shouldn’t have had a certain steroid within the past two to three weeks. However, patient X did take it only a few days before signing up for the trial, and when she was asked, she flat-out denied taking it, as per Medscape Medical news. Unfortunately, she did make it into the trial, and her statement regarding her use of the steroid wasn’t verified.

However, that was just one clinical trial patient X participated in – there’s more. Otherwise, this wouldn’t have been an example of the professional patient problem!

Same professional patient, different study

Patient X participated in an entirely different study on nasal polyps, and in this case, she once again provided misleading information. While the trial focused on reducing nasal polyps using a certain spray, patient X was already using the same medication, but she informed the officials that she wasn’t. The study compensated her handsomely, which is why she was tempted to falsify information.

But what did the officials do to verify her information?

They requested a note from her physician, checked her driver’s license, required access to her patient portal, and viewed photos of her medications, among other things. Even then, they couldn’t detect the fact that she falsified information to sign up for the clinical trial.

Professional patients skew overall results and delay effective trials

The tale of patient X is not a rare incident, unfortunately. These cases are examples of the professional patient problem, and they occur too often to be ignored. The participation of these individuals is a significant blockage to carrying out clinical trials effectively, and more often than not, these cases are discovered only when it’s too late. Their involvement in the trials affects data significantly and might cause even promising drugs to be delayed or even announced to be ineffective. Not only does their participation cause promising drugs to not see the light of day, but it also causes much-needed breakthroughs in medicine to be delayed. These are the consequences of professional patients falsifying data, participating in multiple trials simultaneously or consecutively, and faking results, and might cause trials to not proceed to the subsequent phase(s). As a result, the participation of professional patients, or “professional study subjects”, must be eliminated.

Fortunately, professional patients in clinical trials can be prevented with RightPatient.

RightPatient helps combat the professional patient problem

A touchless biometric patient identification platform, RightPatient has been helping responsible healthcare providers prevent scammers from using healthcare services within their facilities. The platform identifies patients using their photos that are taken during registration and prevents fraudsters from assuming the identities of registered patients – it can do the same for clinical trials too.

RightPatient can help maintain a database of the registered patients in clinical trials at multiple sites, and whenever a fraudster or these professional patients try to sign up, the platform can red-flag them – saving billions, protecting the integrity of your trials, and preventing delays.

Use RightPatient now to see how it can ensure that your investments are protected and improve the efficacy of your clinical trial(s).

Senators Focusing on Improved EHR Data Shows the Importance of Patient Identification

March 2, 2021/7958 views / 2 Comments/in BLOG, Data Integrity, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Unfortunately, even now, many believe that patient misidentification is not a significant issue within the US healthcare system. Even many healthcare providers don’t think of it as a huge problem. They fail to acknowledge that patient misidentification corrupts EHR data significantly, leads to patient record mix-ups, is one of the causes of wrong medical procedures, causes avoidable medical errors, and more.

Let’s break down why they are wrong and how patient misidentification is a huge issue by observing what others are doing to solve it and how RightPatient is helping ensure positive patient identification.

Patient misidentification is a huge deal – corrupting EHR data is just one of its consequences

A crucial factor that can lead to better patient safety within hospitals, according to the Joint Commission’s National Patient Safety Goals for 2021, is by identifying patients accurately. That’s precisely why it has listed improving patient identification on the top of its list. Each year, the Joint Commission releases goals based on research that they believe will enhance patient safety. Each year, patient identification improvement is always one of the many goals, sometimes even topping the list (just like this year).

There are many healthcare organizations and associations such as AHIMA (The American Health Information Management Association) and CHIME (The College of Healthcare Information Management Executives) that focus on patient misidentification, its consequences (EHR data corruption, patient safety issues, detrimental healthcare outcomes), and the need for accurate patient identification.

Even last year, many organizations came together and formed a coalition called “Patient ID Now” for a national patient identifier. Unfortunately, there is very little progress in that area (as of now), and if the past tells us something, then the UPI (unique patient identifier) is still far from reality. Many organizations, healthcare experts, and officials urge the government to lift the ban on creating a state-funded UPI. Unfortunately, the ban has been in effect for more than two decades due to “privacy concerns”.

However, while all of that is occurring, patient misidentification is still thriving and causing issues such as duplicate medical records, corrupting EHR data, hampering patient safety, causing avoidable medical errors, and more. Fortunately, more people are identifying how big of a problem it is.

Patient misidentification is an issue significant enough to bring senators from different parties together. An effort taken by bipartisan senators is focused on improving patient record matching in hospitals and health systems, something that they believe is crucial for vaccine distribution as well.

Called the “Patient Matching Improvement Act”, it aims to provide vaccination sites, hospitals, and testing labs access to the US Postal Service’s address-formatting tool for improving patient record linkages. They believe that this will help contact tracing efforts and track community spread more accurately.

After the pandemic, it will also help improve EHR data within hospitals and health systems as they believe it will help improve patient identification. But will it be enough on its own, if it ever leaves the Senate health committee? What are responsible caregivers doing now to prevent patient misidentification?

RightPatient effectively prevents data corruption

While there are several solutions available, the most feasible one, given the pandemic, is RightPatient. It is a touchless biometric patient identification platform that is the choice of responsible healthcare providers. Since it is touchless, it doesn’t create infection control issues for healthcare providers – improving patient safety and ensuring hygiene.

It enhances patient safety, prevents medical identity theft in real-time, ensures that patients are identified at any touchpoint across the care continuum, and is even ideal for telehealth sessions.

However, if the Patient Matching Improvement Act is introduced, RightPatient can augment its effectiveness further, as it is a tried and tested platform used by responsible caregivers – are you one of them?

RightPatient Can Prevent Medical Mistakes, Patient Mix-ups, and More

February 26, 2021/9702 views / 1 Comment/in BLOG, Data Integrity, healthcare, Medical Identity Theft, Medical Record Mix-ups, Patient Data, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

While 2020 felt like a very long year for all the wrong reasons, it has been already two months into 2021, fortunately. However, COVID-19 is still having a significant effect, especially on the US healthcare system. One of the many issues that were present even during the COVID-19 waves was patient identification errors, and it demonstrated that healthcare providers need to upgrade their patient identification systems immediately. Patient record mix-ups, preventable medical mistakes, sending reports to the wrong patients, and not finding the patient records were just a few of the problems healthcare teams faced during the pandemic.

However, there’s a more serious concern up ahead. As the vaccine starts to slowly but steadily reach the general public, potential vaccine mix-ups might occur as a result of patient misidentification. This will severely jeopardize vaccine rollouts and make them lose their efficacy.

While patient identification issues and their several consequences have been present for a long time, they can be prevented with an effective patient identification platform like RightPatient – let’s explore.

How RightPatient works to prevent medical mistakes

RightPatient is a touchless biometric patient identification platform that helps hospitals and health systems prevent patient identification errors and mix-ups. It attaches the patent’s photo and biometric data to the medical records during registration. During subsequent visits, patients are required only to look at the camera – the platform verifies their identities and provides the appropriate medical records.

One of the best parts is that RightPatient is contactless, making it feasible for a post-pandemic environment, as it prevents HAIs (hospital-acquired infections). Moreover, it can also be used at any touchpoint across the care continuum, making it ideal for telehealth sessions.

That was a lot about how RightPatient works – let’s see the issues it prevents – and can prevent – for healthcare providers.

The problems RightPatient addresses

RightPatient prevents duplicate medical records

Duplicate medical records have been creating mix-ups, preventable medical mistakes, and more, leading to detrimental patient outcomes, impacting patient safety, revenue cycle issues, and lower bottom lines. Since RightPatient can identify registered patients right from the start, it prevents the creation of additional duplicate medical records as well as medical errors – improving patient safety and healthcare outcomes.

RightPatient eliminates preventable medical mistakes

One of the biggest issues patient identification errors create is medical errors. For instance, patient A will get medications that are actually required by patient B – a single mistake can be disastrous. Moreover, there have been cases where one patient received a transplant that was supposed to be received by an entirely different patient. However, since their names or demographic characteristics were similar, a mix-up occurred. Fortunately, RightPatient prevents such cases – ensuring quality and safety in healthcare facilities.

RightPatient prevents medical identity theft and protects patient data

One of the prominent reasons medical identity theft cases are successful is because there is no way to catch the fraudster. Conventional patient verification methods are not well-equipped to handle misidentifications, let alone detect fraudsters.

Fortunately, RightPatient can accurately identify patients using their photos; whenever the fraudster tries to pass themselves off as the patient (or victim), the platform red-flags them, preventing medical identity theft in real-time. This helps in a number of ways – patient information is protected from being corrupted, litigation costs are prevented by the healthcare provider and patient safety is ensured.

Can RightPatient prevent vaccine mix-ups?

While most of us among the general public wait for the vaccine rollouts, we have to remember that, at this point, to ensure maximum protection, we require two doses of the vaccine. However, imagine this – a hospital is housing vaccines from two different manufacturers. What if a patient receives the shot of Pfizer’s vaccine the first time and the second dose is from Moderna?

Unfortunately, vaccine mix-ups are occurring as we speak, and it might significantly reduce the effectiveness of the vaccines, putting numerous lives at risk. Moreover, many of these cases might occur due to patient misidentification.

Fortunately, RightPatient can help hospitals and health systems to determine patients’ identities accurately, prevent record mix-ups, and ensure efficient vaccine administration without any hiccups, enhancing patient protection against the virus.

Responsible healthcare providers have been using RightPatient for years – preventing patient safety issues, avoidable medical mistakes, duplicate medical records, and medical identity theft in real-time. Contact us now to be a more responsible healthcare provider.

Is Patient Information Protection Possible With Rising Cybersecurity Threats?

February 24, 2021/8637 views / 0 Comments/in BLOG, Cybersecurity, Data Integrity, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Healthcare is always in the spotlight – mostly because of the wrong reasons. Some of the many topics that often come up when discussing healthcare issues are data breaches, medical identity theft, the lack of interoperability, the lack of patient information protection measures, patient identification issues, among other things.

However, due to the pandemic, telehealth has become a mainstream tool to provide patient care outside of healthcare facilities. While telehealth has been an extremely useful medium for caregivers and patients, there are valid concerns regarding its security. Moreover, even before that, cybersecurity threats have been growing considerably for the last few years.

That being said, let’s take a closer look at the recent state of healthcare data breaches, how the data were obtained from hospitals, and if patient information protection is possible.

The pandemic showed patient information protection measures were not enough

When the pandemic started, healthcare providers in the US had their hands full – not only did they have their usual problems to tackle, but also they had to deal with the surge of COVID-19 cases that overwhelmed their facilities. Quite naturally, healthcare frontline teams, facilities, and anyone else involved with them was pushed to their limits. Fortunately, there was a ray of hope when many hackers pledged that they won’t focus on hospitals since they were facing the biggest challenge in decades. However, not all the hackers shared the same sentiment – many chose to attack during this vulnerable period.

For instance, by the end of 2020, many hospitals and health systems were victims of a wave of cybersecurity attacks that left them paralyzed. The attacks forced them out of their systems – disrupting healthcare operations until the hackers’ demands were met. Moreover, even prominent health systems took days to restore and operate normally.

Others were handicapped, and while not fully locked out of their systems, these caregivers were unable to provide accurate healthcare services too. For instance, they had read-only access to patient records, meaning that they couldn’t update the records themselves, which is usually done after seeing the patient (virtually or otherwise). As a result, a lot of scheduled visits, surgeries, and elective procedures had to be stalled or postponed. Cyberattacks ultimately harmed the bottom lines of affected hospitals. However, all of these attacks, delays, and threats led to the conclusion that patient information protection must be upgraded significantly to ensure quality and safety in healthcare.

How patient information is typically protected

Health Insurance Portability and Accountability Act (HIPAA) is primarily focused on protecting patient information from internal and external threats or data breaches. It applies to any organizations (known as business associates) that deal with patient information or PHI (protected health information). HIPAA even has a Breach Notification Rule that provides guidelines for hospitals that suffer breaches. Unfortunately, there are many cases where HIPAA violations do occur, leading to hefty fines and loss of goodwill.

But how do hospitals typically ensure patient information protection?

Well, different healthcare providers have different guidelines, budgets, constraints, and advantages. However, some of the more common ways hospitals and health systems protect patient information are:

Having a robust policy in place
Developing a culture that focuses on protecting patient information
Regularly providing training to staff members that access patient information
Performing internal audits
Having a security improvement plan in place
Monitoring access and restricting unauthorized individuals
Pursuing HIPAA compliance
Encrypting patient information both in transit and at rest

Patient information protection needs an upgrade

While the aforementioned were some of the common security safeguards hospitals use to protect patient information, the pandemic showed the flaws of the existing cybersecurity measures. Also, another factor to consider is that not every healthcare provider has state-of-the-art cybersecurity measures in place – many are restricted by budgetary issues, bureaucracy, and current priorities their leaders have.

Telehealth raised security concerns

Moreover, telehealth has changed the rules. When the pandemic struck the US in full force, it forced the government to relax rules regarding virtual visits. While this was to make telehealth easier for patients and caregivers, it also opened doors for hackers. Cybersecurity experts were understandably worried about frauds – they already occur during inpatient visits, what about virtual ones?

As a result, due to ever-increasing cyberattacks, healthcare data breaches seem inevitable, don’t they? However, their effects can be mitigated by preventing medical identity theft – that’s where RightPatient comes in.

RightPatient can mitigate the effects of data breaches

A robust patient identification platform used by leading providers, RightPatient locks EHRs with patients’ photos and their biometric data upon enrollment. During subsequent visits, patients only need to look at the camera – the platform runs a search, and, upon a positive match, provides the accurate EHR within seconds. Fraudsters are red-flagged during the verification process, preventing medical identity theft in real-time and protecting patient information.

RightPatient is versatile enough to be used at any touchpoint across the care continuum – making it feasible for telehealth sessions. Responsible caregivers have been using the platform for years now – are you one of them?

Reducing Healthcare Fraud and Abuse During Telehealth Sessions

February 3, 2021/10041 views / 0 Comments/in BLOG, Data Integrity, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Outcomes, Patient Safety, Telehealth /by Matt Gibson

Healthcare fraud and abuse have been around for a significant amount of time – affecting healthcare providers, patients, and everyone else involved in the delivery of care. While most people think that it only affects patients financially, it has far more sinister consequences. For instance, medical identity theft, in many cases, causes the victims’ EHRs to become corrupt. Since the fraudster poses as the patient and might obtain healthcare services, their information gets recorded within the EHR, rendering it corrupt. Unfortunately, healthcare fraud is only increasing, demonstrating that it won’t be resolved soon. Moreover, experts are worried that healthcare fraud might bleed over to virtual visits (telehealth and telemedicine) as well since the majority of healthcare is using telehealth due to the pandemic.

That being said, let’s take a closer look at the explosion of telehealth and its usage, why it might face healthcare fraud and abuse, and some practices that can help mitigate these cases.

Telehealth’s explosion in a nutshell

One interesting fact about telehealth is that it has been around for quite a few years. While it has been debated between healthcare experts and patients regarding its benefits and drawbacks, it never got the push required for it to evolve – until the pandemic.

Once COVID-19 hit the US in full force, telehealth was promoted for non-COVID-19 patients who required medical attention. Moreover, rules surrounding telehealth were relaxed in order to help healthcare providers adopt it. As a result, telehealth’s usage skyrocketed, and while it does have some flaws, it proved that virtual visits are the way forward.

Telehealth raises concerns about healthcare fraud and abuse online

While telehealth grows, so does online healthcare spending, attracting the eyes of hackers and fraudsters – ultimately leading to healthcare fraud. The NHCAA (National Health Care Anti-Fraud Association) stated that a whopping $68 billion is lost due to healthcare fraud each year.

But why are healthcare fraud and abuse related to telehealth?

Well, while most of us have gotten used to navigating life during the pandemic by now, when it started, it was an environment that created confusion, fear, and panic among the general public – patients included. Moreover, as previously mentioned, many regulations were relaxed in order to ease telehealth adoption. This created ways for fraudsters and criminals to take advantage of patients and caregivers via malware, bogus cures, charities, etc. For instance, there were cases where hackers and fraudsters gained access to telehealth sessions.

As a result, not only should healthcare providers aim to secure telehealth platforms, but they must also adopt practices that help protect patient information and prevent medical identity theft during virtual visits as they become the new normal.

Reducing healthcare fraud and abuse during telehealth sessions

Use graphical elements to detect outliers

Healthcare is vast, and any healthcare provider has to store lots of information or data regarding their patients, operations, etc. Using this information by itself might be counterintuitive as outliers would be very difficult to detect, especially regarding healthcare fraud schemes such as kickbacks. Data visualization, on the other hand, provides a visual representation and ensures that outliers and suspicious trends can be identified swiftly. However, its success depends on one aspect – the quality of data.

Provide security training whenever necessary

Medical identity theft and data breaches are quite common in the healthcare space. As a result, hospitals and health systems need to train their employees regularly and effectively to prevent falling into the pitfalls of malware, phishing schemes, etc. Ensure that the training sessions highlight the most recent breaches and how they occurred, emphasizing the importance of preventing such cases within your organization.

Aim for HIPAA compliance to reduce healthcare fraud

In order to prevent healthcare fraud and hackers from breaching data, the foundation within the hospital has to be strong first. In this case, the foundation is known as HIPAA compliance.

Now, HIPAA compliance can be an administrative burden for most healthcare providers since there are several rules and regulations to follow. However, ensuring HIPAA compliance can lead to preventing medical identity theft as well as data breaches, as most of the rules are regarding the protection of medical information known as PHI (protected health information). Also, HIPAA talks about providing training to the necessary personnel so that they are updated about the most recent changes.

Fortunately, there are many solutions available that can streamline HIPAA compliance and reduce the administrative burden, but the one that stands out the most is HIPAA Ready. It is a robust HIPAA compliance management application that keeps HIPAA related information in a centralized location. It can also be used to conduct internal audits, identify, and address security gaps – strengthening security efforts. However, the best part is that it can be used right from a smartphone, putting HIPAA compliance in the palm of your hand.

Implement solutions that prevent medical identity theft

Some factors make data breaches inevitable. Firstly, many healthcare providers have a very meager cybersecurity budget, leaving them vulnerable to attacks. Secondly, hackers are always coming up with new tactics to breach and steal patient information. These two factors alone make data breaches virtually unstoppable.

While healthcare data breaches seem to be inevitable, medical identity theft can be prevented – with RightPatient.

RightPatient is a touchless biometric patient identification platform that attaches patients’ photos and biometric data to their medical records upon registration. For subsequent visits, patients only need to look at the camera – the platform runs a search and provides accurate medical records in seconds. Whenever a fraudster tries to assume the patient’s identity, RightPatient red-flags them, preventing medical identity theft in real-time.

Moreover, RightPatient is versatile enough to be used at any touchpoint across the care continuum – making it ideal for virtual visits such as telehealth sessions.

8 Strategies That Enhance Safety in Hospitals

February 1, 2021/8586 views / 0 Comments/in BLOG, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Healthcare has always been under scrutiny by everyone, and it’s quite natural. After all, it is a system that has a direct impact on our lives. Diving deeper, one of the aspects that are examined thoroughly is safety in hospitals, and for good reason. For starters, hospitals are havens where the sick and injured ones among us go for treatment. Since critically ill patients are already vulnerable, they need to be guaranteed a safe environment so that their health doesn’t worsen, for instance, by contracting viruses.

However, patient safety is just one side of the coin – physicians, nurses, and other staff members also need to be guaranteed safety. Just think about the COVID-19 fiasco – a patient with the virus can just pass it on to anyone in the hospital who is without protection. Thus, safety for both patients and hospital staff members is crucial to ensure quality and safety in healthcare facilities.

While we just explained why safety within healthcare facilities is important, let’s take a closer look at how it can be improved – for both patients and the hospital staff members.

Strategies that enhance safety in hospitals

Have a robust patient safety policy in place

One of the most crucial ways to improve patient safety in hospitals is by having a written policy in place. It must outline the do’s and don’ts regarding normal as well as emergency patient safety incidents that may potentially occur within the premises. Having such a plan is more crucial than ever, given the pandemic. For instance, what to do during outbreaks, what to do when a patient contracts a virus, and similar scenarios must be included in the plan.

Keep critical materials in stock at all times

Healthcare providers know how big of a challenge COVID-19 has been. In fact, it is still wreaking havoc across the US healthcare system as well as the rest of the world. Using PPE in the new normal is important, not only for the individual’s safety but also for everyone else around them.

Hospitals, however, are places where PPE is an absolute must. While surgical masks, gloves, etc. have been used for years by physicians and nurses mostly, it is required by everyone within healthcare facilities.

Thus, keeping a healthy amount of quality PPE in stock is a crucial factor that impacts both patient and employee safety – it helps safely provide uninterrupted healthcare services. Moreover, reordering them when inventory drops to around 40% is a good strategy – remember, most of these materials are disposable!

Enforce safety measures on everyone on the premises

While there may be many individuals who might not like masks or other PPE, don’t let such behavior put your patients in jeopardy – it severely hampers safety in hospitals. Enforce rules within the healthcare facilities that apply to everyone. For instance, place posters on entrances and strategic places with messages that highlight the importance of masks as well as the fact that nobody is allowed to be there without proper PPE. Enforce social distancing as well, especially during patient registration, as many can forget about it during crucial moments.

Ensure proper waste management

This is a common but critical issue for any given healthcare provider, as most of them deal with discharges such as excretion, blood, etc. that might be contaminated. Properly label the trash cans or containers where these types of wastage go and also provide the employees with proper safeguards (masks, gloves, eye protection) so that they are safe while handling these materials. This won’t only help improve their safety, but the safety of everyone else they come in contact with.

Disinfect commonly touched surfaces and materials

COVID-19 has demonstrated how quickly and effectively viruses spread and how they stay on surfaces for an extended period. Ensure that beds, bedsheets, and any other surfaces are kept clean regularly. Also, use disposable glasses, plates, and materials whenever possible so that transmission is kept to a minimum.

Continuously work on improving safety

Ensuring safety once is not enough in such a rapidly changing environment – any responsible hospital or health system must take safety as a process rather than a task.

Set meaningful targets to improve patient safety, tools to monitor them, and follow up to observe how you are doing. For instance, zero patient harm can be a huge challenge, but moving toward that goal and implementing the practices required for it can significantly reduce patient safety incidents.

Deploy solutions that boost patient safety in hospitals

There are many solutions available that improve patient safety. However, one of the most crucial ones right now is RightPatient – a touchless biometric patient identification platform. But why is it needed so badly now?

Well, patient identification errors have been causing problems even during the pandemic and RightPatient solves that effectively. However, the best part is that it is entirely touchless, something that is a must in a post-pandemic world. All the patients need to do is look at the camera during – the platform attaches a photo and biometric data with the EHRs during registration. For subsequent visits, RightPatient runs a search when patients arrive and look at the camera, and provides the appropriate medical records in seconds. This helps to reduce HAIs (hospital-acquired infections) as there is no physical contact required. Moreover, patient safety is improved, medical errors are prevented, and healthcare outcomes are improved with RightPatient.

Streamline OSHA compliance to improve employee safety

Hospitals have a lot on their plates as they must focus on employee safety as well as patient safety. Thankfully, CloudApper Safety, an OSHA recordkeeping software, can help with that.

Employees can use it to share the best practices they deem suitable using their smartphones, and one of the main highlights is that the app can be used using mobile devices. Healthcare employees can report accidents, injuries, and near misses along with photos – helping streamline OSHA compliance. The management, on the other hand, can use all of the data, and work on corrective actions – improving safety in hospitals. It helps remove the administrative burden, streamline OSHA compliance, as well as reduce workplace safety incidents – enhancing safety for everyone involved.