ipl-logo

Universal Patient Identifier

1053 Words5 Pages

Universal patient identifiers can safely enhance efficiency to connect patients to their healthcare records. Although, many patients evade the anguish from adverse events due to a misidentification from the existing patient-matching technology, however misidentification in patients can have inflated financial ramifications to hospital systems. “Denied claims can become a huge waste of time and money for any practice manager; per a recent MGMA Connection article the average cost to rework a claim is $25. When you multiply that cost by dozens of denied claims, it quickly adds up”. (Taufen, A., MA., 2014). Moreover, organizations associated with healthcare risk squandering money due to patient misidentification consequently resulting in claim …show more content…

The following paper will debate and itemize how UPIs can judiciously enrich healthcare proficiency through its technology for patient information distribution. The paper will detail how a functioning UPI system will produce reduction in unnecessary cost to hospital systems, circumvent health record duplication, guarantee healthcare providers that they are handling patients with precise and modernized medical information, and expand interoperability and information sharing amongst health facilities. Additionally, strategies will be comprised as approaches to surmount barriers or healthcare stakeholder uncertainties. Universal Patient Identifiers and Connecting Patients to Health Information Universal Patient Identifiers encompasses assigning a personalized tailored number to individuals that will then be sourced to distinguish a patient within the entire U.S. healthcare network, pointedly this will permit patient data sharing. Sharing data amongst networks is sheltered through policies that unambiguously protect patient data. Protection of personal health information (PHI) is the foremost component in the healthcare industry. It is momentously obligatory to conform to the policies of …show more content…

Its determination is to associate patients to their data to improve the capability to generate a simplicity in sharing this data amongst the multiple health facilities patients visit. UPIs engendered by Electron Health Records (EHR) data can be manipulated by other healthcare systems including hospitals, pharmacies, insurance companies, patients, clinical research firms or diagnostic medical devices. These entities allocate data to be encapsulated, assembled, managed and then interconnected together universally. According to the article, Registries for Evaluating Patient Outcomes: A User 's Guide, “PIM has become crucial in order to (1) enable health record document consumers to obtain trusted views of their patient subjects, (2) facilitate data linkage projects, (3) abide by the current regulations concerning patient information–related transparency, privacy, disclosure, handling, and documentation,2 and (4) make the most efficient use of limited health care resources by reducing redundant data collection.” (Gliklich, R. E., & Dreyer, N. A., 2010). Currently, UPIs have previously become embedded into the U.S. healthcare system to some degree. An existing example of UPIs today are the medical numbers

Show More
Related

Best-Fit Emr Case Study

535 Words | 3 Pages

• Save time with point-of-care charting. McKesson’s Total Practice Choice Cost-effective, cloud-based EHR and PM software inspired by independent practices who don’t have dedicated HIT staff. Total Practice Choice offers a comprehensive organization-wide solution that empowers administrators to streamline scheduling, medical billing, documentation, claims submission and internal/external communication. Customized reports enables practice leaders to monitor workflow and patient flow for opportunities to increase productivity and efficiency.

Read More

Icd-9 In The Health Care Industry

424 Words | 2 Pages

Fraud is all around us. Especially in the health care industry. What is being done to prevent fraud from reoccurring over and over in the health care industry? In the article “New medical codes can better catch fraud, but training is needed” by Tami Rockholt, RN, BSN; Mike Fossey; Mary McLean, BS discuses the topic of health care organizations transferring from ICD-9 to ICD-10 to help decrease fraud in the coding and billing department.

Read More

EMR Adoption Model Paper

557 Words | 3 Pages

Since many health information infrastructure systems are relatively new, there is still variability in the implementation stages that different organizations have achieved. Additionally, most systems will have more than one capability that provides value, so the relationship between the system’s functionality and the resulting impact to patient care must be analyzed in order to determine the value it provides (Einstein, Juzwishin, Kushniruk, & Nahm, 2011). Value of health information infrastructures can be assessed in many different ways, including whether the technology allows the availability of useful information, how that information is utilized by staff and patients, and its impact on health outcomes. For information to be of value and influence medical decision making, it must be comprehensive, accessible, useful, and valid (Fitterer, Mettler, Rohner, & Winter, 2011).

Read More

Health Information Exchange Research Paper

87 Words | 1 Pages

Health Information Exchange Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count

Read More

How HIPAA And Health Information Technology Impacts Health Finance

1161 Words | 5 Pages

In the past decade, we have gone from performing surgeries that produce large cuts on the body, to laparoscopic procedures that only require small incisions. However, with inventions comes cost. Patients who need medical help are all too eager to try the latest in medical technology, but do not see the cost until the end. With procedures comes exchange of Personal Health Information (PHI). There is a cost to protect the patients PHI also.

Read More

Case Study: Career Current Issue Of HIPAA

851 Words | 4 Pages

Career Current Issue Current Issue Background HIPAA (Health Insurance Portability and Accountability Act), was put in place in 1996. It’s main objective, stated by McGowan (2012), is to “...improve continuity of health insurance coverage, combat health care waste and fraud, and simplify the administration of health insurance” (p. 61). The Privacy Rule was added in 2003; it protects demographic information, including individuals past/present/future condition, care given, payment information, their address, date of birth, etc. Therefore, nurses, doctors, and other health care providers must pay special attention to what they are sharing.

Read More

Advantages And Disadvantages Of HIE Model

932 Words | 4 Pages

This service offers the opportunity for subscribers to better engage in care coordination and make sure that proper follow-up care is received. The AHIMA report that was released in 2012 also stated some ways that would help data integrity be at its best. They suggested that there be oversight and accountability mechanisms, acceptance criteria and patient identification practices as part of an internal review processes, and an understanding by exchange participants on how and when corrections will be made to patient data. To facilitate data quality, the ultimate goal of any HIE should be accurate identification of the patient. HIE patient identity and administration has three patient identification profiles: (1) the patient identifier cross-reference profile that matches patients by cross-referencing IDs; (2) the patient demographics query profile queries a central patient information server; (3) patient administration management has knowledge on the status of the patient which means they know where the patient is, was, or is

Read More

EMR Vs. EHR – What Is The Difference?

578 Words | 3 Pages

When using EHRs the focus on the total health of the patient is going far beyond the standard clinical data that is being collected when it comes to the provider’s offices and the patients care. Electronic health care (EHRs) are designed to collect and compiles of patient information. They are also built to share information with other health care providers, laboratories, and specialist so they can able to retrieve information that involves the patient care. The National Alliance for Health Information Technology stated that EHTR data needs to be created and managed and consulted and has to be authorized by provider and staff and more than one healthcare

Read More

Health Insurance Portability Act Of 1996

516 Words | 3 Pages

This is called protected health information or PHI. Information meets the definition of PHI if, even without the patient’s name, if you look at certain information and you can tell who the person is then it is PHI. The PHI can relate to past, present or future physical or mental health of the individual. PHI describes a disease, diagnosis, procedure, prognosis, or condition of the individual and can exist in any medium files, voice mail, email, fax, or verbal communications. defines information as protected health information if it contains the following information about the patient, the patient’s household members, or the patient’s employers, Names, Dates relating to a patient, i.e. birth dates, dates of medical treatment, admission and discharge dates, and dates of death, Telephone numbers, addresses (including city, county, or zip code) fax numbers and other contact information, Social Security numbers, Medical records numbers, Photographs, Finger and voice prints, Any other unique identifying

Read More

Purpose And Value Of The HIPAA Act

646 Words | 3 Pages

The disclosure of patients’ health information affects them in many ways. Financially, when criminals obtain protected patient information, they can use it for insurance fraud, which affects insurance companies and the patients as well ; from a social and psychological perspective, patients feel embarrassed and can be blackmailed when their health information is exposed . Data breaches also affect covered entities’ finances and reputation. The HIPAA enforcement rule penalizes any HIPAA violation [12], but the hearing process that follows a HIPAA violation complaint is very expensive, and covered entities must pay for lawyers and other professionals during this legal process. The notification rule mandates that covered entities notify the OCR and patients affected by any data breach.

Read More

The American Health Information Management Association (AHIMA)

545 Words | 3 Pages

This includes creating, managing and following patient data. The American Health Information Management Association (AHIMA) defines information governance as “an organization wide framework for managing information throughout its lifecycle and for supporting the organization’s strategy, operations, regulatory, legal, risk, and environmental requirements.” In today’s healthcare system, it is more important than ever to know and understand how healthcare information is created, transferred and used. Due to the development of systems such as electronic health records and clinical decision support systems it is important that health information maintains its reliability and validity throughout its

Read More

HIPAA Vs. Privacy

812 Words | 4 Pages

All individually identifiable health information (transmitted or held by a covered entity in any form, whether oral, electronic, or paper) is protected under TPR. This information under TPR is referred to as protected health information (PHI). “Individually identifiable health information” is information which pertains to: • The future, present, or past payment for the provision of health care to the individual which identifies the individual. Some examples of this include Social Security Number, address, name, address, and birth date. • The individual’s present or past mental or physical condition or

Read More

American Health Information Management Association (AHIMA)

1114 Words | 5 Pages

Introduction Since 1928, the American Health Information Management Association (AHIMA) has been at the forefront in improving healthcare information management. Health Information Management (HIM) is the practice of the acquirement, storage, and protection of crucial information concerning patients’ health and other personal data. Widespread computerization has introduced Electronic Health Records (EHRs), which has continued to replace the traditional paper-based records. AHIMA’s History and Mission

Read More

Two Patient Identifiers

339 Words | 2 Pages

In its report on patient safety, The Joint Commission (2016) mandates that a minimum of two patient identifiers should be used when caring for patients, including but not limited to the administration of medication, collecting blood samples, performing medical treatments and procedures, etc. Patient names, birthdates, telephone number, assigned identification numbers, or other person-specific identifiers can be used to identify individuals for who care or treatment is to be provided. The rationale behind this policy is twofold: it identifies the person who the procedure or treatment is intended, and it matches the procedure, treatment, and/or service to a specific individual (The Joint Commission, 2016). Per The Joint Commission (2016), outcomes for the use of two patient identifiers will result in less patient errors during the course of diagnosis and treatment.

Read More

Health Insurance Portability

851 Words | 4 Pages

Nevertheless, the privacy law requires Department of Health Services to take additional steps to keep information safe by providing additional training for workforce members to assure patient information on computers is kept

Read More

More about Universal Patient Identifier

Open Document