Updated on October 26, 2020
Lack of correct or efficient affected person identification in hospitals could cause extreme errors and have everlasting penalties. Patient misidentification, affected person matching errors, affected person mix-up, inaccurate affected person identification – no matter we name them, it’s all the identical.
It happens when a hospital identifies one affected person with one other affected person’s EHR (digital well being document). Suppose Hannah goes to her common healthcare supplier for a checkup. The first half of offering the healthcare service begins with figuring out the medical document of Hannah.
Therein lies the issue – there will be many Hannahs with the identical subject, similar final identify, similar knowledge such because the handle, all of which makes it fairly difficult to establish the correct medical document in a suitable timeframe. The hospital workers can do one of two issues – he/she will be able to both maintain wanting for the proper medical document. These misidentifications result in so much of issues for everybody concerned.
Patients face so much of issues from inaccurate affected person identification that may trigger bodily hurt, monetary losses, and in excessive instances, even dying. For occasion, somebody who went to the hospital for one thing as frequent as chilly would count on a small quantity of price. However, he/she would obtain an enormous shock within the kind of a $20,000 invoice.
Likewise, a affected person who went for a kidney transplant had his operation sooner than anticipated, afterward, discovering out that the kidney was meant for one other affected person solely, and he was lucky to get the kidney that matched him. Not everyone seems to be that fortunate, although – many have misplaced their lives as a consequence of affected person misidentification, impacting the lives of their family members ceaselessly.
These are all actual tales and are the results of affected person misidentification. Sadly, sufferers usually are not the one victims – as beforehand talked about, affected person misidentification impacts everybody concerned.
However, moreover sufferers, hospitals and well being methods are additionally struggling as a consequence of inaccurate affected person identification. For occasion, it impacts their status, causes tens of millions in losses, generates ineffective income cycles, will increase denied claims, and so forth.
Suppose the affected person talked about above acquired the $20,000 invoice in error and desires to repair this. He/she will be able to speak it over with the insurer and might deny the declare because it was despatched in error. Also, these affected person mix-ups could cause all types of detrimental publicity for the hospitals, affecting their status, rankings, and financials as sufferers is perhaps cautious of going there after such occasions. According to the Advisory Board, hospitals write off denied claims, which might price as much as $three.5 million/yr.
These usually are not the one points confronted as a consequence of a scarcity of correct affected person identification. Medical identification theft is a steadily rising concern for all events concerned – normally happens when a third-party makes use of the medical credentials of the sufferers with out their permission to avail advantages akin to healthcare companies, medical gear, medication, and so forth.
These trigger substantial monetary losses on all sides and are one other part of denied claims – an insurer can refuse to pay the hospitals for the companies utilized by the culprits, creating extreme losses for such healthcare suppliers. The sufferers additionally want to take a seat with their healthcare suppliers and insurers for a major quantity of time, ensuring that such undesirable incidents don’t repeat themselves.
The sufferers can also lose confidence of their healthcare suppliers and will even swap them in the event that they assume or see that their suppliers usually are not doing sufficient to guard their delicate knowledge.
Are all hospitals going through such points? No – not those utilizing ProperPatient. It is a biometric affected person identification platform that’s utilized by a number of reputed healthcare suppliers akin to Novant Health and Northwell Health, to call a couple of. The platform locks the medical data of the sufferers with their biometric knowledge akin to fingerprints or irises in order that unauthorized folks can’t entry them.
Once a affected person enrolls with the platform, it takes a couple of seconds to tug up the correct medical document inside seconds. It also can scale back denied claims by eliminating affected person misidentification and medical identification theft. Thus, ProperPatient saves tens of millions of dollars in addition to lives, benefiting sufferers, and healthcare suppliers each.