Digitization is common in most organizations in the world, and the health sector is not lagging. Digitization means integrating digital technology into daily business processes. As more and more healthcare providers modernize their processes and switch to digital technologies, data quality remains an important issue. Most healthcare providers define this well. The Patient Index (MPI) has serious data quality issues. According to data from the American Health Information Management Association, on average, every hospital has 10% of duplicate medical records. Repeated medical records will bring many negative effects, and have a negative impact on patient safety, treatment costs, data accuracy, and report quality.
We recognize the fact that patient identification and mapping are essential for medical institutions around the world. Monitor and correct duplicate medical records. However, for these institutions, duplication of medical records is still a problem, and health professionals are undoubtedly working hard to address the impact of this serious problem.
Duplicates Cost
It is difficult to accurately determine the actual cost of creating, identifying, and merging duplicates. In addition, it is impossible to quantify the cost of consequences of major patient safety incidents. The method or process of creating duplicates. Usually, the exact number cannot be determined because if the problem occurs without a solution, the employee can solve it by tracking maintenance time. However, some health systems have tried to estimate costs. According to Fox and Sheridan, the average tissue duplication rate of a single hospital is usually between 5% and 10%. 4 Considering an organization with hidden operating costs, each duplication pair is estimated to be $50.00, and a hospital will only create 5 duplications and spend $78,000 per day due to duplication. It is important to note that this article uses a six-day week for calculations. However, when HIM staff are not working to find duplicates, the hospital will not refuse to admit patients. This means that duplicates will also be created on the seventh day. Therefore, these factors must be included in the calculation, so that the annual cost exceeds 91,000 US dollars.
Method
After the preliminary investigation, the question 10The survey was designed to take into account the existence of duplicate medical records in the two cities. The survey is part of a cool project sponsored by John R. (Skip) Walusek and the sister city’s HealthEast health system. Lee helped create the survey and conducted a preliminary background check. You can choose to fill out the questionnaire yourself via email, or you can participate in a telephone or face-to-face interview. You did not get a response timeline. Assure all organizations that their survey responses will not be determined for research papers and presentations. They were also told to provide a copy of the investigation results.
Patient safety
According to a study by Johns Hopkins Hospital, 92% of duplicate medical records were created in the registry. New duplicate medical records lack the longitudinal history of existing medical records, leading to medical errors and erroneous clinical decisions.
HIPAA safety
According to HHS, there are 152,759 HIPAA complaints. Wrong physical address or wrong record overlap may cause sensitive patient information to be sent to the wrong recipient. The cost per serving is as high as $50,000.
Quality Report
Stars, HEDIS, and payer performance contracts depend on accurate quality reports. Profile: The data is known to be sparse.
Service coordination
One of the most important use cases for interoperability is the need to coordinate supply between companies. Providers in the connected network (and heterogeneous HCE systems) must speak to the same patient accurately and must not compromise the privacy of the patient.
Patient experience
In today’s connected world, patients are frustrated by the lack of coordination and communication in the healthcare system. By linking all patient interactions in the healthcare system to optimize patient communication, many headaches related to the patient experience can be solved.
Unnecessary Utilization
A recent study by AHIMA found that retesting or delay in treatment can increase patient costs by an average of US$1,100. Today, medical service providers not only need to exchange information but also have the ability to link patient identities to earlier points in time.
Value-based care initiatives
Since reimbursement is increasingly dependent on the provider’s ability to influence health outcomes, providers need to have visibility to take advantage of the patient’s advantage. The lack of laboratory testing of patients may mean the difference between receiving performance bonuses and paying fines.
How often does the patient identification problem occur?
Although duplicate medical records are inherently difficult to measure, AHIMA reports that the average duplication rate is 8% to 12%. Birth, gender, and social security number) instead of a unique patient identification number (UPI), in large patient records, such as those used by integrated distribution networks (IDN) and health information exchanges, the possibility of false positives and under-reports Exponential growth (IDN). HIE).In addition to statistical errors related to IDN and HIE records, large networks also have interoperability issues, which make it more difficult to maintain the integrity of the Master Patient Index (MPI) across multiple interconnected IT systems.
Limitations
The purpose of this study is targeted training. Since this is the first such issue in the Twin Cities, these issues are more suitable as quality issues. By giving interviewees the freedom to reply freely and freely, we hope to get more information. However, after considering the answers to some questions, I decided to clarify some questions and ask other questions. They use an algorithm system to find duplicates, all duplicates are. However, we believe that the problem should lie in the location of his algorithm system. How is the batch process at night? It is also appropriate to determine whether the algorithm is homemade or part of a commercial software system.
Conclusion
According to the definition of the Minnesota Patient Safety Alliance, the ultimate goal of this study is to have a positive impact on patients. Most community members have the opportunity to explore new strategies and make suggestions, and we hope that these suggestions will have a positive impact on patient safety. The survey results have been distributed to all survey participants and are expected to help organizations implement more strategies to deal with duplicate medical records. Start researching this topic.
