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  • Hello fellow classmates, my name is Deb and I will be hosting this week’s Informatics Talk. Our topic this week is on the unique patient identifier.

Transcript

  • 1. Unique Patient Identifier
    • Deb Quitmeyer
  • 2. Definition
    • “Unique Patient Identifier is the value permanently assigned to an individual for identification purposes and is unique across the entire national healthcare system”
  • 3.
    • Currently
      • Medical record number
        • Specific within provider organization
        • Many record numbers
    • Future
      • Universal Healthcare Identifier
        • Single identifier across all provider organizations
        • Throughout lifetime
        • Will be covered in more detail in later slides
  • 4. Key Factors for Creating a Unique Patient Identifier
    • Functionality – functions or purpose it serves
    • Standard – approved model
    • Proposal – plan of action
    • Participation – mandatory or voluntary
  • 5. 4 Basic Functions
    • Identification of Individual
        • Delivery of care (e.g. diagnosis, medication)
        • Administrative functions (e.g. billing, reimbursement)
    • Identification of Information
        • links patient to medical record
    • Privacy and Confidentiality
    • Reduce Healthcare Costs
    (Soloman, 1997)
  • 6. Standard
    • ASTM E 1714
        • “ Standard Guide for properties of Universal Healthcare Identifier (UHID)”
    • 30 characteristics
        • Unique
        • Verifiable
        • Secure
        • Permanent
        • More…
          • http://en.wikipedia.org/wiki/ASTM_E_1714
  • 7. Proposals
    • Enhanced SSN
      • SSN + alphanumeric characters
      • Check-digit
      • Problems
        • SSN linked to too many things
    • Cryptography
      • Private and public key
      • Problems:
        • Not Unique
    ( http://www.ncvhs.hhs.gov/ )
  • 8. Proposals
    • Biometrics
      • Physical characteristics: e.g. fingerprint, retina scan, voice
      • Problems
        • Technology, time, cost
    • Sample UHID
      • ASTM E 1714 - Dr. Barry Hieb
        • 16 digit SI + “.” + 6 digit check + 6 digit Enc scheme
      • Meets 25 ASTM characteristics
      • Problems
        • Length, significant cost
        • Lack of infrastructure, planning, procedures?
  • 9.
    • Should participation in a universal healthcare identifier system be voluntary or mandated by the government?
    Participation
  • 10. Voluntary Universal Healthcare Identification (VUHID)
    • Voluntary registration
        • name, address, phone number, birth date, and SSN
    • Separate from government
        • control, funding, oversight
    • Structure UHID
      • based on ASTM sample UHID
    • ( http:// gpii.info/participate.php )
  • 11. VUHID Identifier (http://gpii.info/system.php)
  • 12. Benefits
    • Unique Identification
      • Universal
      • Links individual to EHR throughout lifetime
    • Increase efficiency
      • Record retrieval
      • healthcare plans
    • Improve Quality
      • Eliminate medical errors
    • Cost Effective
    • Protection of Privacy
  • 13. Questions
    • What are some of the barriers in implementing a universal healthcare identifier system?
    • Do you think this should be voluntary or mandated by the government?
    • Which proposal do you think is best for creating a unique patient identifer?
  • 14. References
    • Appavu, S (1997, Nov. 24). Analysis of Unique Patient Identifier Options, Final Report. Prepared for U.S. Department of Health and Human Services
    • http://www.hipaanet.com/upin7-4.htm