Unique Patient Identifier <ul><li>Deb Quitmeyer </li></ul>
Definition <ul><li>“Unique Patient Identifier is the value permanently assigned to an individual for identification purpos...
<ul><li>Currently  </li></ul><ul><ul><li>Medical record number </li></ul></ul><ul><ul><ul><li>Specific within provider org...
Key Factors for Creating a  Unique Patient Identifier <ul><li>Functionality  –  functions or purpose it serves </li></ul><...
4 Basic Functions <ul><li>Identification of Individual </li></ul><ul><ul><ul><li>Delivery of care (e.g. diagnosis, medicat...
Standard <ul><li>ASTM E 1714 </li></ul><ul><ul><ul><li>“ Standard Guide for properties of Universal Healthcare Identifier ...
Proposals <ul><li>Enhanced SSN </li></ul><ul><ul><li>SSN + alphanumeric characters </li></ul></ul><ul><ul><li>Check-digit ...
Proposals <ul><li>Biometrics </li></ul><ul><ul><li>Physical characteristics:  e.g. fingerprint, retina scan, voice </li></...
<ul><li>Should participation in a universal healthcare identifier system be voluntary or mandated by the government? </li>...
Voluntary Universal Healthcare Identification (VUHID) <ul><li>Voluntary registration </li></ul><ul><ul><ul><li>name, addre...
VUHID Identifier (http://gpii.info/system.php)
Benefits <ul><li>Unique Identification </li></ul><ul><ul><li>Universal </li></ul></ul><ul><ul><li>Links individual to EHR ...
Questions <ul><li>What are some of the barriers in implementing a universal healthcare identifier system? </li></ul><ul><l...
References <ul><li>Appavu, S (1997, Nov. 24).  Analysis of Unique Patient Identifier Options, Final Report.  Prepared for ...
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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.
  • Test ppt

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

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