UCSF Medical Center CTG – June 5, 2014 Patient Identification Solution UCSF Medical Center
Transcript
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UCSF Medical Center CTG June 5, 2014 Patient Identification
Solution UCSF Medical Center
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Presenters: Michael Skehan, Executive Director of Clinical
Services Maria Novelero, Administrative Director of Hospitalist
Services Michael Trader, President, M2YS Todays Objectives: To
inform the CTG Committee of the goals and recommendations of the
Patient ID Task Force To seek the CTG Committees feedback on the
proposed project 2
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Overview of Presentation Identify the goals, scope, and members
of the Patient ID Task Force Describe the proposed patient
identification solution Provide a tool demonstration 3
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4 A Patient Case
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5 Status Quo Patient identity fraud COWPIE 85 cases since APEX
live Record duplication 3% Quality/safety issues
Operational/financial costs associated with these challenges
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6 Goals of the Patient ID Project Enhance patient safety
Prevent charting on wrong patient Prevent duplicate medical record
numbers Help validate patient insurance and demographic information
Increase patient satisfaction by minimizing repeated request for
information Support a more efficient check-in process Strengthen
the UCSF brand identity and relationship with the patient in their
continuum of care Minimize identity theft Assure patient privacy is
not compromised
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7 Scope ANCILLARY SERVICES AMBULATORY CARE INPATIENT SERVICES
ALWAYS THE RIGHT PATIENT
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Patient ID Task Force Seth Bokser Roger Cameron Bryan
Chamberlain Heidi Collins Cindi Drew Sheree Garcia Tim Hamill Julia
Huang Eileen Kahaner Galen Laserson Jonathan Meyers Maria Novelero
Susan Penney Ann Sparkman Ed Thornborrow Deborah Yano-Fong 8 Chair:
Michael Skehan Members:
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Sponsors Barrie Strickland Chief Financial Officer Josh Adler
Chief Medical Officer Ken Jones Chief Operating Officer 9
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Activities of the Task Force Monthly meetings Market survey of
available options, weighing pros and cons of each solution
Educational presentations/demos from vendors Informal reference
calls to other hospitals that have implemented patient ID solutions
Consensus on recommendations 10
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11 Patient ID Card Matrix OptionFunctionalityProsCons Basic ID
Card ID card ID number may help to eliminate duplicate medical
records and improve registration process [Photo identification
assists identity check] Can serve as patient loyalty card Requires
patient to carry card Limited to information printed on card, poses
privacy/security risk Requires manual entry at point of
registration Limited utility to patient Magnetic ID Card ID card
with magnetic strip Magnetic Card Reader Immediate recall of
correct medical record prevents medical record duplication,
increases speed at registration, prevents fraud Can serve as
patient loyalty card, integrate with local vendors Limited scope
may enable rapid implementation Requires patient to carry card
Limited scope of information stored on card Smart Card ID card with
embedded chip Smart Card reader Incorporates positive
identification of patient High security of data Can serve as
patient loyalty card, integrate with local vendors Can serve as
real-time, portable mini EHR with array of information available to
patient, emergency providers, other providers of care Can store
biometric information Requires patient to carry card Depending on
scope of card options offered, larger effort from a system setup
perspective Biometric Scanning Registration of patient using iris,
face, fingerprint, palm, vascular or voice scanning Highly accurate
positive patient identification prevents duplicate medical records,
increases speed of registration, prevents medical identity
theft/fraud Can be used to identify unconscious patients Patient
does not need to carry card Does not incorporate patient loyalty
card benefits May raise concerns with patients for sanitary and
privacy reasons
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12 Option #1: Basic ID Card ProsCons ID number may help to
eliminate duplicate medical records and improve registration
process Photo identification assists identity check Can serve as
patient loyalty card Requires patient to carry card Limited to
information printed on card, poses privacy/security risk Requires
manual entry at point of registration Limited utility to
patient
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13 Option #2: Magnetic ID Card ProsCons Immediate recall of
correct medical record prevents medical record duplication,
increases speed at registration Can serve as patient loyalty card,
integrate with local vendors Limited scope may enable rapid
implementation Requires patient to carry card Limited scope of
information stored on card
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14 Option #3: Smart Card ProsCons Incorporates positive
identification of patient High security of data Can serve as
patient loyalty card, integrate with local vendors Can serve as
real-time, portable mini EHR with array of information available to
patient, emergency providers, other providers of care Can store
biometric information Requires patient to carry card Depending on
scope of card options offered, larger effort from a system setup
perspective
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15 Option #4: Biometric Scanning ProsCons Unique to each person
Highly accurate positive patient identification Can be used to
identify unconscious patients Patient does not need to carry card
Does not incorporate patient loyalty card benefits May raise
concerns with patients for sanitary and privacy reasons Can be more
expensive
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16 The Proposed Solution: Iris Biometric Authentication
Accuracy Hygiene Universal Use Scalability Platform Concept PLUS
patient photo in APEX
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Projected Costs 74 areas (ED, ancillary services, outpatient
clinics at PRN and MZ) One-time Expenses: Vendor = $531,424
Services (implementation, training, support) Server & Server
License Cameras and Accessories Internal = $30,000 APEX Analyst
(25% FTE for 3-4 months) Marketing/Communication Staff Training
(2-3 hours per staff) Total = $561,424 Ongoing Expenses: Annual
Maintenance & Support = $150,856 per year Staff Training
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Communication and Education For Staff: Email and flyers
describing technology, its functionality, and why the hospital
chose to adopt it Classroom training that includes instructional
videos, Q&A session, and a live demo Marketing materials for
staff on the biometric technology
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Communication and Education For Patients: Flyers/hand-outs
describing the technology, its functionality, and why the hospital
chose to adopt it Articles in local media (TV, print, or both)
Tri-fold Patient Privacy & Safety Guide that explains how the
technology works
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Next Steps Engage senior leadership and other stakeholders
Identify funding source Identify 5 areas for pilot Develop project
plan Prepare for implementation of pilot
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Sample Pilot Timeline Project 2010
JanFebMarAprMayJunJulAugSepOctNovDec NDAs, Clearance Docs., Tech.
Call Epic Access, Test Environment, Config., Process Flow
Marketing/PR Intro Site Walk-Throughs Train Phase System Install
& Go- Live 08/2014 11/2014 Orders Placed For Hardware 12/2014
12/2014 Pilot Sites 1/2015 Pilots At Go-Live 11/2014 On-going
Process We are here June 2014 Care Governance Technology Committee
Presentation