UCSF Medical Center CTG – June 5, 2014
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Transcript of UCSF Medical Center CTG – June 5, 2014
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UCSF Medical CenterCTG – 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
Today’s Objectives: To inform the CTG Committee of the goals and
recommendations of the Patient ID Task Force To seek the CTG Committee’s feedback on the proposed
project
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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
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A Patient Case
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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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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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Scope
ANCILLARY SERVICES
AMBULATORY CARE
INPATIENT SERVICESALWAYS 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
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Chair: Michael Skehan
Members:
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Sponsors Barrie Strickland
Chief Financial Officer Josh Adler
Chief Medical Officer Ken Jones
Chief Operating Officer
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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
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Patient ID Card MatrixOption Functionality Pros Cons
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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Option #1: Basic ID Card
Pros Cons 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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Option #2:Magnetic ID Card
Pros Cons 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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Option #3: Smart Card
Pros Cons 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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Option #4:Biometric Scanning
Pros Cons 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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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
Project2010
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
NDA’s, 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 hereJune 2014 – Care Governance Technology Committee Presentation
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Tool Demonstration
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Questions or concerns?
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Thank you!