The healthcare industry is making significant progress on technical interoperability, but we continue to fall short of the promise of true health information exchange. Until we can consistently send and receive accurate and useful patient data nationwide, we will fail to realize the documented benefits of well-executed health information exchanges: improvements in clinical decision making and patient safety, business process improvement, and support for value based payment. Among the remaining challenges to successful nationwide exchange is patient matching across organizational boundaries.
The inability to consistently and accurately match patient data creates a number of problems for physicians and other health care providers. Providers may have an incomplete view of a patient’s medical history, care may not be well coordinated, patient records may be overlaid, unnecessary testing or improper treatment may be ordered, and patient confidence may be damaged or diminished.
In addition, providers may experience a number of clinical workflow inefficiencies that are costly. Those include prolonged troubleshooting to find the correct patient record, a reversion to manual telephone and fax information exchange workflows, waiting for a duplicate lab test order, or a manual effort to fix a patient record match.
To address these critical patient matching and identity management issues, The Sequoia Project, in collaboration with the Care Connectivity Consortium (CCC), has developed a framework for future growth and improvement that will shed light on several key topics:
- A case study illustrating one organization’s inter-organizational patient matching journey from a 10% success rate to a greater than 95% success rate and what we can learn from their experiences;
- A patient matching maturity model designed to help organizations assess their current state and provide a roadmap towards methodically improving; and
- A list of minimally acceptable patient matching practices for CIOs, CTOs and other technology leaders to adopt, if they haven’t already, and implement. This list establishes a “floor” in terms of matching patients across organizational boundaries.
Download the Framework for Cross-Organizational Patient Identity Matching
2018 Updates to Patient Matching Framework
- Jamie Bennett, Healthcare Systems Specialist, JP Systems Inc., Veterans’ Health Administration
- Ryan Bramble*, Senior Director of Technology, Chesapeake Regional Information System for our Patients (CRISP)
- Karon Casey, IT Manager, Coastal Connect Health Information Exchange
- Adam Culbertson, Innovator in Residence, HIMSS
- John T. Donnelly, President, IntePro Solutions Inc.
- Zachary Gillen*, Senior Director, Care Delivery Technology Services, Kaiser Permanente IT
- Eric Heflin, Chief Information Officer /Chief Technology Officer, The Sequoia Project
- Al Jackson, Vice President of Information Management & System Performance, Surescripts LLC
- Lesley Kadlec, MA, RHIA, CHDA, Director, Practice Excellence, American Health Information Management Association (AHIMA)
- Katherine Lusk, MHSM, RHIA, FAHIMA, Chief Health Information Management and Exchange Officer, Children’s Health (Dallas, Texas)
- Rebecca Madison*, Executive Director, Alaska eHealth Network
- Shelley Mannino-Marosi, Senior Director, Program Management, Michigan Health Information Network Shared Services
- Greg Mears, MD Medical Director, ZOLL
- Wendi Melgoza, RHIA, CPHI HIM Data Quality Manager, Sutter Health Shared Services
- Ben Moscovitch Manager, Health Information Technology, The Pew Charitable Trusts
- Marty Prahl, Health IT Consultant, Social Security Administration
- Catherine Procknow, Software Developer, Epic
- Carmen Smiley, IT Specialist (Health System Analysis), Office of Standards & Technology HHS Office of the National Coordinator for Health Information Technology
- Lead Author: Eric Heflin, Chief Technology Officer/Chief Information Officer, The Sequoia Project
- Shan He, Medical Informatics, Intermountain Health Care/Care Connectivity Consortium
- Kevin Isbell, Executive Director of Health Information Exchange, Kaiser Permanente/Care Connectivity Consortium
- Andy Kling, Director of IT, Geisinger Health System/Care Connectivity Consortium
- Katherine Lusk, Chief Health Information Management and Exchange Officer, Children’s Health (Dallas, Texas)
- Odysseas Pentakalos, Ph.D., CTO, SYSNET International, Inc.
- Chris Ross, Chief Information Officer, Mayo Clinic/Care Connectivity Consortium
- Seth Selkow, Director of CCC Program and HIE Engagement, Kaiser Permanente/Care Connectivity Consortium
- Sid Thornton, Medical Informatics, Intermountain Health Care/Care Connectivity Consortium
- Jim Younkin, Senior Director, Audacious Inquiry
- Kelly Carulli, Manager, Audacious Inquiry
- Dawn Van Dyke, Director, The Sequoia Project (Editor)
Below is a more detailed explanation of the topics explored within The Sequoia Project Framework for Patient Identity Management paper: