q  Board  Member  of  the  Smart  Card  Alliance  q  Vice  Chair  for  “Health  and  Human  Service  Counsel”  

q  Committee  Member:    q  Insurance  Identity  Cards  for    Workgroup  for  Electronic  Data  Interchange(WEDI)  

q  Non-­‐proIit  advisor  to  (HHS)  focused  on  healthcare  technology  to  enhance  quality  of  care,  improving  efIiciency  and  reducing  costs.  

q  National  Security  of  Trusted  Identity  in  Cyberspace”  (NSTIC)  

q  Contributor  for  the  CDC/AMA  Center  for  Public  Health  Preparedness  &  Disaster  Response  “Health  Security  Card”  Study  

q  Founding  Member  of    “Medical  Identity  Fraud  Alliance”  

All  Patient  Identity  Solutions  Should  Adapt  to  Government,  State,  Insurance  Carriers  and  Individual  

Healthcare  Providers  Identity  Token  

Trusted  Patient  Identity  

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David  Batchelor,  CEO-­‐  LifeMed  ID,  Inc.    

Patient  Safety,  Effects  and  Costs  

v  Healthcare  “Waste”  v  Fraud  v  Identity  Theft  v  Patient  Safety  v  Interpretable  Identity  v  Results  

v   Over  17%  of  GDP  is  spent  on  healthcare    v   Medical  costs  are  rising  faster  than  wages  or  infla<on    v   20%  to  30%  of  healthcare  spending  is  considered  “waste”    

Healthcare  Expenditures  Higher  in  2010  

2009  

$760  Billion  or  30%  is  

Considered  Waste  

Patient  Safety  Accurate  Patient  Identity  

The  #1  goal  of  the  Join  Commission's  National  Patient  Safety  Goals  since  2003.    

   

MisidentiIication  of  patients  congests  the  healthcare  system  with  administrative  inefIiciencies,  duplicate  record  and  dirty  

data  corrections,  lawsuits  and  legal  costs  

2003    2004    2005    2006    2007    2008    2009    2010    2011    2012  

2013-­‐14?  

0.0%  

5.0%  

10.0%  

15.0%  

20.0%  

25.0%  

Healthcare  fraud    represents  the  largest  single  category  of  insurance  fraud  convic<ons  

Insurance  Fraud  Convictions  

Na<onal  Average  Fraud  Amount  

Consumer  Cost  to  Resolve  Fraud  

Medical  Iden<ty  TheS  

All  Iden<ty  TheSs  

Combined  

Identity  Fraud  Cost  Comparisons  

21%  didn’t  discover  the  problem  for  two  or  more  years  

One  third  of  all  medical  iden<ty  theS  vic<ms’  insurance  premiums  increased  

Nearly  half  of  all  medical  iden<ty  theS  vic<ms  lose  their  health  coverage  

29%    of  medical  iden<ty  theS  vic<ms  didn’t  discover  the  problem  un<l  a  year  later  

Only  10%  of  all  medical  iden<ty  theS  incidents  were  completely  resolved  

Minimum  cost  to  open  a  subway  franchise  Average  salary  of  a  family  physician  Healthcare  facility  se5lement  cost  Average  cost  of  a  new  home  Average  cost  of  life<me  healthcare  

Identity  Theft  Costs  (effects  people)  

1   2   3   4  

$8,200  $10,500  

$20,160  

$28,400  

Annual  cost  of  in-­‐state  public  

university  tui<on  

Annual  cost:  family  of  four  

Medical:  Average  to  

restore  iden<ty  

Average  cost  of  a  new  car  

Identity  Theft    Medical  is  Fastest  Growing  

Averages  

v There are approximately 195,000 deaths in the U.S. every year due to identity and medical errors.

v Ten- 10 out of 17 medical error deaths are due to “wrong patient errors”, or failure to correctly identify a patient

v Wrong patient errors: 114,706 v Motor vehicle accidents: 43,458 v Breast Cancer: 39,297

v Prostate Cancer 29,720

v Homicide: 22,824

v AIDS: 17,347

Patient  Safety…  2010    

Patient  Identity,  Matching  Record  and  Procedure  

q  Harris  County  Texas  ONLY  (name/DOB)  q 3.4  million  patients  q 249,213  have  same  Iirst  &  last  name  q 69,807  pairs  share  both  names  and  birth  date  q 2,488  patients  named  Maria  Garcia    

q  Nationally  q Duplicate  records  account  for  5-­‐15%  of  all  patient  records  and  cost  the  average  hospital  $500K  -­‐  $2.5M  every  few  years.  

q   Up  to  15,000  Duplicate  Records  for  every  100,000  records  

Duplicate  Records    Patient  Safety  Continued  -­‐  Identity  Problem  

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Individual  or  Integrated  Delivery  Networks  Each  with  a  unique  patient  MRN  

Health  Informa<on  Exchange  (HIE)  

Hospitals  

Clinics  

Doctor’s  Offices  

Solution-­‐  Interoperable  Patient  IdentiIiers  Providers,  Government  and  Insurance  

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mpi/empi Enterprise - Master Patient Index

Biometric    Devices  Public  Iden<ty  Systems  

Branded  Personal  Health  Card  

Probabilistic  vs.  Deterministic  

Requirement-­‐  Bridging  Identity  Across  ALL  Disparate  PMS/EHR’s                Protecting  Patient  with  Seamless  Integration  

Others  

Epic  Systems  Corporation  

Allscripts  

eClinicalWorks  LLC  

NextGen  Healthcare  

GE  Healthcare  

Cerner  Corporation  

Practice  Fusion  

Athenahealth,  Inc  

McKesson  

CPSI  DocuTap  

MediTech  

Siemens  

One  Identity  for  all  Visits  

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Pa?ent  Iden?ty,  record  and    Procedure  Matching  

Determinis?c    Bio/Card  ID  

Probabilis?c  EMPI  

Combined  Security  

Increase  pa<ent  safety  and  sa<sfac<on   ü      ü      ü     Increase  compliant  billing  and  reduce  revenue  cycle  <me   ü      ü      ü       Determinis<c  pa<ent  matching   ü      ü     Secure  pa<ent  iden<fica<on   ü      ü     Validated  pa<ent  iden<fica<on   ü      ü     Automate  pa<ent  registra<on   ü      ü     Secure  pa<ent  demographic  record  access  from  web  access   ü      ü     Reduce  crea<on  of  duplicate  records   ü      ü     Reduce  misiden<fied  records   ü      ü     Probabilis<c  pa<ent  matching   ü      ü     Consistent  view  of  cri<cal  pa<ent  demographics   ü      ü     Op<mum  pa<ent  matching  and  source  of  truth   ü     Color  coded  duplicate  record  elimina<on  report   ü     Alert  of  poten<al  duplicate  record   ü     

Deterministic and Probabilistic Patient Authentication as a Requirement to EMPI

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Deterministic  Authentication  Positive  ID…  Always  

                     Past                                      Present                        Future  CMS,  Insurance  &  Healthcare  

Providers  ID  Cards  or  Biometrics    No  More  Duplicates  

Repairing  Duplicate  or  Overlay  Records  costs  $500K  -­‐  $2.5M  every  2–3  years.  

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Biometrics  or  ID  Cards  30  Second  Paperless  Registration  -­‐  250,000  times  a  year  

 One-­‐time  patient  validation  links  patient  medical  record    for  lifetime  automation  

Patient presents identity verification documents

Registration authenticates and verifies ID and takes photo

Biometric or ID Card linked to

identity

SecureReg aligns identity and medical record in PMS/ADT System

Automated  30  second  patient  registration  without  Clipboard   Patient validates identity using Biometric or ID Card

SecureReg automatically evokes patient medical record for registration

SecureReg decrypts, validates identity and

retrieves patient record

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Automatic  PHR  and  Discharge  Information  Updates  at  Sign-­‐Out Patient reviews and signs

any electronic forms Patient’s validate ID with Bio or ID Card upon

exit using unmanned reader or Kiosk

 

q  What  IF…  q  Bridge  one  identity  to  all  medical  record  locations  

q  No  changes  in  workIlow  q  Up  to  data  demographic  data  q  Integrate  to  all  providers  

Authenticating  Card  and  Identity  

Verifying  Patient  Photo,  PIN,  Biometric        

Medicare, Medicaid, CHIP, Debit, HSA,

Compares  Disparate  Historical  Patient    Data  

Invokes  Patients  Record  using  Provider’s  Current  Software  

Patient  Data  Exchange  Portal    

EMS  Gateway  Bridging  EMS  with  Patient  Data  and  ER  

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Simple:  Positive  Patient  Identity,  Record  and  Procedure    Matching  

InIluences…  Diminishes  Procedure,  Duplicate  Tes<ng,  and  

Iden<ty  Fraud    

Increased  Pa<ent  Database  Integrity  …less  

Medical  Errors  Decrease  Administra<on  Requirements  -­‐  Increase  

Pa<ent  Interac<on    

Increased  Account  Collec<ons  and  On-­‐Going  

Revenue  Growth  

Pa<ent  Iden<ty  Authen<ca<on  

Eliminate  Duplicate,  Overlay  Records  and  

Diminish  Keystroke  Errors  

Workflow  Automa<on  30  Second  Paperless  

Registra<on  

Increase  Administra<ve  and  Claims  Efficiencies  

Proven  6-­‐8  Month  ROI  Average  “Annual”  Hospital  Savings  =  $800K-­‐$4.6M  

Increase  Pa<ent  Safety,  Sa<sfac<on  and  Loyalty  

One  Identity  for  all  Visits  &  Locations  

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Thank  You,  David  Batchelor,  CEO  

Trusted  Patient  Identity