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Patient Matching Problems? Resolve duplicate records with the industry leader in patient identity management Entity Identity Management nextgate.com 626-376-4100 [email protected]

Patient matching problems? Patient Matching Problems? · An Enterprise Master Patient Index labels and links data ensuring the right information is shared across the enterprise. When

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Page 1: Patient matching problems? Patient Matching Problems? · An Enterprise Master Patient Index labels and links data ensuring the right information is shared across the enterprise. When

Patient matching problems?Resolve duplicate records with the industry

leader in patient identity management

E n t i t y I d e n t i t y M a n a g e m e n t

nextgate.com 626-376-4100 [email protected]

Patient Matching Problems?Resolve duplicate records with the industry leader

in patient identity management

E n t i t y I d e n t i t y M a n a g e m e n t

nextgate.com 626-376-4100 [email protected]

Page 2: Patient matching problems? Patient Matching Problems? · An Enterprise Master Patient Index labels and links data ensuring the right information is shared across the enterprise. When

So many of today’s HIT projects require data aggregation, data exchange, and workflow across heterogeneous platforms and organizations. System integration helps move data, but that alone is not sufficient. An enterprise strategy to uniquely identify records and their contextual relationships is essential for efficient, accurate, and meaningful interoperability.

An Enterprise Master Patient Index labels and links data ensuring the right information is shared across the enterprise. When providers, financial systems, and trading partners have access to accurate and complete data, numerous benefits are possible. An EMPI can enhance clinical care coordination, reduce duplicate diagnostic and lab procedures, support patient portals, improve billing accuracy, save patient and provider time, and conserve precious funds, if it’s done right.

Why should you care about an EMPI?

Single patient identifier for cross-platform interoperabilityThe EMPI creates a centralized, singular, and reliable index of a patient's information. The EMPI examines patient records from other systems, links related records together under an Enterprise Unique Identifier (EUID), and creates a Single Best Record entry.

Using the EUID as a "key", personnel and applications can find, exchange, and view data on the same patient, in the original context. By associating patient records that are scattered across disparate systems, the EMPI enables a comprehensive patient view and accurate data exchange.

Sean Patrick Ryan2714 Sunset Blvd.Los Angeles, CA 90511213.569.088005-03-1969444-55-6666Blue Cross

EPR#: 222 EPS#: 444Lab#: 333 PDS#: 555

EntErprIsE UnIqUE ID sErvEs aS a lInk to a PatIEnt’S rEcorDs In any systEm:

Helps reduce administrative costs

Improves billing accuracy and collection rates

Reduces potential medical errors

Allows care coordination and preventive care

Helps streamline registration

Locate and access clinical data for better decisions

EUID: 100100

Page 3: Patient matching problems? Patient Matching Problems? · An Enterprise Master Patient Index labels and links data ensuring the right information is shared across the enterprise. When

Why should you care about an EMPI?

The NextGate EMPI matches patient records with greater accuracy and precision than can be found in EMR, CDR, HIS, Registration, and other applications. Our advanced algorithms find more duplicate and potential duplicate records across the enterprise, minimizing the consequences and costs associated with poor data quality.

NextGate reduces duplicate record rates to below 5% on day 1

Getting the most from your EMPI: The patient matching and data aggregation capabilities of the EMPI ensure that you’re looking at the right data for the right patient.

With a single, accurate source of patient information, enterprise projects are more successful:

• Meaningful Use

• EMR Optimization

• Revenue Cycle Management

• Population Health Management

• Extended Enterprise Integration

• Patient Engagement

• Business Intelligence

• HIE and Accountable Care

• Care Coordination

• Data Analytics

Algorithms tuned to your specific population dramatically increase matching accuracy and reduce the probability of mismatched, duplicate, or mistakenly merged records.

NextGate’s patient

matching algorithms and

data analysis methods

have been refined over

20 years of healthcare

implementations. By

tuning the EMPI to your

specific data population

through an iterative

process, more duplicate

records are discovered.

Did you know?For a population of 200,000 active patients...

DUPLICATE RATE

7.5% 10% 15%

NUMBER OF DUPLICATES

15,000 20,000 30,000

NUMBER OF RECORDS TO RESOLVE TO REACH 5%

RATE

5,000 10,000 20,000

COST TO RESOLVE AT $20 EACH

$100K $200K $400K

COST TO RESOLVE AT $300 EACH

$1.5M $3.0M $6.0M

Average cost according to RAND Corporation study

Data Quality Management: merge, unmerge, edit, etc.

Determine matching thresholds

Design workflow and business processes

Assign weight values, configure algorithms, generate match reports

Integrate with systems for

interoperability

Algorithm tuning includes:

• Frequency and pattern analysis

• Phonetic, alias, and transposed character considerations

• Source system fidelity

• Exclusion lists and post-processing logic

START> Analyze records to determine meta-data

Bulk load EMPI with all records

Match records, create Single Best Record

Page 4: Patient matching problems? Patient Matching Problems? · An Enterprise Master Patient Index labels and links data ensuring the right information is shared across the enterprise. When

nextgate.com 626-376-4100 [email protected]

Identify and connect any entity, from any system, across the enterprise with NextGate's MatchMetrix® Technology Platform.

MatchMetrix® Platform

NextGate provides Enterprise master patient Index (EmpI) and identity management registry solutions that integrate, index and coordinate data across systems to provide unified views of data, expedite decision processing, and streamline operational efficiency. NextGate's innovative MatchMetrix® technology Platform is the foundation for enterprise-class registries, and provides an integrated environment to develop customer specific solutions that expand as requirements evolve.

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