Survey: Patient Matching Issues Common Among HIM Professionals | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Survey: Patient Matching Issues Common Among HIM Professionals

January 8, 2016
by Rajiv Leventhal
| Reprints

More than half of health IT management (HIM) professionals routinely work on mitigating possible patient record duplicates at their facility, while 72 percent of those work on mitigating duplicate records weekly, according to a survey from the American Health Information Management Association (AHIMA).

Further contributing to the issue, less than half (47 percent) of respondents state they have a quality assurance step in their registration or post registration process, and face a lack of resources to adequately correct duplicates. In order to learn more about AHIMA members’ experience with patient matching as it relates to linking patient records, the AHIMA membership survey was answered by 815 participants using 12 different electronic health record (EHR) systems and was conducted in the summer of 2015.

According to AHIMA, accurate patient matching “underpins and enables the success of all strategic initiatives in healthcare,” including:

  • Patient-centric care: Identifiers serve to “link” all patient data. Compromising the “linking” ability compromises care delivery.
  •  Health information exchange (HIE): Correlating patient data across enterprises, regions, or states requires accurate matching of patient data.
  • Population health: While population health has many facets, the one common thread is the need to match consumer information at an individual level in order to address the goals.
  • Analytics: Identifying best outcomes for patient study groups, identifying consumers across a continuum of care for engagement strategies, and effective research requires accurate patient matching.
  •  Finance: Value-based purchasing, risk sharing reimbursement models, and accountable care organizations all rely on accurate patient matching across a care continuum.

Information governance encompassing patient matching is essential to successfully executing disruptive and transformational healthcare activities, according to AHIMA officials. Accordingly, here are five key findings from the AHIMA survey:

  • A total of 43 percent of respondents are measuring data quality as it relates to patient matching. Routine quality check exercises are an important component of data quality for patient matching.
  • A total of 47 percent of respondent’s state they have a quality assurance step in their registration or post registration process.
  • A total of 55 percent of survey respondents were able to communicate the duplicate medical record rate within their organization, but additional questions relating to how the duplicate rate was calculated indicate a lack of a standard definition for duplicate rate calculation. For example, only 42 percent knew the numerator and 42 percent knew the denominator that factored into their organizations duplicate rate.
  • A total of 57 percent of respondents work possible duplicates regularly. Of those respondents, 72 percent work duplicates at a minimum of weekly.

The top five challenges identified by survey respondents in managing the master patient index/enterprise master patient index are: Registration staff turnover; record matching/patient search terminology and/or algorithms; lack of resources to correct duplicates; inadequate information governance policy support and lack of executive support.

The authors of the survey said it shows the need to measure, monitor, and inform the marketplace of the need to better match patients to their specific health information. The survey responses illustrate the importance of information governance encompassing patient matching. Accurate patient matching is essential to patient-centric initiatives, and implementing quality assurance measures are critical steps to improving performance, the authors said. “We cannot sit around and wait for others to correct this problem,” the survey authors said. “As healthcare professionals, we need to embrace the challenge and collaborate to develop scalable solutions to assure patient information is available when and where it is needed.”

In February 2014, the Office of the National Coordinator for Health IT (ONC) released their full patient matching report before HIMSS14. That report called for data standardization of several patient demographic fields to increase patient matching accuracy and to enable EHRs to have the capability of creating patient matching reports to find duplicate records easily. ONC said at the time that it will not create a standardized algorithm for patient matching.

What’s more, later this month, the Ann Arbor, Mich.-based College of Healthcare Information Management Executives (CHIME) is launching its National Patient ID Challenge. “Matching the right patient with the right data at the right time is critical to ensuring patient safety and realizing the full benefits of health IT. As we continue to digitize the healthcare system, it has become clear that we need a private, accurate and safe system for patient identification. This is why CHIME teamed with HeroX to launch the National Patient ID Challenge: a $1 million global competition aimed at incentivizing innovators to develop a viable solution,” CHIME said.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



Survey: Infrastructure, Interoperability Key Barriers to Global HIT Development

A new survey report from Black Book Research on global healthcare IT adoption and records systems connectivity finds nations in various phases of regional electronic health record (EHR) adoption. The survey results also reveal rapidly advancing opportunities for U.S.-based and local technology vendors.

Penn Medicine Opens Up Telehealth Hub

Philadelphia-based Penn Medicine has opened its Center for Connected Care to centralize the health system’s telemedicine activities.

Roche to Pay $1.9B for Flatiron Health

Switzerland-based pharmaceutical company Roche has agreed to pay $1.9 billion to buy New York-based Flatiron Health Inc., which has both an oncology EHR and data analytics platform.

Financial Exec Survey: Interoperability Key Obstacle to Value-Based Payment Models

Momentum continues to grow for value-based care as nearly three-quarters of healthcare executives report their organizations have achieved positive financial results from value-based payment programs, to date, according to a new study from the Healthcare Financial Management Association (HFMA).

Cerner, Children's National to Help UAE Pediatric Center with Health IT

Al Jalila Children's Specialty Hospital, the only pediatric hospital in the United Arab Emirates, has entered into an agreement with Washington, D.C.-based Children's National Health System to form a health IT strategic partnership.

Telemedicine Association Names New CEO

The American Telemedicine Association (ATA) has named Ann Mond Johnson its new CEO, replacing Jon Linkous who stepped down suddenly last August after 24 years as the organization’s CEO.