Component 6 - Health Management Information Systems Unit 9-2 Administrative, Billing, and Financial Systems This material was developed by Duke University,

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Presentation transcript:

Component 6 - Health Management Information Systems Unit 9-2 Administrative, Billing, and Financial Systems This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

Objectives Discuss the core elements of a Master Patient Index (MPI) Describe the components integral to a Unique Patient Identifier (UPI) Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Patient Management and Billing Systems that support patient management functions –Example Patient identification –Master patient index Vogel, LH, Perreault, LE., Management of Information in Healthcare Organizations, Shortliffe, EH. editor, Biomedical informatics: computer applications in health care and biomedicine. 3 rd Edition Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Master Patient Index (MPI) An index referencing all patients known to an area, enterprise or organization Synonyms –Patient Master Index (PMI) –Master Person Index –Enterprise Master Patient Index (EMPI) Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Master Patient Index AHIMA definition: –List or database created and maintained by a healthcare facility to record the name and identification number of every patient who has ever been admitted or treated in the facility Pocket Glossary Health Information Management and Technology, AHIMA Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Purpose of the MPI Provides the index, location of, and access to a patient’s EHR in an enterprise Facilitates intraoperability and the accurate creation of a longitudinal record Ensures accurate and complete linking of EHRs for HIE Reconciling and Managing EMPIs, AHIMA Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Purpose of the MPI Establishes a streamlined governance process Accurately matches persons being registered for care with their existing medical records Reconciling and Managing EMPIs, AHIMA Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Core Elements of a MPI Person name Alias/previous/maiden names Date of birth Address Telephone number Health record number AHIMA, 2010 Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Core Elements of a MPI Account/visit number Name of attending physician Admission/encounter/visit date Discharge or departure date Patient disposition AHIMA, 2010 Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Core Elements of a MPI Marital status Gender Race Emergency contact name AHIMA, 2010 Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Unique Patient Identifier (UPI) Value permanently assigned to an individual for identification purposes Unique across the entire national healthcare system Not shared with any other individual National Committee on Vital and Health Statistics Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Functions a UPI Must Support Identification of an individual Identification of information Accurate identification functions Reduce healthcare operational cost and enhance the health status of the nation National Committee on Vital and Health Statistics Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Components Integral to UPI An Identifier scheme Identification information –Permanent data segment –Longitudinal data segment –Health service data segment National Committee on Vital and Health Statistics Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Components Integral to UPI Index –Organizational MPI – Enterprise-wide MPI –Registry MPI Information from previous episodes of care and different sites of care National Committee on Vital and Health Statistics Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Components Integral to UPI Mechanism to hide or encrypt the Identifier Technology infrastructure to search, identify, match, encrypt, etc. Administrative infrastructure including the Central Governing Authority National Committee on Vital and Health Statistics Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Processes Integral to Patient Identification Scope of access –Within a single organization –Enterprise wide access –Nation wide access National Committee on Vital and Health Statistics Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Summary Definition and core elements of a master patient index Current trends in establishing a national or unique patient identifier Component 6/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring