2023-09-28 Cardea Users Group Meeting

Identity Management use cases

• Reducing human error/time on registration

  • Some data points still require checking/validation (i.e. last name, insurance, etc)

  • Could really reduce the re-collection of core data points (name, phone, race/ethnicity, etc)

  • Implementation Ideas:

    • Issuer

      • Health System (big hospital)

        • MRN is more consistent over time

      • Payer

        • Private

        • Public 

          • Often the data is sourced from the state and can be stale

        • Churn of payers

          • Typically annual (with private)

          • With eligibility changes (with public)

      • Source of data:

        • Drivers license

        • State identity card

        • Current hospital data

        • Ancillary services issued identity credential

    • Verifier

      • Health System

        • Returning patient

        • Avoid fuzzy name lookups to reduce duplication of persons

      • Ancillary services: Labs, pharmacies, clinics, private practices

        • Inheriting demographics

        • Discrete link to hospital record (with MRN)

      • MPI services

      • Credit services

      • University health care systems

      • Long term care facilities

  • Benefits

    • Reduced fraud for payers and health systems

      • ER, bait and switch (a covered patient presents at the desk, but a second person goes in for care)

    • User experience

    • In value based care, getting credit for services rendered or steps taken or reduction of patient health risk.

    • Patient access to their records (secure access) or to correctly identify records from another provider.

• Helping maintain patient identity in low-structure use cases

• Bridging clinical to social care with common patient identifiers

• Reducing dependency on algorithmic matches to bridge identity proofed patient to fuzzy medical record link

  • Having a better ID to create better record in the first place

  • Could have definitive match rather than fuzzy

    • MRN and name, or more robust medical record- both have value

• Next Steps

  • Boil down the idea(s)

  • Name it!

Future Agendas:

• Finalize white paper

  • 10/12 meeting (v2.1)

• Additional Speakers

• Revisiting use cases for trials and implementations