• Safeguarding the Master Patient Index

  • Nov 29 2021
  • Length: 21 mins
  • Podcast

Safeguarding the Master Patient Index

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  • Summary

  • I sit down with the HIM Team; Cindy Robinson( HIM Manager), Wendy Chestnut (Director of HIM), and Loris Silas (HIM Specialist) as they give their eye witness account on Safeguarding the Master Patient Index. The HIM Department is responsible for Birth Certificates Deficiency Analysis (Missing discharge items) ER Discharges Physician Suspension Chart Deficiencies for incomplete Medical Records Coding the accounts so charges will drop Impact of misidentification can affect the patient's clinical documentation as well as the billing piece. delay in care medication errors erroneous history release of information (3rd party payers, pcp, wrong MyChart account, etc. If the 3 identifiers are missing it is easier and safer to create a new patient record and merge potential duplicate MRNs together. An anonymous patient record should always be created when all identifiers are not available. When the incorrect MRN is selected a Chart Contact Move must be performed. The information for both patients is needed. The correct owner of the MRN The wrong patient (person admitted today) The Chart Correction activity is in Epic Very difficult process because it is difficult to determine which information belongs to which patient A merge is completed by the EMPI team This process combines 2 charts that belong to the same patient Never change patient identifiers unless there is 100% certainty of identity. Cannot trust verbal identifiers Always verify against legal documents (photo ID, SS card, etc.) Start the correction process as soon as possible. Chart Correction in Epic Document as much information as possible in the notes on both patients Escalate to leadership (Patient Access and Clinical) When it is realized that the wrong MRN has been selected and documentation has begun, a new MRN will need to be created to continue documentation for the patient currently admitted.
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