MPI CLEANUP                                                         Request Information

With a focus on 'Best Practice', Medibase specializes in helping hospitals identify and resolve issues related to MPI Integrity (i.e., duplicate medical record, overlay of patient's medical record) which remains a serious obstacle to patient safety. In the last several years there has been increased awareness and scrutiny over inaccurate identification of returning patients and the need for clinicians to have access to each patient's full medical history. Although registration systems, hospital procedures and training have improved, additional measures are still required. Medibase works with clients to isolate the root cause for misidentification and has developed a suite of MPI Integrity Products to provide relief to hospitals, clinicians and most importantly patients.

The impact of duplicate and overlay errors to the healthcare community has been extremely costly. However, once the situation is addressed and the integrity of the data improved, the facility will realize multiple benefits such as improved care, reduced returned mail, fewer denied/delayed claims and improved customer satisfaction.

The Medibase Philosophy

Medibase’s philosophy is to provide the customer with a permanent solution for achieving and maintaining a Master Patient Index free of duplicate and overlay errors. Our goals are to:

  • Isolate and resolve existing duplicate and overlay record errors both electronically and physically
  • Identify and correct the root causes of duplicate and overlay record errors
  • Implement patient intake procedures and tools that accurately identify the patient and prevent the introduction of new errors
  • Implement procedures and tools that quickly isolate and correct new identity errors
  • Implement audit processes that highlight performance lapses resulting in unacceptable errors

Experienced Medibase consultants can quickly evaluate the total patient intake process and isolate areas that need improvement. Using extremely powerful tools to assess the integrity of the hospital or enterprise MPI, precise recommendations can be made to improve processes and rectify problems.

Comprehensive MPI Assessment

Medibase assists hospitals by performing a comprehensive assessment of the MPI. Using an extract of the MPI, the assessment provides counts of all duplicates currently in the system broken out by facility. It also identifies duplicate records that were added to the system in the preceding 3 months. These are broken out by the responsible registrar and provide complete detail. Graphs are also generated that clearly demonstrate the service areas within the hospital where duplicates are being created.

     MPI Duplicate Assessment - Click Here for Details

MPI Cleanup Staffing

Medibase provides experienced staff to supplement internal HIM personnel in electronically merging all duplicate medical record numbers to the correct surviving number and consolidating the physical charts and radiology film jackets to the single unique MRN for the patient.  Medibase resources work in concert with experienced technical analysts to ensure that all suspected identity errors are isolated, scrutinized and merged when appropriate in all systems.  Our team utilizes the BASEmatch product to aid in adjudicating suspected duplicate errors.

The cleanup team is conditioned to recognize unusual situations as well as common situations involving babies, twins, trauma patients, family members and institutional names.  Medibase utilizes four levels in scrutinizing each potential duplicate situation:

  1. Definitely the same person
  2. Probably the same person requiring verification
  3. Possibly the same person requiring research
  4. Not the same person or there is no way to confirm that it is the same person

Where the available client data does not fully support that two identifiers are definitely the same individual, web research tools that incorporate a variety of public and private sources are used by the cleanup team to prove or disprove that the pair represents the same individual.  

Each team is lead by experienced cleanup managers who constantly interact with the client, provide direction to the team and monitor decisions and processes.  

 

Medibase's technical resources not only aid in analyzing data from the primary MPI, they can also compare the data to data from any of the downstream systems to isolate and report out of sync conditions.  Each client and cleanup project is unique.  Medibase leverages a strong technical background to provide alternative solutions that reduce the cost of a cleanup and to expedite the cleanup process. 

 

Medibase's goal is to leave our clients with the cleanest possible Master Patient Index along with tools and processes to keep it that way.

 

Project Management

Additionally, Medibase can provide experienced Project Management to guide internal or external efforts to cleanup MPI errors. This may be in the form of developing a comprehensive RFP for a successful project or developing a detailed Project Plan. Medibase can also provide oversight management to continuously monitor contracted cleanup staff and ensure that stringent HIM standards are maintained.