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Privacy & Security Tiger Team - Patient Matching - 2010-12-10

Privacy & Security Tiger Team - Patient Matching - 2010-12-10

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Published by Rich Elmore

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Published by: Rich Elmore on Dec 10, 2010
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12/10/2010

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1
Privacy and Security TigerTeam Meeting
Discussion Materials
Today’s Topic: Patient Matching Hearing
December 10, 2010
Agenda
TimeTopic
10:00 a.m.Call to Order
Judy Sparrow, ONC 
10:05 a.m.Introduction and Overview of Agenda
DevenMcGraw, Co-Chair 
Paul Egerman, Co-Chair 
10:15 a.m.Framing the Discussion: Patient Matching
Objective and Scope
Background Information
Key Themes from Testimony11:45 a.m.Public Comments12:00 p.m.Adjourn
2
 
2
Objective and Scope of this Discussion
Provide policy recommendations on privacy and securityissues associated with linking or matching patients to theirinformation within healthcare entities in order to supportinformation exchange across healthcare entities.
Information exchange between different healthcare entitiesdepends on an ability to match patient identities withoutbenefit of common identifiers. Issues include:
 –
Correctly linking patients to their health data is a vital step inquality health care;
 –
Accuracy, integrity and quality of the patient data are also criticallyimportant; and
 –
Internal data issues must be resolved before tackling the largerissues involved in exchange.
3
Applicable Law: Other
HIPAA Privacy Rule
 –
Minimum Necessary Standard
 –
Requires evaluation of practices and safeguards to limit
unnecessary or inappropriate access to and disclosure of PHI
HIPAA Privacy and Security Rules
 –
Include a generic provision of assuring the right data isassociated with the right person
5
 
3
Proposed Questions for the Tiger Team
1.What level of accuracy should be established forpatient matching (i.e., matching patients to theirdata)?2.What standards, if any, might need to beestablished to assist with patient matching?3.Are there best practices that should berecommended to assist with patient matching?
The focus of today’s Tiger Team meeting will be
on common themes that emerged through thehearing that may influence our answers tothese questions.
6
Why is Patient Linking Important?
Improved outcomes in clinical care
Patient safety concerns
Impact on efficiency of operations
Reduction of fraud
7

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