[Openid-specs-heart] Bloomberg article highlights pitfalls associated with patient matching

[Adrian Gropper]

I agree with Jeremy about transparency as the solution but I also think
that what Catherine calls "anonymization" would have solved the problem.

Anonymization or pairwise pseudonumity forces the patient to be an explicit
actor to the matching process. It replaces an error-prone probabilistic and
hidden process with a clear informed consent by the patient being matched.

Although not mentioned in this Bloomberg article, Surescripts is the
de-facto national patient surveillance system. Pretty much every
prescription we have ever had from any Meaningful Use EHR and beyond is
identity matched, tracked, and stored forever by Surescripts. I am
currently trying to figure out how Surescripts is able to do this without
any visible consent or transparency.

Adrian

On Friday, September 25, 2015, Maxwell, Jeremy (OS/OCPO) <
Jeremy.Maxwell at hhs.gov> wrote:

> Probably not.  It sounds like it was either human error (e.g., someone
> entered information into a wrong chart) or a software error (e.g., the EHR
> software mixed up its database indices).  Or it could be simple fraud
> (e.g., doctor shopping).  In any event, I think the best defense against
> erroneous records is greater, easier, and quicker patient access.  Just
> like paper charts before them, electronic records will always have
> inaccuracies.  This isn’t really news.  It’s how quickly they can be
> identified and remedied—that’s the key.
>
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>
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>
> *From:* Openid-specs-heart [mailto:
> openid-specs-heart-bounces at lists.openid.net
> <javascript:_e(%7B%7D,'cvml','openid-specs-heart-bounces at lists.openid.net');>]
> *On Behalf Of *Catherine Schulten
> *Sent:* Friday, September 25, 2015 11:07 AM
> *To:* openid-specs-heart at lists.openid.net
> <javascript:_e(%7B%7D,'cvml','openid-specs-heart at lists.openid.net');>
> *Subject:* [Openid-specs-heart] Bloomberg article highlights pitfalls
> associated with patient matching
>
>
>
>
> http://www.bloomberg.com/news/articles/2015-09-23/the-pitfalls-of-health-care-companies-addiction-to-big-data
>
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>
> Mother’s prescription information is linked to daughter’s record – would
> anonomyziation have solved this problem?
>
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> Catherine Schulten
>
> *Director, Product Management*
>
> LifeMed ID, Inc.
>
> 6349 Auburn Blvd., Citrus Heights, CA 95621
>
>
>
> Office: 888.550.6550 x135 | Cell: 954.290.1991
>
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> | Twitter <https://twitter.com/LifemedID> | Google+
> <https://plus.google.com/106315953419857947247/posts>
>
>
>
> [image: lifemedid_logo]
>
>
>
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>


-- 

Adrian Gropper MD

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