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

Sat Sep 26 15:34:43 UTC 2015

If you figure out how SureScripts does it please don’t share with anyone else.  J

Isn’t it just under the cover of TPO?

Aaron Seib

 <http://www.nate-trust.org/> NATE, CEO

@CaptBlueButton

(o) 301-540-2311

(m) 301-326-6843

From: Openid-specs-heart [mailto:openid-specs-heart-bounces at lists.openid.net] On Behalf Of Adrian Gropper
Sent: Saturday, September 26, 2015 10:14 AM
To: Maxwell, Jeremy (OS/OCPO)
Cc: Catherine Schulten; openid-specs-heart at lists.openid.net
Subject: Re: [Openid-specs-heart] Bloomberg article highlights pitfalls associated with patient matching

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.

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

Mother’s prescription information is linked to daughter’s record – would anonomyziation have solved this problem?

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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