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what is a master patient index used for

by Barrett Kiehn Published 3 years ago Updated 2 years ago
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The Master Patient Index identifies patients across separate clinical, financial and administrative systems and is needed for information exchange to consolidate the patient list from the various RPMS databases.

Full Answer

What is a master patient index used for?

The Master Patient Index identifies patients across separate clinical, financial and administrative systems and is needed for information exchange to consolidate the patient list from the various RPMS databases. The MPI contains records for all the patients from all of the IHS facilities.

What is a Master Patient Index in healthcare?

What is a Master Patient Index? A Master Patient Index (MPI) —also referred to as a patient master index, patient registry, or a client registry— is an electronic database that holds demographic information on every patient who receives healthcare services. The MPI aims to accurately match and link records by uniquely identifying individuals.

What is the master patient person index?

The Master Patient Index (MPI) (also Master Person Index) is a database that is maintained by a health care organization for the purpose of identifying a patient and their medical record. The MPI began as a paper based card file system that was arranged alphabetically by the patient’s last name.

What does Enterprise Master Patient Index stand for?

Master Patient Index (MPI) technically refers to a single source system and all its patients. MPI is also used as shorthand for Enterprise Master Patient Index (EMPI), which is a database that brings together, or “links”, patient records from multiple source systems.

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Who is responsible for the master patient index?

the Health Information Management departmentThe other type of error, known as an overlay is a bit more serious and is where two different patients share a single MRN, intermingling their medical information. Typically, it is the job of the Health Information Management department to maintain the MPI.

What are the elements of a master patient index?

At a minimum, the MPI in a long term care facility should contain the following data elements: Medical record number. Resident name (legal name including surname, given name, middle name or initial, name suffixes (Junior, IV), and prefixes (Father, Doctor). Date of Birth (day, month, and year)

Why is it so important that the master patient index MPI is accurate?

The MPI serves as the foundation for managing an individual's data to ensure identity integrity and to accurately link the individual's information.

What is a master client index?

The Master Client Index (MCI) tracks unique clients in each of the programs within the Department of Health and Social Services (DHSS) and the Department of Services for Children, Youth and their Families (DSCYF).

What are some potential issues with MPI?

MPI data errors, such as typing and formatting errors, are a leading cause of patient matching issues and user search inconsistencies, according to James Hoover, co-chair of the health data integrity committee at California Health Information Management Association.

What does MPI mean in medical terms?

Myocardial perfusion imaging (MPI) is a non-invasive imaging test that shows how well blood flows through (perfuses) your heart muscle. It can show areas of the heart muscle that aren't getting enough blood flow. This test is often called a nuclear stress test.

What does CMI mean in healthcare?

case mix indexesDescription. This file contains hospitals case mix indexes (CMI) for discharges. A hospital's CMI represents the average diagnosis-related group (DRG) relative weight for that hospital. It is calculated by summing the DRG weights for all Medicare discharges and dividing by the number of discharges.

What is the purpose of a Master Patient Index quizlet?

What is the primary function of the MPI? To link a patient's medical record number with common ID kept on that patient such as name, DOB, gender, etc. to locating paper-based medical records in the health information department file system.

What data elements are included in an MPI?

An MPI organizes patient identities in the database, often and includes several types of identifying information. Patient's data can include name, gender, date of birth, race and ethnicity, Social Security number, current address, contact information, insurance information, and other similar identifying elements.

How do I create a master index?

Creating a Master Index ApplicationStep 1: Create a Project and Start the Wizard.Step 2: Name the Master Index Application.Step 3: Define Source Systems.Step 4: Define the Deployment Environment.Step 5: Define Parent and Child Objects.Step 6: Define the Fields for Each Object.Step 7: Generate the Project Files.More items...

What are the four major indices in healthcare organizations?

LNCtips.com: 4 Types of Indexes Medical Records. A medical records index typically contains a listing of medical records that the law firm has received plus dates of service and a number assigned to the location where the records are kept. ... Radiographs. ... Pathology Specimens. ... Pleadings.

What is the purpose of maintaining an enterprise MPI?

An enterprise master patient index (EMPI) is a database for maintaining and retrieving accurate patient demographic data across departments in a healthcare organization. Its main goal is to ensure that each registered patient is represented in all hospital's systems only once.

What is a master patient index quizlet?

Terms in this set (9) MPI. -Provides a permanent record of patients treated at the facility. -Considered an Administrative Information System. -Used by many departments and employees throughout the hospital. -Identifies every patient who has been admitted to the facility.

What are the quality elements of an EMPI?

An EMPI should include patient information, such as their name, date of birth, gender, race, Social Security number, place of residence, email address and phone number.

What is a master patient person index quizlet?

The master patient (person) index is: An index of all patients ever treated in a hospital. An index of all patients ever treated in a hospital setting is kept in the MPI.

What three indexes are used in healthcare?

Common registers that are used in the hospital setting are the admission register, discharge register, and death register.

What is master patient index?

In computing, an enterprise [-wide] master patient index is a form of customer data integration (CDI) specific to the healthcare industry. Healthcare organizations and groups use EMPI to identify, match, merge, de-duplicate, and cleanse patient records to create a master index that may be used to obtain a complete and single view of a patient. The EMPI will create a unique identifier for each patient and maintain a mapping to the identifiers used in each records' respective system.

What is EMPI in healthcare?

An enterprise master patient index or enterprise-wide master patient index (EMPI) is a patient database used by healthcare organizations to maintain accurate medical data across its various departments. Patients are assigned a unique identifier, so they are represented only once across all the organization's systems.

How does referential matching work?

Referential matching involves taking third party patient demographic data containing unique identifiers and using it to better match patient records. Rather than compare incomplete records with each other to try to match them, the organization would compare each incomplete record with a more comprehensive referential database. This works across multiple organizations as long as they all use the same referential list of demographic data formatted the same way. Putting the EMPI on the cloud is one technique to ensure uniformity of the match engine. In 2018, Pennsylvania-based NGO The Pew Charitable Trusts identified referential matching using third party patient data as a good way to improve patient matching.

What is EMPI in medical?

An EMPI will typically provide an application programming interface (API) for searching and querying the index to find patients and the pointers to their identifiers and records in the respective systems. It may also store some subset of the attributes for the patient so that it may be queried as an authoritative source of the "single most accurate record" or "source of truth" for the patient. Registration or other practice management applications may interact with the index when admitting new patients to have the single best record from the start, or may have the records indexed at a later time.

What is the difference between EMPI and MPI?

Many software vendors use EMPI and MPI ( master patient index) synonymously, because an MPI is only workable if it is used by all software applications across an entire enterprise; that is, "master" implies enterprise-wide scope.

What is EAI in EMPI?

An EMPI may additionally work with or include enterprise application integration (EAI) capabilities to update the originating source systems of the patient records with the cleansed and authoritative data.

What are the benefits of critical care?

Additional benefits include: Better patient care can be provided. Improved customer service can be offered. In emergency or other critical care situations, medical staff can be more confident that they know medical conditions or other information that would be critical to providing proper care.

What is the end result of incorrectly unmatched patients?

The end result of incorrectly unmatched patients (false negative match) is an incomplete health record. Additionally, there is the potential for different patients being identified as the same patient (false positive match), compromising patient safety and care on the basis of inaccurate patient information. In addition to patient care concerns, sharing inaccurate information also poses the risk of privacy breaches and erodes consumer confidence. Errors in patient matching will only be compounded as additional health care organizations connect and non-health community person indexes are considered for person matching services.

What is identity matching?

Identity matching of patients relies on unique data points and a systematic matching process such the use of algorithms to complete the match. Unique data points include patient demographics (e.g., name, address, date of birth) and these data points have a high degree of

Why is data quality important?

Data quality is imperative due to the reliance upon patient/client demographic data. Poor data quality in one system or record leads to inaccurate identity matching in another. A common set of standardized data elements is ideal to support accurate patient matching.

What is a master patient index?

health care ecosystem, a Master Patient Index (MPI) (also referred to as Master Person or Master Client) can be used to ensure accuracy and availability of a person’s health information, when and where it is needed to inform the best care possible. A suite of data records and services can link and synchronize a person’s (client, member, patient, etc.) data, a provider’s, and an organization’s data to multiple disparate sources of data into a single, trusted authoritative data source for provider and client information. Different degrees of centralization or federation of data is possible. Planning and using a Master Patient Index together with a Master Provider Index creates additional value by improving attribution of patients to providers and organizations, care coordination, patient-level analytics, and improved quality measurements. Each of these are essential components for value-based payment models. Whether for patient center medical home (PCMH) or accountable care organizations (ACOs), awareness of a patient’s care and utilization of services across the care delivery system requires patient demographics and some form of patient matching and indexing technology to accomplish care coordination.1 For the purpose of this brief, the term Master Patient Index will be used when referencing the Medicaid Master Patient Index, to be developed with federal and state funds as part of Colorado’s Department of Health Care Finance and Policy (HCPF) Advanced Planning Document for Health Information Exchange, recently approved by the Centers for Medicare and Medicaid Services (CMS). For all other references, the term Master Person Index will be used.

Why is patient identification and matching important?

Resolving patient identification and matching issues is essential for not only clinical uses, but is also essential for population health uses. The acquisition and aggregation of large data sets across populations can be used in combination with analytics to generate impactful population health data. Patient data, specifically capturing the individual’s entire continuum of care, is often incomplete due to disparate documentation across systems. Available patient data must be accurately linked across the health care ecosystem. This is particularly critical when connecting a person’s identity across the continuum of sources – each of which interacts separately with the patient (examples include, medical, claims, public health, educational, patient reported and social services data sets).

Intent

This resolution is intended to emphasize the importance of accurate identification of individuals contained in a master patient (person) index (MPI) in a healthcare environment. i An MPI may be found at the single electronic system level, facility level, enterprise or health information exchange (HIE) level.

Preamble

Whereas, the MPI/EMPI plays a significant role in patient care; safety and quality of care may be compromised if the individual cannot be quickly, correctly, and uniquely identified for access to all of his or her health information;

Therefore, let it be

Resolved, that AHIMA, its affiliates, and its members educate executive leadership and healthcare professionals on the importance of an organization maintaining an MPI/EMPI that is complete, accurate, and maintained in a way that protects its integrity;

What is a master patient index?

The master patient index (MPI) is a valuable reference for basic demographic information and resident activity (i.e. admission and discharge dates) within one source. The MPI is an index maintained separately from the resident’s medical record. It is used to identify that a resident had a stay in the facility, the dates of the stay and other important data in an easily retrievable format (i.e. alphabetically or through name searches).

What is the purpose of a disease index?

The most common purpose for a disease index in a long term care facility is to identify or provide access to resident (s) who have a certain disease/diagnosis based on an ICD-9-CM diagnosis code.

Why is MPI information computerized?

Computerized MPI information has many advantages for an organization including ease in access and retrieval. Because of current limitations in software programs available in the long term care industry, consider the following before moving to a fully computerized MPI:

Why is MPI important?

An index can be maintained manually or as part of a computerized system. Because the information in the MPI is important for tracking resident stays in an organization, the MPI should be retained on a permanent basis. Information on the MPI should be updated with changes throughout the residents’ stay.

How to maintain MPI?

On admission the face sheet is printed, kept updated throughout the residents’ stay and on discharge, the discharge date and disposition are documented. The face sheets are maintained alphabetically and retained on a permanent basis.

Why does MPI have to be purged?

If resident and MPI information has to be purged from the computer system because of memory/storage limitations the MPI information should be maintained manually.

Why should MPI be retained?

The MPI should be retained on a permanent basis to provide historical access to basic resident information and dates of stay in an organization.

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1.Master Patient Index (MPI) | Health Information Exchange …

Url:https://www.ihs.gov/hie/masterpatientindex/

28 hours ago  · Master patient index provides information on a specific patient within a matter of seconds which, as a result, saves time by speeding up the process of retrieving a patient's …

2.Videos of What is a Master Patient Index Used for

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3 hours ago  · An enterprise master patient index or enterprise-wide master patient index (EMPI) is a patient database used by healthcare organizations to maintain accurate medical data …

3.Enterprise master patient index - Wikipedia

Url:https://en.wikipedia.org/wiki/Enterprise_master_patient_index

26 hours ago A Master Patient Index (MPI) —also referred to as a patient master index, patient registry, or a client registry— is an electronic database that holds demographic information on every patient …

4.Master Patient Index (MPI) - Colorado

Url:https://oehi.colorado.gov/sites/oehi/files/OeHi%20Patient%20Index%20Brief.pdf

33 hours ago Across the U.S. health care ecosystem, a Master Patient Index (MPI) (also referred to as Master Person or Master Client) can be used to ensure accuracy and availability of a person’s health …

5.Managing the Master Patient Index in a Healthcare …

Url:https://bok.ahima.org/doc?oid=105783

30 hours ago Intent: This resolution is intended to emphasize the importance of accurate identification of individuals contained in a master patient (person) index (MPI) in a healthcare environment. …

6.AHIMA's Long-Term Care Health Information Practice …

Url:https://bok.ahima.org/Pages/Long%20Term%20Care%20Guidelines%20TOC/Practice%20Guidelines/Indexes

35 hours ago The master patient index (MPI) is a valuable reference for basic demographic information and resident activity (i.e. admission and discharge dates) within one source. The MPI is an index …

7.VHA Identity Management – Master Patient Index (MPI)

Url:https://www.ncvhs.hhs.gov/wp-content/uploads/2014/05/060223p4.pdf

9 hours ago • Master Patient Index (MPI) serves as the enterprise index of unique patients and correlations to disparate systems • Veterans Integrated Service Technology Architecture (VistA) serves VA …

8.Master Patient Index Flashcards | Quizlet

Url:https://quizlet.com/232020871/master-patient-index-flash-cards/

32 hours ago MPI. -Provides a permanent record of patients treated at the facility. -Considered an Administrative Information System. -Used by many departments and employees throughout …

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