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3-1 Journal: Master Patient Indexes
HIM350
SNHU
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Purpose of maintaining an enterprise MPI - An enterprise Master Patient Index (MPI) is
a database that is used for maintaining consistent and accurate information relating to the
patients who have been registered in a healthcare entity. It serves as a useful tool that helps
to eliminate errors, improve the integrity of patient data, and mitigate the risks associated
with the duplication of patient records. It influences how data is stored and used by
healthcare entities while delivering care to patients.
Standards governing EMPIs and their purpose – A number of standards have been
introduced for governing the Enterprise Master Patient Index, such as:
HIPAA Security Rule - The purpose of the Health Insurance Portability and Accountability
Security Rule is to safeguard the confidentiality, availability, and integrity of the
electronically saved health information.
HIPAA Privacy Rule -The purpose of the standard is to protect the medical records of
patients so that sensitive health-related information will not be disclosed to any unauthorized
parties.
Direct Standard – The purpose is to make sure that authentic and encrypted health
information is sent by participants to known and trusted recipients over the internet (HIMSS,
2021).
Medicare Access and CHIP Reauthorization Act – It has been introduced to change how
Medicare rewards clinicians for the value that they create (Macra: MIPS & apms. CMS,
2021).
Quality elements of an EMPI – The quality of data that is captured in an EMPI plays a
key role in influencing its optimum use in the healthcare setting. The unique healthcare
identifier (UHI) is used for connecting healthcare data within a state/province, jurisdiction,
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or nation. It is considered to be an important quality element as it helps to accurately
capture patient information and ensures that the identifier has data quality provisions that
help to address errors. Furthermore, it can also be secured for supporting privacy concerns in
the healthcare setting (Lippi et al., 2017, p. 4). The unique citizen identifier (UCI) might be
issued to citizens in certain jurisdictions at the time of birth. This identifier could be used in
EMPIs to support diverse aspects of health, social services, and other public health services
(Lippi et al., 2017).
Benefits of maintaining an accurate EMPI – The accurate maintenance of the Enterprise
Master Patient Index is considered to e highly beneficial as it can ensure that the data
relating to every patient is kept in a well-organized way and the issues relating to errors and
duplications are effectively managed. The high level of accuracy can influence the quality of
services that healthcare facilities deliver to their patients (Lippi et al., 2017).
Data elements included in an MPI – The data elements of a Master Patient Index include
patient information, including their name, gender, date of birth, race, place of residence,
phone number, email address, and Social Security Number. The proper capturing of these
details is considered to be of paramount importance in an MPI as it ensures that a clear and
comprehensive view relating to each and every patient is captured.
Purpose of maintaining an enterprise-wide MPI – The fundamental purpose of
maintaining an enterprise-wide MPI is to ensure that a comprehensive record of patient
information is in place for a health care entity. By maintaining data at such a holistic level,
it is possible to address issues relating to duplication of patient information and errors.
Methods to prevent duplicate entries – A care coordinated model could be introduced to
prevent duplicate entries and records in the system. Similarly, the introduction of patient
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matching technology could help to reduce the instances of duplicate patient records (Lee,
2016).
Relation of data mining with a data dictionary and/or MPI – Data mining is related to
data dictionary as the latter encompasses definitions for various fields that are used in
mining models. The data dictionary could be shared by varying models, and it can aid in
how data is managed in healthcare setting.
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References
HIMSS. (2021, August 25). Interoperability in Healthcare. HIMSS. Retrieved November 12,
2021, from https://www.himss.org/resources/interoperability-healthcare#Part2.
Lippi, G., Mattiuzzi, C., Bovo, C., & Favaloro, E. J. (2017). Managing the patient
identification crisis in healthcare and laboratory medicine. Clinical biochemistry, 50(10-
11), 562-567.
Lee, K. (2016, April 5). Patient matching technology helps Hie reduce duplicate records.
SearchHealthIT. Retrieved November 12, 2021, from
https://searchhealthit.techtarget.com/feature/Patient-matching-technology-helps-HIE-
reduce-duplicate-records.
Macra: MIPS & apms. CMS. (2021). Retrieved November 12, 2021, from
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-
Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.
