LexisNexis® Risk Solutions Partners with QuadraMed® to Prevent Patient Identification Errors

LexisNexis Risk Solutions has collaborated with QuadraMed, a division of Harris Healthcare, to improve patient matching for QuadraMed’s Enterprise Master Patient Index (EMPI) software and clean-up customers at over 1,200 healthcare facilities. Specifically, LexisNexis Risk Solutions will augment QuadraMed’s EMPI data cleansing services by resolving unmatched patient identity or duplicate records to unique identities, utilizing LexisNexis Risk Solutions’ vast referential repository of data sources in addition to information that QuadraMed derives from healthcare organizations.

QuadraMed diagnoses, treats, cures and prevents patient identity issues through a comprehensive set of software and services, including duplicate and overlap reconciliation, but its ability to confirm that two records represent the same person is dependent on the quality of patient data provided by healthcare systems. Patient data is often out-of-date due to life events such as marriage, divorce, or change of residence since the patient’s last visit to the health system. LexisNexis Risk Solutions’ sophisticated, proprietary linking technology and vast referential data, including records from disparate public and proprietary data sources, is used to match those records to unique individuals.

“Our alliance with QuadraMed is a great example of industry experts combining different capabilities to tackle data fragmentation and help healthcare facilities offer safer and more efficient care,” said Josh Schoeller, senior vice president and General Manager of LexisNexis Risk Solutions, Health Care. “Correct, complete records are fundamental for proper patient diagnosis and treatment as well as hospital reimbursement, as inaccurate patient identification can result in denied claims.”

“QuadraMed is pleased to partner with LexisNexis Risk Solutions to augment data for our EMPI SmartCleanup™ engagements. Duplicate medical records are an issue within most healthcare systems today and can lead to fragmented care, patient and physician dissatisfaction, and billing errors,” said Mike Tardif, Executive Vice President, Harris Healthcare. “By querying LexisNexis Risk Solutions for the most current demographic data when the data available to us is insufficient, we expect to greatly increase our ability to match and merge records during our cleanup engagements. This, in turn, will enable us to leave our customers with better data and will have a positive impact on patient care, patient and physician satisfaction and revenue for the organization.”

An average hospital has a duplicate rate of 8-12%1. Mergers and acquisitions are contributing to the already mismatched and duplicate patient records, presenting challenges, such as patient safety in case of medical errors and extra costs for manual data verification. Clean patient data is vital for any successful healthcare IT integration, electronic health record conversion, interoperability initiative, or electronic information exchange.

For additional information about LexisNexis Risk Solutions patient linking technology, please visit the LexisNexis Risk Solutions website. To learn more about QuadraMed, visit https://www.quadramed.com.