Health Information Technologies & Processes

Master Patient Index Specialist

  • 1.  Master Patient Index Specialist

    Posted 08-26-2014 12:38
    This message has been cross posted to the following Discussions: Georgia and Health Information Technologies and Processes .
    -------------------------------------------
    I am looking for information about a Master Patient Index Specialist. I am creating a position for MPI cleanup. I would like any information, credentials (if any), salary range, etc. Thanks.

    -------------------------------------------
    Bethany McClelland
    Coding Coordinator
    -------------------------------------------


  • 2.  RE: Master Patient Index Specialist

    Posted 08-26-2014 14:25
    Hi Bethany-
    I'm the Enterprise Master Patient Index Manager for SSM Health, so I may have some useful info for you if you'd like me to send you specific info related to job descriptions, salaries, considerations for cleanup/ maintenance and other duties that go along with maintaining a master patient index in an EHR (ID thefts, patient overlays, reg errors, charting errors, merge errors, duplicate patients, etc...). Let me know if you'd like me to email you this info.

    -------------------------------------------
    Joseph Swierczek
    EMPI Manager
    SSM Healthcare
    -------------------------------------------




  • 3.  RE: Master Patient Index Specialist

    Posted 09-20-2018 09:58

    Hi Joseph!  I would be interested in this information if you still have and are willing to share!!

    Becky



    ------------------------------
    REBECCA KILEN, MS, RHIA
    Privacy Officer
    Gundersen Health System
    rakilen@gundersenhealth.org
    ------------------------------



  • 4.  RE: Master Patient Index Specialist

    Posted 09-20-2018 10:07

    Joseph,

    I would also be interested in anything you are willing to share.

    crich@norcen.org

    thanx.

     

    Carol L. Rich, CPC

    Health Information Supervisor

    Health Information Management

    1100 Lakeview Drive

    Wausau, WI  54403

    Phone: 715-848-4473

    Fax: 715-842-2017

    NorthCentralHealthCare_DigLogo

    0D6C9835-20E0-4A30-8449-191406C7DE7Abest-nursing-homes-2014208D43B7-813A-4CEA-9AC2-AC8DBCE199BA

     

    "Try not.  Do, or do not.  There is no Try!" ~ Yoda

    P Please consider the environment before printing this email.

     

     

    =============================

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  • 5.  RE: Master Patient Index Specialist

    Posted 09-20-2018 10:40
    Hi Joseph,

    I too would be interested in the information.

     Thank you,
    Joanne Neal

    ------------------------------
    Joanne Neal
    Payor Specialist
    Carolinas HealthCare System
    ------------------------------



  • 6.  RE: Master Patient Index Specialist

    Posted 09-21-2018 07:52
    Joseph, ​I would be interested in anything you have to share.  Thank you so much!

    ------------------------------
    Selena Lidderdale
    Supervisor of Operations
    Hamilton Medical Center
    slidderdale@hhcs.org
    ------------------------------



  • 7.  RE: Master Patient Index Specialist

    Posted 09-21-2018 10:52

    Joseph,

     

    I am also interested in what insights you can share as I responsible for my health systems EMPI.

     

    Laritha

     

    Laritha Boone, MBA-HCM, RHIA

    Manager, HIM Data Integrity and eHealth

     

    <a href=image004.jpg@01D3894D.E51370E0">

    251 South Claybrook

    Memphis, TN 38104

    direct 901-516-2332 | fax 901-937-3347

     

    MLH100.org

     

    <a href=image008.jpg@01D40DF5.95124C60">    <a href=image009.jpg@01D40DF5.95124C60">

     






  • 8.  RE: Master Patient Index Specialist

    Posted 09-21-2018 11:49
    ​Hi,
    I would like this information too.
    Thank you so much!

    ------------------------------
    Kathryn Boyes
    Director, HIM
    ------------------------------



  • 9.  RE: Master Patient Index Specialist

    Posted 09-21-2018 11:44

    Hi Joseph,

    I'd be interested in this information as well.  Thanks for sharing.

     

    Leah Beck, RHIA

    Supervisor

    Health Information Management

     

     

     

     

     

     




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  • 10.  RE: Master Patient Index Specialist

    Posted 09-22-2018 13:15
    Hello, Joseph -

    I do not need the info on job descriptions or salary range, but would very much appreciate whatever you are sending out re "considerations for cleanup/ maintenance and other duties that go along with maintaining a master patient index in an EHR (ID thefts, patient overlays, reg errors, charting errors, merge errors, duplicate patients, etc...)."

    Your expertise is very much appreciated!

    ------------------------------
    Ruth Czirr
    Retired Privacy Officer / Compliance Officer
    ------------------------------



  • 11.  RE: Master Patient Index Specialist

    Posted 09-27-2018 13:10
    ​Ho Joseph, I also would be very much interested in this information.  We are going through some internal changes/restructuring in our HIM Department related to Data Integrity positions as well as our document imaging/indexing positions.

    ------------------------------
    [Matt Costa
    Director | Health Information Management| Ext. 15116
    Springfield Clinic | 1134 S 7th Street
    217-391-6905 | toll free: 800-444-7541
    Springfield, IL 62703
    ------------------------------



  • 12.  RE: Master Patient Index Specialist

    Posted 09-27-2018 14:12

    Hello

    I am interested in receiving the information, too. Please and thanks.


    Katherine Valeri, RHIT
    Medical Records Consultant
    KV Health Information Management Consulting
    832-764-3522






  • 13.  RE: Master Patient Index Specialist

    Posted 09-28-2018 10:00
    Hello Joseph, I too would be interested in the MPI information as well. We are currently changing processes. I have discovered that this area wasn't kept up in the past. I am now taking on this project and any information would be appreciated.
    Thank you,

    Anne  Hoyt

    Health Information Coordinator
    Aftenro 
    218-625-6239





  • 14.  RE: Master Patient Index Specialist

    Posted 10-07-2018 22:26
    I deal with the Master Patient Index too. I would love some information. Thanks in advance

    ------------------------------
    Tinnie Foguing
    Identity Supervisor/Coder
    ------------------------------



  • 15.  RE: Master Patient Index Specialist

    Posted 9 days ago
    ​Hello Joseph,
    I am interested in this information as well.  Can you send me the information at klemire@ecommunity.com
    Do you also have productivity standards for each function that you are willing to share.
    Thank you

    ------------------------------
    KRISTINE LEMIRE
    Data Integrity Auditor/Chart Correction Specialist
    Community Health Network
    ------------------------------



  • 16.  RE: Master Patient Index Specialist

    Posted 9 days ago

    Hi, I am interested also please. If you have any information on any MPI clean up that was done and what vendor you used, if any, would be greatly appreciated. My email address is kviruet@valleyehealth.

     

    Thank you,


    Karla

     






  • 17.  RE: Master Patient Index Specialist

    Posted 8 days ago
    ​Hi Joseph,
    I'm not sure what EHR you are using, but does it have a separate MPI database?

    When we were paper based, we kept a separate DOS database with limited demographic and diagnosis info on each patient admitted.  We also have a policy of destroying paper records 10 years after the last discharge date if no other admissions have taken place in those 10 years.  With our EHR, I was told if we chose to continue our destruction policy and "remove" records from the EHR after 10 years of inactivity, there would be no record of an MPI.  Does that make sense?  When I tried to explain this to the vendor, they did not seem to understand what I was trying to explain.  I hope I've explained it well here.

    Thanks,
    Teri

    ------------------------------
    Teri Smith
    Health Information Administrator
    ------------------------------



  • 18.  RE: Master Patient Index Specialist

    Posted 8 days ago

    Hi Joseph,

    I'm interested in this information as well.  My email is beckl@armc.sbcounty.gov.

    Thanks.

     

    Leah Beck, RHIA

    Supervisor

    Health Information Management

     

     

     

     

     

     




    CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information.





  • 19.  RE: Master Patient Index Specialist

    Posted 08-26-2014 15:03
    Hi Bethany-
    I'm the Enterprise Master Patient Index Manager for SSM Health, so I may have some useful info for you if you'd like me to send you specific info related to job descriptions, salaries, considerations for cleanup/ maintenance and other duties that go along with maintaining a master patient index in an EHR (ID thefts, patient overlays, reg errors, charting errors, merge errors, duplicate patients, etc...). Is this in preparation for an MPI load into an EHR or just a basic cleanup with no load? Let me know if you'd like me to email you this info.

    -------------------------------------------
    Joseph Swierczek
    EMPI Manager
    SSM Healthcare
    -------------------------------------------




  • 20.  RE: Master Patient Index Specialist

    Posted 08-26-2014 21:09
    I am interested as well!  Can you send to my work email at pgregory@kdhcd.org.  I would really appreciate anything you have.

    Phyllis Gregory

    Sent from my iPad





  • 21.  RE: Master Patient Index Specialist

    Posted 08-26-2014 21:19

    H,

     

    This seems to be a hot topic. I would really appreciate any information you have on Master Patient Index Specialist too. Please email it to me at cplescia@dmc.org

     

    Thanks!

     

    Carly Plescia

     






  • 22.  RE: Master Patient Index Specialist

    Posted 08-27-2014 10:00

    I am also interested in receiving this information.  Please send it to Maryjo.laufenberg@bannerhealth.com.

     

     

    Mary Jo Laufenberg RHIA

    HIMS EHR Director

    Telephone: 480-684-5994

    Fax: 480-684-5984

     






  • 23.  RE: Master Patient Index Specialist

    Posted 08-27-2014 11:26
    I have sent job descriptions as well as salary info to those that requested. Below is the additional info that can be shared publicly. The EMPI Manager and EMPI Support Tech positions cover the management of patients across 47 unique wholly owned and affiliate hospitals/ physician organizations who currently use our Epic EHR system. We have one EMPI Manager and three EMPI Support Techs (three shifts 24 hours x 5 days and on call weekends) that manage duplicate patients, monitor for patient overlays and work our incoming message report (linking of outside continuity of care docs with patient records) in our EHR. We have one EMPI Support Tech is responsible for the technical setup of proxies requesting MyChart access to their child's/ or another adult's online patient portal. I'm probably missing a few things, but I hope that this information is helpful. Let me know if you need anything else.

    MPI Cleanup Projects - Pre-EHR Go-Live

    1. MPIs must be duplicate patient free before considering load into EHR.

      1. Cleanup should begin as soon as possible.

      2. Once cleanup has been completed, a new MPI extract is completed and loaded into the EHR at least one week prior to go-live (requires dual registration in legacy system and EHR for one week).

    2. Considered several options for the initial pre-EHR load MPI cleanup projects.

      1. HIM - Some departments were staffed and some were not staffed for large cleanups such as this. We now exclusively rely on HIM to complete MPI cleanups since we do not operate with tight timelines as we have in the past.

      2. Vendor -Not very cost effective and did not allow us to retain those folks beyond the cleanup project for maintenance.

      3. Temp employees - We went the route of hiring temp employees during our initial MPI/ EMPI cleanup projects. Some were assigned to HIM departments that were not staffed to handle an MPI cleanup and the remaining were staffed to work the EMPI cleanup projects once each MPI was loaded into our EHR. Once the large cleanups were complete and our EHR went live we retained several temp employees to become permanent employees to maintain the EMPI.

    3. Determine process for cleanup.

      1. MPI duplicate patient analysis was completed in our EHR cleanup/ Test environment to ensure that the logic (probabilistic, deterministic, fuzzy) in what will become our source system was used. If you use any other system's logic it may not equal the EHR logic and you may end up with many more potential duplicates once loaded into the EHR.

      2. Duplicate patient analysis was exported to an Excel spreadsheet that can be easily worked by HIM/ temp staff at the sites.

      3. Decision was made to only complete the electronic merge of medical record numbers and not change labels on paper records. This decision was made based on the fact that the merged away MRN is always retained in the MPI as a previous MRN and could be imported into the EHR. Additional training was necessary to ensure staff always checked the systems for a previous MRN.

      4. I required weekly updates from the sites to ensure they were on track to meet our EHR MPI go-live deadlines.

     

    MPI/ EMPI Maintenance - Post-MPI EHR Loads

    1. Initial cross-facility duplicate patient cleanup. (Duplicates created between different facilities)

      1. EMPI staff is responsible for remediating duplicate patients that are created due to MPI loads into the EHR.

    2. Initial internal duplicate patient cleanup. (Duplicates within the same facility)

      1. Occasionally we will be required to work down internal duplicates in the EHR after an MPI load is completed.

      2. If merge messages are not sent to downstream systems, HIM and ancillary departments are responsible for running their merged patient reports in the EHR daily in order to ensure that their MRNs remain in sync with merges completed in the EHR.

    3. Ongoing cross-facility and internal duplicate patient maintenance. (24 hours x 5 days and on call weekends)

      1. EMPI staff is responsible for running, researching and working down hourly cross-facility duplicate patient reports and daily internal duplicate patient reports (broken out by facility).

      2. EMPI staff responsible for responding to end user duplicate patient reports via our Remedy system.

    4. Ongoing patient overlay monitoring and reporting. (24 hours x 5 days)

      1. EMPI staff is responsible for working two patient overlay work queues hourly that report out all patients in real time that have had either a single date of birth change or a change to two or more demographics done at the same time.

      2. EMPI staff researches to determine if it was a demographic correction, error or if it was truly a patient overlay in which the wrong patient record was used for treatment.

      3. EMPI Manager responsible for confirming the patient overlay and coordinating the remediation process.

        1. Requires assistance from HIM, reg, rad, lab, billing, risk, pharm

    5. Ongoing incoming message report management. (24 hours x 5 days)

      1. This task requires EMPI staff to work a report hourly that reports out incoming continuity of care documents,  (Transitions of Care "CCD"), that failed to route to our SSM providers due to missing provider name, no EHR record to link to or slight demographic discrepancies between the incoming message and EHR record.

    6. MyChart Proxy Setup (Patient portal). (24 hours x 5 days)

      1. One EMPI staff member is responsible for accepting and setting up access requests to our patient portal for parents/ guardians requesting access to patient records.

    7. ID theft investigations. (As needed)

      1. EMPI Manager plays a role in investigating ID theft reports since I have access to all patient records in the EHR. This allows me to compare signatures and locate, identify and flag any other records that may be the victim or perpetrator of the ID theft.

    8. Stats tracking and reporting. (Daily and report out monthly; see EMPI Dashboard template attachment)

      1. EMPI Manager responsible for reporting out monthly stats related to:

        1. Duplicate patients

        2. Patient overlays

    9. EHR testing. (As needed)

      1. EMPI Manager completes all testing as it relates to EMPI EHR enhancements, fixes and upgrades.



    -------------------------------------------
    Joseph Swierczek
    EMPI Manager
    SSM Healthcare
    -------------------------------------------




  • 24.  RE: Master Patient Index Specialist

    Posted 08-28-2014 15:59
      |   view attached

    This Practice Brief contains a model MPI Coordinator Job Description.

     

    AHIMA. "Fundamentals for Building a Master Patient Index/Enterprise Master Patient Index (Updated)." Journal of AHIMA (Updated September 2010).

    http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_048389.hcsp?dDocName=bok1_048389#appendixC

    -------------------------------------------
    Harry Rhodes
    Director, HIM Practice Excellence
    -------------------------------------------




  • 25.  RE: Master Patient Index Specialist

    Posted 08-27-2014 12:28

    Read your post and I would be very interesting in your support information if you are willing to share.


    Thanks,

    Sue much

     

    Sue Foster, RHIT, CPC, CMT

    HIM Specialist

    Financial Software Services

    1-800-711-2774

     

     

     

     






  • 26.  RE: Master Patient Index Specialist

    Posted 09-28-2018 12:08
    ​I would be interested in receiving any of your job descriptions or policies. We are setting up something along the same lines as you have done.

    ------------------------------
    Donna Crew RHIA
    Directorof HIS/Privacy Officer
    ------------------------------