Enterprise Master Patient Index: EMPI

Designed to work across data-intensive healthcare technology environments, the ARGO Enterprise Master Patient Index (EMPI) solution evaluates, accurately links, and resolves data from multiple systems including master patient indexes (MPIs). The EMPI solution consists of Entity Match & Resolution, Duplicate Prevention, and Provider Registry.

Reducing Duplicate Rates as Low as 0.5 Percent
Using ARGO’s Entity Match & Resolution solution, healthcare organizations achieve duplicate rates as low as 0.5 percent, resulting in:

    • Reduced costs and improved revenue cycle performance
    • Decreased exposure to litigation and risk
    • Improved overall quality of patient care

Preventing Duplicate Records
ARGO analytics professionals perform statistical analyses of current MPI data sets to determine the probability of each record matching other records within the data set, detecting duplicates within and overlaps across organizations.

The ARGO matching engine analyzes the data to determine and report on the number of duplicate and potential duplicate records. Report details include:

    • Total individual and duplicate records
    • Likely matching records for automatic linking
    • Likely matching records for manual adjudication
    • Questionable records by category
    • Proposed resolution activities

Offering the Highest Level of Patient Record Accuracy
ARGO incorporates probabilistic matching into existing workflows to deliver Duplicate Prevention at the time of registration—a key issue for healthcare organizations. Duplicate Prevention is actively integrated with front-end registration and scheduling to prevent the creation of new duplicate records within the EMPI. The probabilistic search quickly and accurately locates patient records, resulting in fewer duplicate records and less downstream clean up.

Duplicate Prevention utilizes driver’s license readers and biometric palm vein scanners, which seamlessly integrate into the registration workflow. These patient identity verification technologies, along with ARGO’s advanced probabilistic patient search methods, offer the highest level of patient record accuracy and duplicate record prevention.

Collecting, Displaying, and Reporting on Duplicate Records
Part of the EMPI solution, ARGO Management Insight collects, displays, and reports on organizational duplicate record statistics. At the core of the Management Insight reports, the EMPI assembles details for each newly created duplicate record, including:

    • Criteria used to perform the search
    • Patient records located and returned for review
    • Records viewed prior to the creation of the new duplicate record

Optimizing Workflow and Adjudication

For patient records requiring manual review for matching, the ARGO EMPI provides Workflow Management capabilities to ensure that the right record is reviewed by the right person at the right time. Workflow Management capabilities include:

    • Customization of work queues to intelligently balance workload and role-based assignments
    • Real-time monitoring of adjudication tasks to identify items requiring management oversight or escalation
    • Dashboard monitoring of task turnaround time and work queue depth
    • Dynamic prioritization based on pending events or record content

Consolidating Patient Records
ARGO’s EMPI solution helps consolidate patient records, working as a post-adjudication tool to automate back-end processes if the host system, electronic medical record, or clinical system does not accept industry-standard merge messages.

For host or clinical systems that do not accept these messages, the ARGO solution routes the message to active integration technology, which connects to the clinical system and automatically completes the merge, resulting in:

    • Efficient cleaning processes
    • Reduction of ongoing operational costs
    • Effective management of medical records through automation

Coordinating Provider Information
The ARGO Provider Registry, another part of the EMPI solution, coordinates provider information with existing healthcare information systems to ensure the provider information is accurate and up-to-date across the enterprise.

The Provider Registry adjudicates multiple practitioner records to develop a master record. This functionality utilizes records from multiple sources, identifies duplicate records, and presents the duplicates for manual adjudication. The Provider Registry then provides the updated information—on demand—to other systems.

This coordinated provider information results in improved provider data quality within systems and throughout business processes to:

    • Minimize redundant and erroneous records across multiple systems
    • Prevent potential claim denials because of invalid provider information
    • Reduce operational costs associated with updating or validating provider information
    • Improve notifications and communications across systems

The up-to-date provider information achieves Meaningful Use regulatory compliance by more efficiently managing provider information associated with medical care. It also helps ensure continuity of electronic patient records that rely on current, valid, and accurate provider information.