1. Towards Improvement of Safety for Patient Health Information Exchange
Project Team:
Renae Spohn
Linda Parks
Julie Wulf Plimpton
Cherie Noteboom
Tareq nasraleh

2. Background
1997 Analysis of Unique Patient Identifiers by Soloman Appavu for DHHS

3. Literature Review
In the American Health Information Management Association’s March, 2016, journal, author Mary Butler reports “When HIPAA was drafted in 1996, it included a provision that required the US Department of Health and Human Services (HHS) to adopt
national standards for electronic healthcare transactions and a standard unique health identifier for each individual, employer, health plan, and health care provider for use in the health care
system.”
Congress passed Public Law , which prohibits HHS from
dedicating resources to “promulgate or adopt any final
standard...or providing for the assignment of, a unique health identifier for an individual...until legislation is
enacted specifically approving the standard. Butler reports “twenty years later the healthcare industry is still struggling with how to properly identify patients” (2016).
United Arab Emirates currently have one of the most secure unique identification
methods using a smartcard with advanced technologies. Citizens purchase the card and are responsible to manage the PIN code.

4. Connoisseurship & Criticism =
Methodology
Connoisseurship & Criticism =
Inquiry
Phone Interviews
Birth and Death Certificates
Registries
Accountable care organizations
Eisner’s Connoisseurship Model of Inquiry
The theoretical framework being used for this project is Eisner’s Connoisseurship Model of Inquiry with two major components: connoisseurship and criticism together forming inquiry. Three phone interviews were conducted using pre-designed interview questions approved by the DSU IRB. One registry study
participant sent URL addresses for registry information that replaced the need for 5 planned phone interviews. Each identifier was scored by for compliance with ASTM standards.

5. Discussion and Results
Compliance with ASTM Conceptual Characteristics Scoring
Requirements
Birth Certificate
Death Certificate
ACO#1
Registry
Accessible 1
Assignable
Identifiable
Verifiable
Mergeable
Splittable
Linkable
Mappable
Content-free .5
Controllable
Healthcare focused
Secure
Disidentifiable
Public
Standard
Deployable
Usable
Unique
Repository-based
Atomic
Concise
Unambiguous
Permanent
Centrally Governed
Networked
Longevity
Retroactive
Universal
Incremental
Cost-effectiveness
SCOR 25 24 22
20.5
Discussion and Results
Scoring Legend:
Criteria Met
.5 Criteria Partially Met
0 Criteria Not Met

6. Use ONLY for HIE Conclusion 430--NC21D2X3148 430—140-1962-123456-√
The ISO 3166 International Unique Identifier Standard
The birth certificate numbering system could be considered for the second part of the unique patient identifier
scheme is input into a software application equivalent to the registry randomized
Further research would identify whether a check digit is necessary & processes required to implement and manage the change
Use ONLY for HIE