Federal bill targets patient record mix-ups with 99.9% accuracy goal

What does this do?

HR 2002 directs federal health officials to create a standard definition of a successful patient match and identify the minimum data points health IT systems must use to correctly identify patients. The bill would also require electronic health record software to meet new matching standards to receive federal certification. A voluntary Medicare bonus program would reward doctors and hospitals that demonstrate at least 90 percent patient-matching accuracy.

Who does it affect?

Any patient receiving medical care in the United States is affected, since record mix-ups can lead to duplicate tests or incorrect treatment. Hospitals, clinics, health IT companies, and Medicare providers who choose to participate in the bonus program are also directly involved.

Why does it matter?

Current hospital and clinic computer systems frequently fail to link patients to all of their own health records, creating risks of misidentification across the healthcare system. Standardizing matching criteria and setting an accuracy target could change how health IT vendors build and certify their products and how providers manage patient data.

What does it cost, and who pays?

• Voluntary Medicare bonuses available
• Min 90% match rate to qualify
• No penalty for non-participation

Where does it stand?