The CHIME National Patient ID Challenge is a global competition aimed at incentivizing new, early-stage, and experienced innovators to accelerate the creation and adoption of a solution for ensuring 100 percent accuracy in identifying patients in the U.S. Patients want the right treatment and providers want information about the right patient to provide the right treatment. Patients also want to protect their privacy and feel secure that their identity is safe.
Accurate identification can greatly reduce the risk of preventable medical errors and significantly increase quality of care. It can also drive out unnecessary costs by reducing inefficiency. First and foremost, patient identification is about patient safety, and we need to get it 100% right the first time, and every time.
We believe the CHIME National Patient ID Challenge can make this happen once and for all.
In the past, healthcare providers kept all their patients’ records in paper files. If you went to a new provider, the only way for the information to be exchanged was through fax or regular mail. There was no hope that in an emergency, the ER doctor could see what conditions you had or what medications you were already taking. When you were sent to a specialist, sometimes they had a small amount of information sent over by your primary care physician, and often times not.
Over the last 20 years, many providers have converted their paper records to electronic records. Efforts are underway to share information between providers (hospitals, primary care practices, nursing homes, etc.) so that, if given permission, they can see your health information to provide the best care possible.
It turns out this is not easy. Consider the number of John Smiths living in the same town, sometimes even under the same roof. Now think about the number of John Smiths in a county, state or the nation. There are even many John Smiths or even John A. Smiths with the same birthday. What if John sometimes gives his name as Johnny Smith? Or perhaps his birth name is really Edward John Smith but he goes by John.
Healthcare organizations spend a lot of time using and perfecting complicated algorithms that use a lot of different pieces of information to ensure that the John A. Smith standing in front of them is the same John A. Smith found in their system. Trying to delete duplicate errors and match records from one healthcare provider to another for every patient takes an inordinate amount of time that could be spent focusing on prevention and treatment, not matching records. Because it is still so difficult to get records from other providers, patients often have x-rays and other tests repeated, which in some cases is harmful to the patient, and at the very least wastes time and money.
The information used for identification, which typically includes birthdate, Social Security Number and address, is collected by multiple people, and sent by regular and electronic mail between providers and billing companies. Theft of this personal information is much more difficult to recover from than theft of a national patient identifier. A stolen national patient identifier can simply be terminated and replaced with a new one. In contrast, a patient cannot replace their birthdate and they are likely not planning to move. Their stolen Social Security Number is tied to all sorts of financial and personal records that are now vulnerable to theft. In fact, it is technically illegal for Social Security Numbers to be used for health records, but it is done all the time. This challenge provides an opportunity to establish a more secure method of patient identification.
Unfortunately, even with all of this effort to try and match records as accurately as possible, in the absence of a national patient identifier, the current matching error rate is of great concern.
In an environmental scan in 2014, the Office of the National Coordinator for Health Information Technology found that the best error rate is around 7%. Seven out of 100 records are mismatched. Perhaps the John A. Smith record found was not the right one. This is pretty serious when you consider that the provider may unknowingly prescribe a medication that interacts poorly with a medication John is already on or cause him harm due to a condition he has. Many patients cannot tell you accurately themselves what their prescriptions are or name all of their conditions.
Worse still, the error rate is usually closer to 10 to 20 percent within a healthcare entity and it rises to 50 to 60 percent when entities exchange with each other. That’s just not good enough. It’s not safe. We need patients to be identified accurately 100 percent of the time.
We know it is equally important to protect each and every patient’s privacy. Patients are protected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), but laws can only protect if they are followed, monitored and enforced; that has been very difficult to accomplish even with paper records. We think the development of a national patient identifier is actually an opportunity to enhance patient privacy.
What this challenge is not: This challenge is not directly about exchanging health information. It is not a patient portal that lets patients look at all of their data in one place. It is not a provider portal that lets providers look at all of a patient’s data in one place. It will not fix all of the duplicate records in a health center’s system. It will not find and link all the healthcare entities that have data for a patient. However, we believe that a viable and scalable solution to patient identification is an essential building block to achieving greater information exchange between providers.
What this challenge is: Simply stated, this challenge is about privately, accurately and safely confirming a patient’s identity 100 percent of the time.
We believe that the technology to solve this problem is already available, but hasn’t been put together in a viable and scalable solution yet. And, in order for a patient identification system to work, we need all stakeholders—patients, providers, technology companies, the government and others—to agree on a standard way to accurately and safely identify patients. Imagine if online and storefront retail stores couldn’t quickly verify your credit card. How much more important is it then for patients throughout the nation to be quickly, privately, accurately and safely identified so that the appropriate healthcare treatment can be delivered.
This challenge will enable the best solution for identifying patients to be developed and will provide all the stakeholders with the capability to start working toward implementing the solution once it is ready. This will result in a dramatic increase in safety and efficiency throughout the healthcare system.
CHIME Healthcare Innovation Trust is looking for the best plan, strategies and methodologies that will accomplish the following:
Read the Challenge Guidelines for complete rules and submission requirements.
CHIME Healthcare Innovation Trust is looking for the best plan, strategies and methodologies for the National Patient Identification solution. The leading solution will:
It is important to note that the Challenge is focused solely on finding a solution for patient identification, not a patient matching. Patient identification is the act of being able to identify the person who is seeking or in need of care. This is not as simple as asking the patient, who may be unconscious or otherwise unable to provide accurate information, or relying on a health insurance card, which may be incorrect or fraudulent.
Patient matching is the act of correctly matching a patient to his or her medical record, both within a singular healthcare entity and across entities when information needs to be shared.
Ensuring that we identify patients accurately is a critical first step towards solving the problem of patient matching. In the Challenge, while we want to know how your proposed solution will work with a record locator system or service, the goal of the Challenge is to achieve 100% accuracy in identifying a patient.
The Challenge began with the Concept Blitz Round to develop ideas and designs for the final solution. Concept Blitz Round winners were announced on June 1, 2016. The Final Innovation Round enables all innovators to improve their designs from the Concept Blitz Round or to propose new designs that were not submitted in the Concept Blitz Round, and to build prototypes that demonstrate the functionality and performance of their design concept.
Anyone who is already officially registered for the Challenge by August 1, 2016, is eligible to participate in the Final Innovation Round.
Guidelines for the Final Innovation Round – Phase I were released on August 23, 2016. These guidelines include use case scenarios, submission requirements (format and contents) and important guidelines and considerations for solution proposals.
The deadline for the Final Innovation Round – Phase I submissions is March 1, 2017.
Final Innovation Round Phase I Review: Submissions will be reviewed over a period of 30 – 45 days. All of the submissions will be reviewed. Proposed solutions that are evaluated to best meet the Challenge criteria and that are able to submit a working prototype will be eligible for entry into the Final Innovation Round Phase II.
IMPORTANT: Final Innovation Round Phase II innovators will be required to produce working prototypes of their designs. Only those innovators who can produce a prototype will remain eligible to compete for the Challenge prize in Phase II. Innovators may submit solutions as individuals or as part of a team. Requirements for the prototype submission will be announced in October – as will the timeline for Phase II of the Final Innovation Round of the Challenge.
A criteria for the Challenge is to make the solution publicly available. Solutions that include newly created intellectual property are required to provide the newly created intellectual property on a royalty-free basis.
Innovators who propose a solution that incorporates pre-existing intellectual property (either owned or licensed by the innovator) should be prepared to provide the solution on either a royalty-free or fee or cost basis. If such pre-existing intellectual property is provided on a fee or cost basis, the innovator must include those fees or costs in the total cost of implementation section of the proposal.
Final Innovation Round Phase I Submissions
Submissions will be assessed on the overall proposal and the ability of the prototype to demonstrate that the solution meets the Challenge criteria. The proposal should be thorough, specific, clear, and easy to understand. While you have been provided ample room for your responses, please be as brief and succinct as possible.
Submissions must include the following components:
Submission Content Details
1. Online Submission Form
2. Use Cases & Performance Results
Innovators must provide details on how their proposed solution performs for each use case. You must also submit performance results for your solution’s prototype testing against the Final Innovation Use Cases. See Use Case Scenarios and directions at the end of this Section.
You have 10,000 characters (including spaces) per Use Case.
3. Response to Submission Questions
Innovators must respond to each of the questions listed under the numbered Sections 2 – 8. You will have ample space to respond to each of the questions. Include additional information such as screen shots, videos, diagrams, images or descriptions of devices being used, early prototype designs, usability tests, etc. to help judges better understand your solution.
You have 10,000 characters (including spaces) per question.
4. Images and Video of Enrollment and Identification
The following images and videos are required for the submission.
Provide both images and a video of a patient:
Video submissions may not exceed 120 seconds in length. Judges’ reserve the right to not view any videos that exceed this required length.
Videos must be uploaded to an external site, outside of your HeroX.com submission form. Please review the video uploading requirements carefully: https://chimecentral.org/npid-video-upload/.
Please note that images must be added as a URL link only.
5. Statement of Intellectual Property Rights
If pre-existing intellectual property is provided on a fee or cost basis, include a listing of those fees and costs.
You have 10,000 characters (including spaces).
6. Prototype Development Plan
List the costs to develop the prototype. Provide evidence of ability to fund the development of the prototype.
You have 10,000 characters (including spaces).
7. Supplemental Information
You should utilize the Supplemental Information section as an opportunity to expand on any submission questions, or to include additional information such as screenshots, videos, diagrams, images or descriptions of devices being used, early prototype designs, usability tests, etc. for either the Section Questions or for the Use Cases to help judges better understand your solution. The Supplemental Information section can also be used to share additional features or information about your proposed solution. Please keep in mind that brevity and clarity are two very important measures of a successful submission.
Any supplemental information is limited to 100 pages maximum, including the title page and a table of contents. Paper size must be 8.5 by 11 inches, with the exception of supporting materials. Minimum margins are one inch. Font must be minimum 12 pt, double-spaced. Place the title of your submission into the footer of every page. No logos, names, or other markings that can be used to identify the proposing team or any team members are allowed on any of the pages.
Suppemental information must be uploaded as a single unlocked PDF document, 20 MB maximum. Embedded hyperlinks are permissible for videos or animations (maximum of 120 seconds duration recommended) as supporting material. Judges are not required to view any hyperlinked content beyond what is required and outlined in the Images and Videos section.
You must follow the Supplemental information format instructions as outlined or risk elimination. Your submission should be organized by the numbered sections provided below. CHIME Healthcare Innovation Trust reserves the right to request additional information from a competitor during the judging period.
Use Case Guidelines:
All Use Case solution descriptions must be completed in the submission. A maximum of 10,000 characters is allowed for each Use Case. The following items MUST all be defined for EACH Use Case:
Your solution description should fit in the allotted space in the submission form (10,000 characters per use case, including spaces). You may attach the work flow items (diagrams, pictures and performance data charts) to each use case. You may also use the Supplemental Information section to include additional charts, performance data, etc. Readability is a key factor in the judging review. Ensure that any additional charts, performance data, etc. included in the Supplemental Information Section are carefully organized and tied to their specific Use Case Scenarios.
Identification and Use Case Scenarios
Security and Fraud Management Use Cases
Use Case Additional Questions:
Responses must be provided. Include the responses to these questions in the Submission Form.
You have 10,000 characters, including spaces, per question.
1. PATIENT ENROLLMENT & IDENTIFICATION
2. SECURITY AND FRAUD MANAGEMENT
3. SUPPORT FOR PRIVACY AND ANONYMITY
The patient identity must be accepted across disparate groups and technologies and integrated into the healthcare system to include providers, pharmacies, payment, health insurers, federal, state and local governments.
Solutions must be HIPAA compliant and should support privacy guidelines from NIST, CMS, ONC, HIMSS, NSTIC IDESG and PMI.
Recommended references include: Applicable HIPAA regulations, The National Strategy for Trusted Identities in Cyberspace Identity Ecosystem Steering Committee (NSTIC IDESG’s Identity Ecosystem Framework (IDEF) Baseline Functional Requirements, HIPPA Guidelines, ONC’s Nationwide Shared Interoperability Roadmap, the Precision Medicine Initiative – Data Security Policy Principles and Framework and HIMSS Identity Proofing and Authentication recommendations.
7. OTHER VALUABLE FEATURES AND FUNCTIONALITY
8. LIST OF CITED REFERENCES AND ATTACHMENTS
During this phase, submissions will be evaluated and, in some cases, more information may be requested.
Proposals will be evaluated by the criteria listed below.
|Final Innovation Round Criteria||Points|
|Patient Enrollment and Identification||25|
|Security and Fraud Management||15|
|Privacy and Anonymity||15|
|**Bonus Points for Additional Features and Functionality||5|
A number of finalists will be selected to demonstrate their prototypes and answer questions for the judges. Innovators will demonstrate the functionality of their solution and answer any questions from the judges. Innovators must be prepared to submit their prototypes by a maximum of 30 days post selection.
After judging has completed, the Finalist with the highest score from judging will be awarded the prize and declared the winner of the Challenge. All innovators that submit complete and viable solutions will be awarded a CHIME Healthcare Innovation Trust Certificate, recognizing their achievement and participation in the Challenge. The announcement will be held in a public setting TBD.
Challenge Guidelines are subject to change. Registered competitors will receive notification when changes are made, however, we highly encourage you to visit the Challenge Site often to review updates.