2 Interviewees: Vice President and Chief Information Officer and Director of Health Information
Rady Children's Hospital And Health Center
San Diego, California, United States
Since 2006 Albert Oriol is Vice President, Information Management and CIO at Rady Chlidren’s Hospital and Health Center in San Diego, CA.
Albert is a recognized healthcare professional with over 20 years of IT experience across multiple continents. Born and raised in Barcelona, Albert is a change agent who leverages technology as a driver for improving healthcare.
A graduate of the 2004 CHIME CIO Bootcamp, Albert participates in various CHIME committees and other industry groups, both in the US and abroad. Albert serves on the Boards of CHIME and San Diego Health Connect, the San Diego Regional Health Information Exchange. Prior to joining Rady Children’s, Albert held various positions at The Children’s Hospital in Denver, Colorado, at Sarasota Memorial Healthcare in Sarasota, Florida, and at Consorci Hospitalari Parc Taulí in Sabadell, Catalonia, Spain.
Albert holds Bachelor degrees from Bentley College and Universitat Internacional de Catalunya, as well as an MBA and a Masters in Health Science from the University of Florida, Gainsville. Albert has been awarded various scholarships and awards, including CHIME's 2004 John Glaser Scholarship.
Complementing his day to day work, Albert owns a digital strategy consulting firm with clients in the US Europe and Africa and has taught IT Strategy and IT Management courses at the graduate level.
In his spare time Albert enjoys traveling with his family, playing touch rugby and coaching youth rugby for the San Diego OMBAC Wallabies.
QUOTES: “We devote not insignificant resources to identify and clean up records. That seems like a waste. We have to do this because the system is not perfect. We would rather fix the problem at the root.”
“Sure there will be a number of different solutions. As much as the technological component of the solution is going to be key, I think the process component will be as or more important than the technological one.”
“As much as I want to think the solution is as simple as issuing a healthcare id card at birth, that only solves the record matching. It’s not going to solve the identification per se. People forget their wallet or are rushed into hospital without it.”
PROBLEMS WITH PEDIATRIC IDENTIFICATION: Multiple birth patients are often named similarly: (a) Same first name, different middle name – John David Smith, John Daniel Smith; (b) Reversal of first and middle name – John David Smith, David John Smith; (c)Similar first and/or middle name – Sarah, Sarai; (d) Different first name, same middle name – John James Smith, Joshua James Smith; (e) Baby Boy A and Baby Boy B do not get named at hospital and no one knows which is which; (f) kids don’t have social security numbers or parents don’t know them; (g) don’t have government-issued id; (h) child comes in without custodial parents and missing information; (i) same insurance id used for multiple children;
ADVANCES IN IDENTIFICATION APPLIED TO CHILDREN: Biometrics are not effective for pediatric identification, particularly for babies and toddlers. Fingerprints, irises, voices, facial features, etc don’t work because the children are still developing. There are many emerging solutions for determining identity in non-health arenas, including homeland security. Most of these solutions are not concerned with minors, especially fetuses, babies, toddlers, and very young children.
PRIVACY: The concept of privacy is changing: babyboomers are very concerned with privacy whereas millennials are not. If the problem and the solution are well-articulated…that having a national patient id diminishes the chances of a mishap…This will be appealing to a vast majority.
100% ACCURACY: Unless patient identifier is issued at birth or maybe even before, it will be very hard to get 99.99999999% accuracy. Even with a national patient identifier, there is still the challenge of knowing which identifier is related to which baby, even for the parents of multiple birth babies.