The healthcare industry is starting to embrace the use of consumer data to help achieve better treatment outcomes, engage patients in meaningful ways, market to health consumers, and identify social determinants of health among their patient population. As consumers now spend an estimated $3.5 trillion annually on healthcare in the U.S. (approximately $10,348 per consumer), they expect the healthcare industry to create modern and innovative experiences for their care journey. Those experiences can only be created through data-driven insights. When it comes to the world of data, where can we start? What if we could use health data and other variables like socioeconomics to predict missed appointments, noncompliance with medications, and patient trajectory over time? By learning how to apply data analytics to practice management workflows, we will improve the delivery of patient care by zeroing in on the best in social determinants of health. Data insights can also forge stronger customer and patient relationships, foster brand loyalty, and drive decisions around how to interact with consumers in ways that consider their lifestyles, attitudes and preferences. Those insights help deliver tailored messages to patients that are relevant to every stage of their journey. And what about applying credit data to create a personalized, nearly invisible, payment experience for patients? As patients express that paying their bill is a top pain point in their health journey, we look to use the right data insights to fuel collection strategies by offering patients financial assistance and payment plans at the point of service to ensure a positive patient financial experience. The right data can transform patient and consumer experiences in healthcare. However, it’s important to have access to clean, original-source data, as well as analytics to gain insights that drive decisions and achieve results. Household data, marketing data, credit data and of course healthcare data can all offer a more complete view of today’s healthcare consumer. If you are attending HIMSS19, join us in booth 2033 to hear one of our presentations on using data in the patient experience to earn CE credits.
Healthcare runs on revenue, and claims denials can put a big dent into the budgets of healthcare providers — between 5 and 10 percent of claims submitted by healthcare providers are denied. This adds up to billions of lost dollars each year for providers in the U.S. The good news? Ninety percent of claims denials are preventable when healthcare providers automate revenue cycle functions. In fact, providers could gain an estimated $9.5 billion by automating the claims management processes. And money isn’t the only thing to be saved — companies could also have more time to work on other processes. The problems facing one Oregon healthcare provider Monitoring claims and cash flow is difficult for any healthcare organization, as the staff at Summit Medical Group Oregon — Bend Memorial Clinic (BMC) knows. Summit Medical Group Oregon – BMC found its team consistently waiting for payer response, which often forced its overall operations to drag. After 30 to 45 days of submitting claims, if Summit Medical Group Oregon – BMC did not receive payment, staff members would have to reach out to payers to determine whether they had received the claim. They also had to determine whether the claim was in the process of adjudication, as well as any other steps the staff should take in order to get the claim processed, according to Summit Medical Group Oregon – BMC business analyst Sean Schlappy. These manual processes not only create lags in claims reimbursements, but also take up a lot of staff time. The Council for Affordable Quality Healthcare found that processing claims manually takes an average of four minutes, while processing automated payments takes an average of three minutes. So Summit Medical Group Oregon – BMC decided to implement software solutions to improve acceptance rates. The tools used for improvement One product Summit Medical Group Oregon – BMC implemented was Claim Scrubber, which ensures all claims submitted are accurate before they're sent to the payer. Because it can be integrated with most practice management systems, this service allows employees to set up notifications in the healthcare provider's work queue. It also provides detailed dashboards and reports to quickly recognize trends to improve medical coding and reimbursement rates. Summit Medical Group Oregon – BMC additionally turned to Enhanced Claim Status, which provides employees with status requests based on the payer’s adjudication time frame, improves productivity, and ensures timely and accurate payments. This tool reduces the amount of time staff members must spend interacting with the payer, and it generates work lists of claims with actionable data. By transitioning most of its coverage information upstream, Summit Medical Group Oregon – BMC was able to obtain more accurate data during the initial patient introduction and registration. Using this technology, Summit Medical Group Oregon – BMC also improved the patient experience. Using technology for clean claims After implementing Enhanced Claim Status in conjunction with other services from Experian Health, Summit Medical Group Oregon – BMC gained a 15 percent reduction in accounts receivable days and volume. And the healthcare organization now has a 92 percent primary clean claims rate, and its claims denial rate has dropped to 7 percent. Integrating several tools is helping Summit Medical Group Oregon – BMC in the long term, Schlappy says. Summit Medical Group Oregon – BMC has increased payment processing and reduced claims denials, and, most importantly, it's producing cleaner charges.
As of January 1, 2019, thousands of hospitals in the U.S. are being required to post an online list of the cost of their services due to a new requirement by the Centers for Medicare & Medicaid Services (CMS). However, amid growing confusion about which fields are required or what format the list of standard services needs to be in, many health systems feel this new law will only create confusion among patients. One health system described the new requirements as, “It would be like walking into a car dealership looking at a new car, asking the salesman how much the car was going to cost and having them hand you the parts catalog. Obviously, when you have the parts catalog, you don't know what parts are in your car or which ones you're going to use or how much labor is going to go into making the car." While posting the list of prices is required by CMS, some health systems have invested in the needed technology to make it easy for patients to shop online for care. For example, in an interview with Modern Healthcare, El Camino Hospital explains they “launched a consumer self-service tool in May 2017, after about a year of development work with Experian Health. Since then, more than 3,000 people have visited the hospital's website, selected one or more of about 90 medical or surgical services they were interested in, entered their insurance information, and received an instant out-of-pocket cost estimate the hospital claims is 95% to 99% accurate.” Health systems like El Camino Hospital know that patients want to avoid costly surprises, and they should be able to understand their financial obligations upfront, including deductibles and copays. In fact, McKinsey research found nearly three-quarters of participants were worried about healthcare expenditures. Legislative help The new CMS requirement is only one of a few initiatives in the works from a legislative standpoint. In an effort to help patients, some members of Congress are trying to bring attention to the topic. A bipartisan group of U.S. senators in 2018 wrote a letter to healthcare stakeholders and experts requesting information in an effort to learn more about price transparency as they considered possible legislation on the matter. Also in the letter, the senators cited the lack of state laws and regulations requiring healthcare providers to make that information available to patients. More than 40 states were cited by the Catalyst for Payment Reform and the Health Care Incentives Improvement Initiative in 2016 because they were deficient in healthcare transparency legislation. And that same report found that some patients were paying thousands of dollars more than others for the same procedures, depending which healthcare provider they used. Alleviating patient stress Transparency in billing creates more satisfied patients because they know how much they will be paying for services, which makes it easier for them to budget. Going to the hospital is usually a stressful time for patients and their families. An easy way for healthcare providers to alleviate that stress is to help patients understand their costs upfront Most healthcare organizations already have the basic data they need to use automated technology to construct estimates for basic services, including claims data, real-time eligibility and benefits information, payer contracts and charge description master (CDM) information. Experian Health has the technology to help healthcare organizations convert this information into patient costs through Patient Estimates. This kind of transparency provides several benefits to both providers and patients. Online estimates published on healthcare provider websites give patients access to the information any time, including late at night and on weekends. And these estimates can be obtained confidentially, so patients who may be uncomfortable asking about certain procedures can find that information on their own. And that helps them be more relaxed about making appointments and scheduling treatments because they have confidence they won't face billing surprises. This feel-better result of having prices at their fingertips has a clear benefit for the healthcare providers as well. Patients are able to plan and pay for services, decreasing unpaid balances for hospitals and other healthcare providers. Ability to budget for healthcare costs Patients who know what to expect can budget wisely and actively take charge of their healthcare bills. They go in with their eyes open, which leads to improved revenue cycle management. In the end, both the patient and the hospital get what they want. With Congress and state legislatures looking at transparency in healthcare, providers can expect to see more of these rules. Healthcare organizations can get ahead of them with software like Experian Health's Patient Estimates. Healthcare consumers don't like surprises in their billing. Price transparency gives them the information and peace of mind they need to secure healthcare services and be assured that they know what they will be paying for them. Learn more about how Experian Health can help you achieve price transparency for your patients.
The Vancouver Clinic was facing the same problems that all healthcare organizations grapple with: too many claims denials and too much bad debt. So, Paul Brown, the clinic's chief financial officer, turned to his background in manufacturing technology to see how his organization could find efficiencies. He used his experience and knowledge to inform his and the clinic's roadmap to implement change. The first step was looking at quality. In manufacturing, every step in the process is studied closely and tested to ensure absolute accuracy. Vancouver Clinic did the same. From a patient perspective, it wanted a seamless experience, including making appointments, reducing patient time at reception, ensuring labs were returned quickly, and making sure patients had quick access to any prescriptions they needed. Although the improvements Vancouver Clinic wanted to make originally were seen as a technology project, it quickly became evident that improving the process would also require training for staff and defining performance indicators. However, as technology played a key role, Paul reached out to Experian Health to implement some much-needed automation in the revenue cycle process. One big goal for the partnership was to improve revenue and collections, which is important as U.S. healthcare spending continues to skyrocket. Spending has reached $3.5 trillion, and Medicare bad debt adds up to more than $3.69 billion. Experts predict these numbers will continue to grow, and soon, the nation will spend close to 20 percent of the gross domestic product on healthcare alone. Vancouver Clinic was also grappling with these issues. It had higher-than-average claims denial rates, which cost the clinic $10.5 million each year. It also had higher-than-average bad debt of $3.5 million. The goal was to reduce that by 50 percent, and the numbers are going in the right direction. To get there, Vancouver Clinic took a multifaceted approach to implementing software solutions. One solution was Payer Alerts, which creates authorization updates that reduce errors and inconsistencies before claims are submitted. When they’re detected, the alert format is easy to read and understand so corrections can be made quickly. Other technology solutions included Eligibility, which simplifies the insurance verification process; Payment Safe®, which is an efficient and seamless way to process patient payments; and Claim Scrubber, which helps submit clean claims to payers and reduce claim denials. The results for Vancouver Clinic were quick and dramatic. Claims denial rates dropped more than 30 percent. The denial rate, which was around 14 percent, is now under nine percent. Vancouver Clinic also reduced bad debt through more efficient patient processing by ensuring the clinic has the right insurance and personal information on patients. By collaborating with Experian Health, Vancouver Clinic has turned things around and has already realized a reduction in claim denials and bad debts to save them $2.3 million. An additional benefit of implementing these software changes is the ability for patients to use the self-service portal for the clinic. It allows patients to get estimates for services, set up payment schedules, pay their bills, schedule appointments, and provide feedback to the health system. Giving patients the ability to take control of these tasks simplifies the process for everyone, reduces busywork for staff, and improves patient satisfaction. Another efficiency that was implemented for staff was revamping software work lists. By reducing the number of lists they had to manage, employees were able to streamline their work. In an effort to maintain and continue to improve efficiencies, several key performance indicators are monitored to ensure quality throughout every step of the process. In much the same way that manufacturing keeps an eye on each process along the way, Vancouver Clinic has sought to improve every detail to create a seamless experience for patients. Through its continued partnership with Experian Health, it is well on its way to getting there.
This time last year, the Centers for Disease Control and Prevention and hospitals across the country weren’t quite ready for the flu season, which turned out to be the deadliest in 40 years. The flu and complications arising from it resulted in the deaths of more than 80,000 people. Hospitals felt the brunt of the 2017-2018 epidemic early. Hospital and medical center staffs were forced to work overtime, setting up triage tents and treating flu patients in recovery rooms. Alabama declared a state of emergency, and doctors in California had to treat patients in hallways. Experts predict a milder flu season this year, partly due to an updated flu vaccine that protects against H3N2, which was the severe strain that dominated last year’s flu season. While it's hopeful that this year’s flu season will be better, it's always a busy time for hospitals and providers, so they should be sure they're using the most efficient healthcare IT solutions to streamline their workflow. Greater efficiency is key When it comes to efficiency, hospitals should take a cue from Martin Luther King Jr. Community Hospital in Los Angeles, which collaborated with Experian Health to streamline patient registration and insurance verification. Before the collaboration, MLKCH had to consult websites and make phone calls to confirm a patient's insurance eligibility, which was time-consuming. The hospital has a large Medicaid and managed care population, which means employees had to consult both a state website and a health plan website. The hospital also had a high-traffic emergency department and limited front-line staff to handle the incoming flow of patients. Additionally, employees performed manual quality assurance, which is a time-consuming task. Understanding its challenges, Experian Health was able to help the hospital streamline its system to improve efficiency in insurance verification through Coverage Discovery. It also helped the hospital improve patient registration with Registration QA, which has improved data quality and patient registration accuracy. Since MLKCH integrated Coverage Discovery and Registration QA into Cerner, it has saved precious time when it comes to validating patient and payment information. “We have a lot of returning patients to our emergency room, so once we check that patient in, their eligibility automatically runs in the background and our staff doesn’t have to go into another website to check their eligibility," said Lori Westman, patient access manager at MLKCH. “This has saved us two to three minutes of our registration time.” “We average about 300 patients every 24 hours,” she continued. “Heading into flu season, they're expecting to hit a 400-per-day volume, so the fact that we can take off two to three minutes at least on half of our registrations is going to speed up the work for the team that much faster, to have a turnaround time that much better for more patients to come through.” Managing the season Only 42 percent of Americans got a flu vaccine last year — painfully shy of the CDC’s 70 percent target. Misconceptions and fears about the vaccination and its effectiveness can keep people from getting it, which only increases the spread of the flu. Flu season is always going to be a busy time for healthcare providers. But finding ways to manage staff and resources and work more efficiently is going to help hospitals and other facilities better manage the busy season. Learn more about Experian Health’s Patient Access solutions.
In healthcare, patient-facing technology and electronic health records are meant to improve the overall patient experience. Yet, in a recent Black Book survey, the limited use of these technologies by some organizations has diminished the experience for 89 percent of their younger patients. More specifically, 69 percent of respondents said that dissatisfaction was due mainly to the discharge and billing process. A lack of transparency, confusion about what the total costs are, and borderline harassment from third-party collections agencies can ruin otherwise great experiences. What’s lacking? To achieve the level of engagement and transparency that consumers demand, hospitals need to offer more than just electronic records. In Black Book’s survey, 78 percent of hospitals aren't prioritizing investing in the IT necessary to offer more. That number is shrinking, though, as hospitals depend more on payments from patients. A brief prepared by the Office of the National Coordinator for Health Information Technology showed a 10 percent jump in the use of IT, such as patient portals, between 2014 and 2017. However, 24 percent of patients won’t view their EHRs despite being offered access. Many cite privacy concerns, others see no need, and some just don’t know how. While confusing and unclear billing processes can negatively impact the patient experience, the opposite is also true. When organizations make it easy for patients to understand and pay their bills, their patients are more satisfied with their experiences. That requires revamping both billing and customer service — the two most important avenues of engagement. 3 areas to improve To achieve that goal, more healthcare organizations and hospitals are turning to online patient portals. They not only give patients access to their records, but also consolidate doctors’ and hospitals’ bills into single, easy-to-understand statements. This increases a patient’s ability and willingness to engage, as well as reduces a hospital’s risk of uncompensated care. Still, patient portals don’t automatically translate to better engagement. They offer a wide range of features and interactions, but they can do little to positively impact the patient experience until organizations become more adept at optimizing them. In many cases, that means changing their approach to these three main obstacles: 1. Limited use A recent Healthcare Financial Management Association survey revealed that 94 percent of organizations that use patient portals only use them to collect payments from patients. This is an important feature of a portal, but it’s only one of several equally important ones designed to create an entire experience for patients. Most portals offer the ability to schedule appointments, receive accurate patient estimates, research and select different payment plans, communicate with care team members, and more. Organizations can use them not only to collect payments, but also to help patients be active participants in the administrative side of their care. 2. Limited interoperability For a healthcare organization to make full use of patient portals and other health IT solutions, large amounts of data must be gathered from many different sources. For a single patient, that data can include financial information from credit bureaus, health histories from other institutions, and data from personal medical devices. Limited interoperability makes it difficult for providers to centralize disparate sources of data, which hinders their patients’ ability to make full use of a portal’s features. By creating a portal around a more comprehensive IT infrastructure, organizations can improve their interoperability and, therefore, their patients’ overall experience. 3. A lack of self-service In the HFMA survey mentioned above, 86 percent of organizations that responded admitted that a portal’s most valuable contribution is creating an intuitive, self-service environment for patients. The ability to schedule appointments and payment plans means organizations don’t have to cold-call patients to remind them of upcoming visits or past-due bills. When hospitals make full use of a patient portal’s features, they can help patients manage their own accounts from home, work, or the doctor’s office. This level of self-service empowers patients to engage in their healthcare, reducing the likelihood of missed appointments, uncompensated care, inadequate patient experiences, and poor health outcomes. The fact that more healthcare organizations are offering patient portal access is encouraging, but low patient interaction means they could do more to optimize that access for maximum engagement. Fortunately, the pieces are there; organizations just have to learn to adapt the rest of their operations to make it all fit together. Start engaging with patients today.
Healthcare consumerism, which describes the ability of patients to shop around for the best value of care, has affected every aspect of the industry. Keeping up with those changes has challenged most institutions as patients become more savvy about healthcare costs and their choices. But the freedom for patients to choose is only one side of the coin. The other is wrought with financial pain points that come with making the traditional billing model fit the new healthcare consumerism. For instance, organizations have to give patients precise cost estimates, but when patients change insurance coverage or companies change their policies and practices, providers struggle to keep those estimates accurate. And patients who are hit with unexpected costs after they’ve received treatment are less likely to be able pay their bills. Hospitals and providers suffer from uncollected bills, which is compounded by claims denials. Fortunately, the idea of healthcare consumerism inherently provides the solution to the pain. Emulating consumerism that's present in other industries, such as retail, means offering accurate and transparent pricing, eliminating uncertainty, and offering patients convenient and comprehensive financial options. Like other industries, healthcare already has a wealth of IT tools to make that possible. Headaches for patients and providers Simplifying financial pain points requires one significant change — hospitals and providers must deliver clear, simple information about what factors into their pricing. The first step is ensuring your system can keep up with the constantly changing details of insurance policies, supplier contracts, and everything else that affects those costs. An automated IT solution can collect up-to-date insurance data, claims history, a patient’s financial situation, your organization’s price, and more before generating an estimate. When this data changes, estimates are no longer accurate, which is why healthcare pricing is so complicated. Therefore, tracking them and updating your system automatically can make it easier. Most of the industry already uses analytics to some degree. Combined with automated financial data-gathering tools, those analytics can help organizations identify patients who are financially at risk and might qualify for additional funding options. Along with clear and accurate estimates, patients highly value a provider that cares enough to offer affordable financing options. Alleviating those pain points Keeping up with policy and other financial changes as quickly as they occur makes healthcare consumerism as beneficial for hospitals and providers as it is for patients. For example, Rocky Mountain Cancer Centers was able to reduce claims denials by 27 percent after implementing payer alerts and patient estimate solutions. The same strategy helped the College of Medicine at Baylor University collect nearly $4.2 million in underpaid contracts, which it would have missed otherwise. Both organizations have also significantly boosted patient satisfaction with their financial processes, which has led to more positive experiences and reviews. You can also alleviate financial pain points for patients and your organization by seeing healthcare consumerism as an opportunity instead of a burden. Patients demand the same level of cost transparency and certainty from every other industry. Healthcare organizations now have the incentive (and the means) to prove that they can offer the same level of service.
In a recent healthcare information technology survey, more than 40 percent of chief information officers identified patient matching as healthcare’s top IT concern. And though a quarter of the respondents admitted it wasn’t a current priority for their organizations, they did say that it very much should be. There’s no shortage of reasons why, but the most pressing is the need to reduce medical errors, which account for over 250,000 deaths in the United States every single year. Case in point: Seventeen percent of CIOs acknowledged that errors in matching data with the right medical identities have led directly to adverse outcomes for patients. The numbers speak for themselves: Healthcare organizations must find more effective ways to manage the data within their networks. That begins with building a robust medical database that not only hoses data, but also knows how to match it with the proper patients. How robust EMPIs streamline workflows An enterprise master patient index (EMPI) is a database that can help you clean up your data and eliminate duplicate and inaccurate records. It uses algorithms to match exact data elements among disparate records, as well as elements that fall within an acceptable range of possible compatibility. Using technology that can apply an algorithm of probabilistic and referential matching methodologies will allow healthcare organizations to expand beyond the limitations of conventional single methodology matching, as both probabilistic and referential matching techniques provide a higher degree of likeliness. The system assigns these data points to unique identities that follow patients throughout the organization. Any new data generated within the network is also attached to this identity, meaning physicians, specialists, pharmacists, and other members of the patient’s care team can access and update it as needed. EMPI support tools and unique patient identities are building blocks toward creating a healthcare ecosystem that’s truly interoperable. According to an April 2018 survey by Black Book, hospitals with an EMPI report “consistently correct patient identification at an overall average 93 percent of registrations and 85 percent of externally shared records among non-networked providers.” Unfortunately, not all healthcare systems possess the IT infrastructure to support these programs. And as long as some organizations fail to integrate similar platforms, providers won’t reap the benefits of industry-wide interoperability — and patients will continue to suffer. Whether it’s a frustrating billing mix-up, privacy breach, or a detrimental (or even fatal) misdiagnosis, many errors can be successfully prevented with an EMPI. Filling in the holes The goal of such a system should be to standardize data entry and access within each healthcare organization, as well as across the entire industry. Such a network could protect, govern, and match unique patient identities across every discipline and every aspect of their care continuum. But in order for the system to achieve these goals, you need to be sure you’re feeding it relevant, recent patient information. To ensure you have enough patient data to build an EMPI that accurately matches profiles, ask yourself these questions: 1. What kind of medical care have my patients received before this visit? When patients enter a new hospital, they’re given a brand-new identity, or patient number, that’s only relevant to that healthcare system. The identity you assign them within your own organization doesn’t provide any insight about what they’ve experienced before their current visit — and that’s the crux of the matter. When patient information is siloed within a specific system, you have no view of the patient’s medical history. But when it’s shared across systems and fed into a more dynamic and interoperable data management system, patients will ultimately receive better care. 2. Who are my patients when they’re not “patients”? It’s important to understand who patients are when they’re not in the hospital. Yes, they’re husbands and wives, mothers and fathers, brothers and sisters. But some could be physically fit, while others haven’t seen the inside of a gym in years. Some might get regular checkups, but others cannot afford to see a physician regularly. All of these traits factor into your patients’ identities. With a comprehensive EMPI, you can tie them together to understand the environmental and socioeconomic factors that influence your patients’ health. You can then identify what social determinants of health need to be addressed or could potentially influence the efficacy of certain treatments. 3. Can we identify patients without a picture ID? Biometrics such as fingerprints and iris scans are more secure forms of identification than a photo ID. They’ll not only make it easier to identify patients, but will also offer heightened security against fraud. That being said, even biometric identification isn’t 100 percent secure unless it’s part of a database, such as the EMPI, that accurately matches patient identities with relevant medical data. Accepting that the healthcare industry needs better data management and patient-matching strategies is the first step to realizing those goals. EMPIs have shown organizations the value in universal patient identities. Now, they simply need comprehensive databases that are robust enough to keep patient identities consistent across the entire healthcare ecosystem.
Not every healthcare organization embraced electronic medical records (EMRs) at first. But the incentives and regulations put in place by Meaningful Use and the Affordable Care Act have made it necessary to implement them. Now, organizations are not only embracing EMRs, but also making it easier for their patients to access and manage them through remote portals. According to the Office of the National Coordinator for Health IT, approximately 63 percent of patients who used portals did so at their doctors’ recommendation. Despite the growing popularity of patient portals, there are still more than 25 percent of patients who refuse to use them for fear of jeopardizing their data. Considering the sensitive nature of their protected health information (PHI), along with the nearly 5.6 million health records that were compromised last year, those fears are more than reasonable. What can providers do? Hackers have honed in on the healthcare industry for two main reasons: the treasure trove of valuable information in medical records and a sometimes dated approach to cybersecurity. In fact, between 2009 and 2016, more than 30 percent of all big data breaches occurred within healthcare systems. Without proper encryption methods, login redundancies, and detection tools, portals are almost as easily accessible to hackers as they are to authorized users. As their usage grows, that lack of security will become an exponentially greater threat to patients’ PHI and identities. “Many of us are accustomed to keeping the same name and password with our accounts, and as we know, that information is very lucrative to the right individuals," says Victoria Dames, Director of Identity Management for Experian Health. "While it's our due diligence to constantly change them, there are certain scenarios where maybe we forgot to change them or we don’t regularly login and that password may sit idle. When that happens, you want to make sure that you have the right technology in place to be able to catch somebody potentially logging in, trying to impersonate a patient.” Providers can’t lower the value of PHI to make it less attractive to hackers, but they can protect it more effectively with up-to-date cybersecurity measures. These four tips can help organizations bring their patient portal security up-to-date and keep their networks safe from unauthorized access: 1. Automate the portal sign-up process. Automating the initial sign-up process can stop false enrollments into the portal at the source. When implemented correctly, the automation will only require the patient to enter a few pieces of information, and then the software can confirm the user’s identity on the back end. 2. Leverage multilayer verification. After patients have signed up to access the portal, using multilayer verification can ensure all future sessions are equally secure. For example, two-factor authentication adds additional protection on top of conventional login credentials. In addition to a password or PIN, users also have to provide something personal such as a cell phone number, ZIP code, fingerprint, iris scan, or more. If the user’s device, account ID, and/or password are compromised, two-factor authentication can ensure the organization’s network remains safe. 3. Keep anti-virus and malware software up-to-date. Multilayer verification protects users’ direct access to portals, but there are other, more frequent vulnerabilities that also need attention. For instance, HIMSS Analytics recently found that 78 percent of providers experienced ransomware and malware attacks last year. Email is the avenue of choice for malware, and these attacks constantly evolve to slip past conventional security measures. If anti-virus software is outdated, it remains vulnerable to every new iteration of malware that attacks the network. Most solutions allow for automatic opt-ins so updates are downloaded and installed as soon as they’re made available. 4. Promote interoperability standards. When primary care physicians, specialists, and healthcare payers talk to one another throughout the course of a patient’s care, it isn’t always through email. When their systems aren’t compatible, they can’t communicate as clearly and securely as they need to. Interoperability makes it possible for disparate systems to share medical histories and patient data while making that data easily understandable on either system. Because interoperability is essential for improving the continuum of care, the Centers for Medicare and Medicaid Services provide standards for healthcare organizations to promote it. More patients and providers are optimistic about using technology to improve the healthcare experience. However, one in five patients remain so suspicious of healthcare data security that they refuse to even divulge some information to their physicians. Fortunately, with the right tools, organizations can effectively strengthen portal security and boost the confidence their patients have in them.