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Community Master Patient Index (MPI) Project

Endorsed by MA-SHARE Advisory Committee - January 14, 2004

Vision

To become informed on the issues relevant to the design of a community master patient index for Massachusetts.

Sponsors

The work of the Community MPI Project is sponsored by the Consortium's CIO Forum.

Project Description

A critical component of a community clinical connectivity model is the identification of patients through a Master Patient Index (MPI). Patients are currently identified through a variety of schemes, including Insurance Subscriber Numbers, Medical Record Numbers, and Social Security Numbers. Typically, a MPI creates pointers to all of the identifiers that exist for a specific patient.

One solution to this fragmented model is the implementation of a Unique Patient Identifier (UPI). The Federal Government has done a great deal of work examining approaches to a UPI (including the potential use of the Social Security Number), before making the decision that they should not take a position on this issue. Many governments in other countries have implemented UPIs. Vendors that have developed integrated healthcare technology solutions have had to decide on an approach to UPIs.

The ability to create and use a UPI among multiple participants in the health care community is based on the recognition and presence a minimum set of key identifying elements. Some systems in current use in health care utilize a scheme based on key elements to establish unique identities for patients within their internal systems, rather than issuing new specific identifiers. A similar methodology/scheme may be applicable to the MA-SHARE community model.

The CIO Forum feels that it is important that MA-SHARE make an "informed judgment" on UPIs. The final product of this project is a White Paper describing the current state-of-the-art is re: UPIs. Specifically the White Paper will:

  • Identify and describe UPI models that have been considered and/or implemented
  • Compare the UPI models, including key elements used for identification ; evaluate their strengths and weaknesses
  • Outline the implications for MA-SHARE

Activities to date (latest at the top)

  • April, 2004: Final report and Vendor Appendix submitted to the Consortium
  • March, 2004: Draft report circulated and presented to the CIO Forum
  • January, 2004: Consulting Agreement signed with John St. George
  • November, 2003: MA-SHARE project proposal prepared

This page last updated April 21, 2005


For further information regarding the MA-SHARE initiative and its projects, please contact Gail Fournier, Partner, CSC Consulting, via e-mail. We welcome your further questions & look forward to your participation in our work and our events!