1 Trusted Patient Identity The Foundation for Mobile Engagement and Interoperability Jason Mafera Director, Research and Discovery @ Imprivata
Patient identity solutions need to be “future - proof” 2 • 21st Century Cures Act (December 2016) • Section 4003 Interoperability • Section 4004 Information Blocking • Trusted Exchange Framework and Common Agreement (TEFCA) interoperability standard first release • National Institute of Standards and Technology (NIST) 800-63-3 Digital Identity Guidelines • MyHealthEData and Medicare Blue Button 2.0 • Meaningful Use redefined to “Promoting Interoperability” • Information Blocking Rule 2
Establishing Trust for Digital Identity 3 Unique Identifiers • Username + GUID (hidden) • Email Address • Phone number Demographics • First Name, Last Name • Date of Birth • Home Address Credentials • Biometrics (palm, finger, Iris, etc.) • Username/password combinations • One Time Password Tokens • Identity Assertions • Photo Devices • Smartphone Trust Framework • Tablet • Wearable Extended attributes • MRN’s across organizations • National patient ID • Unique identifier per HIE 3
NIST Identity Guidelines (800-63-3) 4 4
NIST 800-63-2 vs 800-63-3 5 Current Previous 5
Identity Assurance Levels (IALs) 6 6
Photo ID Validation – IAL2 7 7
Enhanced Security Features (ESF) 8 8
Authenticator Assurance Levels (AALs) 9 9
Federation Assurance Levels (FALs) 10 10
Demographic Based Identity Matching 11 11
Trusted Online Identity and Authentication is foundational 12 Accepting Risk for Outcome Trusted Patient Identity Increasing Patient Engagement Improve patient • On-line pre-registration & pre-op self care • Access to provider notes • Entering data into EHR (family history) ******* Improving Access via Telehealth Reduce acute care • Managing chronic conditions utilization • Providing follow up care • Addressing the opioid crisis 1 Proofing Enabling Provider Access to Records Improve provider 2 Authenticating • Reducing redundant tests efficiency and • Decreasing delays in interventions 3 Connecting effectiveness • Avoiding medical errors 12
13 THANK YOU! • Jason Mafera – Director, Research and Discovery • Imprivata @ Mafera1
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