Name of Organization: ___________________________________________________________ Physical Address of Organization: _______________________________________________________ Primary POC: _____________________________ Telephone: ________________________________ Requirements # Readiness Survey Question Partner Answer Does your organization collect patients’ Social Yes (Collect SSN) No Security Number (SSN)? VA collects Social Security Number (SSN) and uses this trait as its primary identity matching trait. If yes, will you send the full SSN as an identity Yes (Send full SSN) No matching trait in the Patient Discovery (PD) message? VA currently sends the following traits to its partners to be used in identity matching: SSN Name: first, middle, and last name Gender Date of Birth Address (Address, City, State, Zip) Phone Number If No, do at 50% of patients in your Master Patient Index (MPI) have a full SSN that will be sent in the Patient Discovery Message? VA has found that organizations that do not send a full SSN (9 digits without dashes) in the PD message will have a 20% chance of matching patients with the VA. Organizations sending the full SSN in the PD message increase the patient matching probability to 90% or greater. The VA cannot guarantee acceptance of a partner that cannot send a full SSN in the PD message along with First Name, Last Name, Date Of Birth, and Gender as matching traits. How many patients are currently in your MPI?
Name of Organization: ___________________________________________________________ Physical Address of Organization: _______________________________________________________ Primary POC: _____________________________ Telephone: ________________________________ Requirements # Readiness Survey Question Partner Answer Does your organization collect patients’ Social Security Number (SSN)? VA collects Social Security Number (SSN) and uses this trait as its primary identity matching trait. If yes, will you send the full SSN as an identity matching trait in the Patient Discovery (PD) message? VA currently sends the following traits to its partners to be used in identity matching: SSN Name: first, middle, and last name Gender Date of Birth Address (Address, City, State, Zip) Phone Number If No, do at 50% of patients in your Master Patient Index (MPI) have a full SSN that will be sent in the Patient Discovery Message? VA has found that organizations that do not send a full SSN (9 digits without dashes) in the PD message will have a 20% chance of matching patients with the VA. Organizations sending the full SSN in the PD message increase the patient matching probability to 90% or greater. The VA cannot guarantee acceptance of a partner that cannot send a full SSN in the PD message along with First Name, Last Name, Date Of Birth, and Gender as matching traits. Yes (Collect SSN) No Yes (Send full SSN) No How many patients are currently in your MPI?
VA-VLER-eHealth-Exchange-Business-Readiness-Survey-04142014.docx