Secure Lookups and the MPI

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MPI Definition and Secure Lookup Affecting Lookup Results

MPI definition, enter of lookup, and association assignment can be combined in a variety of ways to receive different results when you perform a lookup. The following table lists some of the possibilities with the default MPI definition: MPI Definition Secure Lookup Enabled? Practice Assigned to Association? Type of Search? Available Demographics System Yes (Default) No Generic All practices within the system. System Yes (Default) Yes Generic All practices within the same association. System Yes (Default) No Secure All practices within the system. System Yes (Default) Yes Secure All practices within the system. Note: Secure Lookups can cross association boundaries only within the same MPI. Parent topic: Secure Lookups and the MPI

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Enable Secure Lookup Feature

When the secure lookup feature is enabled, users can perform secure lookups by entering a person's birth date or Social Security number. A search that uses the L4DSSN or secure Birth Date field shows results from within the current MPI at the system level. If the NextGen application is set for single MPI, secure lookups are already enabled by default. If the application is set for multiple MPI, you must enable the feature. Enabling the feature can affect both generic and secure searches. For example: The access to person demographics is limited to just the practice level for generic lookups (regardless of the MPI definition). When the MPI is defined at the enterprise level, enabling the secure lookup features limits the result sets of generic lookups (non-secure lookups) to just the demographics belonging to the practice that the user is logged in to. By establishing and assigning practices to associations, the associated practices' demographic records are still included regardless of

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Associations Tab

Creating associations assists you with securing Protected Health Information (PHI) by limiting or expanding access to the Master Patient Index (MPI) and other person records in the application. The limits set by the practice associations are not affected by the MPI definition. Understanding Associations Secure Lookups and the MPI Functional Rules Manage Associations You can add or modify an Association and add practices to the Association. Assign Practices to an Association Parent topic: Limit Access to Patient Records

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Secure Lookup Feature

If a person record does not display on thePeople/Patient Lookupwindow when you perform a search, you can perform a secure lookup to search for the record. This kind of lookup enables you to search for a person record by using the last four digits of the person's Social Security number (L4DSSN) or birth date. To use this feature, you must enter the last four digits of the person's Social Security number or the birth date and at least a partial first and partial last name. Note: When you conduct a secure search, the entire MPI is searched for the record. Parent topic: Secure Lookups and the MPI

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Lookups Affected by Associations

When associations exist, lookup results are affected. You can perform two additional types of person and patient searches: lookups within the practice association and lookups outside of the practice association. Parent topic: Secure Lookups and the MPI

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MPI Definition

The MPI limits user access to person records and it can be defined at one of three levels: System – All person records are shared globally. This is the default level. Enterprise – Person records are shared within the enterprise in which they are created. Practice – Person records are shared within the practice in which they are created. CAUTION: The MPI can only be redefined from a higher level to a lower level. For example, it can be redefined from System to Enterprise, but not from Enterprise to System. You cannot change the levels within the NextGen® Enterprise application. MPI definition changes must be configured and approved by NextGen HealthCare Consulting Services. The System level MPI functions similarly to previous versions of the NextGen® Enterprise application. If you had previous versions installed, changing to a MPI definition other than System can severely affect your existing interfaces and third-party systems because enterprises and practices will not be automatically

Secure Lookups and the MPI

Recommendations

MPI Definition and Secure Lookup Affecting Lookup Results

Enable Secure Lookup Feature

Associations Tab

Secure Lookup Feature

Lookups Affected by Associations

MPI Definition

MPI Definition and Secure Lookup Affecting Lookup Results

Enable Secure Lookup Feature

Associations Tab

Secure Lookup Feature

Lookups Affected by Associations

MPI Definition