Startup Idea: Data Validation Tool for Healthcare Provider EMR System

Startup idea to develop a software overlay for electronic medical record (EMR) systems that validates data accuracy for improved integrity. The tool will verify the correctness of clinician, patient ID, and procedure codes by interfacing with the billing system, ensuring reliable data for strategic planning, risk mitigation, and accurate reimbursements.

I am a process engineer for a large healthcare provider, with around 250 clinicians. We've begun to experience significant data integrity issues within our electronic medical record (EMR). It's become so bad that we're reluctant to use the data in the system to make strategic plans or policy changes. Or clinicians are frequently incorrectly coding procedures, incorrectly coding patient information, or worse, incorrectly coding their own names.

There are operational problems as well: Sometimes these errors result in the medical system not being reimbursed, or at least receiving an incorrectly small reimbursement. To this point no patients have received incorrect services, but we regard this as being inevitable.

The solution to this problem would be to build in a data validation tool. Preferably an overlay that would allow our EMR to interface with the billing system to ensure that clinician, patient ID, and procedure code are all correct. This system would preferably not need to change the EMR, so much as serve as a second-order complement. That way when the clinician opens up the EMR some of the core fields will auto populate based on what reception entered into the billing system up front.

That way we could be confident in the quality of our data and remove the billing and coding risks.