What is Know Your Patient (KYP) and How to Prevent It?

In the constantly evolving healthcare sector, fostering a deeper understanding of patients is paramount to delivering personalized and effective medical care. For this need, Know Your Patient (KYP) emerges as a concept that transcends the conventional doctor-patient relationship. KYP encapsulates the idea that healthcare providers should not merely treat symptoms but delve into a comprehensive understanding of each patient's unique circumstances, preferences, and history.

At its core, KYP emphasizes the importance of forging meaningful connections between healthcare professionals and patients. Instead of a one-size-fits-all approach, KYP encourages healthcare providers to recognize the diverse factors influencing an individual's health. This holistic approach fosters a more patient-centric model of care, promoting open communication, trust, and a collaborative effort in achieving optimal health outcomes.

The Importance of KYP

Drawing inspiration from the Know Your Customer (KYC) process prevalent in the banking sector, KYP serves as a proactive measure to mitigate the risk of fraudulent activities on the front end of the patient experience. Corresponding to KYC's role in verifying client identities to prevent money laundering, KYP is designed to institute a secure onboarding process for new patients, ensuring the authenticity of individuals at the start of the healthcare relationship.

As the healthcare sector expands technologically, the need for advanced recognition solutions becomes more and more visible, with digital patient identification emerging as a key component in combating fraud in the industry. The KYP process not only authenticates patients but also safeguards against fraudulent practices, ensuring accurate prescription medication distribution. 

Stopping Medical Identity Fraud

Medical institutions are increasingly falling victim to fraud, with illegally obtained medical records fetching substantial sums in the cybercriminal underworld. In response to this escalating threat, advocates are championing the adoption of KYP as a new standard for patient identification and verification. This screening process integrates identity screening and age verification solutions, utilizing AI-based systems to recognize and authenticate patients through their identity documents. 

By employing biometric identification and liveness detection, KYP goes beyond traditional methods, providing a robust defense against identity theft and financial malfeasance in the healthcare sector. As patient data protection becomes a paramount concern, implementing a KYP program emerges as a timely and imperative initiative for healthcare organizations.

How Does KYP Work?

KYP service stands as an innovative technological cornerstone within modern healthcare, not only expediting the traditional process of patient onboarding but also fortifying the healthcare system against the evolving perils of identity fraud. To achieve this comprehensive approach, several steps are to be carried out.

  1. Initiation: The initiation of the KYP process is instigated by the patient, who presents an identifying card to either the camera of their smartphone or a dedicated webcam. This initial step establishes a direct visual link between the patient and the sophisticated AI-based system orchestrating the KYP service.
  2. Document Verification: The crux of the KYP process lies in the rapid and meticulous verification of the presented identification document. The AI-based system identifies and extracts pertinent information from the document, conducting a seamless cross-reference with the patient's details as recorded during the admission process. This critical step serves as a robust deterrent against the use of false or fraudulent ID records, thereby ensuring the utmost authenticity in the patient authentication process.
  3. Biometric Authentication: Going beyond traditional verification methods, the KYP service integrates cutting-edge technology by employing durability recognition and 3D depth perception for facial identification. This advanced biometric authentication adds an extra layer of security, enhancing the reliability and precision of the patient identification process.
  4. Age Verification: A comprehensive assessment of patient identity within the KYP service includes a meticulous date of birth check. This specific verification step ensures not only the accuracy of the patient's age but also contributes significantly to the overall integrity of the identity verification process.
  5. Real-time Results: One of the critical features of the KYP service is its ability to generate verification results in real-time. Almost instantaneously, the patient is presented with the outcomes of the verification process, contributing to transparency greatly. Simultaneously, the updated patient information seamlessly integrates into the hospital's backend records, ensuring swift dissemination of accurate data across the healthcare system.

6 steps tp build an effective kyp program

Are KYP Checks a Legal Requirement in Healthcare?

Healthcare entities such as hospitals, pharmacies, and laboratories are required to implement KYP protocols as a defense mechanism against cyber threats and potential data breaches. These breaches not only compromise patient data but also elevate the risk of identity theft.

Furthermore, adherence to KYP protocols is a regulatory requirement for healthcare organizations, mandated by local and international laws. Failure to comply can lead to significant fines and legal consequences.

It's important to note that the specifics of KYP obligations for verifying patient identities differ across various jurisdictions.

Here are a few examples:

  • Across the European Union, the GDPR sets forth guidelines for data protection, encompassing health data. Healthcare providers within the EU must comply with General Data Protection Regulation (GDPR) principles, which stress the importance of maintaining the confidentiality, integrity, and availability of personal data. This underscores the role of KYP checks in implementing suitable technical and organizational safeguards for personal data protection.
  • In the United States, the protection of patient medical information and privacy is governed by the Health Insurance Portability and Accountability Act (HIPAA). Although HIPAA does not directly mandate patient identity verification, it does require healthcare providers to enforce administrative measures that safeguard the privacy and security of Protected Health Information (PHI).
  • In the United Kingdom, the handling and protection of personal data, including health information, are regulated by the GDPR and the Data Protection Act 2018 (DPA 2018). These regulations mandate that healthcare organizations must have a legitimate reason for processing personal data, which may necessitate verifying the identity of patients to secure the processing of their health information.

Automation of the KYP Process 

The automation of the KYP process draws inspiration from the digital transformation witnessed in financial services through eKYC. As financial products and services transition into the digital realm, regulatory organizations have facilitated online onboarding processes, employing eKYC to streamline the processing of financial services, including account establishment, investments, and loans.

The digital evolution from traditional KYC to eKYC has been transformative. This digital transition has not only simplified access to digital financial goods and services but has also paved the way for similar advancements in healthcare through the automation of the KYP process.

KYC is fundamentally a method for identifying and verifying a customer's identity, encompassing a series of checks conducted at the initial stages of customer interaction to ensure authenticity. These checks consider identity, documents, and persona, aligning with rules such as anti-money laundering (AML), terrorist financing, and electronic identification standards.

As businesses, including financial institutions and banks, undergo rapid digitization, the demand for advanced automation has surged. Specialized firms, known as Regulatory Technology (Regtech) companies, have emerged, leveraging cutting-edge technologies such as artificial intelligence (AI) and machine learning (ML) to optimize, enhance, and reduce the costs associated with these processes. In the healthcare sector, the automation of the KYP process mirrors this digital shift, ensuring efficiency, accuracy, and compliance with evolving regulations.

The automation of the KYP process aligns with the broader objectives of enhancing security measures against identity theft, a concern shared across industries. By implementing robust KYP processes, healthcare organizations can fortify their defenses and protect patient information from potential breaches. This parallel to eKYC practices underscores the need for continued innovation in healthcare operations to adapt to the digital age and safeguard sensitive patient data effectively.

KYC Solutions by Sanction Scanner 

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