{"id":80325,"date":"2020-11-05T21:40:00","date_gmt":"2020-11-05T21:40:00","guid":{"rendered":"https:\/\/interac1.wpengine.com\/?post_type=content&#038;p=80325"},"modified":"2025-05-30T13:41:00","modified_gmt":"2025-05-30T17:41:00","slug":"digital-identity-in-healthcare","status":"publish","type":"content","link":"https:\/\/www.interac.ca\/en\/content\/business\/digital-identity-in-healthcare\/","title":{"rendered":"Digital Identity in Healthcare"},"content":{"rendered":"\n<p><strong>Improving safety and services for Canadian patients<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>With the advent of the COVID pandemic, a new moment of change has been thrust upon us, as doctors\u2019 offices, clinics, and hospitals impose strict social distancing policies.<\/p><\/blockquote><\/figure>\n\n\n\n<section id=\"inline-link-block_0091d1dbd81ff375f57ce486edd354ab\" class=\"button-link\">\n    <div class=\"grid-container\">\n        \n                        <div class=\"grid-x grid-padding-x align-center\">\n                        \n            <a href=\"https:\/\/www.interac.ca\/wp-content\/uploads\/2021\/06\/Digital_ID_Healthcare_White_Paper_Eng.pdf\" class=\"inline-link\" aria-label=\"Download White Paper\">Download White Paper<\/a>\n            \n                            <\/div>\n                    \n    <\/div>\n<\/section>\n\n\n<h2 class=\"wp-block-heading\" id=\"h-introduction\">Introduction<\/h2>\n\n\n\n<p>Healthcare has long held a central place in Canadian society, and with a steadily aging population and constantly advancing technology, it\u2019s no surprise that demands on the healthcare system have been increasing over time \u2014 as have its costs and bottlenecks. With the advent of the COVID pandemic, a new moment of change has been thrust upon us, as doctors\u2019 offices, clinics, and hospitals impose strict social distancing policies or sometimes close altogether.<\/p>\n\n\n\n<p>Remote medical care promises to alleviate some of these pressures but brings its own challenges in terms of accurately identifying patients (and the validity of their health cards), retrieving the correct records irrespective of location, and prescribing and delivering medicines to the right patients (rather than to those who might seek to impersonate them). Canadians who are prescribed medications, for example, have them filled between five to eight times per year.<sup>1<\/sup><\/p>\n\n\n\n<p>In this white paper, we\u2019ll look at how a healthcare system supported by a robust digital ID infrastructure would work, and how this technology might improve the delivery of health services \u2014 both in-person and remotely-delivered, and when picking up medicine or having it shipped from a pharmacy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-much-are-we-spending\">How much are we spending?<\/h2>\n\n\n\n<p>Although the current year has been highly disruptive \u2014 shifting spending away from traditional ailments towards COVID prevention and treatment \u2014 the longterm trend in Canada has reflected significant annual increases in healthcare spending, with a growing proportion of this spending on drugs themselves. The potential impact that digital ID might have in making such spending more efficient, more convenient, and more secure is growing in lockstep with such trends.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1007\" height=\"1024\" data-src=\"https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareSpending-1007x1024.png.webp\" alt=\"Digital ID + healthcare: Infographic shows rising cost of healthcare, from $140bn in 2005 to $264bn in 2019 (est) \" class=\"wp-image-80319 lazyload\" data-srcset=\"https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareSpending-1007x1024.png.webp 1007w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareSpending-295x300.png.webp 295w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareSpending-768x781.png.webp 768w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareSpending.png.webp 1224w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1007px; --smush-placeholder-aspect-ratio: 1007\/1024;\" data-original-sizes=\"(max-width: 1007px) 100vw, 1007px\" \/><figcaption class=\"wp-element-caption\"><sup>Sources for data shown in graphic: <strong><a href=\"https:\/\/globalnews.ca\/news\/4979855\/ontario-pharmacy-fraud-prescription-for-profit\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u201cPrescription for Profit\u201d<\/a><\/strong>, Global News (Feb. 25, 2019) <strong><a href=\"https:\/\/www.cihi.ca\/en\/public-and-private-sector-health-expenditures-by-use-of-funds\" target=\"_blank\" rel=\"noreferrer noopener\">Public and Private Health Expenditures by Use of Funds<\/a><\/strong>, Canadian Institute for Health Information<\/sup><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-digital-id-helps\">How digital ID helps<\/h2>\n\n\n\n<p><strong>Healthcare providers<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Digital ID&nbsp;<strong>improves patient satisfaction<\/strong>. Healthcare providers can speed registrations and check-ins, as well as securely provide tele-health and other remotely delivered options for care.<\/li>\n\n\n\n<li>Digital ID<strong>&nbsp;reduces risk&nbsp;<\/strong>by ensuring that only verified patients can order and pick up the drugs that have been prescribed to them.<\/li>\n\n\n\n<li>Digital ID&nbsp;<strong>captures efficiencies<\/strong>&nbsp;by enabling the secure use and sharing of electronic health records in patient care, in government billing and in archival record-keeping.<\/li>\n<\/ul>\n\n\n\n<p><strong>Patients &amp; families<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Digital ID&nbsp;<strong>improves privacy and security<\/strong>, ensuring that a patient can access in-person or online healthcare services without fearing the loss of their personally identifiable information or health data.<\/li>\n\n\n\n<li>Digital ID&nbsp;<strong>offers greater convenience<\/strong>. Through the provision of a digital credential, patients can reduce the paperwork they need to fill out on registration or when moving to a new province.<\/li>\n\n\n\n<li>Digital ID&nbsp;<strong>enhances control of information<\/strong>&nbsp;by allowing patients and their families to better manage which providers have access to their health records.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-using-digital-id-a-walkthrough\">Using digital ID: a walkthrough<\/h2>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-step-1-register-schedule\">Step 1: Register &amp; schedule<\/h5>\n\n\n\n<p>Anna is not feeling well and wants to consult with her family doctor. She downloads the provincial health care mobile application Using her digital ID stored in her mobile wallet, she registers and then selects her doctor. She schedules a virtual consultation.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-step-2-check-in\">Step 2: Check-in<\/h5>\n\n\n\n<p>On the day of her appointment, Anna logs into the health care application and verifies her identity with the digital ID on her device. She then proceeds with her virtual appointment.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-step-3-consult\">Step 3: Consult<\/h5>\n\n\n\n<p>During the appointment, the doctor accesses Anna\u2019s electronic health record (EHR). After the consultation her doctor adds notes and writes a prescription signed with the doctor\u2019s own digital ID. This prescription is automatically synced to the health care application on Anna\u2019s device.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-step-4-pick-up-prescription\">Step 4: Pick up prescription<\/h5>\n\n\n\n<p>Anna then sends the prescription to her preferred pharmacy, verifying herself with her digital ID. Once the pharmacy receives and confirms the order, and payment is made, the order is filled and mailed to Anna\u2019s home while her digital prescription is updated with a \u201cfilled\u201d status.<\/p>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile\" style=\"grid-template-columns:32% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"459\" height=\"467\" data-src=\"https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareEHR.png.webp\" alt=\"Digital ID + healthcare: Graphic icon of a patient\u2019s electronic health record \" class=\"wp-image-80324 size-full lazyload\" data-srcset=\"https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareEHR.png.webp 459w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcareEHR-295x300.png.webp 295w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 459px; --smush-placeholder-aspect-ratio: 459\/467;\" data-original-sizes=\"(max-width: 459px) 100vw, 459px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n\n<p class=\"has-large-font-size\">Electronic health records (EHRs)<\/p>\n\n\n<p>Traditionally, patient health information was kept on paper<br>\u201ccharts\u201d, but this made them difficult to store and share. An EHR digitizes this information as a comprehensive, up-to-date report of a patient\u2019s medical history. This can easily be shared with other authorized health service providers, including laboratories, imaging facilities, and more.<\/p>\n\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-our-principles\">Our principles<\/h2>\n\n\n\n<p>Digital identity is easy to theorize about, but architecting and implementing a comprehensive, secure, and sustainable system is another matter entirely \u2013 and an important part of getting it right is having a clearly articulated set of principles to guide the effort. We believe that there are five:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-user-control-convenience\">User control &amp; convenience<\/h4>\n\n\n\n<p>No one wants to entrust a system with their personal details if those details are going to be transferred to and stored by numerous parties \u2013 especially if this happens without the user\u2019s knowledge and express consent. While ensuring user control, an identity system must also be convenient and easy; if it isn\u2019t, it won\u2019t be adopted by users, many of whom are already used to intuitive apps on mobile devices.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-standards-openness\">Standards &amp; openness<\/h4>\n\n\n\n<p>In any dynamic system, it\u2019s difficult to predict what the future will look like \u2013 so it\u2019s important to build today\u2019s solutions on universally-agreed standards. Not only does this reduce costs by eliminating the expense of building and then later having to adapt custom, one-off solutions, but it enables solutions built by others in the future to \u201cplug into\u201d the initial solution. Openness encourages adoption, innovation, and flexibility.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-ubiquity\">Ubiquity<\/h4>\n\n\n\n<p>Security risks abound when people create different identities and passwords for each public and private service they access. They\u2019ll often default to a single, easy-to-remember (and easy to crack) password, for example. At the same time, a digital identity that only applies to a handful of services will probably not be well-adopted. A ubiquitous system is a more convenient and a more secure system.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-trusted-brand\">Trusted brand<\/h4>\n\n\n\n<p>No user is likely to adopt an identity solution built or maintained by an organization they don\u2019t trust. The question of identity is simply too important, and the impact of identity theft too great, to leave this to chance. Further, building a large-scale (and ubiquitous) solution will require the cooperation and coordination of many players, and these players need to trust each other and the organization leading the effort.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-security-via-abstraction\">Security via abstraction<\/h4>\n\n\n\n<p>Even with the best user controls, a certain amount of identity data must be part of transactions in any given ecosystem. A highly effective way of securing that data is to \u201cabstract\u201d it, by replacing a private identifier with a publicly available one (like a person\u2019s email address) or by replacing it with a randomized number that serves as an authorized \u201ctoken\u201d for the purposes of the transaction \u2013 and is not useful for any other purpose.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1007\" height=\"1024\" data-src=\"https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcarePrinciples-1007x1024.png.webp\" alt=\"Digital ID + healthcare: Infographic shows the five core principles for digital identity that Interac has identified \" class=\"wp-image-80326 lazyload\" data-srcset=\"https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcarePrinciples-1007x1024.png.webp 1007w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcarePrinciples-295x300.png.webp 295w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcarePrinciples-768x781.png.webp 768w, https:\/\/www.interac.ca\/wp-content\/smush-webp\/2021\/06\/DigitalIDInHealthcarePrinciples.png.webp 1224w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1007px; --smush-placeholder-aspect-ratio: 1007\/1024;\" data-original-sizes=\"(max-width: 1007px) 100vw, 1007px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conclusion\">Conclusion<\/h2>\n\n\n\n<p>Driven partly by new technology and partly by the impact of the pandemic, health care in Canada is undergoing an evolution in delivery methods. Digital ID has a central role to play in this evolution, helping to secure patient information, make registration and billing more efficient, and prevent identity theft and pharmaceutical fraud \u2014 among many other benefits. This is part and parcel of digital ID\u2019s positive impact on an even wider range of industries (for more information, see our recent white papers on digital ID in&nbsp;<a href=\"https:\/\/www.interac.ca\/en\/content\/ideas\/digital-identity-in-alcohol-cannabis\/\" target=\"_blank\" rel=\"noreferrer noopener\">alcohol and cannabis<\/a>, and in&nbsp;<a href=\"https:\/\/www.interac.ca\/en\/content\/ideas\/digital-identity-in-lottery-gaming\/\" target=\"_blank\" rel=\"noreferrer noopener\">lotteries and gaming<\/a>), an impact we\u2019re excited to be helping to make real.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center\" id=\"h-if-you-re-interested-in-collaborating-with-interac-on-the-future-of-digital-id-drop-us-a-line-at-digitalid-interac-ca\">If you\u2019re interested in collaborating with Interac on the future of Digital ID, drop us a line at&nbsp;<a href=\"mailto:digitalid@interac.ca\">digitalid@interac.ca<\/a><\/h4>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Digital ID has a central role to play, helping to secure patient information, make registration and billing more efficient and prevent identity theft and pharmaceutical fraud.<\/p><\/blockquote><\/figure>\n\n\n\n<p><sup>1<a href=\"https:\/\/www.statista.com\/statistics\/950687\/prescription-numbers-filled-by-canadians-by-age\/\" target=\"_blank\" rel=\"noreferrer noopener\">Average number of prescriptions filled by Canadians who were prescribed a medication as of 2018, by age group<\/a>, Statista<\/sup><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Improving safety and services for Canadian patients With the advent of the COVID pandemic, a new moment of change has been thrust upon us, as doctors\u2019 offices, clinics, and hospitals impose strict social distancing policies. Introduction Healthcare has long held a central place in Canadian society, and with a steadily aging population and constantly advancing&hellip;<\/p>\n","protected":false},"author":8,"featured_media":84684,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"content-tags":[952,788],"content-category":[189,196],"spokespeople":[],"in_the_know_post_format":[177],"class_list":["post-80325","content","type-content","status-publish","format-standard","has-post-thumbnail","hentry","content-tags-enterprise-and-government","content-tags-interac-verified","content-category-business","content-category-idees","in_the_know_post_format-whitepapers"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Interac + Digital ID: Healthcare<\/title>\n<meta name=\"description\" content=\"How a healthcare system supported by a robust digital ID 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