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Future Proofing Patient Identity: Why FHIR Native, Cloud Native, and Privacy Preserving EMPI Systems Are Redefining Healthcare Interoperability

Future Proofing Patient Identity

Why FHIR Native, Cloud Native, and Privacy Preserving EMPI Systems Are Redefining Healthcare Interoperability

By Shawna Koch Bronski, RN, MBA

Published: 06/02/2025

Vicerion Corp White Paper

The next generation of Enterprise Master Patient Index (EMPI) systems is here. As healthcare pivots toward real-time interoperability, cross-organizational collaboration, and AI-driven analytics, traditional EMPI tools are struggling to keep pace. Today, the convergence of FHIR-native architectures, cloud-native scalability, and privacy-preserving record linkage (PPRL) is reshaping how health systems unify patient identities. This white paper outlines the critical forces behind these trends, real-world case studies, and an expanded vendor comparison to help stakeholders navigate this transformation.

Executive Summary

FHIR (Fast Healthcare Interoperability Resources) is rapidly becoming the backbone of modern healthcare data exchange. Unlike legacy EMPI systems that require translation layers or custom interfaces, FHIR-native EMPI solutions are built directly on top of the FHIR resource model.

1. The Rise of FHIR-Native EMPI

Benefits:

  • Seamless integration with EHRs and APIs
  • Event-driven deduplication and real-time updates
  • Supports longitudinal record-building across encounters and organizations

Case Example: Vicerion Corp’s Zero-In™ tool uses a real-time de-duplication pipeline powered by FHIR subscriptions. Every new Patient resource is checked for duplicates upon ingestion, reducing duplication rates and syncing identities across platforms like Cerner and Epic. It supports visibility and research for a wound management DME company.

2. Cloud-Native EMPI: Scalability and Efficiency

Healthcare data is growing exponentially, requiring resilient, cost-effective infrastructure. Cloud-native EMPI systems use platforms like AWS, Azure, and GCP for elastic scaling, containerized deployments, and pay-as-you-go billing.

Advantages:

  • Auto-scaling infrastructure to meet peak demands
  • No upfront server or infrastructure cost
  • Built-in HIPAA and GDPR compliance

Case Examples:

  • Crossuite migrated its EMPI to AWS EKS, serving 13M patients with 30% cost savings and 99.9% uptime
  • Cloudticity DataHub created a FHIR data lake for New York State’s COVID-19 response, reducing integration costs by 90%

3. Privacy-Preserving Record Linkage (PPRL)

HIPAA and GDPR restrict data sharing. PPRL enables patient identity matching across systems without exposing PII.

Core Techniques:

  • Tokenization and hashing (e.g., Bloom filters)
  • Secure Multi-Party Computation (MPC)
  • De-identified linkage with high precision

Case Studies:

  • Dell Medical School: Used Datavant’s 44-character tokens to link clinical and social data
  • PEDSnet: Used adaptive linkage thresholds for pediatric COVID-19 research

4. Comparative Vendor Analysis

Comparative Vendor Analysis Below is a comprehensive comparison of leading EMPIvendors based on cost, matching quality, analytics integration, and ease of use.

VendorMatching QualityCost EfficiencyAnalytics IntegrationEase of Use
VicerionHighModerateAdvancedHigh
Vendor AMediumHighModerateMedium
Vendor BLowLowBasicLow
Vendor CHighHighAdvancedHigh

5. Looking Ahead

The healthcare industry must go beyond probabilistic matching and static systems. Organizations adopting FHIR-native, cloud-native, and privacy-preserving EMPI solutions will reduce duplication, unlock powerful analytics, and remain compliant with global data privacy mandates. The future of patient identity is real-time, scalable, and secure.

About Vicerion

Vicerion enables real-time, intelligent healthcare interoperability. With a FHIR-native platform, built-in AI/ML tools, and cloud deployment, Vicerion supports scalable and privacy-compliant EMPI for hospitals, startups, and research institutions.

Contact:
📞 914-552-9898
🌐 vicerion.com

In “Future Proofing Patient Identity”, Shawna Koch Bronski reveals how modern EMPI systems—FHIR-native, cloud-native, and privacy-first—are revolutionizing interoperability. Backed by real-world cases and deep insights, this white paper empowers healthcare leaders to embrace future-ready patient identity management.

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Dr. Aaron Morgenstein is a board-certified orthopaedic surgeon, medical director, and healthcare innovator whose career bridges the worlds of clinical excellence, digital transformation, and physician workforce strategy. With a background in mechanical engineering and a medical degree from the University of Kentucky College of Medicine, Aaron brings systems-level thinking and analytical rigor to every facet of healthcare delivery.

He has served in diverse leadership roles across telemedicine, AI-enabled e-consulting, utilization review, and clinical operations. Currently, Aaron serves as Team Lead at FlexMedStaff, and holds active roles with Sitka, Amwell, and SpecialtyCoverage LLC, where he supports virtual care delivery, clinical decision-making, and multidisciplinary care coordination.

Aaron is also a sought-after advisor on physician recruitment, retention, and engagement strategies, bringing firsthand knowledge of both front-line medicine and the operational demands of modern health systems. His work spans telehealth innovation, medical-legal consulting, malpractice review, and clinical workforce models for both traditional and virtual care platforms.

A strong advocate for physician voice in technology development, Aaron actively consults on the responsible use of AI in clinical settings, and is a champion for sustainable models of virtual specialty care. He brings to the boardroom a unique ability to translate between clinical, technical, and executive perspectives ensuring strategic alignment between product, policy, and patient care.

Aaron Morgenstein

Surgeon
20+ years Healthcare

Bill Henry is a globally recognized technology executive and board leader with over two decades of experience building and leading organizations that design, deliver, and scale information technology products and services. Known for his transformational leadership style and sharp commercial acumen, Bill has consistently driven top-line growth, expanded EBITDA, launched category-defining products, and enhanced enterprise value across both public and private markets.

Currently serving as Chairman of the Board at Vicerion Corp, Bill brings deep operational and governance expertise across startup, scale-up, and mature enterprise environments. His leadership portfolio includes serving as CEO and COO across multiple high-growth companies including Gander.ai, Renew, Aeon Global Health, and Omnico Group, where he led strategic acquisitions, developed go-to-market excellence, and executed high-impact digital transformation strategies.

Bill has proven success building high-performance organizations across sales, marketing, product, engineering, professional services, and service delivery, both in the U.S. and international markets. His ability to lead through complexity—whether in turnaround, rapid-growth, or post-M&A integration scenarios—makes him a trusted advisor at the board level and a force multiplier in executive leadership.

His core competencies include:

  • Strategic planning, vision, and execution
  • Revenue acceleration and global go-to-market leadership
  • M&A and post-transaction integration
  • New product development and innovation
  • Private equity portfolio growth and value creation
  • Board governance in both public and private contexts

Bill holds an MBA from The Wharton School and a BA in Quantitative Economics and Decision Science from UC San Diego.

His leadership is metrics-driven, customer-obsessed, and consistently focused on delivering durable business outcomes at scale.

Bill Henry

Board Chairman
20+ years Healthcare Tech

Shawna Koch Bronski is a seasoned board advisor and executive leader with a 25+ year track record spanning healthcare innovation, national policy influence, enterprise architecture, and commercial growth. She has led and scaled P&L organizations between $380M and $580M, receiving multiple awards at IBM for transformative innovation and large-scale solution delivery.

A natural builder of both systems and businesses, Shawna has helped craft strategy and technical architecture for startups, Fortune 20 companies, payers, providers, HIEs, ISVs, and retail pharmacy leaders. She has led complex go-to-market efforts and multi-million-dollar enterprise sales cycles, building strong executive relationships and delivering on revenue and margin goals while driving product-market fit.

She has also served as a key voice in shaping national healthcare policy, including contributions to legislation and rulemaking focused on interoperability, patient access, and innovation-friendly regulation. Her advocacy for SMART on FHIR, USCDI, and standards-based APIs has helped advance the responsible liberation of clinical data for care, research, and equitable innovation.

As the Founder and CEO of Vicerion Corp, Shawna leads teams delivering next-generation health data platforms including FHIR-based repositories, SMART on FHIR apps, imaging pipelines, and scalable AI/ML infrastructure for a diverse range of clients. She combines deep technical fluency with sharp commercial instincts, making her a trusted advisor at both the board and operational level.

Shawna brings to the boardroom a rare mix of strategic foresight, policy expertise, architectural vision, and business development leadership, enabling her to drive governance and insight across product, operations, compliance, and growth.

Shawna Koch Bronski

Founder/Product
20+ years Healthcare

Matt is an Engineering Intern with three years of undergraduate study in Computer Science and a strong passion for real-world impact. This summer, he’s diving into a mix of exciting internal and client-facing projects—bringing curiosity, focus, and fresh technical perspective to the Vicerion team.

Matt has quickly integrated into our Vicerion Healthcare Engineering Program, where he’s actively training in healthcare data workflows and pursuing certification as part of his development. His initiative, adaptability, and eagerness to contribute have already made a lasting impression.

Matt will be with us through August 2025, and we’re thrilled to have him on the team as he continues building a strong foundation in health tech engineering.

Matt

Engineering Intern
2+ years Engineering

Divya is a recent Master’s graduate in Computer Science who brings fresh energy, sharp technical thinking, and a strong foundation in software development to the Vicerion team.

Currently enrolled in our Vicerion Healthcare Engineering Program, she is quickly gaining hands-on experience in clinical data workflows, customer requirements, and real-world interoperability challenges.

Divya’s standout strength in C++ shines through in her contributions to performance-critical systems and integration tasks. She approaches every project with curiosity, focus, and a team-first mindset.

We’re proud to have Divya on board—not just for her skillset, but for the bright perspective and passion she brings to healthcare technology.

Divya

Junior Full Stack
2+ years Engineering

Aju is a dedicated Back-End Engineer with over five years of experience specializing in Python development, Azure cloud services, and data structuring with JSON and RESTful APIs. At Vicerion, he plays a key role in building and maintaining robust back-end systems that power our SMART on FHIR applications and healthcare data solutions.

In addition to his core contributions, Aju is an active participant in the Vicerion Healthcare Engineering Training Program, where he’s expanding his knowledge in interoperability, clinical data models, and regulatory standards positioning himself as a rising expert in the health tech domain.

Known for his tireless work ethic, precision coding, and collaborative spirit, Aju consistently delivers solutions that meet client expectations and often go beyond what was envisioned. He is a true team player, part of our founding team, and an invaluable asset to every project he touches.

Aju

Back End Engineer
5+ years Engineering

Dhruv is a versatile and highly skilled Full Stack Engineer with deep expertise across back-end systems, data engineering, medical imaging, and modern front-end frameworks. With over five years of hands-on experience, he brings a comprehensive understanding of full-stack architecture—making him a go-to problem solver across the tech stack. Dhruv is an important part of our founding team.

At Vicerion, Dhruv plays a critical role in architecting scalable back-end services, integrating imaging pipelines, and ensuring clean data flows into FHIR-compliant systems. His experience spans everything from cloud-native APIs and database optimization to responsive UI development and advanced data visualization.

In addition to his technical leadership, Dhruv is deeply committed to mentoring and guiding junior engineers, helping them build confidence and technical excellence through patient, practical coaching.

Calm under pressure and relentless in quality, Dhruv builds systems that are as elegant behind the scenes as they are impactful to the end user.

Dhruv

Back End Engineer
5+ years Engineering

Riddhi Choksi is a dynamic and deeply experienced Solutions Architect with over a decade of engineering expertise spanning system design, cloud infrastructure, and enterprise-scale application architecture. She brings both strategic insight and hands-on technical fluency to every challenge, with a particular strength in aligning complex systems with real-world healthcare workflows and is a part of our founding team.

Riddhi’s addition to the Vicerion team marks a long-held milestone: it has been a personal goal of our founder to bring a woman into architectural leadership—and Riddhi has exceeded every expectation. She brings a rare blend of intellectual rigor, high energy, and inclusive collaboration that elevates every team she’s part of.

Whether guiding system-wide architecture or mentoring cross-functional teams, Riddhi leads with clarity, conviction, and compassion. Her presence at Vicerion not only strengthens our technology it strengthens our culture.

Riddhi

Architect
10+ years Engineering

Mohit is Vicerion’s a skilled Front-End Engineer with over five years of experience blending elegant design with high-performance web architecture. He brings a unique hybrid strength in both UI/UX design and front-end engineering, enabling him to deliver visually polished, user-centric interfaces that meet enterprise-grade performance and accessibility standards.

At Vicerion, Mohit leads front-end development for our SMART on FHIR apps and healthcare data platforms. He specializes in React, TypeScript, and Tailwind, building modular, responsive components that integrate seamlessly into clinical workflows across desktop and mobile.

With a sharp eye for detail and a deep understanding of user behavior, as a part of our founding team, Mohit ensures that every product experience is intuitive, fast, and built to scale.

Mohit

Front End Engineer
5+ years Design & Engineering

Erik is Vicerion Corp’s Frontend  Architecture Lead with over a decade of experience in building scalable, elegant design systems for complex domains like healthcare and finance. With a proven track record across startups and high-growth tech companies, this engineer has led the architecture of lightning-fast hybrid applications, redesigned UI frameworks to improve load times by over 60%, and mentored high-performing engineering teams across geographies. He brings a unique blend of architectural intuition and pixel-level precision, specializing in modular design, micro-frontend ecosystems, and server-driven UI platforms that deliver seamless, compliant, and conversion-optimized experiences. His work consistently balances beauty with performance – delivering real business outcomes and enabling product teams to ship faster, smarter, and with higher confidence at scale.

Erik is Vicerion Corp’s Frontend Architecture Lead and a master of scalable, elegant design in complex health and finance technology ecosystems.

With over a decade of experience spanning startups and unicorns like PhonePe and Navi Technologies, Erik has architected lightning-fast hybrid applications, reimagined UI frameworks to reduce load times by over 60%, and led high-performing engineering pods across India.

He brings a rare combination of deep architectural intuition and pixel-level perfectionism designing modular, micro-app ecosystems and server-driven UI systems that power seamless, compliant, and high-conversion user experiences.

Erik’s work isn’t just beautiful it performs at scale, drives real outcomes, and empowers teams to ship better, faster, and smarter.

Erik

Director UX/UI
15+ years Design & Engineering

Pramod is Vicerion Corp’s Lead Azure Architect, bringing over a decade of hands-on experience designing, deploying, and optimizing enterprise-grade cloud infrastructure and our SaaS strategy.

With deep expertise in Azure DevOps, Terraform, and secure, scalable Azure architecture, he leads the backbone of Vicerion’s health tech platforms—ensuring every product is built on resilient, compliant, and high-performing infrastructure. Pramod is known for transforming complex deployment workflows into streamlined, automated pipelines and for enabling engineering teams to deliver with confidence, speed, and operational excellence.

His architectural leadership is core to Vicerion’s promise of healthcare-grade reliability at global scale.

Pramod

Azure Architect
10+ years Engineering

Beth is a founding team member at Vicerion Corp and serves as Director of Engineering and Product, where she leads the design and delivery of scalable, FHIR-native solutions across clinical, payer, and research domains.

With over 15 years of experience in health tech engineering and product leadership, Beth has architected mission-critical platforms for Fortune 500 healthcare organizations and nimble startups alike.

Her work blends deep technical fluency with an intuitive sense of user experience, ensuring that every solution Vicerion ships is both interoperable and human-centered. Beth is known for her clarity, precision, and tireless focus on building products that solve real problems with lasting impact.

Beth

Director of Product & Engineering
15+ years Healthcare

Shawna Koch Bronski is the founder and CEO of Vicerion Corp, a health technology company delivering enterprise-grade interoperability solutions that power digital transformation in clinical, payer, and research environments.

With a background spanning critical care nursing, Fortune 100 digital health strategy, and international interoperability infrastructure, she has helped shape federal policy (including the NHIN, HITECH, and Cures Act), led multi-country HIE deployments, and pioneered SMART on FHIR-based tools that make data accessible, ethical, and usable.

Shawna is known for her relentless commitment to integrity, equity, and empowering global teams to build technology that actually improves lives.

Shawna Koch Bronski

Founder/Product
20+ years Healthcare

Vicerion Corp India:

Managing Director:

Srinivas Jogi

Contact us:

+91 98850 01165
India@vicerion.com

Vicerion Corp Dubai:

Managing Director:

Shawna Koch Bronski

Contact us:

+011 914-552-9898
Shawna@vicerion.com

Vicerion Corp USA:

Address:
30 N Gould St # 42609
Sheridan, WY 82801

Managing Director:

Shawna Koch Bronski

Contact us:

(307) 205-8399
Shawna@vicerion.com

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