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«Healthcare IT Terminology and Acronyms ACO – Accountable Care Organization is a type of payment and delivery reform model that seeks to tie ...»

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Healthcare IT Terminology and Acronyms

ACO – Accountable Care Organization is a type of payment and delivery reform model that

seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care

for an assigned population of patients. A group of coordinated health care providers form an

ACO, which then provides care to a group of patients. The ACO may use a range of different

payment models (capitation, fee-for-service with asymmetric or symmetric shared savings, etc.). The ACO is accountable to the patients and the third-party payer for the quality, appropriateness, and efficiency of the health care provided. According to the Centers for Medicare and Medicaid Services (CMS), an ACO is "an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it."

ARRA – American Recovery and Reinvestment Act BC – Business Continuity: the activity performed by an organization to ensure that critical business functions will be available to patients, suppliers, regulators, and other entities that must have access to those functions. These activities include many daily chores such as project management, system backups and change control. Business continuity is not something implemented at the time of a disaster; Business Continuity refers to those activities performed daily to maintain service, consistency, and recoverability.

CAH – Critical Access Hospital: A facility that meets the following criteria may be

designated by CMS as a CAH:

Is located in a State that has established with CMS a Medicare rural hospital flexibility • program; and Has been designated by the State as a CAH; and • Is currently participating in Medicare as a rural public, non-profit or for-profit hospital; or • was a participating hospital that ceased operation during the 10-year period from November 29, 1989 to November 29, 1999; or is a health clinic or health center that was downsized from a hospital; and Is located in a rural area or is treated as rural; and • Is located more than a 35-mile drive from any other hospital or CAH (in mountainous • terrain or in areas with only secondary roads available, the mileage criterion is 15 miles); and Maintains no more than 25 inpatient beds; and • Maintains an annual average length of stay of 96 hours per patient for acute inpatient • care; and Complies with all CAH Conditions of Participation, including the requirement to make • available 24-hour emergency care services 7 days per week.

A CAH may also be granted "swing-bed" approval to provide post-hospital Skilled Nursing Facility-level care in its inpatient beds.

Healthcare IT Terminology and Acronyms CCHIT – Certification Commission for Health Information Technology CDS – Clinical Decision Support – For MU, the requirement is, “Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance to that rule.” Channel Partner – Person or vendor that provides services or sells products on behalf of a software or hardware vendor. VARs, MSPs, Consultants, SIs, OEMs and distributors may also be called channel partners.

CMS – Centers for Medicaire and Medicaid Services COW - Computer on Wheels CQM – Continuous Quality Management - Tying MU incentive payments to CQM is actually pretty profound. It elevates the paying-attention-to-clinical-quality-metrics to a new level. As American healthcare moves from a business model that rewards usage of services (the fee-forservice tradition of healthcare reimbursement) towards one that rewards outcomes (the payfor-performance incentives), knowing what the Quality Measures are, and having tools to report them, are more important than ever.

CPOE - Computerized Physician Order Entry is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.

CRM - Customer relationship management is a widely implemented strategy for managing a company’s interactions with customers, clients and sales prospects.

CROWDSOURCING – Idea of taking reams of raw data derived from Cloud applications, scanning it electronically in a data warehouse, de-identifying it (so it’s HIPAA safe) and then pulling out the interesting data population / diagnostic data for operations & research. In theory, this will allow us to expand use of evidence based medicine suggestions based on more cross population & geography which will ultimately lead to better treatment of patients.

D2D – Disk to Disk D2D2T – Disk to Disk to Tape DAS – Direct Attached Storage DICOM - Digital Imaging and Communications in Medicine (DICOM) is a standard for handling, storing, printing, and transmitting information in medical imaging. It includes a file format definition and a network communications protocol.

DLP – Data Loss Prevention Network DLP (aka Data in Motion DiM) Typically a software or hardware solution that is installed at network egress points near the perimeter. It analyzes network traffic to detect sensitive data that is being sent in violation of information security policies.

Storage DLP (aka Data at Rest DaR) Typically a software solution that is installed in data centers to discover confidential data is stored in inappropriate and/or unsecured locations (e.g. open file share).

Healthcare IT Terminology and Acronyms Endpoint DLP (aka Data in Use DiU) Such systems run on end-user workstations or servers in the organization. Like network-based systems, endpoint-based can address internal as well as external communications, and can therefore be used to control information flow between groups or types of users (e.g. 'Chinese walls'). They can also control email and Instant Messaging communications before they are stored in the corporate archive, such that a blocked communication (i.e., one that was never sent, and therefore not subject to retention rules) will not be identified in a subsequent legal discovery situation. Endpoint systems have the advantage that they can monitor and control access to physical devices (such as mobile devices with data storage capabilities) and in some cases can access information before it has been encrypted. Some endpoint-based systems can also provide application controls to block attempted transmissions of confidential information, and provide immediate feedback to the user. They have the disadvantage that they need to be installed on every workstation in the network, cannot be used on mobile devices (e.g., cell phones and PDAs) or where they cannot be practically installed (for example on a workstation in an internet café).

DR – Disaster Recovery EHR – Electronic Health Record: Electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed and consulted by authorized clinicians and staff across more than one health organization.

eMAR - Electronic Medication Administration Record and it is a point-of-care process utilizing bar code reading technology to monitor the bedside administration of medications.

Generally accepted inventory management processes include:

Pharmacy to track medication inventory.

• Inventory management concepts to include item identification • Patient Wristbands and medical records • Verification process and decision-making tool at 'point-of-care' at bedside • At the patient bedside, if any of the scanned information does not match the doctor's • orders, a warning message is provided to the clinician.

• EMR – Electronic Medical Record: Electronic record of health-related info on an individual that can be created, gathered, managed and consulted by authorized clinicians and staff within one health care organization.

ePHI - Electronic Protected Health Information: PHI which is created, stored, transmitted, or received electronically. All protected health information (PHI) is subject to the federal HIPAA regulation. It refers to any information that identifies an individual (usually a

patient) and relates to at least one of the following:

The individual's past, present or future physical or mental health • The provision of health care to the individual • Healthcare IT Terminology and Acronyms Past, present, or future payment for health care • FERPA - (Family Educational Rights and Privacy Act of 1974) is federal legislation in the United States that protects the privacy of students' personally identifiable information (PII). The act applies to all educational institutions that receive federal funds. FERPA states that parents of students under 18, or eligible students (students over 18, or those who have matriculated to an educational institution above high school) be allowed to view and propose amendments to their educational records. The act also mandates that schools must obtain written permission from parents or eligible students in order to release a student's PII.

FTP – File Transfer Protocol GINA - The Genetic Information Nondiscrimination Act of 2008 (GINA) is a federal law that protects individuals from genetic discrimination in health insurance and employment. Genetic discrimination is the misuse of genetic information.

GS1 Standards – include Global Location Number (GLN) to identify the location of transacting entities and Global Trade Identification Number (GTIN) for the identification of the products.

Created by the healthcare industry itself, these standards are designed to address the industry’s supply chain challenges by providing a single, rich, global repository of accurate up-to-date information that can be leveraged by healthcare providers, distributors, manufacturers to simplify inventory management.

HCPN – Ingram Micro’s “Health Care Partner Network” HIE – Health Information Exchange: Electronic movement of health-related information among organizations according to nationally recognized standards.

HIM – Health Information Management HIMSS – Healthcare Information and Management Systems Society HIO – Health Information Organization: Organization that oversees and governs the exchange of health information among organizations according to nationally recognized standards.

HIPAA - Health Insurance Portability and Accountability Act HITECH – Health Information Technology for Economic and Clinical Health Act HL7 - Health Level Seven (HL7), is an all-volunteer, non-profit organization involved in development of international healthcare informatics interoperability standards.[1] "HL7" is also used to refer to some of the specific standards created by the organization (e.g., HL7 v2.x, v3.0, HL7 RIM). HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing, and retrieval of electronic health information. v2.x of the Healthcare IT Terminology and Acronyms standards, which support clinical practice and the management, delivery, and evaluation of health services, are the most commonly used in the world HOSPITALIST – A physician that are specialized in the care of patients in the hospital (NOT the primary care physicians employed by hospital). Some hospitalists are family practice doctors or medical subspecialists who have opted to do hospitalist work such as intensive care doctors, lung doctors (pulmonologists) or kidney doctors (nephrologists).

HRSA – Health Resources and Services Administration HSS – Department of Health & Human Services IaaS – Infrastructure as a Service: the technology stack (servers, storage, cooling, power, etc) ICD-10 - International Classification of Diseases - International Statistical Classification of Diseases and Related Health Problems, 10th Revision (known as "ICD-10") is a medical classification list for the coding of diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases, as maintained by the World Health Organization (WHO). The code set allows more than 14,400 different codes and permits the tracking of many new diagnoses. Using optional sub-classifications, the codes can be expanded to over 16,000 codes. Using codes that are meant to be reported in a separate data field, the level of detail that is reported by ICD can be further increased, using a simplified multi-axial approach. Work on ICD-10 began in 1983 and was completed in 1992 IHE – (INTEGRATING the HEALTHCARE ENTERPRISE) – It promotes the coordinated use of HC IT standards to provide a common framework for multi-vendor systems. AKA Vendor Neutral IMPN – Ingram Micro Partner Network IMSN – Ingram Micro Services Network I/O DEVICE - Input/Output refers to the communication between an information processing system (such as a computer), and the outside world, possibly a human, or another information processing system. Inputs are the signals or data received by the system, and outputs are the signals or data sent from it. The term can also be used as part of an action; to "perform I/O" is to perform an input or output operation. I/O devices are used by a person (or other system) to communicate with a computer. For instance, a keyboard or a mouse may be an input device for a computer, while monitors and printers are considered output devices for a computer. Devices for communication between computers, such as modems and network cards, typically serve for both input and output.

ISV – Independent Software Vendor Healthcare IT Terminology and Acronyms ITIL - Information Technology Infrastructure Library is a set of concepts and practices for Information Technology Services Management (ITSM), Information Technology (IT) development and IT operations.

ITO – Information Technology Outsourcing LAN – Local Area Network LTPAC – Long Term and Post Acute Care MCA – Mobile Clinician’s Assistant: A highly portable tablet PC MFP – Multifunction Printer MGMA – Medical Group Management Association MMIS – Medical Management Information Systems MSP – Managed Service Provider typically an IT services provider who manages and assumes responsibility for providing a defined set of services to their clients either proactively or as they (not the client) determine that the services are needed. Most MSPs bill an upfront setup or Transition and an ongoing flat or near-fixed monthly fee, which benefits their clients by providing them with predictable IT support costs.

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