Glossary of Health Care and Health Care Informatics Terms

This glossary is developed, designed and structured in a way to serve the learning needs of students and trainees enrolled in the courses or workshops of Dr. Yaseen Hayajneh.
 
Glossary of Organizations
 
B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z

ABack to Top
Academic Medical Center (AMC)
Access
Access Management
Accreditation
Activities of Daily Living ADL
Acute Care
Acute Care Hospital
Acute Disease
Additional Diagnosis
Additional Drug Benefit List
Adjusted Average Per Capita Cost AAPCC
Administrative Services Organization ASO
Administrative Simplification (A/S)
Admission
Admission Certification
Advance Directive: Written instructions recognized under law relating to the provision of health care when an individual is incapacitated. An advance directive takes two forms: living wills and durable power of attorney for health care.
Advanced Cable Tester
Advanced Practice Nurse APN: An umbrella term that describes a registered nurse (RN) who has met advanced educational and clinical practice requirements beyond the two to four years of basic nursing education required of all RNs.
Adverse Selection
Affiliated Provider
Agent
Allowable Charge
Allowable Costs
Allowable Expenses
Allowed Charge
Alternate Care
Alternate Delivery Systems
Ambulance
- A day in the life of an Ambulance Service Paramedic
Ambulatory
Ambulatory Care
Ambulatory Payment Classification APC
Ambulatory Setting
American National Standards ANS
Analogue
Ancillary Services Care
Anniversary Date
Any Willing Provider
Application : Synonym for a computer program that carries out a specific type of task. Word-processors or spreadsheets are common applications available on personal computers.
Application Service Provider ASP
Appropriateness
ARPAnet
Artificial Intelligence (AI)
Artificial Intelligence in Medicine
Asynchronous communication
Attending Physician
Authentication
Authorization
Audit Trail
Average Daily Census
Average Length of Stay ALOS
Avoidable Hospital Condition : Medical diagnosis for which hospitalization could have been avoided if ambulatory care had been provided in a timely and efficient manner.

B Back to Top
Bandwidth
Basic Cable Tester
Bed Management System
Behavioral Health Care: Treatment of mental health and/or substance abuse disorders.
Benchmarking
Beneficiary: A person who is eligible to receive insurance benefits.
Benefit package: The covered services each patient is entitled to under a health insurance contract.
Benefit Plan Summary
Benefit Year: The coverage period, usually 12 months long, used for administration of a health insurance plan.
Benefits
Benefits Manager
Billed Charges
Bioinformatics
Biometric Identifier
Biotechnology
B-ISDN
Bit
Bits per second
Blackberry
BlackBerry
Blackboard Discussion Board
Blade Server
Blog
Bluetooth
Board Certified
Board Eligible
Brain Death
Brand-Name Drug
Break Even Analysis
Bridge
Broadband
Browser
Browser .. Web Browser
Byte

C Back to Top
Call Schedule : The schedule for physician availability for after-hours care.
Capital Expense : An expenditure that benefits more than one accounting period such as the cost to acquire long-term assets. Capital investment decisions typically involve large sums of money for long periods of time and have a major impact on the future services provided by an organization.
Capitalize : To record an expenditure that may benefit a future period as an asset rather than as an expense of the period of its occurrence. For example, research and development costs.
Capitation
Cardiac Catheterization
Care Plan
Carrier
Case Management
Catastrophic Health Insurance
Census: The number of inpatients who receive hospital care each day excluding newborns.
Centers of Excellence
Certification
Chain of Trust COT
Channeling
Chemical Dependency Services
Chemical Equivalents
Chemotherapy
Chronic Care
Chronic Disease
Claim
Claims Review
Claude Shannon: An electrical engineer (1916 - 2001) who pioneered mathematical communication theory. Has been called "the father of information theory".
Clearinghouse
Client
Client-Server Architecture
Clinical Coding Engine
Clinical Data Standards
Clinical Decision Support Systems
Clinical Information System (CIS)
Clinical Laboratory Improvement Amendment of 1988 CLIA
Clinical or Critical Pathways: A "map" of preferred treatment / intervention activities. Outlines the types of information needed to make decisions, the timelines for applying that information, and what action needs to be taken by whom. Provides a way to monitor care "in real time." These pathways are developed by clinicians for specific diseases or events. Proactive providers are working now to develop these pathways for the majority of their interventions and developing the software capacity to distribute and store this information.
Clinical Practice Guidelines: General procedures and suggestions about what constitutes an acceptable range of practices for particular diseases or conditions. These guidelines are usually developed by a consensus of doctors in a given field, such as radiology or cardiology.
Cloud Computing
CPOE
Code Blue : Indicates an emergency situation has occurred and mobilizes staff to respond.
Code Set
Code Set Maintaining Organization: Under HIPAA, this is an organization that creates and maintains the code sets adopted by the Secretary for use in the transactions for which standards are adopted.
Co-insurance
Communication
Community Hospital
Community Rating
Co-Morbid Condition Co-Morbidity
Compliance Date
Complication
Comprehensive Care
Comprehensive Medical Care Plans
Computer-assisted coding CAC
Computer-based Patient Record CPR
Computer Science
Computerized Axial Tomography CAT

CPOE
Computerized Provider Order Entry
Computerized Patient Record
Concurrent Review
Condition Report
Conference Calling
Confidentiality
Consolidated Omnibus Budget Reconciliation Act COBRA
Consultation: A discussion with another health care professional when additional feedback is needed during diagnosis or treatment. Usually, a consultation is by referral from a primary care physician.
Consumer Driven Health Care
Consumer Price Index CPI
Consumer Price Index-Medical Care Component
Contact Management Software
Continuity of Care
Continuous Quality Improvement (CQI)
Continuum of Care
Controlling
Conversion
Cookie
Coordination of Benefits COB
Co-payment
Cost Benefit Analysis
Cost Containment
Cost Containment Guidelines
Cost Sharing
Cost Shifting
Coverage or Covered Services
Coverage Status
Covered Benefit
Covered Entity (CE)
Covered Function
CPT
CPT
Credentialing
Credentialing and Privileging
Crossing the Quality Chasm: The IOM Health Care Quality Initiative
Critical Access Hospital (CAH)
Critical Care
- A day in the life of a Critical Care Nurse
Critical Pathways
Critical Thinking
Current Dental Terminology CDT
Current Procedural Terminology
Current Procedural Terminology
Cyberspace

DBack to Top
Daily Census
Daily Census ADC
Data
Data Dictionary : A document or system that characterizes the data content of a system.
Data Element : Under HIPAA, this is the smallest named unit of information in a transaction.
Data Mapping : The process of matching one set of data elements or individual code values to their closest equivalents in another set of them.
Data Retrieval : The collection of patient care data from medical records.
Database
Days per 1000 : The total number of hospital days incurred by a health plans members per thousand members enrolled in the health plan.
Decision Support System : General term for any computer application that enhances a humans ability to make decisions.
Deductible
Deficit : The decreased functionality of the affected body system as compared to a normal functioning system.
Denial : Occurs when, during the course of reviewing a patient's treatment, the medical necessity cannot be validated based upon clinical guidelines or due to lack of information provided by the treating provider.
Dependent : An individual who receives health insurance through a spouse, parent, or other family member.
Decision Making
Decision Making Process
Decision Support System (DSS)
- Decision Support Systems
Descriptor : The text defining a code in a code set.
Designated Code Set : A code set or an administrative code set that HHS has designated for use in one or more of the HIPAA standards.
Designated Standard : A standard which HHS has designated for use under the authority provided by HIPAA.
Diagnosis : The identification of a disease or condition through examination.
Diagnosis Related Groups
- Diagnosis-Related Group DRG
Digital
Digital Imaging and Communications in Medicine DICOM
Digital Library
Digital Subscriber Line (DSL)
Direct Contracting
Direct Data Entry (DDE)
Directing
Disability
Disallowance
Discharge Planning
Disclosure
Disclosure History
Disease Episode
Disease Management
Disease State
Disenrollment
Distributed Computing
Document Management System (DMS)
Draft Standard for Trial Use DSTU
Drug Formulary
Dual Choice
Duplicate Coverage Inquiry
Duplication of Benefits
Durable Medical Equipment (DME)
Durable Power of Attorney For Health Care

EBack to Top
EDI
EDI Translator
Effective Date
Effectiveness
Effectiveness
Efficiency
Efficiency
Efficacy
Efficacy
eHealth
eHealth Initiative
Electronic Commerce EC
Electronic Data Interchange EDI
Electronic Health Record
Electronic Health Record (EHR)
Electronic Healthcare Network Accreditation Commission EHNAC
Electronic Medical Record (EMR)
Electronic Transactions and Code Sets
Eligibility
Eligible Covered Individual
Eligible Dependent
Eligible Employee
Eligible Expenses
Eligible Insured
Eligible Person
email
E-mail
Emergicenter
- A day in the life of an Ambulance Service Paramedic
Employee Contribution
Employee Retirement Income Security Act ERISA
Employee Scheduling Software
Employment Retirement Income Security Act of 1974 ERISA
Encounter
Endowment Fund
Enrollee
Engineering
Enrollment
Enrollment Area
Episode of care
Ethics Committee
Ethernet
Events
Evidence-Based Medicine (EBM)
Executive Order on Health Information Technology (EO 13335)
Excess Capacity
Exclusions
Exclusive Provider Organization EPO
Experience Rating
Experimental Procedures
Expert System
Explanation of Benefits (EOB)
Explanation of Benefits EOB
Extended Care Facility
Extension of Benefits

FBack to Top
Federal Employees Health Benefits Program FEHBP
Federal Qualification
Fee Schedule
Fee-For-Service FFS
Fertility Rate
File Transfer Protocol FTP
Final Enrollment
Firewall
Firewall
Firmware
First-Dollar Coverage
Fiscal Intermediary FI
Flexible Benefits Plan
Flowcharting
 - How to Make a Flowchart in Microsoft Word
 - Understanding Basic Flowchart Symbols
Formulary
For-Profit Hospital
Free Text
Freestanding Ambulatory Surgery Center
Freestanding Emergency Medical Service Center
Full-Time Equivalent Personnel FTES

GBack to Top
Gatekeeper
Gatekeeper Model
Gatekeeper PPO
Gatekeeping
Gene therapy
Generic Drug
Genomics
Goal
Goal Statement
Granularity
Graphical User Interface GUI
Group Calling
Group Health Plan
Group Insurance
Group Model HMO
Growth Rate
Guaranteed Renewable

H Back to Top
Hardware
HCPCS (Healthcare Common Procedural Coding System)
Health Alliance
Health and Human Services HHS
Health Care Clearinghouse
Health Care Code Maintenance Committee
Health Care Provider Taxonomy Committee
Health Care Transactions
Health Informatics
Health Informatics
- What is Healthcare Informatics?
- Health Informatics as defined by Edward Shortliffe
- How one hospital is using health informatics to provide health care Health Information System
Health Insurance
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Health Insurance Purchasing Cooperative HIPC
Health Level 7
Health Level 7 HL7
Health Level Seven HL7
Health Maintenance Organization HMO
Health Plan Employer Data and Information Set HEDIS
Healthcare Common Procedure Coding System
Healthcare Common Procedural Coding System (HCPCS)
HEDIS
Hematology
HIPAA
HL7 Standard
Home Care
Home Health Care
Home Page
Horizontal Integration
Hospice
Hospital
- Hospital .. Khawater Episode about Hospitals
- A day in the life of Sydney Children Hospital
- A Day in the Life of a Hospital
- Hospital
- Hospital Day
- How one hospital is using health informatics to provide health care Hospital Information System
Hospital Information System
Hospital Market Basket
Hospital Market Basket Index HMBI
Hospital Preauthorization
Hospitalists
HRMS
HTML
HTTP
Human Resource Management Software
Hybrid Entity
Hyperlink
Hypertext

I J KBack to Top
ICD 9
ICD 9 CM
ICD CM
ICF
ID Card
Implementation Guide IG
Implementation Specification
Incentives
Incidence Rate
Indemnity Plan
Infant Mortality Rate per 1000 Live Births
Informatics
- What is Informatics?
- Informatics
Information
Information Science
Information Security
Information System
Information Technology
Information Technology Changing the Global Economy
Information Theory
Inpatient
Inputs
Integrated Care
Integrated Delivery Networks or System IDN or IDS
Integrated Health Care System
Integrated Services Digital Network ISDN
Intermediate Care Facility
International Classification of Diseases (ICD)
International Classification of Diseases 9th Revision
International Classification of Diseases - Clinical Modifications (ICD-CM)
International Classification of Functioning, Disability and Health (ICF)
International Organization for Standardization ISO
International Standards Organization
Internet
Internetworking Protocol IP
Interoperability
Interoperability
- Interoperability: A Definition
Intranet
IP Address
iPhone
- EKG using the iPhone
J-Codes
Joint Commission On Accreditation of Healthcare Organizations JCAHO
Joint Venture
Knowledge
Knowledge Base
Knowledge Management

L Back to Top
LAN
Legend Drug
Length of Stay (LOS)
Life Expectancy at Birth
Learning Organization
Lifetime Maximum
Living Will
Local Codes
Logical Observation Identifiers Names and Codes LOINC
LOINC
Long Term Acute Care Hospital
Long Term Care

M Back to Top
Machine learning
Magnetic Resonance Imaging MRI
Mailing List
Maintenance Medication
Managed Care
Managed Care Organization MCO
Managed Care Plan
Managed Collaboration
Managed Competition
Management
Management Information System (MIS)
Management Service Organization MSO
Mandated Benefits
Maslows Hierarchy of Needs
Master Patient Index MPI
Maximum Defined Data Set
Medicaid
Medicaid (Title XIX)
Medicaid Fiscal Agent FA
Medicaid State Agency
Medical Code Sets
Medical Informatics
Medical Management Services
Medical Necessity Medically Necessary
Medical Protocols
Medical Records Institute (MRI)
Medical Coding
Medical Errors
Medical Transcription
Medicare
Medicare
Medicare Geographic Classification Review Board
Medicare Part A Fiscal Intermediary FI
Medicare Part B Carrier
Medicare-Supplement Policy
Medigap Insurance
Megabyte
Member
Microsoft Access (MS Access)
Microsoft Project
Minimum Scope of Disclosure
Mission
Mixed-model HMO
Modem
Morbidity
Mortality
MS Access (Microsoft Access)
Multi-Hospital System

N Back to Top
National Drug Code (NDC)
- National Drug Code NDC
National Employer ID
National Health Information Infrastructure (NHII)
National Health Information Network (NHIN)
National Patient ID
National Payer ID
National Practitioner Data Bank
National Provider File NPF
National Provider ID NPI
National Provider Registry
National Provider System NPS
National Standard Format NSF
National Unique Identifier Rule
Natural Language Processing
Natural Language Processing (NLP)
NCPDP Batch Standard
NCPDP Telecommunication Standard
Neonatal
Network
Network
Network Administrator
Network Router
Network Switch
Non-Clinical or Non-Medical Code Sets
Non-participating Provider
Nosocomial Infection
Not-For-Profit Hospital
Nuclear Medicine
Nurse Practitioner (NP)
- A day in the life of a Critical Care Nurse
Nurse Call System
Nursing Care Delivery Systems
Nursing Informatics
- Nursing Informatics
- What is Nursing Informatics?
Nursing Information System (NIS)
Nursing Interventions Classifications(NIC)

O Back to Top
Objective
Office for Civil Rights
Office of Management and Budget OMB
On-Line Adjudication
Ontology
Open Access
Open Enrollment Period
Open panel HMO
Open System Interconnection OSI
Operating Margin
Operational Data
Organizational Chart
Organizing
Original Research
Orthotic Devices
OSI Seven Layer Model
Out of Network Benefits
Outcomes
Outlier
Out of Area
Out of Area Benefits
Out of Area Services
Out of Network Services
Out of pocket Expenses
Out of Pocket Limit
Out of Pocket Payments OPP
Outpatient Care
Outputs
Over-The-Counter OTC

P Back to Top
PACS
PACS Administrator
- A day in the life of a PACS Administrator
Palliative Care
Paperless Hospital
Pareto Concept
Partial Hospital Services : A mental health or substance abuse program operated by a hospital which provides clinical services as an alternative or follow-up to inpatient care.
Participant : An eligible covered individual pursuant to the insurance policy or certificate of coverage offered by the client.
Participating Physician or Participating Provider
Patient Care Pathway
Patient Days
Patient Flow
Patient Flow>
Patient Tracking System
Payer : In health care, an entity that assumes the risk of paying for health care. This can be an uninsured patient, an employer, or a health insurance plan.
Peer Review
Perinatal
Personal Health Record (PHR)
Pharmacogenomics
Physical Therapy
Physician Assistant PA
Physician Dispensing
Physician Hospital Organization PHO
Physicians Assistant PA
Picture Archiving and Communication System
PACS Administrator
PACS
Plan ID
Planning
Point of service POS plan
Policy
Policyholder
Portability
Positron Emission Tomography PET
Practice Guidelines
Pre-Admission Certification
Pre-Admission Review
Pre-Authorization
Pre-Certification
Pre-existing Condition
Preferential Discounts
Preferred Provider
Preferred Provider Health Care Act of 1985
Preferred Provider Organization PPO
Premium
- Prevalence Rate
Preventive Care
Pricer or Repricer
Primary Care
Primary Care Network PCN
Primary Care Physician
Primary Care Provider PCP
Principal Diagnosis
Privacy
Privacy Rule
Privileges
Procedure
Process
- Process
Project
Project Management
Prospective Payment System PPS
Prosthesis (Prosthetic Devices)
Protected Health Information (PHI)
Protocol
Provider
Provider Taxonomy Codes
Proxy Server
PSTN
Public Health
Public Health Informatics

Q Back to Top
Quality
Quality Assurance (QA)
Quality Improvement (QI)
Quality of Care
Quality of Life Measures

R Back to Top
Radio Frequency Identification (RFID)
Radiologist
- A Day in the life of a Radiologist
RAID Array
RFID
Reasonable and Customary Charge
Referral
Referral Center
Regenstrief Institute
Reinsurance
Relative Value Scale RVS
Resource Based Relative Value Scale RBRVS
Restricted Funds
Retrospective Review Process
Risk Adjustment
Risk Pool
Risk Sharing
Room Scheduling Software
Router
Rural Health Clinic

S Back to Top
Scalability
Schedule of Benefits
Science
Screening
Seamless Care
Secondary Insurance
Secretary
Security Rule
Segment
Self-directed Learning
Self Funding
Self Insurance
Self-Insurance
Self-Insured
Self-Insured Plan
Sentinel Event
Server
Server Virtualization
Server
Server Virtualization
SGML
Shannon, Claude
Single Payer System
Situated Learning
Skilled Nursing Facility SNF
Small Health Plan
- Smart Room Technology .. The Case of Magruder Hospital and Cerner
- Cerner Smart Room: Overview
Smartphone
- EKG using the iPhone
SMI-S Standard - the Storage Management Interface Specification
SNOMED (Systematized Nomenclature of Medicine)
Software
Sole Community Hospital
Speech Recognition Technology
Specialists
Specialty HMOs
Specialty PPOs
SPSS
Staff Model HMO
Staffing
Standard Benefit Package
Standard Transaction
Standard Transaction Format Compliance System STFCS
State Law
State Uniform Billing Committee SUBC
Status Change
Stop-loss Insurance
Storage Management
Storage Management Interface Specification (SMI-S Standard)
Structured Data
Structured Input
Subscriber
Summary Plan Description
Superbill
Surgicenter
Swing Beds
Switch
Synchronous communication
Systematized Nomenclature of Medicine (SNOMED)
Syntax
System
- Systems and Systems Theory
Systems Administrator (Engineer)

T Back to Top
Task Analysis
Teaching Hospital
Technology
Telehealth
- Telehealth of Holland Home : An example of Telehealth Services
- Telemedicine
Terminal
Terminology
Tertiary Care
Theory
Therapeutic Substitution
Third Party Administrator TPA
Throughput
Time and Attendance Softwre
Title XIX
To Err is Human: Building A Safer Health System
Tomography
Total Quality Management TQM
Transaction
Transaction Change Request System
Treatment Episode
Triage
Triage

U V D X Y Z Back to Top
UB
UB-82
Ub-92
UCF
Ultrasound
Uncompensated Care
Underwriting
Uniform Claim Task Force UCTF
Unstructured data
Urgent Care
Urgent Care Center
URL
User interface
Usual Customary and Reasonable UCR
Utilization
Utilization Management
Utilization Review
Validation Criterion
Veterans Health Information Systems and Technology Architecture (VistA)
Vlog
Virtual Private Network VPN
Virtual Reality
VistA Veterans Health Information Systems and Technology Architecture
Voice Over IP
Web Browser
Website Wellness
Wide Area Network WAN
Withhold
Work-Related Injury or Illness
Work-up
World Wide Web
Wraparound Plan
X12
X12 Standard