_1000_ACRDEFN_JOIN_HCTERMS_SUMZTERM/ACRON DESCESCRIPTIONA/R Accounts ReceivableAA Alcoholics AnonymousAAA Area Agency on Aging AAAHC Accreditation Association for Ambulatory Health CareAAAS American Association for the Advancement of Science.AAASC American Association of Ambulatory Surgery CentersAABB American Association of Blood Banks.AAFP American Academy of Family PhysiciansAAHC Association of Academic Health CentersAAHE Association for the Advancement of Health Education.AAHP American Association of Health Plans (now merged with HIAA to form AHIP)AAHSA American Association of Homes & Services for the AgingAAMA American Association of Medical AssistantsAAMC Association of American Medical CollegesAANA American Association of Nurse AnesthetistAAOHNS American Academy of Otolaryngology Head and Neck SurgeryICD9CM International Classification of Diseases Ninth Revision Clinical ModificationsAAP American Association of PathologistsAAPC American Academy of Professional CodersICD10CM International Classification of Diseases Tenth Revision Clinical ModificationsAAPCC Adjusted Average Per Capita CostAAPI "American Accreditation ProgramAAPPO American Association of Preferred Provider OrganizationsAAPS Association of American Physicians and SurgeonsAARP American Association of Retired PersonsAART American Association for Respiratory TherapyABA American Bar AssociationABC American Blood CommissionABMT Autologous Bone Marrow TransplantICF Intermediate Care FacilityABX AntibioticAC Ambulatory CareACA Affordable Care Act of 2010ICN International Council of NursesACC Ambulatory Care CenterACCME Accreditation Council for Continuing Medical EducationACDA ACL Certified Data AnalystACF Administration for Children and FamiliesICNP International Classification for Nursing PracticeACG American College of GastroenterologyACGME Accreditation Council for Graduate Medical EducationACHE American College of Healthcare ExecutivesACIIP Association of Clinical IVR and IWR ProfessionalsICFMR Intermediate Care Facility for the Mentally RetardedACIL American Council of Independent LaboratoriesACLA American Clinical Laboratory AssociationACLPS Academy of Clinical Laboratory Physicians and ScientistsACM American College of MedicineACNHA American College of Nursing Home AdministratorsACNM American College of Nurse MidwivesACO Accountable care organizationICPC International Classification of Primary Care Page 1

_1000_ACRDEFN_JOIN_HCTERMS_SUMZACOG American College of Obstetricians and GynecologistsACP American College of PhysiciansACPE American College of Physician ExecutivesACR Adjusted community ratingACS Appropriate Care Scores (now ACM)ACSW Academy of Certified Social WorkersADA Americans with Disabilities ActADAA American Dental Assistants AssociationADC Average Daily CensusADE Adverse Drug EventADFS Alternative Delivery and Financing SystemADHA American Dental Hygienists AssociationADHD AttentionDeficit Hyperactivity DisorderIOM Institute of Medicine of the National Academy of the SciencesADL Activities of Daily LivingADR Adverse Drug ReactionADS Alternative Delivery SystemADSA American Dental Society of AnesthesiologyIPHF International Public Health ForumADT Admission/Discharge/TransferAE Accident and Emergency Departmentedit IAEP Accredited Exercise PhysiologistISN Integrated Services NetworkAF Atrial FibrillationAFC Adult Foster CareAFDC Aid to Families with Dependant ChildrenAFL-CIO American Federation of Labor--Congress of Industrial OrganizationsAFMA African Medical Associationedit JAFMR American Federation for Medical ResearchAG Attorney GeneralAHA American Hospital AssociationAHC Association of Academic Health CentersAHCA American Health Care AssociationAHCCCS Arizona Health Care Cost Containment SystemAHCPR Agency for Health Care Policy and ResearchAHDI Association for Healthcare Documentation IntegrityJIPHF Journal of International Public Health ForumAHEC Area Health Education CenterAHIMA American Health Information Management Associationedit KAHIP America's Health Insurance PlansAHLA American Health Lawyers AssociationAHP Allied Health ProfessionalAHPA American Health Planning AssociationAHQA American Health Quality AssociationAHRQ Agency for Healthcare Research and QualityAHSR Association for Health Services ResearchAIDS Acquired Immune Deficiency SyndromeAIN Assistant In Nursingedit LALA American Lung AssociationALF Assisted Living Facility Page 2

_1000_ACRDEFN_JOIN_HCTERMS_SUMZALJ Administrative Law JudgeALOS Average Length of StayALT Alanine aminotransferaseALTS Arizona Long Term Care SystemAMA American Medical AssociationAMANET African Malaria Network TrustLDH Lactic dehydrogenaseAMBHA American Managed Behavioral Healthcare AssociationAMC Academic Medical CenterAMCP Academy of Managed Care PharmacyAMCPA American Managed Care Pharmacy AssociationAMGA American Medical Group AssociationAMI Acute Myocardial Infarction (Heart Attack)AMIA American Medical Informatics AssociationLMT Licensed Massage TherapistAMP Average manufacturer's priceAMPRA American Medical Rehabilitation Providers AssociationAMR Automated Medical RecordAMSA American Medical Student AssociationANA American Nurses AssociationANCP Advanced Nurse Care PractitionerAND Associate Degree in NursingANDA Abbreviated new drug approvalANE Association of Nurse ExecutivesANOVA Analysis of varianceANSI American National Standards InstituteAOA American Osteopathic AssociationAOB Assignment of BenefitsAOCP American Osteopathic College of PathologistsAOTA American Occupational Therapy AssociationLSIT Life Sciences Information TechnologyAPA American Psychiatric AssociationAPC Ambulatory Procedure CodesAPDRG All Patient Diagnosis Related GroupsAPF American Pathology FoundationAPGS Ambulatory Patient GroupAPHA American Public Health AssociationAPN Advanced Practice NurseAPPMA American Pharmaceutical Project Managers AssociatesAPR Adjusted Payment RateAPS American Pain SocietyAPT """Admissions per 1APTA American Physical Therapy AssociationAPU Annual Payment UpdateARC AIDS (Acquired Immune Deficiency Syndrome) Related Complex/ConditionsARP Adjusted Payment RateASA American Society of AnesthesiologyMA Medical Assistant Medicare AdvantageASAE American Society of Association ExecutivesASAHP American Society of Allied Health Professionals Page 3

_1000_ACRDEFN_JOIN_HCTERMS_SUMZASC Ambulatory Surgery CenterASCO American Society of Clinical OncologyASCP American Society of Clinical PathologyASH American Society of HematologyASHE American Society for Healthcare EngineeringASHICE Reporting patients condition Age Sex History InjuryIllness Consciousness ETAMAP Medical Audit ProgramASHP American Society of Hospital PharmacistsASHRM American Society for Healthcare Risk ManagementMAPD Medicare Advantage Prescription Drug PlanASIM American Society of Internal MedicineASO Administration Services Only ContractASR Age/Sex RatesAST Aspartate AminotransferaseMCAT Medical College Admission TestASTHO Association of State and Territorial Health OfficialsMCH Maternal and Child Health ProgramATS Alcohol Treatment ServicesAUR Ambulatory utilization reviewAWP Average wholesale priceAYUSH Department of Ayurveda Yoga and Naturopathy Unani Siddha and HomoeopathyMCO Managed Care OrganizationAZT ZidovudineAcute Care care see acute careAdmission Carecare in the nursing interventions classification a nursing intervention defined as facilitating entry of a patient into a health care facilityAmbulatory Carcare health services or acute care services that are provided on an outpatient basisAmputation Carcare in the nursing interventions classification a nursing intervention defined as the promotion of physical and psychological healing after amputation of a body partAoA Administration on AgingAphA American Pharmaceutical AssociationBBA Balanced Budget Act of 1997MEPS Medical Expenditure Panel SurveyBBA 97 Balanced Budget Act of 1997 (usually BBA)BBRA Balanced Budget Refinement Act of 1999BC/BS Blue Cross/Blue ShieldBCA Blue Cross AssociationMEWA Multiple Employer Welfare ArrangementBCBSA Blue Cross Blue Shield AssociationMDH Medicaredependent HospitalBCMA Bar Code Medication AdministrationBFHI Baby Friendly Hospital InitiativeMHA Masters in Health Care AdministrationBHCS Baylor Health Care System Dallas TXMI Myocardial InfarctionBI Brain InjuryBIRADS Breast ImagingReporting and Data System AtlasMLR Medical Loss RatioBLS Basic Life SupportBME Board of Medical ExaminersBMH Bryn Mawr HospitalBMI Body Mass IndexBMQA Board of Medical Quality AssuranceBMRH Bryn Mawr Rehabilitation HospitalBOD Board of DirectorsBP Blood pressureBPHC Bureau of Primary Health CareMMRA Metropolitan Medical Response SystemBPM Beats Per MinuteMMIS Medicaid Management Information SystemBPOC Bar Code Enabled Point of CareMRHFP Medicare Rural Hospital Flexibility Program Page 4

_1000_ACRDEFN_JOIN_HCTERMS_SUMZBRFSS Behavioral Risk Factor Surveillance SystemMRI Magnetic Resonance ImagingBSA Body surface areaBSN Bachelor of Science in NursingBladder Care care activities and interventions designed to maintain urinary bladder function including bladder retraining catheter change and catheter irrigationBowel Care care activities and interventions designed to maintain bowel function including enema bowel training diet and medicationBx BiopsyCABG Coronary Artery Bypass GraftCAD Coronary Artery DiseaseCAE Certified Association ExecutiveCAH Critical Access HospitalCAHPS Consumer Assessment of Healthcare Providers and SystemsCAHPS® Study; see also HCAHPS®)CAM Complementary and Alternative MedicineNACo National Association of CountiesCAMH Comprehensive Accreditation Manual for Hospitals (JCAHO)CAP Corrective Action PlanCARF Commission on Acreditation of Rehabilitation FacilitiesCAT Computerized Axial TomographyCBO Congressional Budget OfficeCBT Computer Based TrainingCCA Cost Consequence AnalysisNCHS National Center for Health StatisticsCCAC Continuing Care Accreditation CommissionCCBTI Certified Cognitive Behavioral Training InstructorNCQA National Committee for Quality AssuranceCCHIT Certification Commission for Healthcare Information TechnologyNDC National Drug CodeCCHP Consumer Choice Health PlanNEJM New England Journal of Medicine standard PubMed abbreviation is N Engl J MedCCHRI California Cooperative HEDIS Reporting InitiativeCCM Continuous Controls Management or Certified Case ManagerNGA National Governors AssociationCCN Community Care NetworkCCP Certified Compliance ProfessionalCCR Cost Coverage RatioCCRAS Central Council for Research in Ayurveda and SiddhaPSO Provider Sponsored OrganizationCCRC Continuous Care Retirement CommunityCCRN Critical Care Registered NurseNGC National Guidelines ClearinghouseCCU Critical Care Unit (also ICU--Intensive Care Unit)CCs Complications & ComorbiditiesCDA Clinical Document ArchitectureNHSC National Health Savings CorpsCDC Centers for Disease Control and PreventionCDHP Consumer Driven Health PlansCDM Charge Description MasterCDR Computerized Data RepositoryCDU Clinical Decisions UnitNLM National Library of MedicineCDif Clostridium DifficuleNICU Neonatal Intensive Care UnitCEA Cost-effectiveness analysisCEO Chief Executive OfficerCERTs Centers for Education and Research on TherapeuticsNMA Nigerian Medical AssociationCFE Certified Fraud ExaminerCFO Chief Financial Officer Page 5

_1000_ACRDEFN_JOIN_HCTERMS_SUMZCFR Code of Federal RegulationsCHA Catholic Health AssociationCHAMPUS Civilian Health and Medical Program of the Uniformed ServicesCHAMPVA Civilian Health and Medical Program Veterans AdministrationNPRM Notice of Proposed RulemakingCHC Community Health CenterCHCQ Commission on Health Care QualityCHER Community Health Education ResourcesNRHA National Rural Health AssociationCHF Congestive Heart FailureCHHA Certified Home Health AgencyNUM Nurse Unit ManagerCHI Consolidated Health InformaticsCHIME College of Health Information Management ExecutivesCHIN Community Health Information NetworkCHIP Children's Health Insurance PlanCHMIS Community Health Management Information SystemOAA Old Age AssistanceCHO Comprehensive health organizationCHPA Community Health Purchasing AllianceCHS Certified in Healthcare SecurityOASDHI Old Age Survivors Disability and Health Insurance ProgramCHW Community health workerOBGYN ObstetricianGynecologistCICU Cardiac Intensive Care UnitOBRA Omnibus Budget Reconciliation ActCIA Certified Internal AuditorCICA Certified Internal Controls AuditorCIL Center for Independent LivingCIO Chief Information OfficerCIS Clinical information systemOD Overdose or the right eye from the LatinCISA Certified Information Systems AuditorCLIA Clinical Laboratory Improvement Act/AmendmentsCM Case ManagerCMA Cost Minimization AnalysisOMB Office of Management and BudgetCME Continuing Medical EducationCMG Case Mix GroupCMHC Community Mental Health CenterOPHP Office of Public Health PreparednessCMI Case Mix IndexCMO Chief Medical Officer (also called VPMACMP Competitive medical planCMR Computerized Medical RecordCMS Centers for Medicare and Medicaid Services (formerly HCFA; see HCFA)CMT Certified Medical TranscriptionistCMWF Commonwealth FundCN Clinical NursePA Physician AssistantCNA Certified Nursing AssistantPACU Post Anesthesia Care UnitCNC Clinical Nurse ConsultantPAHO Pan American Health OrganizationCNM Certified Nurse MidwifeCNO Community Nursing OrganizationCNP Certified Nurse PractitionerCNS Central Nervous SystemPBM Pharmacy Benefits ManagerCOB Coordination of Benefits Page 6

_1000_ACRDEFN_JOIN_HCTERMS_SUMZCOBRA Consolidated Omnibus Budget Reconciliation Act of 1985COC Certificate of coverageCOE Center of ExcellenceCOG Council of GovernmentsPCP Primary Care PhysicianCOI Conflict of InterestCOLA Cost Of Living AdjustmentCOMPASS Community Participation for Action in the Social Sector NigeriaPDP Prescription Drug PlanCON Certificate of NeedCONQUEST Computerized NeedsOriented Quality Measurement Evaluation SystemPFP Patient Flow PlatformCOO Chief Operating OfficerCOPC Community Oriented Primary CarePHC Primary health careCOPD Chronic Obstructive Pulmonary DiseaseCORF Comprehensive Outpatient Rehabilitation FacilityCOS Chief of StaffCOTH Council of Teaching HospitalsCOW Computer on WheelsCPA Certified Public AccountantCPG Clinical Practice GuidelinesCPHA Commission on Professional and Hospital ActivitiesPIAPHP Partners in Information Access for Public Health ProfessionalsCPI Consumer Price IndexCPOE Computer Physician (or Provider) Order EntryCPR Cardiopulmonary ResuscitationCPT Current Procedural TerminologyCPT4 Current Procedural Terminology Forth EditionPMP Per Million PopulationCPX Complete Physicial ExamCQI Continuous Quality ImprovementCQuIPS Center for Quality Improvement and Patient SafetyPPA Preferred Provider ArrangementCRNA Certified Registered Nurse AnesthetistCRRN Certified Rehabilitation Registered NurseCRTT Certified Respiratory Therapy TechnicianCRVS California Relative Value StudiesPPS Prospective Payment SystemCT CardiothoracicCTICU Cardiothoracic Intensive Care UnitCVD Cardiovascular DiseaseCalPERS California Public Employees Retirement SystemCanCORS Cancer Care Outcomes and Surveillance ConsortiumCardiac Care care in the nursing interventions classification a nursing intervention defined as the limitation of complications resulting from an imbalance between myocardial oxygen supply and demand for a Cast Care care activities and interventions designed to protect and maintain an immobilized body part including relief of pain pressure or constriction of circulation See also hazards of immobilityCirculatory Carecare arterial insuficiency in the nursing interventions classification a nursing intervention defined as promotion of arterial circulationClinDOC Nursing Clinical DocumentationCmax Maximum concentrationContinuing Carecare the level of care in the health care system that consists of ongoing care of the physically handicapped mentally retarded emotionally retarded and those suffering from chronic incapacitatinCord Care care specialized care of the remnants of a newborns umbilical cord until it falls off consisting of cleaning and precautions to prevent infection Cleansing protocols continue until the site is comCritical Care care intensive careCulturespecific care those assistive supportive or facilitative acts toward or for an individual or group with evident or anticipated needs that are congruent with the values and lifestyles of an individual familD&O Directors and Officers (insurance) Page 7

_1000_ACRDEFN_JOIN_HCTERMS_SUMZD.O. Doctor of Osteopathic MedicineDAM Drug Allergy ModuleDAW Dispense as writtenDD Developmental DisabilityDDM Doctor of Dental MedicineQIO Quality Improvement OrganizationDDS Doctor of Dental SurgeryDEA Drug Enforcement AdministrationQARI Quality Assurance Reform InitiativeDEFRA Deficit Reduction Act of 1984DHHS Department of Health and Human ServicesDISPRO Disproportionate Share HospitalDMD Doctor of Dental MedicineDME Direct Medical EducationDMO Disease Management OrganizationDNA Deoxyribonucleic AcidDNFB Discharged Not Final BilledDNR Do Not Resuscitate OrderDO Doctor of OsteopathyDOA Dead on ArrivalDOB Date of birthDOD Department of DefenseDOH Department of HealthDOJ Department of JusticeDON Director Of NursingRAP Request for Anticipated PaymentDOS Date of serviceDPH Doctor of Public HealthDPM Doctor of Podiatric MedicineDPR Drug price reviewDPT Diphtheria - pertussis - tetanus vaccineDR ABC Primary Survey Danger Response Airway Breathing CirculationRCT Randomized Clinical Trial or Randomized Controlled TrialDRG Diagnosis Related Group(s)DRR Drug regimen reviewDSH Disproportionate Share HospitalDSMIV Diagnostic and Statistical Manual of Mental Disorders Fourth EditionRHC Rural Health ClinicDSc Doctor of ScienceDTC Direct to ConsumerRICE Rest Ice Compression Elevation Alternatively Rest Immobilize Cool ElevateDUE Drug use evaluationDUR Drug Utilization ReviewDVM Doctor of Veterinary MedicineDVT Deep Vein ThrombosisDay Care carerespite in the omaha system the providing by an individual or institution of supervision for a dependent child or adult in the abscence of the usual caregiver or parentDevelopmental care in the nursing interventions classification a nursing intervention defined as structuring the environment and providing care in response to the behavioral cues and states of the preterm infanDirect Care care the provision of services to a patient that require some degree of interaction between the patient and the health care provider Examples include assessment performing procedures teachinDrP.H. Doctor of Public HealthDx DiagnosisDying Care care in the nursing interventions classification a nursing intervention defined as promotion of physical comfort and psychological peace in the final phase of life See also dyingEAP Employee Assistance Program Page 8

_1000_ACRDEFN_JOIN_HCTERMS_SUMZEBM Evidence-Based MedicineEBRI Employee Benefit Research InstituteECF Extended Care FacilityECG Electrocardiography (aka EKG)ECU Extended Care UnitED Emergency DepartmentEDI Electronic Data InterchangeEDON Executive Director Of Nursingedit SEEG ElectroencephalographyEEN Endorsed Enrolled NurseSAMPLE SignsSymptoms Allergies Medications Past history Last meal Events leading up to First aid secondary survey questionsEEO Equal Employment OpportunityEEOC Equal Employment Opportunity CommissionEHIM Electronic Health Information ManagementEHR Executive Health ResourcesEKG Electrocardiography (aka ECG)ELP Essential Lifestyle PlanningELS Emergency Life SupportSCH Sole Community HospitalsELSI EthicalEMG ElectromyographyEMR Electronic Medical RecordEMS Emergency Medical ServicesEMT Emergency Medical TechnicianEMTALA Emergency Medical Treatment and Active Labor ActENT Ear Nose and ThroatEOB Explanation of BenefitsEOC Emergency Operations CenterEOMB Explanation of Medicare BenefitsEPA Environmental Protection AgencyEPC EvidenceBased Practice CenterSNF Skilled Nursing FacilityEPO Exclusive Provider OrganizationEPSDT Early and Periodic ScreeningEQRO External Quality Review OrganizationER Emergency Room (a.k.a. EDERCP Endoscopic Retrograde CholangiopancreatographySSI Supplemental Security IncomeERISA Employee Retirement Income Security ActESI Employersponsored InsuranceESRD End-Stage Renal DiseaseET Expenditure TargetETA Estimated Time of ArrivalTANF Temporary Assistance for Needy FamiliesEU European UnionEar Care care in the nursing interventions classification a nursing intervention defined as prevention or minimization of threats to ear or hearingEmbolus Care care peripheral in the nursing interventions classification a nursing intervention defined as limitation of complications for a patient experiencing or at risk for occlusion of peripheral circulaEmergency Carcare in the nursing interventions classification a nursing intervention defined as providing lifesaving measures in lifethreatening situations See also emergencyEpisodic Care care interventions aimed at patient cure or restoration to previous level of functioningEye Care care in the nursing interventions classification a nursing intervention defined as the prevention or minimization of threats to eye or visual integrityFACCT Foundation for Accountability Page 9

_1000_ACRDEFN_JOIN_HCTERMS_SUMZFACHE Fellow of the American College of Healthcare ExecutivesFACOG FellowFACP FellowFACS FellowFAH Federation of American HospitalsFAHIMA Fellow of the American Health Information Management AssociationFAHS Federation of American Health SystemsFASB Financial Accounting Standards BoardFDA Food and Drug AdministrationFEHBP Federal Employee Health Benefits PlanFEMA Federal Emergency Management AgencyFFDCA Federal Food Drug and Cosmetic ActUNICEF United Nations Childrens FundFFP Federal Financial ParticipationFFS Fee for ServiceFHA Farmers Home AdministrationFHTFetal Heart TonesWISN Workload Indicators of Staffing NeedsFI Fiscal IntermediaryFIC Family of International Classifications World Health OrganizationUSAID United States Agency for International DevelopmentFICA Federal Insurance Contributions ActUSP US PharmacopeiaFIM Functional Independence MeasureFIPH Fellow International Public Health honorisURAC Utilization Review Accreditation CommissionFMAP Federal Medical Assistance PercentageFMEA Failure Mode and Effects AnalysisFMG Foreign Medical Graduateedit VFMLA Family Medical Leave ActFNP Family Nurse PractitionerVIRHN Vertically Integrated Rural Health NetworkFOC Freedom of ChoiceFP Family Practice or PractitionerFPL Federal Poverty LevelFQHC Federally Qualified Health CenterFQHMO Federally Qualified Health Maintenance OrganizationFSA Flexible spending accountFSH Follicle-stimulating hormoneFTC Federal Trade CommissionFTE Full-time EquivalentFY Fiscal YearFYE Fiscal Year End/EndingFoot Care care see foot careGAAP Generally Accepted Accounting PrinciplesGAMP General Assistance Medical ProgramGAO Government Accountability Office (U.S.; formerly General Accounting Office)GDP Gross Domestic ProductGHAA Group Health Association of AmericaGHI Group Health Inc.GI GastrointestinalGIFT Gamese intrafallopian transfer Page 10

_1000_ACRDEFN_JOIN_HCTERMS_SUMZGME Graduate Medical EducationGMENAC Graduation Medical Education National Advisory CommitteeGNP Gross National ProductGOS General Ophthalmic ServicesGP General PractitionerGPO Group Purchasing OrganizationGPWW Group Practice Without WallsGSA Group Service AgreementGYN Gynecology or GynecologistH&P History and PhysicalHAART Highly active antiretroviral therapyHAC Hospital Acquired ConditionHAI Hospital Acquired InfectionHAV HBV HCV Hepatitis A B C respectivelyHBO Health benefits organizationHCAHPS® Hospital Consumer Assessment of Health Plans Survey (See also CAHPS®)HCBS Home and Community Based ServicesHCFA Health Care Financing Administration (now named CMS: Centers for Medicare aHCFAP Healthcare Facilities Accreditation ProgramHCHP Harvard Community Health PlanHCN Home Care NetworkHCPCS Healthcare Common Procedural Coding SystemHCPP Health Care Prepayment PlanHCQ Healthcare QualityHCUP Healthcare Cost and Utilization ProjectHDHP High Deductible Health PlanHDL High Density Lipoprotein (""good cholesterol"")"HEDIS Health Plan Employer Data and Information SetHF Heart FailureHFMA Healthcare Financial Management AssociationHGP Human Genome ProjectHH Home HealthHHA Home health agencyHHS Heatlh and Human ServicesHIAA Health Insurance Association of America (now merged with AAHP to form AHIP)HIE Health Information ExchangeHIFA Health Insurance Flexibility and AccountabilityHIM Health information managementHIMA Health Industry Manufacturers AssociationHIMSS Healthcare Information and Management Systems SocietyHIN Health Information Network (also known as Regional Health Information OrganHIO Health Insuring OrganizationHIPAA Health Insurance Portability & Accountability Act of 1996HIPC Health Insurance Purchasing CooperativeHIPDB Healthcare Integrity and Protection Data BankHIPPS Health information prospective payment system Page 11

_1000_ACRDEFN_JOIN_HCTERMS_SUMZHIS Health Information SystemHISP Health Information Service Provider 2HISPC Health Information Security and Privacy CollaborationHIT Health Information TechnologyHITECH Health Information Technology for Economic and Clinical Health ActHITSP Healthcare Information Technology Standards PanelHIV Human Immunodeficiency VirusHL7 Health Level 7HME Home Medical EquipmentHMO Health Maintenance OrganizationHMS Healthcare Management SystemHMSA Health Manpower Shortage AreaHOPPS Hospital Outpatient Prospective Payment SystemHPI History of Present IllnessHPSA Health Provider Shortage AreaHPSAs Health Professional Shortage AreasHQA Hospital Quality AllianceHQID Hospital Quality Incentive Demonstration (CMS/Premier)HRA Health Risk AssessmentHRET Health Research and Educational TrustHRH Human resources for healthHRHIS Human resources for health information systemHRQL Health Related Quality of LifeHRSA Health Resources and Services AdministrationHSA Health Savings AccountHSC Health Services CorporationHSE Health Service ExecutiveHSMR Hospital Standardized Mortality RateHSO Health services organizationHSP Health service planHTA Health Technology AssessmentHUD Housing and Urban DevelopmentHair Care care in the nursing interventions classification a nursing intervention defined as the promotion of neat clean and attractive hairHealth Care care see health care systemHg MercuryI&O Intake and OutputI/P InpatientIADL Instrumental Activities of Daily LivingIAM Identity Access ManagementIBC Independence Blue CrossIBNR Incurred but not ReportedICD-10 "International Classification of DiseasesICD-9 International Classification of DiseasesICD-9-C International Classification of DiseasesICD-9-CM International Classification of DiseasesICF Intermediate Care Facility Page 12

_1000_ACRDEFN_JOIN_HCTERMS_SUMZICF/MR Intermediate Care Facility for Mentally Retarded PersonsICP Infection Control PractitionerICRA Infection Control Risk AssessmentICU Intensive Care UnitIDFS Integrated delivery and financing systemIDN Integrated Delivery NetworkIDS Integrated Delivery SystemIEC Independent Ethics Committee (also called Institutional Review BoardIG Inspector GeneralIG Inspector GeneralIHF International Hospital FederationIHI Institute for Healthcare ImprovementIM Internal MedicineIME Indirect Medical EducationIMG International Medical GraduateIMQ Institute for Medical QualityINS Immigration and Naturalization ServiceIOM Institute of MedicineIP InpatientIPA Independent Practice AssociationIPN Integrated Provider NetworkIPO Independent Practice OrganizationIPPS Inpatient Prospective Payment SystemIRB Institutional Review Board (also called Independent Ethics CommitteeIRF Inpatient Rehabilitation FacilityIRS Internal Revenue ServiceISN Integrated Services NetworkISO International Organization for StandardizationIT Information Technology (also called Information SystemIU International unitIV IntravenousIndirect Care care services that are related to patient care but do not require interaction between the health care provider and the patient Examples include charting and schedulingInfant Care care in the nursing interventions classification a nursing intervention defined as the provision of developmentally appropriate familycentered care to the child under one year of ageIntensive Care care the care of seriously ill patients in a special hospital unit see intensive care unit Called also critical careIntrapartal Carecare in the nursing interventions classification a nursing intervention defined as the monitoring and management of stages one and two of the birth process See laborJAMA Journal of the American Medical AssociationJC The Joint Commission (formerly JCAHO)JCAHO Joint Commission on the Accreditation of Healthcare Organizations (now JC)JHS Jefferson Health SystemJV Joint ventureKFF Kaiser Family FoundationKangaroo Care care in the nursing interventions classification a nursing intervention defined as promoting closeness between parent and physiologically stable preterm infant by preparing the parent and providKinlein Care care kinleinLAN Local Area NetworkLCD Local Coverage Determination (Decision)LCP Licensed clinical psychologist Page 13

_1000_ACRDEFN_JOIN_HCTERMS_SUMZLCSW Licensed clinical social workerLH Lankenau HospitalLIMR Lankenau Institute for Medical ResearchLOC Level of CareLOS Length of StayLPC Licensed professional counselorLPN Licensed Practical NurseLSC Life Safety CodeLSW Licensed Social WorkerLTC Long-Term CareLTCOP Long term care options programLTD Long-Term DisabilityLVN Licensed Vocational NurseLongterm Care care health care services required for an extended period of time by individuals unable to fully execute activities of daily living it can be provided by a variety of agencies in outpatient settingsM.B.A. Master of Business AdministrationM.D. Doctor of (Allopathic) MedicineM.H.A. Master of Health AdministrationM.P.H. Master of Public HealthMAC Medicare Administrative ContractorMAK Medication Administration CheckingMAMSI Mid-Atlantic Medical ServicesMAP Medical Audit ProgramMAR Meciation Adminsitration RecordMBWA Management By Walking AroundMCCA Medicare catastrophic coverage actMCCs Major Complications & ComorbiditiesMCE Medical Care Evaluation StudiesMCO Managed Care OrganizationMCR Modified community ratingMD Medical doctorMDC Major diagnostic categoryMDS Minimum Data SetMEC Medical Executive CommitteeMER Medication Errors Reporting Program (usually MER program)MET Multiple employer trustMEWA Multiple employer welfare arrangementMF Medical foundationsMFS Medicare Fee ScheduleMGCRB Medicare Geographic Classification Review BoardMGMA Medical Group Management AssociationMH/SA Mental health/substance abuseMI Myocardial Infarction (heart attack; a.k.a. acute myocardial infarction oMIA Medically Indigent AdultMIG Medicare insured groupMIS Management Information SystemMLA Main Line Affiliates Page 14

_1000_ACRDEFN_JOIN_HCTERMS_SUMZMLH Main Line HealthMLHC Main Line HealthCareMLHL Main Line Health LaboratoriesMLHR Main Line Health RealtyMLHS Main Line Health SystemMMA "Medicare Prescription DrugMMIS Medicaid Management Information SystemMMPI Minnesota multiphasic personality inventoryMMR MeaslesMMS Medicaid management information systemMOB Medical Office BuildingMOC Medical Operations CommitteeMOH Ministry of HealthMOS Measure of SuccessMPH Master of public healthMPI Master Patient IndexMPPPA Medicaid prudent pharmaceutical purchasing actMQS Minimum Quality StandardsMRI Magnetic Resonance ImagingMRN Medical Record NumberMS Master of scienceMSA Medical Savings Account (now Health Savings Account or HSA)MSDRG Medicare Severity Diagnosis Related GroupMSDS Material safety data sheetMSG Multispecialty GroupMSO Management Services OrganizationMSS Medical social servicesMSW Medical Social WorkerMT Medical TechnologistMUD Medically unnecessary daysManaged Care care a method of health care delivery that focuses on collaboration among and coordination of all services to avoid overlap duplication and delays and to reduce costs There is an emphasis on MedPAC Medicare Payment Advisory CommitteeMedPAR Medicare provider analysis and review fileMedPar Medicare Provider Analysis and ReviewMedicaldental Ccare in the omaha system diagnosis and treatment by a physician or dentistMouth Care care see mouth careN/A Not ApplicableNABP National Association of Boards of PharmacyNACHGR National Advisory Council for Human Genome ResearchNAEHCA National Association of Employers on Health Care ActionNAHDO National Association of Health Data OrganizationsNAHMOR National Association of HMO RegulatorsNAHQ National Association for Healthcare QualityNAIC National Association of Insurance CommissionersNAM National Association of ManufacturersNAMOR National Association of HMO Regulators Page 15

_1000_ACRDEFN_JOIN_HCTERMS_SUMZNAPH National Association of Public Hospitals and Health SystemsNAPM National Association of Pharmaceutical ManufacturersNARD National Association of Retail DruggistsNAS National Academy of SciencesNASW National Association of Social WorkersNBCH National Business Coalition on HealthNBGH National Business Group on Health (formerly the Washington Business Group oNBME National Board of Medical ExaminersNCCAM National Center for Complimentary and Alternative MedicineNCDR National Cardiovascular Data RegistryNCH National Claims HistoryNCHS National Center for Health StatisticsNCI National Cancer InstituteNCID National Center for Infectious DiseasesNCMHD National Center on Minority Health and Health DisparitiesNCPDP National Council of Prescription Drug ProgramsNCQA National Committee for Quality AssuranceNCQHC National Committee for Quality Health CareNCVHS National Committee on Vital and Health StatisticsNDA New drug approvalNDC National Drug CodeNDNQI National Database of Nursing Quality IndicatorsNEJM New England Journal of MedicineNF Nursing FacilityNFPA National Fire Protection AgencyNGO Non-Governmental OrganizationNHB National Health BoardNHGRI National Human Genome Research InstituteNHI National health insuranceNHLA National Health Lawyers AssociationNHLBI National HeartNHPF National Health Policy ForumNHS National Health Service (United Kingdom)NIA National Institute on AgingNIAMS National Institutes of ArthritisNICU Neonatal Intensive Care UnitNIH National Institutes of HealthNIHCM National Institute for Health Care ManagementNIMMH National Institute of Mental HealthNIOSH National Institute of Occupational Safety and HealthNLM National Library of MedicineNLRB National Labor Relations BoardNMHCC National Managed Health Care CongressNMR Nuclear Magnetic ResonanceNP Nurse PractitionerNPA National Prescription Audit Page 16

_1000_ACRDEFN_JOIN_HCTERMS_SUMZNPC National Pharmaceutical CouncilNPRM Notice of Proposed Rule MakingNPSF National Patient Safety FoundationNPSG National Patient Safety GoalNQF National Quality ForumNR NursingNRC National Research CorporationNail Care care in the nursing interventions classification a nursing intervention defined as promotion of clean neat attractive nails and prevention of skin lesions related to improper care of nailsNewborn Care care in the nursing interventions classification a nursing intervention defined as management of the neonate during the transition to extrauterine life and the subsequent period of stabilizationNursing Care care in the omaha system therapeutic activities in addition to intermittent service including private duty nursingO.D. Doctor of OptometryO/P OutpatientOA OsteoarthritisOAA Older American ActOASIS Outcomes and Assessment Information SetOB Obstetrics or ObstetricianOB/GYN Obstetrician and GynecologistOBRA Omnibus Budget Reconciliation ActOC Oral contraceptiveOIG Office of the Inspector GeneralOMB Office of Management and BudgetOON Out-of-NetworkOOP Out-of-Pocket (Payments)OPC Outpatient ClinicOPM Office of Personnel ManagementOPO Organ Procurement OrganizationOR Operating RoomOSG Office of the Surgeon GeneralOSHA Occupational Health and Safety AdministrationOT Occupational TherapyOTA Office of Technology AssessmentOTC Over the Counter (Drug)Ostomy Care care in the nursing interventions classification a nursing intervention defined as maintenance of elimination through a stoma and care of surrounding tissue See also ostomyP&L Profit and LossP&O Prosthetics and OrthoticsP&T Pharmacy and Therapeutics CommitteeP4P Pay-for-performancePA Physician AssistantPAC Political Action CommitteePACE Program of all-inclusive care for the elderlyPACS Picture Archival Computer Systems (mainly radiology)PACU Post-Anesthesia Care UnitPARF Pennsylvania Association of Rehabilitation FacilitiesPASARR Pre-admission screening and annual resident reviewPASS Plan for achieving self supportPAT Preadmission Testing Page 17

_1000_ACRDEFN_JOIN_HCTERMS_SUMZPBT Participating Tax-Exempt Bond TransactionPCCM Primary care case managementPCI Percutaneous Coronary InterventionPCM Patient Care ManagerPCN Primary Care NetworkPCP Primary Care Physician (or Provider)PCPM Per contract per monthPCPT Physician's current procedural terminologyPCR Physician contingency reservePE Pulmonary EmbolismPERS Personal Emergency Response SystemPET Positron Emission TomographyPGY Postgraduate YearPH Paoli HospitalPHC4 Pennsylvania Health Care Cost Containment CouncilPHCQA Pennsylvania HealthCare Quality AlliancePHI Protected Heatlh InformationPHO Physician-Hospital OrganizationPHP Prepaid health planPHS Public Health ServicesPI Performance ImprovementPICU Pediatric Intensive Care UnitPMA Pharmaceutical Manufacturers AssociationPMG Primary medical groupPMPM Per Member Per MonthPMPY Per member per yearPN PneumoniaPOA Present on AdmissionPOC Plan of CorrectionPOS Point of ServicePPE Personal Protective EquipmentPPI Producer Price IndexPPMC Physician practice management companyPPO Preferred Provider OrganizationPPR Periodic Performance ReviewPPRC Physician Payment Review CommissionPPRVU Professional Practice Relative Value UnitPPS Prospective Payment SystemPRN Physician Referral NetworkPRO Peer Review OrganizationPRRB Provider Reimbursement Review BoardPRS Personal Emergency Response SystemPSAO Pharmacy services administration organizationPSAP Public Safety Answering PointPSI Patient safety indicatorPSN Provider sponsored/services network Page 18

_1000_ACRDEFN_JOIN_HCTERMS_SUMZPSO Provider Services OrganizationPSQIA Patient Safety & Quality Improvement ActPSRO Professional Standards Regulatory OrganizationPT Physical Therapy/TherapistPerineal Care care in the nursing interventions classification a nursing intervention defined as maintenance of perianal skin integrity and relief of perineal discomfortPersonal Care care the management of hygiene including bathing shampooing shaving nail trimming dressing and so onPh.D. Doctor of PhilosophyPhD Doctor of PhilosophyPhRMA Pharmaceutical Research and Manufacturers of AmericaPharmD Doctor of PharmacyPostanesthesiacare in the nursing interventions classification a nursing intervention defined as monitoring and management of the patient who has recently undergone general or regional anesthesiaPostoperative Ccare see postoperative carePostpartal Carecare in the nursing interventions classification a nursing intervention defined as monitoring and management of the patient who has recently given birthPreoperative Cacare see preoperative carePreventive Carecare the level of care in the health care system that consists of public health services and related programs such as school health educationPrimary Care care the routine outpatient care that a patient receives at first contact with the health care systemProPAC Prospective Payment Assessment CommissionProsthesis Carecare in the nursing interventions classification a nursing intervention defined as the care of a removable appliance worn by a patient and the prevention of complications associated with its use SPsyD Doctor of psychologyQA Quality AssuranceQALY Quality of life-yearQARI Quality assurance reform initiativeQC Quality ControlQI Quality ImprovementQIC Qualified Independent ContractorQIO Quality Improvement Organization (CMS)QISMC Quality improvement system for managed careQM Quality ManagementQMB Qualified Medicare BeneficiaryQOL Quality of lifeQR Quality ReviewQTR QuarterR&C Reasonable and customaryRAC Recovery Audit ContractorsRAI Resident assessment instrumentRAP Resident assessment protocolsRBRVS Resource-Based Relative Value ScaleRCA Root Cause AnalysisRCRA Resource Conservation and Recovery ActRDRG Refined Diagnosis Related GroupREIT Real Estate Investment TrustRFID Radio Frequency Identification DeviceRFP Request for ProposalRHIO Regional Health Information OrganizationRHQDAPU Reporting Hospital Quality Data Annual Payment UpdateRIC Rehabilitation Impairment Category Page 19

_1000_ACRDEFN_JOIN_HCTERMS_SUMZRICO Racketeer Influenced and Corrupt Organization ActRM Risk ManagementRMC Rating method codeRN Registered NurseROA Return on AssetsROE Return on EquityROI Return on InvestmentRPh Registered pharmacistRRC Residency Review CommissionRRT Rapid Response TeamRUG Resource Utilization GroupsRUGS III Resource utilization groupsRV Residual volumeRVS Relative Value ScaleRVU Relative Value UnitRW Relative WeightRWJ Robert Wood Johnson FoundationRWJF Robert Wood Johnson FoundationRespiratory Ca care see respiratory careRestorative Carcare the level of care in the health care system that consists of followup care and rehabilitation to an optimal functional levelRetrieved from httpenwikipediaorgwindexphptitleAcronymsinhealthcareoldid498211192Rx PrescriptionS&P Standard & Poor'sS/HMO Social health maintenance organizationSAMHSA Substance Abuse and Mental Health Services AdministrationSARS Severe Acute Respiratory SyndromeSCH Sole Community HospitalSCHIP State Children's Health Insurance ProgramSCI Spinal Cord InjurySCIP Surgical Care Improvement ProjectSCR Standard class rateSD Standard deviationSE Standard errorSEC Securities Exchange CommissionSEIU Service Employees International UnionSEM Standard error of the meanSG Surgeon GeneralSHCC State/Statewide Health Coordinating CouncilSHP Specified Health ProfessionalSIC Standard industry codeSICU Surgical Intensive Care UnitSLMB Specified low income Medicare beneficiariesSMI Supplementary medical insuranceSMSA Standard metropolitan statistical areaSNF Skilled Nursing FacilitySOA Sarbanes-Oxley Act of 2002 (SOX is used frequently as well) Page 20

_1000_ACRDEFN_JOIN_HCTERMS_SUMZSSBG Social Service Block GrantSSI Supplemental Security IncomeST Speech TherapySTAT Sooner than already thereSUA State unit on agingSURS Survey and utilization reviewsSelf Care care the performance of basic activities of daily living see also under assistance and deficitSicknessinjury care in the omaha system the appropriate responses to illness or accidents including first aid taking temperature and seeking medical careSkin Care care activities and interventions designed to maintain integrity of integument including care of pressure ulcers and massageSmart Define Healthcare Related AbbreviationsSpiritual Care care see spiritual careSubacute Care care comprehensive goaloriented inpatient care designed for a patient who has had an acute illness injury or exacerbation of a disease process it is rendered either immediately after or instead Supportive Carecare interventions that help the patient achieve comfort but do not affect the course of a disease Called also palliative care or treatmentT&E Travel & ExpenseTA Technology assessmentTANF Temporary assistance to needy familiesTCC Transitional Care CenterTCD Transcranial DopplerTEFRA Tax Equity and Fiscal Responsibility Act of 1982TPA Third-Party AdministratorTPN Total parenternal nutritionTQI/TQM Total Quality Improvement/ManagementTQM Total quality managementTTHS Tiny Tiny Head SyndromeTertiary Care care the level of care in the health care system that consists of complex procedures given in a health care center that has highly trained specialists and often advanced technologyTractionimmobicare in the nursing interventions classification a nursing intervention defined as management of a patient who has traction andor a stabilizing device to immobilize and stabilize a body partTube Care care in the nursing interventions classification a nursing intervention defined as management of a patient with an external drainage device exiting the bodyU UnitU&C or UC Usual and customaryUB Uniform billingUB-92 Uniform Billing Code of 1992UBI Unrelated Business IncomeUCR UsualUDS Uniform Data SystemUM Utilization managementUR Utilization ReviewURAC Utilization Review Accreditation Commission (now known as URAC)URO Utilization review organizationUS UltrasoundUSAN United State Adopted NamesUSP Untied States PharmacopoeiaUSPCC United States per capita costVA Veterans Administration/AffairsVBP Value Based PurchasingVHA Volunteer Hospital AssociationVNA Visiting Nurses Association Page 21

_1000_ACRDEFN_JOIN_HCTERMS_SUMZVO Verbal OrdersVPMA Vice President of Medical AffairsVR Vocational rehabilitationVTE Venous ThromboembolismWAN Wide Area NetworkWC WheelchairWHI Women's Health InitiativeWHO World Health OrganizationWIC "WomenWKKF W.K. Kellogg FoundationWNV West Nile VirusWRAIR Walter Reed Army Institute of ResearchWound Care care in the nursing interventions classification a nursing intervention defined as prevention of wound complications and promotion of wound healingYTD Year-to-DateZEBRA Zero Balanced Reimbursement Accountadult day care day care a health care service provided for adults with a disability or illness who need partial or supplemental care and companionship during the day when family members are working or otherbed rest care in the nursing interventions classification a nursing intervention defined as promotion of comfort and safety and prevention of complications for a patient unable to get out of bed See alcesarean sectiocare in the nursing interventions classification a nursing intervention defined as the preparation and support of a patient delivering a baby by cesarean sectioncontact lens care in the nursing interventions classification a nursing intervention defined as the prevention of eye injury and lens damage by proper use of contact lensesfamilycentered maternity care a pattern of caring for infants and their families used by Health and Welfare Canada It is characterized by a great deal of flexibility and parental choice and health care professionhighrisk pregnancy care in the nursing interventions classification a nursing intervention defined as identification and management of a highrisk pregnancy to promote healthy outcomes for mother and bhome care health care see home health careincision site carsite care in the nursing interventions classification a nursing intervention defined as cleansing monitoring and promotion of healing in a wound that is closed with sutures clips or staplespalliative care supportive careperipherally inserted central catheter care in the nursing interventions classification a nursing intervention defined as insertion and maintenance of a peripherally inserted central catheterpoint of care the location at which patient services are deliveredpostmortem 'ca in the nursing interventions classification a nursing intervention defined as providing physical care of the body of an expired patient and support for the family viewing the bodypregnancy termin the nursing interventions classification a nursing intervention defined as the management of the physical and psychological needs of the woman undergoing a spontaneous or electivpressure ulcer cin the nursing interventions classification a nursing intervention defined as facilitation of healing in pressure ulcersskilled nursing cnursing care the services provided by a registered nurse in a skilled nursing facility It currently includes observation during periods of acute or unstable illness administration of intravenous fltotal patient carpatient care a method of organizing care of patients such that one practitioner carries out all care requirementsurinary care incontinence care in the nursing interventions classification a nursing intervention defined as assistance in promoting continence and maintaining perineal skin integrity See also urinary incontin

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