Read online the terminology of health care interpreting a glossary of. The second edition, launched in 1999, has been fully updated and extended. The sbc shows you how you and the plan would share the cost for covered health care services. A service unit involves a group of clinicians and others working in a systematic way to deliver health care to patients. Access is the potential for or actual entry of a population into the health system. On march 23, 2010, president obama signed the patient protection and affordable care act ppaca into law. Along with the changes in healthcare delivery has come a new vocabulary. Ambulatory setting a type of health care setting where health services are provided on an outpatient basis. The economics of healthcare a ll of us would like to lead long, healthy lives. This esource represents the third edition of the economics of health care. Care health plan hopes that this first edition of the englishspanish managed care glossary of termsis used to improve communication with spanish speakers. Health maintenance organization hmo a health care system that assumes both the financial risks associated with providing comprehensive medical services insurance and service risk and the responsibility for health care delivery in a. To help you better understand health insurance, heres a list of the most commonly used health care terms and definitions. Emrehr systems that store health records, forms and data in an electronic format.
A decision about your health care that you make ahead of time in case you are ever unable to speak for yourself. Care management protocols cmps care management protocols specify utilization and treatment standards for various diagnoses. A separately constituted health service that is responsible for implementing clinical governance, administration and financial management of a service units that provides health care at the direction of the governing body. A complaint that you communicate to your health insurer or plan. Annual deductible is the amount you must pay each year for medical and mental health expenses before your medical plan begins to pay benefits. Glossary of health care terms health insurance illinois. Some terms may have multiple and varying definitions based on the context and primary source of authority. See if you qualify for a special enrollment period. Health care quality and patient safety, office of disease prevention and health promotion, u. To help you better understand health insurance, heres a list of the most. Glossary of ccbhcrelated quality measures and acronyms. Some examples of cost sharing are copayments, deductibles, and coinsurance. Methodology, demographics, and glossary 1 executive summary the american speechlanguagehearing association asha conducted a survey of speechlanguage pathologists slps in the spring of 20. It also provides an overview of informatics drivers and trends in the health care field.
Knowing what those terms are and their definitions helps with the daily practice of delivering quality health care in compliance with regulation, meeting. Now that youre signed up, well send you deadline reminders, plus tips about how to get enrolled, stay enrolled, and get the most from your health insurance. Hospital outpatient care care in a hospital that usually doesnt require an overnight stay. Glossary of health and care terms nhs confederation. Branch of the california department of health services that performs regular financial and medical audits of all medical contracted health plans in the state. Health care services that you would receive to learn or improve skills and functioning. In these units, we will show how economists have approached the problem of health care. Entry is dependent upon the wants, resources, and needs that individuals bring to the care.
The summary of benefits and coverage sbc document will help you choose a health plan. Assessmentone of public healths three core functions. These services may include physical and occupational therapy, speechlanguage pathology, and other. Ambulatory care facility acf a medical care center that provides a wide range of healthcare. Clinical status a type of outcomes measure that relates to biological health outcomes. Glossary of health coverage and medical terms this glossary defines many commonly used terms, butisnt a full list. Closed access a provision, which specifies that plan members must obtain medical services only from network providers through a primary care physician to receive benefits. Appeal the process of requesting a provider or health plan pay for a service for which payment has been denied autoenrollment the automatic assignment of a person to a health insurance plan. Colorado department of health care policy and financing fy 201617 budget request glossary of terms acronymword acronym meaning definition 300%ers persons whose income is up to three times the ssi payment limit. Oregon health authority page 1 public health terminology public health terminology including descriptions of federal agencies that fund public health programs access. Maryland healthchoice glossary unitedhealthcare community. The agency for health care research and quality ahrq has partnered with the society for simulation in healthcare and its many affiliates to produce the first comprehensive healthcare simulation dictionary and disseminate it widely as. Technical specification name acronym routine care needs percent of new consumers requesting services who were determined to need routine care rout time to initial evaluation percent of new consumers with initial. The name affordable care act is used to refer to the final, amended version of the law.
The glossary of terms is a list of terms directly or indirectly related to the practice of case management. Hipaa the health insurance portability and accountability act provides new rights and protections for members of group health care plans. The part of the bill that is eligible to be paid under your health plan. Vermont health care resources 2 health care terms a academic medical center a group of related institutions including a teaching hospital or hospitals, a medical school and. Certificate of need con a certificate issued by a governmental body to an individual or organization proposing to construct or modify a health facility, or to offer a new or different service. Agent a person who is authorized by an mco or an insurer to act on its behalf to negotiate, sell, and service managed care contracts. Your share of the costs of a covered health care service, calculated as a. Health care glossary, continued health care proxy legal document that allows you to appoint another person to make health care decisions for you.
Information about the cost of this plan called the premium will be. Ambulatory settings usually include physicians offices, clinics, and surgery centers. The ease of access is determined by components such as the availability of medical services and their acceptability to the patient, availability of insurance, the location of health care facilities, transportation, hours of operation, affordability and cost of care. Survey methodology, respondent demographics, and glossary. The comprehensive health care reform law enacted in march 2010. Glossary of housing and health care terms acronym term definition description aca affordable care act aco accountable care organization act assertive community treatment. The area health resources files ahrf include data on health care professions, health facilities, population characteristics, economics, health professions training, hospital utilization, hospital expenditures, and environment at the county, state and national levels, from over 50 data sources. A notice you get after the doctor, other health care provider, or supplier files a claim for part a or part b services in original medicare. Javascript is required for the best experience on htmlwebpackplugin. Glossary term definition references adverse effect adverse drug event an injury resulting from medical intervention related to a drug.
Health care services or supplies needed to prevent, diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine. A federal government website managed and paid for by the u. Affordable care act the law, also known as health care reform, went into effect in march 2010. Health care terminology glossary a pdf book manual.
Lexicon for behavioral health and primary care integration. Glossary of health care terms florida department of. Download the terminology of health care interpreting a glossary of. Lecture b defines the informatics team, their skills, roles and responsibilities, and identifies how health informaticians process data into information and knowledge for health care tasks with the support of information technology to improve patient care. Healthcare simulation dictionary agency for healthcare. And given the choice, we would prefer to do so without ever having to endure the surgeons scalpel, the nurses needle, or the dentists drill. Cost sharing your share of costs for services that a plan covers that you must pay out of your own pocket sometimes called outofpocket costs. Military health system mhs health care glossary serves as the official repository and consolidated reference as a secondary source for terms and definitions used within the mhs. A teambased treatment model that provides multidisciplinary, flexible. The survey was designed to provide information about health care based service delivery. Your share for example, 20% of the allowed amount for covered health care services.
These glossary terms and definitions are intended to. Health care services that your health insurance or plan doesnt pay for or cover. Vermont health care resources 1 health care terms glossary of commonly used health care terms and acronyms. All books are in clear copy here, and all files are secure so dont worry about it. Lesson 1 health care activity1a 36 health care glossary, continued health care proxy legal document that allows you to appoint another person to make health care decisions for you. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. The way a health plan decides how much it will pay for certain expenses. For plan years through 2018, most people must have qualifying health insurance or pay a fee sometimes called the shared responsibility payment, mandate, or penalty unless they qualify for a health coverage exemption. There are many financial terms in health care as it relates to the accounting, patients and practice of health care delivery.
Glossary centers for medicare and medicaid services. When making decisions about health coverage, consumers should know the specific meanings of terms used to discuss health insurance. It explains what the doctor, other health care provider, or supplier billed for, the medicareapproved amount, how much medicare paid, and what you must pay. The glossary also includes broader economic concepts relevant to health economics and the economics of development, where these are particularly pertinent. The glossary provides some of the most common words and phrases used. Innetwork copayments usually are less than outofnetwork copayments. Hospice services services to provide comfort and support for persons in the last stages of a terminal illness and their families. Aggregate stoploss coverage a type of stoploss insurance that provides benefits when a groups total claims during a specified period exceed a stated amount. In health care simulation, professional andor amateur people trained to reproduce the components of real clinical experience, especially involving communication between health professionals and patients or colleagues australian society for simulation in healthcare. Glossary health systems strengthening bibliography. Antimicrobial stewardship in austalian health care glossary. Glossary of health coverage and medical terms omb control numbers 15452229, 12100147, and 09381146 page 1 of 6 glossary of health coverage and medical terms this glossary defines many commonly used terms, but isnt a full list. Ancillary care additional health care services performed, such as lab work and xrays.
The terminology of health care interpreting a glossary of. Community library a section on the epic userweb where customers and epic share files, strategies, reports, smartforms, training tools and techniques, implementation tools and techniques, and more. Trends in utilization acknowledgments overall responsibility for planning and coordinating the content of this publication rested with the division of health care statistics dhcs, national center for health statistics nchs, centers for disease control and prevention, u. Adult nursing is a bayada home health care specialty practical nurses at home for adults and seniors dealing with primarily on an ongoing shift basis home health care glossary this glossary is to help our home health care community better understand the terms used in relation to care. Achieving a long, healthy life often requires the input of scarce resources. At one extreme are those who argue that americans have the best health care system in the world, pointing to the freely available medical technology and stateoftheart facilities that have become so highly symbolic of the system. It is hoped that the glossary will become a practical aid for policymakers and others engaged in reform of health services. This includes medication errors, adverse drug reactions, allergic reactions, and overdoses.
Download health care terminology glossary a book pdf free download link or read online here in pdf. The amount can vary by the type of covered health care service. Health care system written by kaoping chua amsa jack rutledge fellow 20052006 february 10, 2006 introduction the u. Granted based on certain hardships and life events, health coverage or financial status, membership in some groups, and other circumstances. A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium. Plus, healthcare is more complex than other industries which means standardization associated with the uniqueness of care is just simply hard to do. A consensus lexicon enables effective communication and concerted action among clinicians, care systems, health plans, payers, researchers, policymakers, business modelers and patients working. The statutory advance health care directive form is as follows. Published in june 2018, the plan sets out the future vision of a wholesystem approach to health and social care, which focuses on health and wellbeing and preventing illness.
Clarity extract the process of moving and translating data from your organizations production environment live data to a separate clarity server for analysis and report writing. Glossary of lgbt terms for health care teams as a provider in a health center or other health care organization, becoming familiar with terms used by lesbian, gay, bisexual, transgender lgbt communities can help you provide these patients with the highest quality care. Our comprehensive, easytouse glossary provides definitions for common health insurance terms to help you better understand your health care. Advance health care directive forms 4700 4701 chapter 2 added by stats. Are groups of physicians, hospitals and other health care providers, who. What is healthcare terminology healthcare analytics and. The services may provided at a hospital or a freestanding facility. In this glossary, you will find some of the terms most relevant to the. Health care services that help a person keep, learn or. Health insurance is full of terms you may not know. Home health care health care services a person receives at home. Glossary of medical insurance terminology pdf uc merced.
This will let your family and your doctors know what decisions you would make if you were able to. Glossary of health coverage and medical terms this glossary has many commonly used terms, but isnt a full list. Advanced health care directive form state of california. This esource is split into five units, which are shown on the left. A regional collaboration for health arch arch is a regional partnership made up of swansea university, swansea bay uhb and.
Read online health care terminology glossary a book pdf free download link book now. Ambulatory payment classification apc this is the method used by cms to implement prospective payment for ambulatory. Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. Copenhagen, world health organization, regional office for copenhagen, world health organization, regional office for europe, 1975. A preferred provider may not balance bill you for covered services.
Acute care shortterm care for an illness or health problem. A benefit year can start and end at the beginning and end of a calendar year, but it can also vary depending on. A glossary of terms for community health care and services for older. Assessmentone of public health s three core functions. Glossary of health care terms and acronyms content courtesy of cencal health. From my experience, its difficult enough to get one organization to agree on a standard for something, let alone the whole country to agree. Glossary of public health terms accreditationthe development of a set of standards, a process to measure health department performance against those standards, and some form of reward or recognition for those agencies meeting the standards. Glossary of health insurance terms blue cross and blue shield of. Glossary of health coverage and medical terms just plain clear.
1507 1424 1219 449 823 293 1319 1374 79 158 81 524 181 223 1311 99 1198 1304 855 610 70 149 139 876 105 1012 472 612 505 1033 392 1360