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Glossary of Terms and Acronyms Related to e-Health

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A handheld is a portable computer that is small enough to hold in one's hand. The term is used to refer to a variety of devices ranging from personal data assistants, such as iPhones, Droids and tablet computers, to more powerful devices that offer many of the capabilities of desktop or laptop computers. Handhelds are used in clinical practice for such tasks as ordering prescriptions, accessing patients’ medical records and documenting patient encounters.

Harmonization means making identical or minimizing the differences between standards or related measures of similar scope.

HAN is a communication system used by the CDC to exchange disease information with state and local health departments.

Reference: http://www.health.state.mn.us/han/index.html

HHS is the principal U.S. agency responsible for protecting the health of citizens. HHS is responsible for more than 300 services, including overseeing medical and social science research, preventing outbreaks of infectious disease, assuring food and drug safety, and providing financial assistance for low-income families. HHS oversees CMS.

Reference: http://www.hhs.gov/

See Also: DHHS

Health Data Intermediary means an entity that provides the technical capabilities or related products and services to enable health information exchange among health care providers that are not related health care entities as defined in section 144.291, subdivision 2, paragraph (U). This includes but is not limited to: health information service providers (HISP), electronic health record vendors, and pharmaceutical electronic data intermediaries as defined in section 62J.495.

Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (e)

The use of the principles and practices of computer science in addressing the problems of health care. An interdisciplinary field of scholarship that applies computer, information, management and cognitive sciences to promote the effective and efficient use and analysis of information to improve the health of individuals, the community and society.

Reference: http://www.amia.org

See Also: Informatics

The noun use of HIE refers to an organization, usually a legal corporation, that facilitates information exchange (the verb form) within a network of facilities, community, state or region. In Minnesota, these are called health information exchange service providers and are certified by the state as either a health data intermediary or a health information organization.

Reference: Dixon, B. (2016). What is Health Information Exchange? In B.E. Dixon (Ed), Health Information Exchange. Navigating and Managing a Network of Health Information Systems.

The electronic transmission of health-related information between organizations according to nationally recognized standards. HIE provides value in that individuals, caregivers, and providers can appropriately access and securely share health information electronically—improving the speed, quality, safety and cost of care.

Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (f)

Health Information Exchange Service Provider means a health data intermediary or health information organization that has been issued a certificate of authority by the commissioner under section 62J.4981.

Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (g)

Health Information Organization means an organization that oversees, governs, and facilitates health information exchange among health care providers that are not related health care entities as defined in section 144.291, subdivision 2, paragraph (U), to improve coordination of patient care and the efficiency of health care delivery.

Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (h)

Established in June 2006 by RTI International through a contract with the U.S. Department of Health and Human Services (HHS), the Health Information Security and Privacy Collaboration (HISPC) originally comprised 34 states and territories. As phase 3 of the HISPC begins in April 2008, HISPC now comprises 42 states and territories, and aims to address the privacy and security challenges presented by electronic health information exchange through multistate collaboration. Each HISPC participant continues to have the support of its state or territorial governor and maintains a steering committee and contact with a range of local stakeholders to ensure that developed solutions accurately reflect local preferences.

Reference: http://www.rti.org

A HISP is an actor that serves the backbone exchange needs of Source and Destination actors and should be thought of in the context of message delivery/receipt and not in the context of governance responsibilities.

Reference: http://wiki.directproject.org/Direct+Abstract+Model

HIT is the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making.

Reference: http://healthit.gov/

Makes recommendations to the National Coordinator for Health IT on a policy framework for the development and adoption of a nationwide health information infrastructure, including standards for the exchange of patient medical information. Details on the meetings, the workgroups and related information can be accessed from http://healthit.gov.

Makes recommendations to the National Coordinator for Health IT on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information. Details on the meetings, the workgroups and related information can be accessed from http://healthit.gov.

HIPAA is a federal law intended to improve the portability of health insurance and simplify health care administration. HIPAA sets standards for electronic transmission of claims-related information and for ensuring the security and privacy of all individually identifiable health information.

Reference: CMS HIPAA info can be found at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/HIPAAPrivacyandSecurity.pdf. The Office for Civil Rights (the Enforcer of HIPAA Privacy) website under HIPAA is http://www.dhhs.gov/ocr/hipaa.

HL7 is a standard interface for exchanging and translating data between computer systems. HL7 is also a not-for-profit organization accredited by the American National Standards Institutes (ANSI) that develops standards for data transfer.

Reference: http://www.hl7.org/

HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing, and retrieval of electronic health information. These standards define how information is packaged and communicated from one party to another, setting the language, structure and data types required for seamless integration between systems. HL7 standards support clinical practice and the management, delivery, and evaluation of health services, and are recognized as the most commonly used in the world.

Reference: http://www.hl7.org/

The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.

Reference: http://www.hrsa.gov/index.html

HIMSS is the healthcare industry's membership organization exclusively focused on providing leadership for the optimal use of healthcare information technology and management systems for the betterment of human health.

Reference: http://www.himss.org/ASP/aboutHimssHome.asp

HITECH Act means the Health Information Technology for Economic and Clinical Health Act as defined in section 62J.495.

Reference: https://www.revisor.mn.gov/statutes/?id=62J.495

Minnesota programs funded to support the adoption and use of Electronic Health Records (EHRs) and exchange of information, and to become eligible to receive incentive payments.

  • Health Information Exchange: The State HIE Cooperative Agreement Program funds states’ efforts to rapidly build capacity for exchanging health information across the health care system both within and across states. http://healthit.gov

  • Beacon: The Beacon Community Cooperative Agreement Program provides funding to 17 selected communities throughout the United States that have already made inroads in the development of secure, private, and accurate systems of electronic health record (EHR) adoption and health information exchange. The Beacon Program will support these communities to build and strengthen their health information technology (health IT) infrastructure and exchange capabilities to improve care coordination, increase the quality of care, and slow the growth of health care spending. http://healthit.gov

  • SHARP: Awardees are responsible for increasing connectivity and enabling patient-centric information flow to improve the quality and efficiency of care. Key to this is the continual evolution and advancement of necessary governance, policies, technical services, business operations, and financing mechanisms for HIE over each state, territory, and SDE’s four-year performance period. This program is building on existing efforts to advance regional and state-level health information exchange while moving toward nationwide interoperability. http://healthit.gov

  • UP-HI: (University Partnership for Health Informatics) has been created to educate new health professionals who can assist in the transition from paper to digital records – in the form of patients' electronic health records, prescriptions, best treatments/therapies and more.

  • REACH: The Regional Extension Assistance Center for HIT works with providers of all types and sizes to improve quality of care through adoption and meaningful use of EHRs.  http://healthit.gov

Home monitoring is the use of physiologic monitors to assess patient status in the home. In some cases, results can be transmitted electronically to a case manager or physician.

Home telehealth is a service that uses information and telecommunications technologies to give the clinician the ability to monitor and measure health data and obtain information from patients located at home for diagnostics, monitoring, and clinical care.

See Also: Telehealth

Updated Monday, May 08, 2017 at 08:10AM