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Glossary of Terms and Acronyms Related to e-Health

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Any of the following persons, health care providers, companies, or other organizations with which a health information organization or health data intermediary has contracts or other agreements for the provision of health information exchange services:

  • a health care facility licensed under sections 144.50 to 144.56, a nursing home licensed under sections 144A.02 to 144A.10, and any other health care facility otherwise licensed under the laws of this state or registered with the commissioner;

  • a health care provider, and any other health care professional otherwise licensed under the laws of this state or registered with the commissioner;

  • a group, professional corporation, or other organization that provides the services of individuals or entities identified in clause (2), including but not limited to a medical clinic, a medical group, a home health care agency, an urgent care center, and an emergent care center;

  • a health plan as defined in section 62A.011, subdivision 3; and

  • a state agency as defined in section 13.02, subdivision 17.
Reference: Minnesota Statute 62J.498, Subdivision 1, paragraph (n)

The process of cross-linking the multiple patient identifiers in a community from a variety of patient identifier sources and creating a master patient identifier with a key for cross-referencing the various community identifiers. This is also referred to as a record locator service.

Supports the capture and reporting of quality, performance, and accountability measures to which providers/facilities/delivery systems/communities are held accountable including measures related to process, outcomes, and/or costs of care, may be used in 'pay for performance' monitoring and adherence to best practice guidelines.

Reference: Health Level Seven, Inc. "HL7 EHR-S Functional Model and Standard." July 2004. http://www.hl7.org/ehr/downloads/index.asp

A PDA is a handheld computer that offers relatively limited functionality and computing power. Often used primarily as organizers, but some PDAs offer wireless e-mail and Internet access. Increasingly used in clinical practice for applications such as taking patient notes and ordering prescriptions.

An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.

Reference: The National Alliance for Health Information Technology Report to the Office of the National Coordinator for Health Information Technology on Defining Key Health Information

Any entity that provides the infrastructure to connect computer systems or other electronic devices utilized by prescribing practitioners with those used by pharmacies, health plans, third-party administrators, and pharmacy benefit managers in order to facilitate the secure transmission of electronic prescriptions, refill authorization requests, communications, and other prescription-related information between such entities.

Reference: Minn. Stat. §62J.495 sub. 1a(c)

A PBM is an organization that contracts with health insurance plans to manage prescription medication benefits.

PACS are systems that acquire, transmit, store, retrieve, and display digital images and related patient information from a variety of imaging sources and communicate the information over a network.

A definition of population health is: an approach to health that aims to improve the health of an entire population. One major step in achieving this aim is to reduce health inequities among population groups. Population health seeks to step beyond the individual-level focus of mainstream medicine and public health by addressing a broad range of factors that impact health on a population level, such as environment, social structure, resource distribution, etc. An important theme in population health is importance of social determinants of health and the relatively minor impact that medicine and healthcare have on improving health overall.

Population health is “everyone’s responsibility” in contrast to public health which is the “governmental responsibility” for the health of a population.  Public health is concerned with threats to the overall health of a community based on population health analysis. Governmental public health agencies provide the backbone to the public health infrastructure, but this infrastructure is also dependent on other entities such as the health care delivery system, the public health and health sciences academia, and other sectors that are heavily engaged and more clearly identified with health activities. Public health also plays a legal regulatory role (e.g., conducting restaurant inspections).

PCAST is an advisory group of the nation’s leading scientists and engineers who directly advise the President and the Executive Office of the President. PCAST makes policy recommendations in the many areas where understanding of science, technology, and innovation is key to strengthening our economy and forming policy that works for the American people. PCAST is administered by the Office of Science and Technology Policy (OSTP).

Reference: http://www.whitehouse.gov/

Right of an individual to control the circulation of information about him-/herself within social relationships; freedom from unreasonable interference in an individual's private life; an individual's right to protection of data regarding him/her against misuse or unjustified publication.

Individuals in these roles will be the architects and developers of advanced health IT solutions.

Reference: http://healthit.gov/

Section 1886(d) of the Social Security Act (the Act) sets forth a system of payment for the operating costs of acute care hospital inpatient stays under Medicare Part A (Hospital Insurance) based on prospectively set rates. This payment system is referred to as the inpatient prospective payment system (IPPS). Under the IPPS, each case is categorized into a diagnosis-related group (DRG). Each DRG has a payment weight assigned to it, based on the average resources used to treat Medicare patients in that DRG.

Reference: https://www.cms.gov/AcuteInpatientPPS/

PHI is a term used in the health Insurance Portability and Accountability Act (HIPAA) meaning individually identifiable health information that is transmitted or maintained by electronic media or is transmitted or maintained in any other form or medium. "Health information" is any information relating to the past, present, or future physical or mental health or condition of an individual. The definition of PHI has moved from 45 CFR §164.501 to 45 CFR §160.103.

According to the Minnesota Health Records Act, a provider means:

  • (1) any person who furnishes health care services and is regulated to furnish the services under chapter 147 (Board of Medical Practice), 147A (Physician Assistants), 147B (Acupuncture Practitioners), 147C (Respiratory Care Practitioners), 147D (Traditional Midwives), 148 (Nursing and Other Public Health Occupations), 148B Social Work, Marriage and Family Therapy, Mental Health), 148C (Alcohol and Drug Counselors), 148D (Board of Social Work), 150A (Dentistry), 151 (Pharmacy), 153 (Podiatry), or 153A (Hearing Instrument Dispensing);

  • (2) a home care provider licensed under section 144A.46;

  • (3) a health care facility licensed under chapter 144A;

  • (4) a physician assistant registered under chapter 147A; and

  • (5) an unlicensed mental health practitioner regulated under sections 148B.60 to 148B.71.

Reference: MN Health Records Act, Minn. Stat. §144.291 - 144.298

Public health is concerned with threats to the overall health of a community based on population health analysis.

Reference: http://en.wikipedia.org/wiki/Public_health

and

Governmental public health agencies provide the backbone to the public health infrastructure, but this infrastructure is also dependent on other entities such as the health care delivery system, the public health and health sciences academia, and other sectors that are heavily engaged and more clearly identified with health activities. Public health also plays a legal regulatory role (e.g., conducting restaurant inspections).

Reference: Adapted from the Institute of Medicine.

Systematic application of information and computer science and technology to public health practice, research, and learning.

Reference: Yasnoff, William A.; et al. Public Health Informatics: Improving and Transforming Public Health in the Information Age. Journal of Public Health Management and Practice, 2000: 67 - 75.

PHIN is CDC’s vision for advancing fully capable and interoperable information systems in the many organizations that participate in public health. PHIN is a national initiative to implement a multi-organizational business and technical architecture for public health information systems.

Reference: http://www.cdc.gov/phin/

See Also: Minnesota Public Health Information Network (MN-PHIN)

The Public Health Information Network Messaging System is a service that is used for creating standards, and HL7 2.x messages, for surveillance, message exchange between laboratories, public health jurisdictions and CDC. The goal is interoperability among public health systems.

Supports clinical health state monitoring of aggregate patient data for use in identifying health risks from the environment and/or population.

Reference: Health Level Seven, Inc. "HL7 EHR-S Functional Model and Standard." July 2004. http://www.hl7.org/ehr/downloads/index.asp

See Also: Outbreak Surveillance

A conceptual framework that enables the encryption, decryption and electronic "signing" of data transmissions in a secure fashion within an open network environment.

Updated Monday, May 01, 2017 at 10:33AM