Glossary

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30-Day Readmission Rate

340B Drug Pricing Program

A

Abbreviated new drug application (ANDA) number

Academic Medical Center (AMC)

Accelerated Approval

Accountable Care Organization (ACO)

Accreditation Agency

Achievable benchmark of care (ABC)

Active Implantable Medical Device (AIMD)

Actual Acquisition Cost (AAC)

Addiction Treatment Center

Adjusted Average Per Capita Cost (AAPCC)

Adjusted community rating (ACR)

Administrative Services Organization (ASO)

Admission Discharge Transfer System/ADT Feed 

Admission-Discharge-Transfer (ADT) Systems

Admitted Carriers

Adulterated Device

Advance Health Care Directive

Advanced practice registered nurse (APRN) 

Adverse Drug Event

Affordable Care Act (ACA)

Agency for Healthcare Research and Quality (AHRQ)

AHRQ Service Line Groupers

All-Patient Diagnosis Related Group (AP-DRG)

All-Payor Claims Database

Allied Health Personnel

Alternative Payment Model (APM)

Ambulatory Patient Group (APG)

Ambulatory Payment Classification (APC)

Ambulatory Surgery Center (ASC)

Ambulatory Surgical Center Quality Reporting (ASCQR) Program

American Board of Internal Medicine (ABIM)

American College of Healthcare Executives (ACHE)

American Heart Association

American Hospital Association

American Nurses Credentialing Center (ANCC)

American Organization of Nurse Executives (AONE) 

Ancillary Services

Anesthesiologist

Ankle-brachial index (ABI) test 

Anonymized patient level data (APLD) 

Antibody Drug Conjugate

Any Willing Provider Laws

Application Lifecycle Management (ALM)

Approved Supplier List (ASL)

Area Health Education Center (AHEC)

Artificial Intelligence (AI)

Artificial Intelligence (AI) in healthcare

Assisted Living Facility (ALF)

Attending Physician

Auditing Organization (AO)

Authorship Position

Autoimmune / Autoimmune Disorder

Average Daily Census (ADC)

Average Length of Stay (ALOS)

Average manufacturer price (AMP) 

Average patient wait time 

Average Wholesale Price (AWP)

B

Balance Billing

Bed Management Software

Bed Utilization

Behavioral Health

Behavioral Risk Factor Surveillance System (BRFSS)

Berenson-Eggers Type of Service (BETOS) Classification System

Bill of Materials (BOM)

Bio-identifiers

Biologics License Application (BLA)

Bioprinting/3D Bioprinting 

Board Certification

Brand Name Drug

Breakthrough Device designation

Broad Specialty Care

Bundled Payments

C

Capital Equipment

Capitation Rate

Cardiac Intensive Care Unit (CICU)

Cardiopulmonary Resuscitation (CPR)

Cardiovascular Disease

Cardiovascular, Renal, and Metabolism (CVRM)

Care Coordination

Case Mix Index (CMI)

Catastrophic Health Insurance

Catheter-Associated Urinary Tract Infection (CAUTI)

CE Marking (CE Mark)

Center for Biologics Evaluation and Research (CBER)

Center for Devices and Radiological Health (CDRH)

Center for Drug Evaluation and Research (CDER) 

Center for Medicare & Medicaid Innovation (CMMI)

Center of Excellence (COE)

Centers for Devices and Radiological Health (CDRH)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

Central Line-Associated Bloodstream Infection (CLABSI)

Certificate of Coverage (CoC)

Certificate of Need (CON)

Chief Medical Officer (CMO)

Chief Nursing Officer (CNO)

Children's Health Insurance Program (CHIP)

Children's Hospital

Chronic Care Management (CCM)

Chronic Disease Management

Chronic Obstructive Pulmonary Disease (COPD)

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)

Claim denial rate

Claims Adjudication

Clinical Classifications Software (CCS)

Clinical Decision Support (CDS)

Clinical Evaluation Report

Clinical Information Systems (CIS)

Clinical Lab Technician

Clinical Operations (ClinOps)

Clinical outcome assessment (COA)

Clinical Pathway

Clinical Practice Guidelines

Clinical Research

Clinical research associate (CRA)

Clinical Research Center

Clinical studies

Clinical Trial Management System (CTMS)

Clinically Integrated Network (CIN)

Cognitive Impairment

Commercial Groupers

Commission on Cancer (CoC)

Communicable Disease

Community Health Center (CHC)

Community Leader

Community-Based Care Transitions Program (CCTP)

Competent Authority (CA)

Comprehensive Metabolic Panel

Computed Tomography (CT) Scan

Computed Tomography Angiography (CTA)

Computerized Provider Order Entry (CPOE)

Concierge Medicine

Conditional Marketing Authorisation

Conditions of Participation

Confirmed Insights

Conformity Assessment (CA)

Consolidated Health Informatics (CHI) Initiative

Consumable Medical Device

Continuing Care Retirement Community (CCRC) Facilities

Continuing Medical Education (CME)

Continuity of Care

Continuous Glucose Monitor (CGM)

Contract Research Organizations (CROs)

Coordinated Care Reward Program

Coordination of Benefits

Core-Based Statistical Area (CBSA)

Corporate Advisory Boards

Corrective and Preventive Action (CAPA)

Cost of Quality (COQ)

Coverage with evidence development (CED)

Critical Access Hospital (CAH)

Critical Care Medicine

Critical Care Unit

Critical condition

Current Annual Premium

Current Good Manufacturing Practice (CGMP)

Current Procedural Terminology (CPT)

Customary, Prevailing, and Reasonable

Customer Relationship Management (CRM)

D

Data monitoring committee (DMC)

Date of fill (DOF)

De Novo Classification

Death by Misadventure

Debilitating Illness

Decentralized Clinical Trials (DCT)

Delivery system reform incentive payment

Diabetes Education Centers

Diagnosis-Related Group (DRG)

Diagnostic and Statistical Manual of Mental Disorders (DSM)

Diagnostic Radiology

Digital Imaging and Communications in Medicine (DICOM)

Digital Influencers

Digital Opinion Leader (DOL)

Digital Therapeutics (DTx)

Direct Patient Care

Discharge Planning

Disease Management

Disproportionate share hospital

Distributor Chargeback Process

Do Not Resuscitate (DNR)

Doppler Ultrasound

Downstream Processing

Drug Development

Drug indication

Drug Utilization Review (DUR)

Durable Medical Equipment (DME)

E

E-Prescribing/Electronic Prescribing

Echocardiography

Editorial Panel

Elective Procedures

Electrocardiogram (ECG/EKG)

Electroencephalogram (EEG)

Electromyogram (EMG)

Electronic Claims Submission (ECS)

Electronic health data system (eHDS)

Electronic Health Record (EHR)

Electronic Intensive Care Unit (eICU)

Electronic laboratory reporting (ELR)

Electronic Medical Record (EMR)

Electronic Medication Administration Record (eMAR)

Electronic Patient-Reported Outcomes (ePROs)

Emergency Medical Condition

Emergency Medical Services (EMS)

Emergency Medical Technician (EMT)

Emergency Medicine

Emergency Operations Plan (EOP)

Emergency Physician

Emergency Services

Emerging Expert or "Rising Star"

Emotional Health

Employer-Sponsored Health Insurance

Episode grouper for Medicare (EGM)

Episode of Care

Establishment Registration

European Committee for Standardization (CEN)

European Database on Medical Devices (EUDAMED)

Evergreening 

Evidence-Based Medicine

Excluded Services

Expanded Access

Expense per bed

Experimental Studies

Extended care facility

External Experts

F

Failure Modes and Effects Analysis (FMEA)

Family Medicine

Fast Healthcare Interoperability Resource (FHIR)

FDA Advisory Committees

Federal Health Architecture (FHA)

Federal/Government Hospital

Federally Qualified Health Center (FQHC)

Fee-for-service (FFS)

Follow-On Biologic

Food and Drug Administration (FDA)

For-Profit Hospital

Freedom to Operate (FTO)

Fully Integrated Biopharmaceutical Company (FIBCO) Model

Fully Integrated Pharmacy Network (FIPNET)

Functional Service Provider (FSP)

G

Gastroenterology

Gastroesophageal Reflux Disease (GERD)

General Ledger Software

General Practice

Generally Recognized as Safe (GRAS)

Genetic and Rare Diseases (GARD) 

Genetic Engineering

Genetic Testing

Genomic Sequencing

Geriatrics/Geriatric Medicine

Global Location Number (GLN)

Good Laboratory Practice (GLP)

Good Manufacturing Practice (GMP)

Group Purchasing Organization (GPO)

Group Purchasing Organization (GPO) Award Cycle

Group Purchasing Organization (GPO) Listing

H

Habilitation Services

Health and Human Services (HHS)

Health Economics and Outcomes Research (HEOR)

Health Information Exchange (HIE)

Health Information Service Provider (HISP)

Health Information Technology (HIT)

Health Insurance

Health Insurance Network

Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Premium

Health Insurance Purchasing Cooperative (HIPC)

Health Maintenance Organization (HMO)

Health Outcomes

Health Plan Employer Data and Information Set (HEDIS)

Health Professional Shortage Area (HPSA)

Health Screening

Health Services Manager

Health Technology Assessment (HTA)

Health-Related Quality of Life (HRQL)

Healthcare Associated Infections (HAIs)

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Compliance

Healthcare Cost and Utilization Project Quality Indicators (HCUP QIs)

Healthcare Cost Reporting Information System (HCRIS)

Healthcare Data Warehouse

Healthcare Ecosystem

Healthcare Industry Number (HIN)

Healthcare Paraprofessional

Healthcare Provider

Healthcare Reimbursement

Hierarchal Condition Categories (HCCs)

High-Throughput Screening

Hill-Burton Act

HIPAA Breach Notification Rule

Home and Community-Based Services (HCBS)

Home Health Agency (HHA)

Home Health Care

Hospital Affiliation

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Hospital Information System

Hospital Readmissions Reduction Program (HRRP)

Hospital Referral Region (HRR)

Hospital Revenue

Hospital Value-Based Purchasing (VBP) Program

Hospital-Acquired Condition (HAC) Reduction Program

Hospital-Acquired Conditions (HACs)

Hospitalization

Human Factors Assessment

Humanitarian device exemption (HDE)

Humanitarian Use Device (HUD)

Hybrid Operating Room

I

Immuno-oncology

Implantable Medical Device

In Vitro Diagnostic (IVD) Device

In Vitro Diagnostics

In-line/Post-Market Drugs

Incident Reporting

Independent Hospital

Indian Health Service (IHS)

Infant Incubators

Infection Prevention and Control (IPC)

Infection Surveillance System

Infectious Disease

Informed Consent

Inpatient Claim

Inpatient Procedure

Insights Management

Insights Process

Institutional Long-Term Care

Instructional Healthcare Directive

Integrated Delivery Network (IDN)

Intensive Care Unit (ICU)

Interactive response technology (IRT)

Intermediate Care Facility (ICF)

Internal Medicine

International Federation of Pharmaceutical Manufacturers & Associations (IFPMA) 

Interoperability

Interventional Radiology

Intravenous (IV)

Investigational Device Exemption (IDE)

Investigational New Drug

J

Joint Commission

Journal Editorial Board

Journal Impact Factor

K

Key Opinion Leader (KOL)

Key Opinion Leader (KOL) Management 

L

Laboratory and Diagnostic Medical Equipment

Laboratory Information System (LIS)

Learning Management System

Length of Stay (LOS)

Licensed Practical Nurse (LPN)

Long-Term Care Facility

Long-term Care Insurance (LTCI)

M

MA-Generated Insights

Machine Learning

Magnet Hospital Status

Magnetic Resonance Angiography (MRA)

Magnetic Resonance Imaging (MRI)

Major Depressive Disorder (MDD)

Major Unusual Incidents (MUIs)

Managed Care Organization (MCO)

Managed Service Provider (MSP)

Management Service Organization (MSO)

Maximum allowable cost (MAC)

MedDRA (Medical Dictionary for Regulatory Activities) 

Medical Affairs

Medical Charting System

Medical Congress

Medical Device Reporting (MDR)

Medical Equipment Utilization

Medical Guidelines

Medical Loss Ratio (MLR)

Medical Malpractice Insurance

Medical Necessity

Medical Records Specialist

Medical Research Center

Medical Science Liaison (MSL)

Medical Societies

Medical Subject Headings (MeSH)

Medically Integrated Pharmacy (MIP)

Medically Underserved Populations

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Medicare Advantage

Medicare Cost Report (MCR)

Medicare Part A

Medicare Part B

Medicare Part C

Medicare Part D

Medicare Rural Hospital Flexibility (Flex) Program

Medicare Severity Diagnosis Related Group (MS-DRG)

Medicare Shared Savings Program (MSSP)

Medicare/Medicaid Provider Number (MPN)

Medication Reconciliation

Mental Health Services

Mental Healthcare

Mental Illness/Impairment

Mergers & Acquisitions (M&As)

Merit-based Incentive Payment System (MIPS)

Minimally Invasive Surgery

Mobile Health (mHealth)

Multisource Drugs

N

National Drug Code (NDC)

National Institutes of Health (NIH)

National Patient Safety Goals (NPSG)

National Provider Identifier (NPI) Standard

NBRx (New-to-Brand Prescription)

Neighborhood Health Center

Neonatal Intensive Care Unit (NICU)

Net Patient Revenue (NPR)

Network Integrity

Network Provider

Network Utilization

Neuropathic Pain

Neurosarcoidosis

New Biologic Entity (NBE)

New Drug Application (NDA)

New Prescription Starts (NPS)

Non-Invasive Procedure

Non-Physician Provider

Noncommunicable Disease

Nonprofit Hospital

Nosocomial Infection

NPI Target List

NRx (New Prescription)

Nuclear Medicine

Number of encounters

Nurse Practitioner (NP)

Nurse Scheduling Software

Nursing Informatics

O

Observational Studies

Obstetrical Systems

Obstetrics and Gynecology

Occupational Health Services

Occupational Safety & Health Administration (OSHA)

Occupational Therapist

Oncology Information System

Online Mendelian Inheritance in Man (OMIM)

Open Payments Data

Operating Room (OR)

Operating Room Management System

Organ Transplant

Original Biologic

Orthopedic Centers

Out-of-Network Co-Insurance

Out-of-Network Copayment

Out-of-Pocket Limit

Outpatient Care

Outpatient Center

Outpatient Claim

Outpatient Procedure

Over-The-Counter (OTC)

Own Brand Labeling (OBL)

P

Pain Management

Palliative Care

Patient Adherence

Patient Journey

Patient Keepage

Patient Leakage

Patient Mortality Rate

Patient Navigator

Patient Origination

Patient Pathways

Patient Population

Patient Reported Experience Measures (PREMs)

Patient Safety Officer

Patient Safety Organization (PSO)

Patient-Centered Care

Personal Protective Equipment (PPE)

Pharmacodynamics

Pharmacogenomics

Pharmacokinetic-Pharmacodynamic (PKPD) analysis

Pharmacokinetics (PK)

Pharmacometrics

Pharmacovigilance

Pharmacy Benefit Manager (PBM)

Pharmacy Services Administration Organization (PSAO) 

Photoplethysmography (PPG)

Physical Therapist

Physician Assistant, Certified (PA-C)

Physician Burnout

Physician Group

Physician Liaison

Physician Payments Sunshine Act

Physician Payments Sunshine Act (Sunshine Act)

Physician Practice Management

Physician Practice Management Group

Physician Preference Item (PPI)

Physician Quality Reporting System

Physician Relationship Management (PRM) Software

Physician Specialist

Physician Specialty

Picture Archiving and Communication System (PACS)

Plastic Surgery

Point-of-Service Plan (POS)

Population Health

Positron Emission Tomography (PET) Scan

Post-Acute Care

Post-Market Surveillance (PMS)

Posttraumatic Stress Disorder (PTSD)

Practice Management System (PMS)

Pre-Existing Condition

Precision Medicine

Preclinical Studies

Preferred Provider

Preferred Provider Organization (PPO)

Premarket Approval (PMA)

Prescription Drug Coverage

Prescription Drugs (Rx)

Press Ganey Survey

Preventive Care

Preventive Medicine

Primary Care Provider

Primary Diagnosis

Primary Service Areas (PSA)

Principal Diagnosis

Principal Investigator

Private Practice

Process Analytical Technology (PAT)

Propensity Model

Protected Health Information (PHI)

Provider Directory

Psychiatric Disorder

Psychiatric Hospital

Public Use File (PUF)

Pulse Volume Recording (PVR)

Q

Qualified Entity (QE)

Qualified Health Information Network (QHIN)

Qualified Medical Interpreter

Quality Improvement

Quality Improvement Organization (QIO)

Quality Metrics

Quality Payment Program (QPP)

Quality-Adjusted Life Years (QALYs)

R

Rapid Response System

Rapid Response Team

Real-Time Location Solution

Real-World Data/Real-World Evidence

Referral Network

Referring Physician

Regional Purchasing Coalition (RPC)

Registered Nurse (RN)

Regulatory Affairs (RA)

Rehabilitation Services

Relative Value Unit (RVU)

Remote Patient Monitoring (RPM)

Renal Dialysis Center

Request for Proposal (RFP)

Request for Quotation (RFQ)

Respiratory Syncytial Virus (RSV)

Respiratory Therapy

Restricted Funds

Revenue Cycle Management (RCM)

Revenue Leakage

Revenue per clinician

Revenue Per Treatment

Rider/Exclusionary rider

Risk Adjustment Factor

Risk Management

Risk Retention Group (RRG)

Robotic Surgery Devices

Rural Health Clinic (RHC)

S

Safe Medical Devices Act (SMDA)

Secondary Diagnosis

Secondary Service Areas (SSA)

Self-Developed Groupers

Service Line Grouping

Serviceable Addressable Market (SAM)

Serviceable Obtainable Market (SOM)

Share of Voice (SoV)

Short-Term Acute Care Hospital (STAC)

Significant Risk (SR)

Single-Use Devices (SUDs)

Skilled Nursing Care

Skilled Nursing Facility (SNF)

Sleep Disorder Center

Slow-Release Medicine

Small-Molecule Drug

Social Determinants of Health (SDOH)

Social Health Maintenance Organization (SHMO)

Social Security Disability Insurance (SSDI)

Social Services Block Grant (SSBG) Services Program

Software as a Medical Device (SaMD)

Sole Community Hospital

Specialty Pharmacy

Specification Developer

Sports Medicine

Staffing Shortage

Standard Analytical Files

Standard of Care

Strategic Sourcing

Surgical Medical Device

Surgical Site Infection (SSI)

Surrogate Endpoint

T

Teaching Hospital

Telediagnostics

Telestroke (Stroke Telemedicine)

Terminal Condition

Therapeutic equivalence (TE)

Thoracic Services

Total Addressable Market (TAM)

Total Prescriptions (TRx)

Total Quality Management

Transfusion Management System 

Transitional Care

Transitional Care Unit

Transitional Coverage for Emerging Technologies (TCET)

Trauma Registry Software

Trauma/Burn ICU

Trial master file (TMF)

U

Uncompensated Care

Unified Medical Language System (UMLS)

Unique Device Identifier (UDI)

Unit Dose Packaging System

Unmet Medical Needs

Upstream Processing

Urgent care facility

Usual, Customary, and Reasonable Charges

Utilization Review

V

Value Based Care

Value-Based Purchasing (VBP) Program

Vascular Access

Veterans' Health Services Programs

Video Remote Interpreting (VRI)

Virtual Primary Care

Visiting Nurse Association (VNA)

Vital Signs Monitor

Vocational Rehabilitation

W

Wall-Mounted Workstation

Wearable Medical Devices

Workers' Compensation Program

Workstation on Wheels

World Health Organization (WHO)

Wound Care Clinic

X