HEALTH CARE ACRONYMS

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1 HEALTH CARE ACRONYMS AA AAAHC AABD AAC AAHA AAMC AAMR AAPC AAPI AAPPO AAPS AARP AB ABC ABO ACCH ACGME ACHE ACP ACR ACT ACT 114 ACT 248 AD ADA ADD ADG ADL ADR ADS Alcoholics Anonymous Accreditation Association for Ambulatory Health Care Aid to Aged, Blind and Disabled Actual acquisition cost American Association of Homes for the Aging Association of American Medical Colleges; Association of American Medical Clinics American Association on Mental Retardation Adjusted average per capita cost American Accreditation Program, Inc. American Association of Preferred Provider Organizations American Association of Physicians and Surgeons American Association of Retired People Aid to the Blind Adjusted billed charge Accumulated benefit obligation Association for the Care of Children s Health Accreditation Council for Graduate Medical Education American College of Healthcare Executives American College of Physicians Adjusted community rate Assertive community treatment; application for continued treatment Involuntary medication statute State statute on the supervision of incompetent and mentally retarded individuals Administrative discharge Americans with Disabilities Act; American Dietetic Association; American Dental Association Attention deficit disorder Askesis Development Group Activities of daily living Adverse drug reactions Alternative delivery system 1 of 19

2 AFDC AFL AGPA AHA AHCPR AHEC AHQC AHS AHSA AHSAB AIM AIT ALEC AMA AMCRA AMCS AMI-VT AMP AMPCA AMPRA AMRRC AMSUS ANA ANCOR ANDA ANHA ANSI AOA APA APC APDRG APG APhA APHA Aid to families with dependent children Authorized funding limit American Group Practice Association American Hospital Association Agency for Health Care Policy and Research Area health education center American Health Quality Council Agency of Human Services American Health Security Act American Health Security Advisory Board Acuity index method Application for involuntary treatment American Legislative Exchange Council American Medical Association American Managed Care and Review Association Automated medical coding system Alliance for the Mentally Ill of Vermont average manufacturer price American Managed Care Pharmacy Association American Medical Peer Review Association American Medical Review Research Center Association of Military Surgeons of the United States American Nurses Association American Network of Community Options and Resources Abbreviated new drug application American Nursing Homes Association American National Standards Institute American Optometric Association; American Osteopathic Association American Pharmaceutical Association; Administrative Procedures Act Ambulatory patient classification; average projected cost All patient diagnosis related groups Ambulatory patient group American Pharmaceutical Association American Public Health Associations; American Protestant Hospital Association 2 of 19

3 APHSA APM APS APSE APT APTD ARC ARF ARIS ASHHRA ASHP ASHRM ASPA ASTHO AT AUR AWP The American Public Human Services Association Alternate payment mechanism (or alternate payment method) Ambulatory patient severity Association for Persons in Supported Employment Admissions per thousand Aid to the permanently disabled Association for Retarded Citizens Area resource file Area Resources for Individualized Services American Society of Healthcare Human Resource Administrators American Society of Hospital Pharmacists American Society for Hospital Risk Management American Society for Personnel Administration Association of State and Territorial Health Officials Assistive technology Ambulatory utilization review Average wholesale price BCCH BD BHMO BIS BISCHA BLS BPHC BRFSS Bipartisan Commission on Comprehensive Healthcare Behavior disordered Behavioral Health Management Organization Behavioral information system Department of Banking and Insurance, Securities, Health Care Administration Bureau of Labor Statistics Bureau of Primary Health Care Behavioral risk factor surveillance system CA CAFU CAN CAH CAHPS CAP Community Associates (DS Program of CSAC) Child, Adolescent and Family Unit of the Department of Developmental and Mental Health Services Child abuse and neglect Critical access hospital Consumer assessment of health plans Center Accreditation Project; Community Access Program (DS program of RMH); Community Action Program 3 of 19

4 CARC Champlain Association for Retarded Citizens or Champlain ARC CARF Commission on Accreditation of Rehabilitation Facilities CAT Computerized axial tomography CBA Cost benefit analysis CBO Congressional Budget Office CCD Crippled Children s Division CCHP Consumer Choice Health Plan CCO Coordinated care organization CCU Coronary care unit CDC Centers for Disease Control and Prevention CDS Community Developmental Services (DS program of WCMH) CEC Council on Exceptional Children CFIS Clinical Financial Information Systems CFR Code of Federal Regulations CGMP Current good manufacturing price CHAMPUS Civilian Health and Medical Program of the Uniformed Services CHAMPVA Civilian Health and Medical Program of the Veterans Administration CHAP Child Health Assurance Program CHBI Commission on Health Benefits and Integration CHC Comprehensive health centers CHCT Council on Healthcare Technology CHMIS Community health management information system CHO Comprehensive Health Organization CHP Certified Health Plan CHPA Community Health Purchasing Alliance CHS Community health center CHSO Comprehensive Health Services Organization CIP Competitive Incentive Program CMC Clara Martin Center CME Continuing medical education CMHC Community mental health center CMHS Center for Mental Health Services CMO Case Management Organization CMP Competitive medical plan 4 of 19

5 CMP Community medical plan CMS Centers for Medicare and Medicaid Services (formerly HCFA) COB Coordination of benefits; certificate of benefit COBRA Consolidated Omnibus Reconciliation Act of 1986 COC Certificate of coverage CODTP Co-Occurring Disorders Treatment Program COG Council of Governments CON Certificate of need COPC Community oriented primary care CORF Comprehensive outpatient rehabilitation facility COTH Council of teaching hospitals CP Cerebral palsy; certified provider CPHA Commission on Professional and Hospital Activities CPI Consumer price index CPR Comparative performance reports CPR Customary, prevailing and reasonable CPRC Customary, prevailing and reasonable charge CPT-4 Current Procedural Terminology, Fourth Edition CPS Child Protective Services CQI Continuous quality improvement CR Conditional release CRC Community Rating by Class CRT Community rehabilitation and treatment for severely and persistently mentally ill CRVS California Relative Value Studies CSAC Counseling Services of Addison County CSP Community support program CT Computer tomographic (scanners) CUPS Children s Upstream Services (for mental health care) CVCA Central Vermont Council on Aging CVCAC Central Vermont Community Action Council CVH Central Vermont Hospital (Central Vermont Medical Center) CVS Champlain Vocational Services CVSAS Central Vermont Substance Abuse Services 5 of 19

6 DA DAD DAW DAWN DBT DCG DD DDC DDMHS DDS DEA DES DHHS DHRS DHMC DLP DMD DME DMH DO DOE DOL DOS DOT DPOA/HC DRG DSH DRR DUR DS DSM III D.S.W. DVM DVR Designated agency for developmental and mental health services Vermont Department of Aging and Disability Dispense as written Drug abuse warning network Dialectical behavioral therapy Diagnostic cost group Developmental disability Developmental Disabilities Council Department of Developmental and Mental Health Services Division of Developmental Services; Doctoral of Dental Surgery Drug Enforcement Agency Department of Economic Security Department of Health and Human Services Department of Health and Rehabilitation Services Dartmouth Hitchcock Medical Center Disability Law Project Doctor of Medical Dentistry Durable medical equipment Division of Mental Health Doctor of Osteopathy Department of Education Department of Labor Date of service Department of Transportation Durable power of attorney for healthcare Diagnosis related groups Disproportionate Share Hospital Adjustment Drug regimen review Drug utilization review Developmental services (includes mental retardation and pervasive developmental disabilities Diagnostic and Statistical Manual of Mental Disorders Version III Doctorate degree in Social Work Doctor of Veterinary Medicine Division of Vocational Services 6 of 19

7 E-bed Emergency bed EAC Estimated acquisition cost EBRI Employee Benefits Research Institute ECF Extended care facility ECM Electronic claims management ECRC Enhanced community rating by class ECT Electroconvulsive therapy EDI Electronic data interchange EDS Electronic data systems EEE Essential Early Education EEG Electroencephalogram EHA The Education for all Handicapped Children Act (Public Law ) EHR Electronic Health Record EKG Electrocardiogram ELIC Eligible low-income children EMR Electronic Medical Record EMS Emergency medical services EOS Equal opportunity employer EPA Exclusive provider arrangement EPO Exclusive provider organizations EPSDT Early and periodic screening, diagnosis and treatment program ER Emergency room; experience rating ERIS Employee resources information systems ERISA Employee Retirement Income Security Act EQRO External quality review organization ESRD End stage renal disease ET Expenditure target FAC FACCT FAH FDA FED FEHBP Freestanding ambulatory center Foundation for Accountability (consumer info network) Federation of American Hospitals Food and Drug Administration Front end deductible Federal Employees Health Benefits Program 7 of 19

8 FERPA FI FICA FF FFF FFP FFS FFY FMAP FNP FP FQHC FTC FTCA FTE FY Family Educational Rights and Privacy Act Fiscal intermediary Federal Insurance Contributions Act Families First (DS provider) Flexible Family Funding (for families with a member who has a developmental disability Federal financial participation Fee for service Federal fiscal year Federal medical assistance percentage Family Nurse Practitioner For profit Federally Qualified Health Center Federal Trade Commission Federal Torte Claims Act Full time equivalents Fiscal year GAD GAF GAO GCW GDEA GDR GEP GF GH GHAA GHI GHRI GMP GMPP GNP GME GMSA Government Affairs Division Global assessment of functioning (for individuals with mental illness) Government Accounting Office Governor s Commission on Women Generic Drug Enforcement Act Government Distribution Report General enrollment period General fund Group home Group Health Associations of America Group Health Institute General health rating index Good manufacturing practice Green Mountain Prevention Projects Gross national product Graduate Medical Education Green Mountain Self-Advocate 8 of 19

9 GOVnet GP GPC GPCI GPO GS GSS The State of Vermont s statewide communication infrastructure General Practitioner General price ceiling Geographic practice cost index Group Purchasing Organization Guardianship services Guardianship services specialist HA HARC HAS HBP HCA HCBS HCBW HCFA HCHS HCRS HCS HCUP HEART HEASB HEDIS HFMA HHA (D)HHS HI HIAA HIB HICN HIMA HIPAA HIPC HJR Health alliance Hartford Area Regional Collaborative Health systems agency; health service area Hospital based plan Health Care Authority Home and Community-Based Services Home and Community-Based Waiver Health Care Financing Administration (now CMS Centers for Medicare and Medicaid Services) Howard Center for Human Services Health Care and Rehabilitation Services of Southeastern Vermont Howard Community Services (DS Program of HCHS) Healthcare Cost and Utilization Project Health Equity and Access Reform Today Act Health Standard Board Health Plan Employer Data and Information Set Healthcare Financial Management Organization Home Health Agency Department of Health and Human Services (federal) Home Intervention (Crisis intervention program at WCMH) Health Insurance Association of America Health insurance benefits or hospital insurance benefit Health insurance claim number Health Industry Manufacturers Association Health Insurance Portability & Accountability Act Health Insurance Purchasing Cooperative House joint resolution 9 of 19

10 HMO HMSA HOS HPA HPO HPPC HQIA HRD HRQoL HRSA HSA HSQB HSRA HUD Health Maintenance Organization Health manpower shortage area Health outcomes survey Health policy agenda Hospital Physician Organization Health plan purchasing cooperative Healthcare Quality Improvement Act Human resources data Health related quality of life scale Health Resources and Services Administration Health systems agency Health Standards and Quality Bureau Health Resources & Services Administration Housing and Urban Development I & R IADL IBNE IBNR ICCS ICDA ICF ICFMR ICS ICU IDS IEP IFSP IG IOM IP IPA IPP IPR Information and referral Instrumental activities of daily living Incurred but not enough Incurred but not reported International classification of clinical services International classification of diseases, adapted Intermediate care facility Intermediate care facility for the mentally retarded Information and computer services Intensive care unit Integrated delivery system Individualized education program; initial enrollment period Individual family services plan Inspector General Institute of Medicine (of the National Academy of Sciences) Inpatient Independent Practice Association; Individual Practice Association Individual program plan Independent professional review 10 of 19

11 IPS IQP ISA ISB ISC ISN ISO Individual Placement and Support (model for Supported Employment); integrated practice system Institutes of Quality Program Individual support agreement Individualized services budget Children s Mental Health Integrated systems of care Integrated services network Intermediary service organization JCAH JCAHO JL JR Joint Commission on Accreditation of Hospitals Joint Commission on Accreditation of Healthcare Organizations Consent decree governing involuntary medication Judicial review LCMH LEA LIT LOS LPN LRE LSC LSI LTC LTCF LVN Lamoille County Mental Health Local education agency Local interagency team Length of stay Licensed Practical Nurse Least restrictive environment Life safety code Lincoln Street, Incorporated Long term care Long term care facility Licensed Vocational Nurse MA MAA MAAC MAC MAF MAO MAP MBD MCAT Medical assistance Medical assistance for the aged Maximum allowable actual cost Maximum allowable cost Medical assistance facility Medical assistance only Medical audit program Minimal brain dysfunction Medical college admission test 11 of 19

12 MCIS Managed care information system MCOs Managed care organizations MCH Maternal and child health program MCP Managed care plan MCPI Medical Care Price Index MCR Modified community rating MDC Major diagnostic category MDS Nursing home minimum data set MED Mental or emotional disturbance (or disorder) MEDLARS Medical literature and analysis retrieval system MET Multiple employer trust MEWA Multiple employer welfare MFS Medical fee schedule MH Mental health MHA Mental Health Association MHSA Mental health and substance MHSIP Mental Health Statistics Improvement Project MI Mentally impaired/ill/indigent MIG Medicare insured groups MIS Management information system MMIS Medical management information system MMP Mixed model plan MOU Memorandum of understanding MPB Migrant Program Branch MR Mental retardation MRI Magnetic resonance imaging MRR Medical records research MSA Medical savings account; metropolitan statistical areas MSR Monthly service report M.S.W. Master s degree in Social Work; Medical Social Worker NA NACo NAEHCA Narcotics Anonymous National Association of Counties National Association of Employers on Health Care Action 12 of 19

13 NAEYC NAHC NAHDO NAMI NAPH NAPPH NAPPI NAS NASC NASDDS National Association for the Education of Young Children National Association for Home Care National Association of Health Care Organizations National Alliance for the Mentally Ill National Association of Public Hospitals National Association of Private Psychiatric Hospitals Non-abusive physical & psychological intervention National Academy of Science National Alliance of Senior Citizens National Association of State Directors of Developmental Disabilities Services NASMHPD National Association of State Mental Health Program Directors NASW NBME NCCBH NCHS National Association of Social Workers National Board of Medical Examiners National Council of Community Behavioral Health National Center for Health Statistics NCHSR/HCTA National Center for Health Services Research/Health Care Technology Assessment NCI National Cancer Institute NCQA National Committee for Quality Assurance NCSS Northwestern Counseling & Support Services NDC National drug code NFI Northeastern Family Institute NGA National Governor s Association NHIC National Heritage Insurance Company NHSC National Health Services Corps NICHCY National Information Center for Handicapped Children and Youth NICHQ National Initiative for Children s Healthcare Quality Organizations NICU Neonatal intensive care unit NIDA National Institute of Drug Abuse NIDRR National Institute on Disability and Rehabilitation Research NIH National Institute of Health NIMH National Institute of Mental Health NIOSH National Institute of Occupational Safety and Health NKHS Northeast Kingdom Human Services 13 of 19

14 NLM NMHA NP NPRM National Library of Medicine National Mental Health Association Nurse Practitioner Notice of proposed rulemaking OAA Old age assistance OADAP Office of Alcohol & Drug Abuse Programs OASDHI Old Age Survivors, Disability and Health Insurance Program OASIS Outcomes assessment and information set OBRA 90 Omnibus Budget Reconciliation Act of 1990 ODS Organized delivery system OEO Office of Economic Opportunity OH Order of hospitalization OIG Office of the Inspector General OMB Office of Management and Budget ONE-MHSIP Organization of Northeastern Mental Health Statistics Improvement Projects ONH Order of non-hospitalization (used by Vermont State Hospital to enforce treatment for discharged patients) OPD Outpatient Department OT Occupational therapy OVHA Office of Vermont Health Access P&A PASARR PATH PCA PCCM PCMH PCN PCO PDD Ph.D. PHO PIC Protection & advocacy Preadmission, screening and annual resident review Department of Prevention, Assistance, Transition and Health Access; Program to Assist in the Transition from Homelessness (federal) Primary Care Association Primary care case management Program in Community Mental Health Primary care network Primary Care Office Pervasive developmental disorder A Doctoral degree Physician-Hospital Organization Parent Information Center 14 of 19

15 PIP PMPM PMPY POS PPO PPS PRO PROS PT Performance Indicator Project (for mental health); periodic interim payment Per member per month Per member per year Point of sale or point of service Preferred Provider Organization Prospective Payment System Peer review organization Pediatric research in office settings Physical therapy or physical therapist QA QAAC QAP QARI QDDP QI QIAC QIF QMHP QMRP QOL Quality assurance Quality assurance and assessment committee Quality assurance program Quality Assurance Reform Initiative Qualified Developmental Disabilities Professional Quality improvement Quality Improvement Advisory Council Quality Improvement Forum Qualified Mental Health Professional Qualified Mental Retardation Professional Quality of life R&C R&R R&S R&T RAAC RAN REV/ONH RFP RHC RHFP RMHS RN Reasonable and customary Resource and referral Research and statistics Research and training centers Risk Adjustment Advisory Committee Rural area computer network Revocation of an order of non-hospitalization Request for proposals Rural health clinic Rural Hospital Flexibility Program Rutland Mental Health Services Registered nurse 15 of 19

16 ROA ROE RRC RRI Rule 10 RWJF Return on assets Return on equity Regional resource centers Regional Research Institute for Human Services State mandated assessment of managed care plans by the Health Care Administration Robert Wood Johnson Foundation SAMHSA SAS SBS SCC SD SDP SEA SED SGO SHMO SIT SMHRCY SMI SMM SRS SS SSA SSDI SSI SSN SX6 Substance Abuse and Mental Health Services Administration Sterling Area Services Success Beyond Six Specialized Community Care Self-Determination Self-Determination Project State education agency Seriously emotionally disturbed Surgeon General s Office Social HMO State Interagency Team State Mental Health Representatives for Children and Youth Supplementary medical insurance State Medicaid Manual Social and Rehabilitation Services Social Services Social Security Administration; Specialized Service Agency for the Department of Developmental and Mental Health Services Social Security Disability Insurance Supplemental Security Insurance Social Security number Success By Six T&TA Training and technical assistance; technology assessment TBI Traumatic brain injury TDOC Total days of care TEFRA 82 Tax Equity & Fiscal Responsibility Act of of 19

17 TPA TPCM TPL TQM Tx TXIX Third party administrator Third party claims management Third party liability Total quality management Treatment Medicaid (State Plan) UAP UB UBP UCS UM UR URAC URC URO USC UVS University Affiliated Program for Developmental Disabilities Uniform billing or uniform bill Uniform benefit package United Counseling Services Utilization management Utilization review Utilization Review Accreditation Commission Utilization Review Committee Utilization Review Organization United States code Upper Valley Services VA VAHHA VAHHS VAMH VCDC VCDMHS VCDR VCF VCHIP VCIL VCIN VHAP VHPSI VIRHN VNA Veteran s Administration Vermont Assembly of Home Health Agencies, Inc. Vermont Association of Hospitals & Health Systems Vermont Association for Mental Health Vermont Community Diabetes Collaborative Vermont Council of Developmental and Mental Health Services Vermont Coalition for Disability Rights Vermont Children s Forum Vermont Child Health Improvement Project Vermont Center for Independent Living Vermont Crisis Intervention Network Vermont Health Access Program VT Hospital Preventative Services Initiative Vertically Integrated Rural Health Network Visiting Nurse Association 17 of 19

18 VP&A VPQHC VPS VR VSH VSL Vermont Protection and Advocacy Vermont Program for Quality in Health Care Vermont Psychiatric Survivors Vocational Rehabilitation Vermont State Hospital Vermont Supported Living WAP WC WCMHS WCS WISC WRAT Wholesale acquisition price Worker s compensation Washington County Mental Health Services West Center NH Community Services Wechsler tests Wide range achievement test 18 of 19

19 Information Sources Glossary of Healthcare Reform Terms, National Mental Health Association Glossary of Terms Commonly Used in Health Care, Alpha Center Appendix 3, Glossary, Vermont Business Roundtable Oh Those Wonderful, Vermont Program for Quality in Health Care from the Department of Developmental and Mental Health Services, The Clara Martin Center Glossary of Health Care Terms, Families USA VAHHA Board Manual, Vermont Assembly of Home Health Agencies, Inc. A Consumer s Guide to Health Insurance, Vermont Division of Health Care Administration, Department of BISHCA 19 of 19

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