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137 Cards in this Set

  • Front
  • Back
ACHP
Alliance of Community Health Plans (formerlly the HMO Group)
ADA
American Diabetes Association
BHP
Behavioral Healthcare Providers
CCS
Consumer Choice System
CHIRRP
Cardiac High Instensity Risk Reduction Program
CHP
Center for Health Promotion
CI
Clinical Indicators
CM
Case Management
CPN
Consolidated Provider Network
CQP
Clinical Quality Profile
CQUM
Clinical Quality and Utilization Management
DCRR
Diabetes Care Reminder Report
DPP
Diabetes Prevention Program
DQIP
Diabetes Quality Improvement Project
EIS
Electronic Information System
ESRD
End Stage Renal Disease
HP
HealthPartners
HP/DP
Health Promotion/Disease Prevention Council
HPI
HealthPartners, Inc.
HPMG
HealthPartners Medical Group
HRA
Health Risk Assessment
HSAR
Health Services Analysis and Reporting
ICSI
Institute for Clinical Systems Improvement
IPCM
Inpatient case management
M&R
Milliman and Robertson
MCAP
Managed Care Appropriateness Protocol
MHN
Minnesota Healthcare Network
OPCM
Outpatient case management
ORP
Outcomes Recognition Program
PBH
Partners for Better Health
PIP
Performance Improvement Planners
PMI
Performance Measurement and Improvement
PMOG
Performance Measurement Operations Group
PPSA
Patient Profile Screen and Assessment
Pre-ESRD
Pre End Stage Renal Disease
QCAST
Quality of Care and Service Tracking
QMSC
Quality Measurement Steering Committee
QRC
Quality Review Committee
QRP
Quality Review Profile
QUI
Quatily and Utilization Improvement
ADSL
Asymmetric Digital Subscriber Line
ADT
Automated Data Transmission
ADW/ERD
Automated Data Warehouse/Employer Reporting Database
AHMS
Administration and Health Division Management Staff
AMR
Automated Medical Records
APC
Ambulatory Payment Codes - ref HSI
ATM
Asynchronous Transfer Mode
BBA
Balance Budget Act of 1997
BHCAG
Buyers Health Care Action Group
CAG
Clinic Administrative Group
CCS
Consumer Choice System
Cloverleaf
Trademark of HIE; configurable Interface proejct; ref interface engines
CMGH
Central Minnesota Group Health; a St. Cloud based affiliate of HealthPartners
CNIF
Coverage Never in Force
COB
Coordination of Benefits
CPI
Community Persons Index; ref HIE product of Consumer price indux (multiple indexes from the Bureau of Labor Stats)
CPN
Consolidated Provider Netowkrs. An Oracle database application used for the storage of individual, clinic, hospital, care network and product information contracted or owned by HealthPartners
CPT
Physicians' Current Procedural Terminology (AMA lising of medical terms and codes for reporting medical and surgical and diagnostic service by physicains
CQI
Continous Quality Improvement
DBMS
Database Management System (computer-based system used to establish, make available and maintain the integrity of a database
DEC
Digital Equipment Corp
DHCP
Dynamic Host Configuration Portocol
DHS
Department of Human Services
DFUG
Data File Users Group: A forum for reporting staff and programmers to share information and techniques
DSL
Digital Subscriber Line
DUR
Drug Utilization Review
E-Commerce or EC
Electronic Commerce
EDI
Electronic Data Interchage
EIN
Employee identification number
EMerge
Trademark of HIE
EOB
Explanation of benefits
ERIC
Employee Resource and Information Center
ESC
Excecutive Steering Committee
EWBS
Employee Well Being Survey- HP IS&T dept
EWIS
Enterprise Wide Information Services; replaces ADW/ERD acronym
HBOC
HBO & Company, wholly owned subsidiary of McKesson HBOC
HCI
Healthcare communicatios inc. wholly owned susidiary of Healthdyne Information Enterprises (HIE)
HCSS/OLB
HealthPartners Customer Service System/Online Benefits
HEDIS
Health Plan Employer Data nad Information Set 3.0 is a set of standardized peformance measures that assess teh quality of healthcare and services provided by managed care plans. It was developed by the NCQA's standardized set of about 60 performance measures for managed care plans....has become the industry standard
HCFA
Health care Financial Administration
HICN
Health Insurance Claim Number
HIE
Healthdyne Information Enterprises. HCI is a subsidiary; ref Cloverlead and Interface Engine
HIPPA
Health Insurance Portability and Accountability Act of 1996
HIT
Health Information Technology
HL7
Health Level 7
HPFIN
HealthPartners Facilitiy Indentification Number
HPR
Health Payment Review (now HBOC, HBO & Company)
HSAR
Health Systems Analysis and Reporting
IAP
Informed, Activated Patients
ICR/OCR
Intelligent Character Recognition or Optical Character Recognition
IHC
Integrated Home Care
IP
Internet Protocol
IPNG
Internet Protocol Next Generation
ISM
InterSystem MUMP
ISP
Internet Services Provider
JCAHO
the Joint commission on Accreditation of Healthcare Organizations is teh major accrediting agency for hospitals - a non-profit organizations formed in 1951 that performs accredition reviews
LAN
Local area network
LAT
Local area transport (DEC)
MCAP
Associated with CareWare
Medipac
Medical Patient Accounting Software
MIDAS
Medical Information Data Systems. A database application used for the storage of credintialed practioner information
MGM
Medical Group Management, applications from EPIC; Resolute, Patient Accounting System, Cadence and Prelude, patient appointment scheduling and registration
MM
Medical Management or Materials Management
MSR
Medical Service Record - electronic record of care provided at a staff model clinic. May beome an encounter or claim
MUMPS
Primary programming language -
NAT
Network address translators
NCQA
American Academy of Family Physicians National Committee on Quality Assurance and HEDIS - NCQA assesses and reports on the quality of healthcare organizations including health maintenance organizations, credentials...HEDIS measures are submitted to the NCQA
NetBEUI
NetBIOS Extented User Interface
NEXT
Near-ed Crosstalk
NIC
Netowrk interface card
OLB
Online benefits - refer to HCSS
PAG-MI
Physican Advisory Group - Medical Informatics
PBH
Partners for Better Health
PC/RC
Physicians Clinic/Regions Clinic that is located on Hwy 94 and Lexington
PCDD
Provider Contract Data Distribution (software part of CPN contracts)
PDS
Provider Data Support. The team of individuals responsible for the data entry of the majority of information stored in the CPN application
PHCS
Private Health Care System
PING
Packet Internet Groper
PPS
Patient Profile System
PPT
Prepared Practice Team
PREP
Pass Rate Enhancement Project - automatic routing of cliams to examiners who specialize in particular segments of the claims process
PSR
Patient Service Representative
QCAST
Quality of Care and Service Trackign - an annual servey that provides a detailed look at how our customers view HP in three areas of service
Quality of care - provided in our owned clinics and affiliates
Qualtity of Servce - clinics and affiliates and Quality of service provided by our administrative areas
RAMPIS
Ramsey Patient Information System
RUG
Rampis User Group
RxExpress
Pharmacy application that replaced VA Pharm (file management, veterans administration
SAS
stat software, used with data reporting applications
SDLC
synchronous data link control
SIBS
Self-insured billing system
SQL
structured query language
SOW
statement of work
TCI/IP
Transimission Control Protocol/Internet Protocol
TIIAP
Telecommuncations and information infrastructure assisstance program
TSI-DSO
Decision support
UDP
User Datagram protocol
UHS
Untied Hospital Services
UHS
Untied Hospital Services