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Definition
Application Service Provider. Business that provides application
software to users through a web browser. The software typically
resides on the vendor's system thus eliminating the need for customers
to host the application on their own computer servers. Software
offered using an ASP model is also called "On-Demand Software" or
"Software As A Service". |
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Term
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Definition
Continuity of Care Record. A patient health summary standard
designed to permit creation of flexible documents that contain the
most relevant and timely core health information about a patient and
the electronic transmission of these documents from one caregiver to
another. |
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Term
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Definition
Computerized Provider Order Entry. Clinical application that
allows health care providers to order and process lab tests,
medications, clinical procedures, and other services electronically.
Routing important requests for patient care occurs almost
instantaneously |
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Term
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Definition
Drug Utilization Review. The practice of drug utilization review
ensures patient safety and manages medication therapy by examining a
patient's physician orders and checking for drug-drug, drug-allergy,
drug-food, and drug-condition interactions using patient factors such
as gender, age, weight, medical history and current treatments. |
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Term
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Definition
Drug Utilization Review. The practice of drug utilization review
ensures patient safety and manages medication therapy by examining a
patient's physician orders and checking for drug-drug, drug-allergy,
drug-food, and drug-condition interactions using patient factors such
as gender, age, weight, medical history and current treatments. |
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Term
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Definition
Electronic Data Interchange. Computer-to-computer exchange of
structured information, by agreed message standards, from one computer
application to another by electronic means and with minimum human
intervention |
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Term
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Definition
Electronic Health Record. Extends the EMR concept to include
cross-institutional data sharing. An EHR may also reside within a
single institution, linking affiliated practice sites together. All
participating sites must have an interoperable EMR in place. |
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Term
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Definition
Electronic Medical Record. Set of databases that contain health
information for patients within a given institution or organization,
compiled from a variety of sources. |
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Term
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Definition
Electronic Prescription or Electronic Prescribing. Use of
electronic devices to enter, modify, review and output or communicate
drug prescriptions. Electronic prescribing will be required by 2009 as
established by the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 |
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Term
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Definition
Health Information Technology. As the US Government
Accountability Office (GAO) and others have reported, the use of
information technology (IT) has enormous potential to improve the
quality of health care and is critical to improving U.S. health care
system performance |
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Term
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Definition
Medication Administration Record. Record of the drugs
administered to a patient at a facility by a nurse or other healthcare
professional. The nurse or healthcare professional signs off on the
record at the time that the drug is administered. eMAR is an
electronic medication administration record. |
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Term
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Definition
Minimum Data Set. The MDS is part of the US federally mandated
Resident Assessment Instrument (RAI) process for clinical assessment
of all residents in Medicare or Medicaid certified nursing homes. This
process provides a comprehensive assessment of each resident's mental
and functional capabilities and helps nursing home staff identify
health problems. MDS assessments are required for all residents on
admission to the nursing facility and then on days 5, 14, 30, 60, & 90
day, and periodically as needed for significant changes in the
resident's condition. The 5-day assessment covers payment for days 1 -
14; 14-day for days 15 - 30; etc. The Centers for Medicare & Medicaid
Services (CMS) requires that the MDS be submitted electronically to
the State database. When the assessment is required for payment, a
Resource Utilization Group (RUG) is assigned to the assessment. |
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Term
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Definition
Omnibus Budget Reconciliation Act. OBRA of 1987 mandated that
an assessment be designed and used across the nation to determine each
long-term care resident's functional capabilities. This assessment was
to lead to the development of an individualized care plan. The
Resident Assessment Instrument (RAI) and the Minimum Data Set (MDS)
were created in response to this requirement. |
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Term
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Definition
Prospective Payment System. The US Balanced Budget Act (BBA) of
1997 modified how payment is made for Medicare skilled nursing
facility (SNF) services. Effective in 1998, SNFs are paid on the basis
of a per diem prospective payment system (PPS) covering all costs
(routine, ancillary and capital) related to the services furnished to
beneficiaries under Part A of the Medicare program. Per diem payments
for each admission are case-mix adjusted using a resident
classification system (Resource Utilization Groups or RUGs) based on
data from resident assessments (MDS) and relative weights developed
from staff time data. |
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Term
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Definition
Resident Assessment Instrument. The instrument is comprised of
the MDS and utilization guidelines (including the RAPs and triggers)
and provides a comprehensive, accurate, standardized, reproducible
assessment of each long-term care facility resident's functional
capabilities and identifies medical problems. The RAI helps facility
staff to gather definitive information on a resident's strengths and
needs, which must be addressed in an individualized care plan. It also
assists staff to evaluate goal achievement and revise care plans
accordingly by enabling the facility to track changes in the
resident's status. |
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Term
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Definition
Resident Assessment Profiles. RAPs are structured,
problem-oriented frameworks for organizing MDS information, and
additional clinically relevant information about a resident that
identifies medical problems and forms the basis for individualized
care planning. |
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Term
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Definition
Resource Utilization Group. Skilled nursing facilities (SNF)
receive per diem payments for each admission, which are case-mix
adjusted using a resident classification system, Resource Utilization
Groups (RUG) III, based on data from resident assessments and relative
weights developed from staff time data. Using the data from MDS
assessments, residents are classified into RUG-III groups based on
need for therapy (i.e., physical, occupational, or speech therapy),
special treatments (e.g., tube feeding), and functional status (e.g.,
ability to feed self and use the toilet.) When the assessment is
required for SNF payment, a Resource Utilization Group (RUG) is
assigned and submitted to the State. |
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Term
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Definition
Treatment Administration Record. Record of the treatments
administered to a patient at a facility by a nurse or other healthcare
professional. The nurse or healthcare professional signs off on the
record at the time that the treatment or device is administered. eTAR
is an electronic medication treatment record. |
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