Glossary of Rural Health Terminology
Area Agency on Aging: Local councils set up to conduct planning and review of aging services. Usually operated by a county or Council of Government (COG) - see COG entry below.
Ambulatory Care Sensitive Conditions
Adult and Family Services: Division of the Oregon Department of Human Resources
Adult Nurse Practitioner
Bureau of Health Care Delivery and Assistance: See BPHC below.
Type of grant that confers responsibility for Federal programs to individual states which then have substantial discretion as to the use of the Federal grant dollars. Under the Omnibus Budget Reconciliation Act of 1981 (P.L. 97-35), seven block grant programs were established, including a primary care block grant. At the option of each state, the state may apply for a primary care block grant which includes the Community Health Center and the Primary Care Research and Demonstration programs.
Bureau of Primary Health Care: (Bureau of Health Care Delivery and Assistance) The Federal government bureau within the Health Resources and Services Administration, Public Health Service, DHHS responsible for administering several of the community health programs of the former Bureau of Community Health Services, including the Community Health Center program, the Migrant Health Program, and the Maternal and Child Health Program. BHCDA Also administers the National Health Service Corps and Health Services Scholarships programs.
Community Health Center: A Federally funded (Section 330 of the Public Health Services Act) primary care clinic.
Conference of Local Health Officials: (pronounced clo). The Oregon statewide organization of county health department officials.
Community Mental Health Center
Certificate of Need
Certified Nursing Assistant
Certified Nurse Midwife
Council of Government: A regional grouping of county governments to coordinate planning and other regional activities.
Condition of Participation
Certified Pediatric Nurse Practitioner
Common Procedural Terminology
Certified Registered Nurse Anesthetist
Doctor of Chiropractic Medicine
Doctor of Dental Surgery
U.S. Department of Health and Human Services: Formerly called the Department of Health, Education and Welfare, and still often referred to as DHEW or HEW. Acronym as of 2014 is HHS.
Oregon Department of Human Services: Oregon department which contains divisions covering the range of health and social services.
Division of Medical Assistance Programs (is now the Oregon Health Authority, OHA)
Doctor of Medical Dentistry
Durable Medical Equipment
Doctor of Osteopathic Medicine
Doctor of Podiatric Medicine
Emergency Medical Services: Services provided by or through ambulances, other quick response units, personnel, equipment communications systems, etc. to deal with medical emergencies.
Emergency Medical Service Provider
Emergency Medical Technician: A paramedical professional trained in emergency medicine.
Family Health Insurance Assistance Program. This program was closed December 31, 2013.
Fee for Service
Family Nurse Practitioner
Family Medical Practitioner
Federal Poverty Level
Federally Qualified Health Center
Frontier Counties have a population density of six or fewer people per square mile.
Full Time Equivalent: A measure of the number of staff in an agency; one FTE = one person working 40 hours per week.
Graduate Medical Education
Health Care Financing Administration: The Federal agency which was responsible for administering the Medicare program and compiling various data on health care finances. This agency was replaced by CMS.
Home Health Agency
Health Information Technology
Health Maintenance Organization
Health Manpower Shortage Area: (pronounced him-sa) An area designated by the Secretary of HHS as having an acute shortage of health providers and/or dentists and, therefore eligible for placement of appropriate NHSC providers. The criteria for designation are updated periodically, with the most recent criteria published in the Federal Register, Vol. 46, No. 89, Part II, May 8, 1981.
Health Professional Shortage Area
Health Resources and Services Administration: (pronounced "her-sa"), Part of HHS
Infant Mortality Rate
Long Term Care
Medical Assistance Facility
Maternal and Child Health: A program of health care for which federal and state funds are available.
Doctor of Medicine
Authorized by Title XIX of the Social Security Act, Medicaid is a Federally assisted program, operated and administered by the individual states, which provides medical benefits for eligible low-income persons. The States define covered benefits, eligibility, rates of payment to providers and methods of program administration.
Title XVIII of the Social Security Act of 1965 which helps pay for medical and health services for persons age 65 and over and persons who are disabled. The major benefits of this legislation include physician services, hospital care, home care, extended care, and facility coverage for a defined period of time. This program is financed through Social Security deductions from employee/employer payrolls and is handled through national trust funds.
Migrant Health Center: Federally funded (Section 329 Public Health Service Act) primary care clinic in a high migrant impact area.
Medicare Rural Hospital Flexibility Program. See Flex.
Metropolitan Statistical Area
Migrant/Seasonal Farm Workers
Medicare Secondary Payor
Medically Underserved Area: Designation for precondition to receiving community health center federal grant monies.
Medically Underserved Population
Doctor of Optometry
Oregon Office of Rural Health
Oregon Revised Statues: The compendium of state law in Oregon.
Primary Care Case Manager
Primary Care Practitioner
U.S. Public Health Service: A principal operating component of HHS concerned with administering public health programs, including the Indian Health Service, biomedical research, health manpower training, family planning, emergency medical services, health maintenance organizations, community health programs, and health planning.
Pediatric Nurse Practitioner
Physician Orders for Life-Sustaining Treatment
Preferred Provider Organization
Physician Payment Review Commission
Prospective Payment System Primary Care Basic level of health care usually rendered by general practitioners, family practitioners, internists, obstetricians, and pediatricians, and, more recently, midlevel practitioners. This type of care emphasizes caring for the patient's general health needs as opposed to a more specialized or fragmented approach to medical care. This care is usually rendered in an outpatient setting.
Professional Standards and Review Organization: Local organizations set up by a federal program to review and monitor the quality and effectiveness of health services.
- Physician Scarcity Area
- Public Service Announcement
Resource-Based, Relative Value System
Establishes a reimbursement mechanism to support the provision of primary care services in rural areas. Public Law 95-210 was enacted in 1977 and authorizes the expanded use of physician assistants, nurse practitioners and certified nurse practitioners; extends Medicare and Medicaid reimbursement to designated clinics; and raises Medicaid reimbursement levels to those set by Medicare.
Rural Health Coordinating Council: A group created by the 1979 Oregon Legislature, staffed by the Office of Rural Health within OHSU which looks at ways of providing health services to rural areas and distributed funds to rural areas.
Rural Primary Care Hospital
Rural Urban Commuting Area Codes
A hospital characterized by one of the following:
- Type A: small and remote, have less than 50 beds, and more than 30 miles from the nearest hospital.
- Type B: small and rural, have less than 50 beds, and 30 miles or less from the nearest hospital.
- Type C: considered rural and have 50 or more beds.
Sole Community Hospital
The section of the Public Health Service Act which authorizes the Migrant Health Program.
The section of the Public Health Service Act which authorizes the Community Health Center Program.
Section 501 (c)(3) of the IRS Code
The section of the Internal Revenue Services (IRS) Code that defines the Federal income tax exempt status of non-profit organizations that are organized and operated exclusively for charitable, religious, educational, scientific and/or literary purposes. To qualify as a Section 501 (c)(3) organization, no part of the organization's net earnings can be used to the benefit of private share holders or individuals, nor can the organizations engage in the carrying on of propaganda or other activities to influence legislation. All donations to such organizations are deductible as charitable contributions. Other requirements presented in Section 501 (c)(3) may be reviewed by checking the IRS Code.
The geographical area served by a health care facility.
Sliding Fee Scale
A schedule of discounts in charges for services which is based on the consumer's ability to pay, according to income and family size. Bureau of Health Care Delivery and assistance programs, such as the Community Health Center program, require that projects have sliding fee scales based upon the Federal government poverty guidelines.
State Office of Rural Health
Southeastern Oregon Rural Health Network: A consortia of clinics in Bly, Chiloquin, and North Lake.
Third Party Payer (or Payor)
An insurance company, such as Blue Cross/Blue Shield, that pays for hospital and doctor bills and certain other health care services for subscribers. (First party - patient; second party - provider of service). Payment from these payors is commonly referred to as third party reimbursement.
Title XVIII of the Social Security Act which authorizes the Medicare Program.
Title XIX of the Social Security Act which authorizes the Medicaid Program.
Women’s Health Care Nurse Practitioner
Women, Infants and Children program: (pronounced wick) A Federally-funded nutrition program for women, infants and children operated in many Oregon counties.