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Glossary of Rural Health Terminology Share This OHSU Content

Glossary

Acronyms, Abbrev's., Glossary Items

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

AAA

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.

ACSC

Ambulatory Care Sensitive Conditions

AFDC

Aid to Families with Dependent Children

AFS

Adult and Family Services: Division of the Oregon Department of Human Resources

AHEC

Area Health Education Center

AHEC-SW

Area Health Education Center-Southwest

AMA

American Medical Association

ANA

American Nurses Association

ANP

Adult Nurse Practitioner

B

BBA
Balanced Budget Act of 1997

BHCDA
Bureau of Health Care Delivery and Assistance: See BPHC.

Block Grant
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.

BME
Board of Medical Examiners

BPHC
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.

C

CAH

Critical Access Hospital

CCCHD

Columbia County Citizens for Human Dignity

CEAHEC

Cascades East Area Health Education Center

CHC

Community Health Center: A Federally funded (Section 330 of the Public Health Services Act) primary care clinic.

CHIP

  1. Children’s Health Insurance Program
  2. Community Health Improvement Program

CLHO

Conference of Local Health Officials: (pronounced clo). The Oregon statewide organization of county health department officials.

CMHC

Community Mental Health Center

CMS

Centers for Medicare and Medicaid Services

CN, CON

Certificate of Need

CNA

Certified Nursing Assistant

CNM

Certified Nurse Midwife

COG

Council of Government: A regional grouping of county governments to coordinate planning and other regional activities.

CoP

Condition of Participation

CPNP

Certified Pediatric Nurse Practitioner

CPT

Common Procedural Terminology

CRNA

Certified Registered Nurse Anesthetist

D

DC

Doctor of Chiropractic Medicine

DDS

Doctor of Dental Surgery

DHHS

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.

DHS

Oregon Department of Human Services: Oregon department which contains divisions covering the range of health and social services.

DMAP

Division of Medical Assistance Programs (under the Oregon Health Authority)

DMD

Doctor of Medical Dentistry

DME

Durable Medical Equipment

DO

Doctor of Osteopathic Medicine

DPM

Doctor of Podiatric Medicine

DRG

Diagnostic-related group

DSH

Disproportionate Share Hospital

E

EACH

Essential Access Community Hospital

EMS

Emergency Medical Services: Services provided by or through ambulances, other quick response units, personnel, equipment communications systems, etc. to deal with medical emergencies.

EMT

Emergency Medical Technician: A paramedical professional trained in emergency medicine.

EPSDT

Early Periodic Screening, Diagnosis and Treatment Program

F

FHIAP

Family Health Insurance Assistance Program

FFS

Fee for Service

Flex

Rural Hospital Flexibility Grant Program

FNP

Family Nurse Practitioner

FP

Family Medical Practitioner

FPL

Federal Poverty Level

FQHC

Federally Qualified Health Center

FTE

Full Time Equivalent: A measure of the number of staff in an agency; one FTE = one person working 40 hours per week.

G

GCRB

Geographic Classification Review Board

GME

Graduate Medical Education

H

HCFA

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.

HHA

Home Health Agency

HHS

See: DHHS

HIPAA

Health Insurance Portability and Accountability Act of 1996

HIT

Health Information Technology

HMO

Health Maintenance Organization

HMSA

Health Manpower Shortage Area: (pronounced him sa) An area designated by the Secretary of DHHS 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.

HPSA

Health Professional Shortage Area

HRSA

Health Resources and Services Administration: (pronounced "hersa"), Part of DHHS

I

IM

Internal Medicine

IMR

Infant Mortality Rate

IPA

Independent Practice Association

L

LTC

Long Term Care

M

MAF

Medical Assistance Facility

MCH

Maternal and Child Health: A program of health care for which federal and state funds are available. 

MD

Doctor of Medicine

Medicaid

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. 

Medicare

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.

MHC

Migrant Health Center: Federally funded (Section 329 Public Health Service Act) primary care clinic in a high migrant impact area.

MRHFP

Medicare Rural Hospital Flexibility Program. See Flex.

MSA

Metropolitan Statistical Area 

MSFW

Migrant/Seasonal Farm Workers

MSP

Medicare Secondary Payor

MUA

Medically Underserved Area: Designation for precondition to receiving community health center federal grant monies.

MUP

Medically Underserved Population

N

ND

Doctor of Naturopathic Medicine

NEOAHEC

Northeast Oregon Area Health Education Center

NHSC

National Health Service Corps: A program by which recent medical graduates are placed in HMSAs. 

NP

Nurse Practitioner

NRHA

National Rural Health Association

P

PA

Physician Assistant

PCCM

Primary Care Case Manager

PCP

Primary Care Practitioner

PHS

U.S. Public Health Service: A principal operating component of DHHS 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.

PNP

Pediatric Nurse Practitioner

POLST

Physician Orders for Life-Sustaining Treatment

PPO

Preferred Provider Organization

PPRC

Physician Payment Review Commission

PPS

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.

PRO

Professional Standards and Review Organization: Local organizations set up by a federal program to review and monitor the quality and effectiveness of health services. 

PSA

  1. Physician Scarcity Area
  2. Public Service Announcement

PT

Physical Therapist

R

RAC

Rural Assistance Center

RBEG

Rural Business Enterprise Grant

RBRVS

Resource-Based, Relative Value System

RCHC

Rural Community Health Clerkship

RHC

Rural Health Clinic

RHC Act

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.

RHCC

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.

RHW

Rural Health Works

RIC

Rural Information Center

RNO

Rural Nurses Organization

ROI

Rural Oregon Institute

RPCH

Rural Primary Care Hospital

RUCA

Rural Urban Commuting Area Codes 

Rural Hospital 

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.

S

SAIF

State Accident Insurance Fund

SCH

Sole Community Hospital

Section 329

The section of the Public Health Service Act which authorizes the Migrant Health Program.

Section 330

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.

Service Area

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.

SORH

State Office of Rural Health

SORHN

Southeastern Oregon Rural Health Network: A consortia of clinics in Bly, Chiloquin, and North Lake.

T

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

Title XVIII of the Social Security Act which authorizes the Medicare Program.

Title XIX

Title XIX of the Social Security Act which authorizes the Medicaid Program.

W

WHCNP
Women’s Health Care Nurse Practitioner

WIC
Women, Infants and Children program: (pronounced wick) A Federally-funded nutrition program for women, infants and children operated in many Oregon counties.