LCC+Use+Case+Glossary

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 * **Current Definition** || **Suggested Changes or Alternative Definitions: Suggest replacing "Care Coordinator" with "Coordinator of Care." Terminology matters when you are trying to transform the system without throwing out everything. I've had numerous discussions with ToC Leaders and some in LCC pointing out that the term "Care Coordinator" is used in the industry to mean an unlicensed person who is typically supervised by a Nurse Case Manager or Social Work case manager, not the reverse. I thought we had resolved this by employing the terms "Coordinator of Care" and "Coordination of Care" to replace all instances of the misused term "Care Coordinator." It is very frustrating to continue seeing that some unknown, unnamed individual somewhere along the way turned concepts on their head. I'm thinking that the changes in contract supports could have something to do with it (of course it is difficult to keep up with every nuance over time). The idea that Care Coordinator would be the umbrella term did not originate in the healthcare industry as far as I can tell. There is no pivotal paper that caused Care Managers to be regarded as a type of Care Coordinator. Care Coordinators represent the logistical aspect of Care Management. It is better to represent that as a System Function than as a human actor. Coordinator of Care would do that (actually it works for a system actor AND a human actor, whereas Care Coordinator does not.). Perhaps a legislative aide thought it had a nice ring to it to call all non-MD people care coordinators? I suspect this might have been the result of working too fast and researching too little. There is a lengthy history of Care Managers (on the contrary, including Case Managers of all kinds supervising unlicensed people known as Care Coordinators. In a legal system based framework, Care Manager is the supraset and Care Coordinator is the subset. The Case Management Society of America supports my explanation and S&I Framework leadership has been aware of this for months.) "Coordinator of Care" cuts through that Gordian knot.** ||
 * ** Access Logs: ** An integrated view of who has accessed the consumer/patient’s health information for the purposes of direct or indirect patient care. ||  ||
 * ** Acute Care: ** Treatment for a short period of time in which the patient is treated for a brief episode of illness. Acute Care is generally associated with care in a short term facility which is usually a non-emergency department setting. ||  ||
 * ** AHIC: ** American Health Information Community; a federal advisory body chartered in 2005, serving to make recommendations to the Secretary of the U.S. Department of Health and Human Services in regards to the development and adoption of health information technology. ||  ||
 * ** Ancillary Entities: ** Organizations that perform auxiliary roles in delivering healthcare services. They may include diagnostic and support services such as laboratories, imaging and radiology services, and pharmacies that support the delivery of healthcare services. These services may be delivered through hospitals or through free-standing entities. ||  ||
 * ** Care Coordination: ** Functions that help ensure that the patient’s needs and preferences for health services and information sharing across people, functions, and sites are met over time. || Change term to be "Coordinator of Care. Any Function(s)..." ||
 * ** Care Coordinators: ** Individuals who support clinicians in the management of health and disease conditions. These can include case managers and others. || Change term to be "Coordinator of Care: Individual who supports..." ||
 * ** Clinical Support Staff: ** Individuals who support the workflow of clinicians. ||  ||
 * ** Clinicians: ** Healthcare providers with patient care responsibilities, including physicians, advanced practice nurses, physician assistants, nurses, psychologists, pharmacists, and other licensed and credentialed personnel involved in treating patients. ||  ||
 * ** Consultation: ** Meeting of two or more clinicians to evaluate the nature and progress of disease in a particular patient and to establish diagnosis, prognosis, and therapy. ||  ||
 * ** Consumers: ** Members of the public that include patients as well as caregivers, patient advocates, surrogates, family members, and other parties who may be acting for, or in support of, a patient receiving or potentially receiving healthcare services. ||  ||
 * ** Electronic Health Record (EHR): ** An electronic, cumulative record of information on an individual across more than one healthcare setting that is collected, managed, and consulted by professionals involved in the individual's health and care. This EHR description encompasses similar information maintained on patients within a single care setting (a.k.a., Electronic Medical Record (EMR)). ||  ||
 * ** Electronic Health Record (EHR) System Suppliers: ** Organizations which provide specific EHR solutions to clinicians and patients such as software applications and software services. These suppliers may include developers, providers, resellers, operators, and others who may provide these or similar capabilities. ||  ||
 * ** Geographic Health Information Exchange/Regional Health Information Organizations: ** A multi-stakeholder entity, which may be a free-standing organization (e.g., hospital, healthcare system, partnership organization) that supports health information exchange and enables the movement of health-related data within state, local, territorial, tribal, or jurisdictional participant groups. Activities supporting health information exchanges may also be provided by entities that are separate from geographic health information exchanges/Regional Health Information Organizations including integrated delivery networks, health record banks, and others. ||  ||
 * ** Health Information Exchange (HIE ** ): An electronic network for exchanging health and patient information among healthcare delivery organizations, according to specific standards, protocols, and other agreed criteria. These functional capabilities may be provided fully or partially by a variety of organizations including free-standing or geographic health information exchanges (e.g., Regional Health Information Organizations (RHIOs)), integrated care delivery networks, provider organizations, health record banks, public health networks, specialty networks, and others supporting these capabilities. This term may also be used to describe the specific organizations that provide these capabilities such as RHIOs and Health Information Exchange Organizations. ||  ||
 * ** Healthcare Payers: ** Insurers, including health plans, self-insured employer plans, and third party administrators, providing healthcare benefits to enrolled members and reimbursing provider organizations. ||  ||
 * ** HITSP: ** The American National Standards Institute (ANSI) Healthcare Information Technology Standards Panel; a body created in 2005 in an effort to promote interoperability and harmonization of healthcare information technology through standards that would serve as a cooperative partnership between the public and private sectors. ||  ||
 * ** Laboratories: ** A laboratory (often abbreviated lab) is a setting where specimens are sent for testing and analysis are resulted, and then results are communicated back to the requestor. The types of laboratories may include clinical/medical, environmental, and veterinarian, and may be both private and/or public. ||  ||
 * ** ONC: ** Office of the National Coordinator for Health Information Technology; serves as the Secretary’s principal advisor on the development, application, and use of health information technology in an effort to improve the quality, safety, and efficiency of the nation's health through the development of an interoperable harmonized health information infrastructure. ||  ||
 * ** Patients: ** Members of the public who receive healthcare services. For hospice providers, the patient and family are considered a single unit of care. Synonyms used by various healthcare fields include client, resident, customer, patient and family unit, consumer, and healthcare consumer. ||  ||
 * ** Personal Health Record: ** A health record that is initiated and maintained by an individual. An ideal PHR would provide a complete and accurate summary of the health and medical history of an individual by gathering data from many sources and making this information accessible online to anyone who has the necessary electronic credentials to view the information. ||  ||
 * ** Pharmacies: ** Entities that exist that are experts on drug therapy and are the primary health professionals who optimize medication use to provide patients with positive health outcomes ||  ||
 * ** Provider: ** An individual clinician in a care delivery setting who requests or accepts the transfer of the clinical summary for the purposes of delivering care. || Comment: Abroad (e.g. Australia), RNs are considered providers. In the US I have never heard anyone refer to an RN as a provider unless s/he is working as an independent contractor in private duty care (i.e. in his/her own business in which s/he bills for the care rendered.). Similarly, Nurse Case Managers are Clinicians when functioning as Care Managers (clinicians) in an employed setting. They can be considered providers when they contract independently with a patient and bill the patient for their services. Thus, the definition as written appears to be being defined as a synonym to provider. Over the past 15-20 years, this S&I Framework ToC and LCC team member believes that provider has come to mean a clinician who diagnoses, treats, and/or develops a plan of care and bills for it, not the reverse. I do not think the terms have been used as synonyms. This was all discussed at length in the ToC stakeholder group where the proposal to have Provider include Clinician or be synonymous to it appeared to have stalemated not to have been accepted. I heard many similar comments to mine in ToC and on LCC calls. ||
 * ** Provider Organizations ** : Organizations that are engaged in or support the delivery of healthcare. These organizations could include hospitals, ambulatory clinics, long-term care facilities, community-based healthcare organizations, employers/occupational health programs, school health programs, dental clinics, psychology clinics, care delivery organizations, pharmacies, home health agencies, hospice care providers, and other healthcare facilities. ||  ||
 * ** Registries: ** Organized systems for the collection, storage, retrieval, analysis, and dissemination of information to support health needs. This also includes government agencies and professional associations which define, develop, and support registries. These may include emergency contact information/next of kin registries, patient registries, disease registries, etc. ||  ||

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