Page 63 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
KEY TERMS
KEY TERMS
Integrated Health Care System:
An organization
that, through ownership or formal agreements, aligns
health care facilities in order to deliver integrated
health care services by improving quality and
reducing costs to a defined geographical area. These
organizations are formed with the intent to market
themselves as one unit to payers.
Intensive Care Unit (ICU):
An intensive care unit is a
specialized section of a hospital that treats seriously
ill patients, who are under continuous observation by
staff equipped to provide intensive care.
Medical Group Practice:
A practice with five or more
licensed physicians whose primary focus of business
is seeing regularly scheduled patients for nonsurgical
services other than imaging. The physicians must
have a share in the physical setting and office
management of the practice, which must offer
outpatient care and be physically separate from
a hospital.
Metropolitan Statistical Area (MSA):
A Metropolitan
Statistical Area has at least one urbanized area of
50,000 or more people, plus an adjacent territory that
has a high degree of social and economic integration
with the core as measured by commuting ties.
Multihospital System (MHS):
A hospital chain that
owns two or more institutions. The three major types
of MHSs are not-for-profit systems, for-profit (investor-
owned) systems and government-owned systems.
Not-for-Profit Hospital:
A facility with a tax-exempt
status due to its classification as a charitable
organization (including church-operated and other
charitable organizations).
Occupancy Rate:
The percentage of all facility beds
that are occupied at a given time.
Patient-Centered Medical Home (PCMH):
A PCMH
is a system of comprehensive coordinated primary
care for children, youth and adults. A primary care
physician leads a team of professionals dedicated
to providing proactive, preventive and chronic
disease management through all stages of life. These
personal physicians are responsible for the patient’s
coordination of care across all health care systems
facilitated by registries, information technology,
health information exchanges and other means to
ensure patients receive appropriate and timely care.
Care teams utilize evidence-based medicine and
clinical decision support tools that guide decision
making as well as ensure that patients and their
families have the education and support to actively
participate in their own care.
Patient-Day:
A unit in a system of accounting used by
health care facilities and health care planners. Each
day represents a unit of time during which the services
of the institution or facility are used by a patient; thus
50 patients in a hospital for one day would represent
50 patient-days.
Provider Units:
Include such health care facilities
as hospitals, HMOs, nursing homes, home health
agencies, physician practices and medical groups,
diagnostic imaging centers and freestanding
outpatient surgery centers. Each highly integrated
health care system either contracts with or owns at
least three of these facility types. However, such a
health care facility is not necessarily affiliated with
only one integrated system; it may contract with or be
owned in part by more than one integrated system.
Each such relationship is counted as a “provider unit”
of the system with which it is affiliated. In accordance,
the total number of provider units is greater than the
total number of health care facilities affiliated with
highly integrated health care systems.
Short-Term Bed:
A bed assigned to patients who are
admitted to the hospital for lengths of stay less than
30 days.
Definition sources:
ACO:
ALOS:
Concomitant Diagnosis:
EHR
FOSC:
MSA:
PCMH:
Patient-Day:
