CHC Terms and Acronyms

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Notes:
Click HERE for links to related websites.
Click HERE for a glossary of acronyms commonly used in Outreach and Enrollment.
Click HERE for a glossary of Quality Improvement terms and acronyms.
Click HERE for a glossary of terms and acronyms compiled by the Colorado Health Institute.
Click HERE to download a list of HRSA Health Program Terms and Definitions.

329/330/340 Projects Clinics funded under Sections 329 (Migrant Health Centers), 330 (Community Health Centers) and 340 (Homeless Health Centers) of the U.S. Public Health Service Act.
AAAHC Accreditation Association for Ambulatory Health Care
AACN American Association of Critical Care Nurses or American Association of Colleges of Nursing
AACOM Association of American Colleges of Osteopathic Medicine
AAEP American Academy of Emergency Psychiatry
AAFP American Academy of Family Physicians
AAMC Association of American Medical Colleges
AANP American Academy of Nurse Practitioners
AAP American Academy of Pediatrics
AAPA American Academy of Physician Assistants
AAPCHO Association of Asian Pacific Community Health Organizations
AAPD American Academy of Pediatric Dentistry
ACA Affordable Care Act
ACEP American College of Emergency Physicians
ACF Administration for Children and Families – One of the operating divisions of DHHS.
ACHI Association for Community Health Improvement
ACO Accountable Care Organization – An umbrella organization that combines primary care physicians, specialists, and hospitals in an attempt to coordinate care and reduce unnecessary costs.
ACOG American College of Obstetricians and Gynecologists
Actual Charge The amount a physician or other practitioner actually bills a patient for a particular medical service or procedure. This may differ from the customary, prevailing and/or reasonable charge as recognized by Medicare and other insurance programs.
ACU Association of Clinicians for the Underserved
ADA American Dental Association, American Diabetes Association, American Dietetic Association, or Americans with Disabilities Act
AHEC Area Health Education Center
AHNA American Holistic Nurses Association
AHQR Agency for Healthcare Quality and Research – One of the eight operating divisions of the Department of Health and Human Services. It conducts and supports research, demonstration projects, evaluations, training, guideline development, and the dissemination of information on health care services and on systems for the delivery of such services.
AMA American Medical Association
AMCHP Association of Maternal and Child Health Programs
AMSA American Medical Student Association
ANA American Nurses Association
ANSI American National Standards Institute
AoA Administration on Aging – One of the operating divisions of DHHS.
AOA American Osteopathic Association
APhA American Pharmacists Association
APHA American Public Health Association
ARRA American Recovery and Reinvestment Act of 2009
ASG Assistant Surgeon General
ASHP American Society of Health-System Pharmacists
ASPR Assistant Secretary for Preparedness and Response (HHS)
Assignment of Benefits An agreement in which a patient assigns to another party, usually the provider of the service, the right to receive payment from a third party for the service the patient has received. In Medicare, if a physician agrees to accept assignment, s/he must agree to accept the program payment as payment in full (except for coinsurance, co-payment and deductible amount required of the patient).
ASTHO Association of State and Territorial Health Officials
ATSDR Agency for Toxic Substances and Disease Registry – One of the operating divisions of DHHS.
AUCH Association of Utah Community Health – The primary care association representing health care centers in the state of Utah.
BBA Balanced Budget Act
BCRR Bureau of Health Care Delivery and Assistance Common Reporting Requirements – A uniform set of tables, data elements and definitions pertaining to the operational, financial and administrative management of the program, which programs were required to complete annually prior to 1996.
BHW Bureau of Health Workforce – One of the bureaus of HRSA. It helps America build a health workforce prepared and eager to improve the public health by expanding access to quality health services and working to achieve health equity.
BPHC Bureau of Primary Health Care – One of the bureaus of HRSA. It provides national leadership in assessing the Nation’s health care needs of underserved populations and in assisting communities to provide primary health care services to the underserved in moving toward eliminating health disparities. A major program component is the Consolidated Health Center Program.
BPI Business Process Improvement
BPR Budget Period Renewal
CA Cooperative Agreement
CACHIE Colorado Associated Community Health Information Exchange
CAH Critical Access Hospital
CAN Common Accounting Number
CC Commissioned Corps – The PHS Commissioned Corps is one of the seven uniformed services of the United States.
CCAN Colorado Clinical Advisory Network – CCHN’s clinical network, which serves as a section of the Board of Directors. Consists of Medical/Clinical Directors from the 329, 330, and 340 programs in Colorado.
CCHN Colorado Community Health Network – The primary care association representing health care centers in the state of Colorado.
CCMCN Colorado Community Managed Care Network – The organization consisting of and representing the C/MHC partners in the Medicaid HMO called Colorado Access.
CD Capital Development
CDC Centers of Disease Control and Prevention – It’s responsible for disease prevention and control, environmental health, health education, and many other activities.
CDHN Colorado Dental Health Network – CCHN’s dental network, which serves as a section of the Board of Directors. Consists of Dental Directors, and other dental staff, from Colorado’s 329, 330, or 340 projects, and other organizations that provide dental services to the underserved population.
CEHRT Certified Electronic Health Record Technology – As certified by the ONC.
CFR Code of Federal Regulations
CHAD Community HealthCare Association of the Dakotas – The primary care association representing health care centers in the states of North Dakota and South Dakota.
CHAMPS Community Health Association of Mountain/Plains States – The Region VIII Primary Care Association representing health care centers in the states of Colorado, Montana, North Dakota, South Dakota, Utah and Wyoming.
CHAMPS Community Health Center and Academic Medical Partnerships
CHC Community Health Center – A community-based health care facility that provides prevention-oriented primary care services in medically underserved areas. Grant support is received from the federal government under Section 330 of the U.S. Public Health Service Act (sometimes these centers are referred to as “330s”).
CHIP Child Health Insurance Program
CHPFS Community Health Partners for Sustainability
CIHS Center for Integrated Health Solutions (SAMHSA/HRSA)
CIO Chief Information Officer
CIP Capital Improvement Project
CIP Capital Improvement Program – A category of HRSA ARRA grants which may be awarded through the Consolidated Health Center Program
CIS Change in Scope
CLIA Clinical Laboratory Improvement Amendment
Clinical Measures Workbook A federally-developed document delineating mandated (primarily health promotion and disease prevention) services to be delivered to groups of individuals, as defined by Lifecycles. CHAMPS has a copy available in its Resource Library for members to borrow.
Clinical Network Network of clinicians working in community, homeless and migrant health centers, often affiliated with a state, regional and/or national association.
CME Continuing Medical Education
C/MHCs Community and Migrant Health Centers
CMHC Community Mental Health Center
CMS Centers for Medicare and Medicaid Services, previously called Health Care Financing Administration – One of the operating divisions of DHHS.
CNM Certified Nurse-Midwife
COB Close of Business
Co-insurance Under a health insurance policy, a cost-sharing requirement which provides that the insured will assume a portion or percentage of the costs of covered services. The health insurance policy provides that the insurer will reimburse a specified percentage (usually 80%) of all, or certain specified covered medical expenses in excess of any deductible amounts payable by the insured. The insured is then liable for the remaining percentage of the costs, until the maximum amount payable under the insurance policy, if any, is reached.
Colorado Access The Colorado HMO consisting of several C/MHCs (represented by CCMCN), Denver Health and Hospitals, University Hospital, and The Childrens’ Hospital, as well as many local hospitals and specialty providers in Colorado.
Co-payment A term describing patient financial responsibility under a plan wherein the insured pays a specified flat amount per unit of service, e.g., $2/visit, with the insurer paying the balance of the approved cost. The co-payment is incurred at the time the service is rendered. The amount paid does not vary with the cost of the service (usually does vary with the type of service), unlike coinsurance which is based upon a percentage of the cost.
COPC Community Oriented Primary Care – A combined primary care and public health approach to identifying and meeting the health needs of a community.
Cost Based
Reimbursement
A method of payment, different from fee-for-service, delivered to patients. In cost-related reimbursement systems, the amount of the payment is based on the cost to the provider of delivering the service. The actual payment may be based on any of several different formulae, such as full cost, full cost plus an additional percentage, allowable costs, or a fraction of costs. Examples of cost-based reimbursement systems include the Rural Health Clinics Act (RHCA), the Federally Funded Health Center Act (FFHC), and the Federally Qualified Health Center Act (FQHC).
CPAB Clinical and Professional Activities Branch
CPE/CEU Continuing Professional Education/Continuing Education Units
CQI Continuous Quality Improvement – A methodology, which, when properly implemented, insures a constant elevation in the level of services being provided.
CQM Clinical Quality Measures – A component of the CMS EHR Incentive Program (Meaningful Use), includes tools to measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems associated with providing high-quality health care and/or related to one or more quality goals for health care.
CSD Central Southeast Division (BPHC)
CY Calendar Year
DDS Doctor of Dental Surgery
Deductible The expense that an insured must incur before an insurer will assume any liability for all or part of the remaining cost of covered services.
DFI Division of Financial Integrity (HRSA)
DGMO Division of Grants Management Operations (HRSA)
DHHS Department of Health and Human Services – DHHS is a cabinet level department, responsible for ACF, AHQR, AoA, ASTDR, CDC, CMS, FDA, HRSA, IHS, NIH, PSC, and SAMHSA.
DMD Doctor of Dental Medicine (Dentariae Medicinae Doctor)
DO Doctor of Osteopathy
DrPH Doctor of Public Health
DSLR Division of Scholarships and Loan Repayment – DSLR is responsible for the administrative aspects of the NHSC Scholarship Program and Loan Repayment Program.
EDA Early Decision Alternative – A scholarship obligor matching before the EDA deadline has the freedom to choose from any available HPOL site.
EEO Equal Employment Opportunity
EHB Electronic Handbook – HRSA’s web portal for submitting grant-related information and reports.
EHR Electronic Health Records
EMC Expanded Medical Capacity – A category of HRSA grants which may be awarded through the Consolidated Health Center Program.
EMR Electronic Medical Records (System)
Encounter A contact between a patient and a health care provider (face-to-face).
EPSDT Early Periodic Screening, Diagnosis, and Treatment
FDA Food and Drug Administration – It oversees the safety and inspection of foods, drugs, medical devices and cosmetics.
FFR Federal Financial Report
Field Office The federal office, located in one of ten regions in the country, having primary responsibility for National Health Service Corps assignees, community health centers, migrant health centers, homeless health centers, clinical networks, state primary care associations, regional primary care associations and other grant-funded activities.
FIP Facility Investment Program awards
FJ Farmworker Justice
FLEX Medicare Rural Hospital Flexibility Grant Program
FLRP Faculty Loan Repayment Program
FNP Family Nurse Practitioner
FO Field Office
FOA Funding Opportunity Announcement
Form 5A UDS Form 5A (Services)
Form 5B UDS Form 5B (Sites)
Form 5C UDS Form 5C (Other Activities)
FP Family Planning or Family Physician
FPL Federal Poverty Level
FQHC Federally-Qualified Health Centers – Those centers that receive cost-based reimbursement for services delivered to patients who qualify for Medicaid or for Medicare. In order to qualify, a clinic must receive federal funds or meet other criteria.
FQHC LA Federally-Qualified Health Center Look-Alike
FRN Federal Register Nurse
FRP Financial Recovery Plan
FSR Financial Status Report
FTCA Federal Tort Claims Act – The provision in law under which federal employees (or other named parties) receive their professional liability coverage from the US government; available to NHSC providers, and providers who work in 329, 330, and 340 programs.
FTE Full-Time Equivalent
FY Fiscal Year
GME Graduate Medical Education
GMO Grants Management Officer
GMS Grants Management Specialist
GSA General Services Administration – This is essentially the procurement agency for the government. Anything you want purchased must be approved by this agency first.
HAB HIV/AIDS Bureau – One of the bureaus of HRSA. It provides leadership in the delivery of high quality clinical care and supporting services for uninsured and underinsured individuals living with and families affected by HIV/AIDS. The Bureau includes the Office for Advancement of Telehealth and HRSA’s Center for Quality.
HC Health Center
HCCN Health Center Controlled Networks – HCCNs improve operational effectiveness and clinical quality in health centers by providing management, financial, technology and clinical support services. The networks are controlled by and operate on behalf of HRSA-supported health centers. Each network comprises at least three collaborating organizations.
HCH Healthcare for the Homeless/Homeless Health Center – A health care entity that provides care to the homeless, funded under Section 340 of the US Public Health Service Act. (Sometimes referred to as “340s”.)
HCQR Health Center Quarterly Report (ARRA)
HDC Health Disparities Collaboratives
Health Care Plans Written plans, developed by clinicians, which respond to the health promotion/disease prevention needs (Clinical Outcome Measures) of the Lifecycles.
HIE Health Information Exchange – HIE is defined as the mobilization of healthcare information electronically across organizations within a region, community or healthcare system. HIE provides the capability to electronically move clinical information among disparate health care information systems while maintaining the meaning of the information being exchanged. The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer, more timely, efficient, effective, equitable, patient-centered care.
HIPAA Health Insurance Portability and Accountability Act
HIT Health Information Technology
HMO Health Maintenance Organization
HOP Health Outreach Partners
HP/DP Health promotion/disease prevention (referred to as “hip-dip”).
HPOL HPSA Placement Opportunity List – A prioritized list of Health Professional Shortage Area sites eligible for NHSC assistance to insure the equitable distribution of NHSC providers to needy areas.
HPSA Health Professional Shortage Area – A region of the country, or a defined population group; where, through the utilization of specific criteria, a deficiency of medical, dental, and/or mental health services has been identified; graded on four levels: I, II, III, and IV.
HRSA Health Resources and Services Administration – One of the operating divisions of DHHS.
HSB Healthcare Systems Bureau – One of the bureaus of HRSA. It provides national leadership in transplantation issues, emergency preparedness, vaccines, etc.
HVA Hazard Vulnerability Assessment (Tool)
IDS Integrated Delivery Systems
IDS Increased Demand for Services – A category of HRSA ARRA grants which may be awarded through the Consolidated Health Center Program
IFCHC International Federation of Community Health Centres
IHI Institute for Healthcare Improvement
IHS Indian Health Service – Responsible for the health care needs of Native Americans and Alaska Natives, which includes maintaining clinics and hospitals, improving sanitation and water supply systems, sponsoring disease prevention programs, and performing clinical research.
ISDI Integrated Service Delivery Initiative
JCAHO Joint Commission for Accreditation of Healthcare Organizations. Hospitals and healthcare facilities must be accredited by this organization every two years in order to be eligible for federal funding programs such as Medicare and Medicaid and other insurance programs.
LEP Limited English Proficiency
LGBT Lesbian Gay Bisexual Transgender
Lifecycles A concept dividing the population into the following groups: perinatal, pediatric, adolescent, adult, geriatric and special populations (e.g., HIV+, Native Americans, Homeless). Health Care Plans are developed in response to the needs of these groups.
LRPB Loan Repayment Programs Branch – One of three branches of the Division of Scholarships and Loan Repayments.
MAI Management Assessment Item
MAPPS Media, Access, Point of Purchase/Promotion, Pricing, and Social Support and Services
MCHB Maternal and Child Health Bureau – One of the bureaus of HRSA. It provides national leadership, in partnership with key stakeholders, to improve the physical and mental health, safety and well-being of the maternal and child health (MCH) population.
M/CHCs Migrant and Community Health Centers
MCN Migrant Clinicians Network
MCO Managed Care Organization
MD Doctor of Medicine (allopathic)
Medicaid A federal/state funded program (also known as medical assistance), operated by the state, which provides medical benefits for certain low income persons.
Medicare A nationwide health insurance program for people over 65, and for persons eligible for social security disability payments.
MGMA Medical Group Management Association
MHA Master of Health Administration
MHC Migrant Health Center – A health-care facility that provides prevention-oriented primary care services to migrant and seasonal farm workers and their families; funded under Section 329 of the US Public Health Service Act (sometimes referred to as “329s”).
MHP Migrant Health Promotion
MIS Management Information System
MLP Mid Level Practitioner – A Physician Assistant, Nurse Practitioner or Nurse Midwife (no longer a “politically” correct term).
MOA Memorandum of Agreement – An agreement between two or more parties (ex: an agreement signed by a community, the NHSC, and a health professional which allows him/her to be assigned to a practice site).
MPCA Montana Primary Care Association – The primary care association representing health care centers in the state of Montana.
MPCN Mountain/Plains Clinical Network – The association of Region VIII clinicians working in C/MHCs in Colorado, Montana, North Dakota, South Dakota, Utah and Wyoming. MPCN is a program of the regional primary care association, CHAMPS.
MSFW Migrant and Seasonal Farmworker
MSO Management Services Organization
MUA Medically Underserved Area – A geographic location that has insufficient health care resources to meet the needs of the population.
MU Meaningful Use – Refers to Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, administered by the Centers for Medicare & Medicaid Services (CMS), in which eligible health care providers and hospitals have the opportunity to receive significant incentive payments for adoption and meaningful use of certified EHRs.
MUP Medically Underserved Population – A group of individuals having insufficient health resources available to them to meet their needs (the population may or may not be located within an MUA).
MYA Mid-Year Assessment
NACHC National Association of Community Health Centers – The national association that represents community, migrant and homeless health centers.
NACCHO  National Association of City and County Health Officers
NAM   North American Management
NAP   New Access Point – A category of HRSA grants which may be awarded through the Consolidated Health Center Program.
NASBHC   National Assembly on School-Based Health Care
NASW  National Association of Social Work
NCA   National Cooperative Agreement
NCD   National Central Division (BPHC)
NCFH  National Center for Farmworker Health
NCH  National Coalition for the Homeless
NCHS  National Center for Health Statistics
NCI  National Cancer Institute
NCQA  National Committee for Quality Assurance
NDA  Notice of Deeming Action (with FTCA)
NED  Northeast Division (BPHC)
NELRP  Nursing Education Loan Repayment Program
NGA  Notice of Grant Award or National Governors’ Association
NHAS  National HIV/AIDS Strategy
NHCHC  National Health Care for the Homeless Council
NHDP  National Hansen’s Disease Program (BPHC)
NHSC  National Health Service Corps – A federal program offering scholarships and loan repayment to clinical providers, and technical assistance to communities; their mission is to assist in the development, recruitment and retention of community-responsive, culturally competent primary care providers in order to serve people in health professional shortage areas (HPSAs).
NHSC LRP  National Health Service Corps Loan Repayment Program
NHSC SP  National Health Service Corps Scholarship Program
NIA  National Institute on Aging
NIH  National Institutes of Health – Mission is to conduct health-related research both directly and through the provision of grants to other organizations.
NIOSH  National Institute of Occupational Safety and Health
NLM National Library of Medicine
NMWC National Migrant Workers Council
NNOHA National Network for Oral Health Access
NOA Notice of Award
NOSORH National Organization of State Offices of Rural Health
NP Nurse Practitioner
NPDB National Practitioner Data Bank
NPRM Notice of Proposed Rulemaking
NRHA National Rural Health Association
OAA Office of the Associate Administrator (BPHC)
OAFM Office of Administration and Financial Management
OAM Office of Administrative Management (BPHC)
OASH Office of the Assistant Secretary for Health (HHS)
OC Office of Communications
OCR Office of Civil Rights (HHS)
OEOCR Office of Equal Opportunity and Civil Rights
OFAM Office of Federal Assistance Management
OGC Office of General Counsel (HHS)
OGM Office of Grants Management
OHITQ Office of Health Information Technology and Quality (BPHC)
OIG Office of the Inspector General (HHS)
OIHA Office of International Health Affairs
OIT Office of Information Technology
OL Office of Legislation
OMB Office of Management and Budget
OMH Office of Minority Health
ONAP Office of National AIDS Policy
ONC Office of the National Coordinator for Health Information Technology
OO Office of Operations (HRSA)
OPAE Office of Planning, Analysis and Evaluation (HRSA)
OPDIV Operating Division
OPE Office of Planning and Evaluation
OPPD Office of Policy and Program Management (BPHC)
OPR Office of Performance Review
OQD Office of Quality and Data (BPHC)
ORHP Office of Rural Health Policy (HRSA)
ORO Office of Regional Operations
OSHA Occupational Safety and Health Administration
OSPH Office of Special Population Health (BPHC)
OTC Over the Counter
OTTAC Office of Training and Technical Assistance Coordination (BPHC)
PA Physician Assistant
PAC Progressive Action Condition
PACE Program of All-Inclusive Care for the Elderly
PAL Program Assistance Letter
PAO Program Approving Official
PAR Program Analysis and Recommendation
PCA Primary Care Association – A state (SPCA) or regional (RPCA) nonprofit organization, federally-funded, representing the interests of its members (primarily community and migrant health centers) and the patients served by its members.
PCER Primary Care Effectiveness Review
PCMH Patient-Centered Medical Home – In the medical home model, a patient’s primary care office coordinates and tracks the care being provided by specialists and hospitals, and also makes sure that patients follow through on care regimens and follow-up care.
PCO Primary Care Office
PCSA Primary Care Service Area
PD Position Description
PEERS Patient Experience Evaluation Report System
PHPC Public Housing Primary Care
PHS (United States) Public Health Service
PIN Policy Information Notice
PMM Project Management Module (EHB)
PMS Payment Management System
PMS Practice Management System
PO Project Officer
POP Principles of Practice – A document completed annually by all federal NHSC assignees, which describes the scope and location of their practices. The POP is negotiated between the assignee and his/her project and provides the basis for the assignee’s federal malpractice (tort) coverage.
PPA Private Practice Assignment – A type of NHSC assignment. The PPA professional is employed by, and subject to the personnel system of, the nonprofit private or public entity (the Entity) to which they are assigned. The salary and benefits are paid by the Entity.
PPACA Patient Protection and Affordable Care Act
PPO Private Practice Option – A type of NHSC assignment. The PPO professional conducts full-time private practice in an approved HPSA or Preferred Provider Organization.
Project Officer The federal employee, within the HRSA Field Office, having primary responsibility for a project or group of projects (referred to in some regions as Project Management Consultant).
PSC Program Support Center – One of the operating divisions of DHHS.
PSO Provider Sponsored Organization
QA Quality Assurance – A process used to assure that care being rendered meets individual clinic goals, as well as meeting community standards.
QI Quality Improvement
RAC Rural Assistance Center
REC Regional Extension Center
Regional Clinical Consultant The clinician, within the HRSA Field Office, having primary responsibility for clinical affairs within the Region.
RHA Regional Health Administrator – Oversees DHHS activities within his/her region. The United States is divided into 10 regions for the administration of DHHS programs.
RHC Rural Health Clinic/Center – A clinic located in a rural area that receives cost-based reimbursement, under Medicaid and Medicare, due to its qualifying under the Rural Health Clinic Act (RHCA).
RHIO Regional Health Information Organizations – Organized cross-jurisdictional healthcare data-sharing organizations.
RHN Rural Health Network
RN Registered Nurse
3RNet National Rural Recruitment and Retention Network
RPC Regional Program Consultant – A regional/field office employee responsible for a specific program.
RPCA Regional Primary Care Association
R&R Recruitment and Retention
RRC Rural Referral Center
RSA Rural Service Area
RTSC Recruitment Training and Support Center
SAC Service Area Competition
SAMHSA Substance Abuse and Mental Health Services Administration – One of the operating divisions of DHHS. It has both service and educational components dealing with substance abuse and mental health.
SBHC School-Based Health Center
SBIRT Screening, Brief Intervention, Referral to Treatment
SCHIP State Children’s Health Insurance Program
Scholar A person receiving education grants from NHSC in return for a required period of service in a high-scoring HPSA.
SEARCH Student/Resident Experiences and Rotations in Community Health
Section 330 Section 330 of the Public Health Service Act Statute
SE Service Expansion
SG Surgeon General of the United States
SLRP State Loan Repayment Program
SOP Standard Operating Procedure
SORH State Offices of Rural Health
SPCA State Primary Care Association
SWD Southwest Division (BPHC)
TA Technical Assistance
TJC The Joint Commission
UCR Usual and Customary Rates – Those rates normally charged by health care providers for a service in a given geographical area.
UDS Uniform Data System – A uniform set of tables, data elements and definitions pertaining to the operational, financial and administrative management of the program, which programs are required to complete annually. The UDS replaced the BCRR in 1996.
UPR Uniform Progress Report
WIC Women, Infants, and Children Program
WPCA Wyoming Primary Care Association – The primary care association representing health care centers in the state of Wyoming.