Healthcare Glossary


Quality Quest for Health of Illinois

Medical Glossary

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Health Coverage

Health coverage is what a health care plan will pay for.  See also Benefits.

Health Information Technology (HIT)

Health information technology is the use of electronic systems to coordinate health care delivery.  Health information technology is broader than an individual patient's electronic medical record, encompassing the concept of interoperable information systems that can communicate and exchange patient data accurately and effectively.  The vision of health information technology is that once such systems and infrastructures are implemented, they will help prevent medical errors, reduce costs, and improve the quality of care, producing greater value for health care expenditures.  Issues of concern with health information technology include maintaining adequate privacy and security protections.

Health-Insurance Cooperative

A self-insured pool of people, some of whom could not otherwise afford insurance, who would collect premiums and pay out claims.  These nonprofit co-ops would be consumer-owned and operated.

Health Maintenance Organization (HMO)

An HMO is a prepaid health plan that covers your necessary medical treatment, and for which you pay a monthly premium.  An HMO is a type of managed care organization.  Individuals must choose a primary care physician from within the network to coordinate all of their care.  All specialty referrals need to be authorized by the patient's primary care physician.

Health Outcomes

Health outcomes are how patients are at the end of their treatment or disease.  They include how well patients are and how well the patients' needs for more care, medicine, support, counseling, or education have been met.  Clinical trials measure the health outcomes of groups of patients.  Some common health outcomes in clinical trials include illness, survival, and improved quality of life.

Health Plan

A health plan is another name for health insurance.  It is how people get and pay for health care.  Health plans may cover visits to a doctor in a private medical setting or individuals may belong to a health maintenance organization (HMO) that has its own network of doctors.  Plans differ in how patients have to pay, and they differ in how easy it is to get the services needed.  Plans generally don't pay for all the costs of an individual's medical care, but some plans cover more than others.

Health Plan Employer Data and Information Set (HEDIS) Measures

The Health Plan Employer Data and Information Set (HEDIS) Measures are a set of health care quality measures designed to help purchasers and consumers determine how well health plans follow accepted care standards for prevention and treatment. Formerly known as the Health Plan Employer Data Information Set, health plans can receive accreditation on HEDIS measures from certain organizations, such as the National Committee on Quality Assurance.

Health Reimbursement Arrangement (HRA)

This is an employer contribution to certain medical expenses before deductible and coinsurance amounts are applied.  These help the employee pay the higher out-of-pocket costs that come with a consumer-directed health plan.  The money in an HRA belongs to the employer.  That means the employer keeps it when an employee leaves a plan or the company.

Health Resources and Services Administration (HRSA)

The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services and is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.

Health Savings Account (HSA)

Like the HRA, these also help people in consumer-directed health plans pay out-of-pocket medical expenses.  Unlike HRAs, employees or customers own the HAS.  They can deposit pre-tax money in the account, and some employers also contribute to them.
Any unused balance grows, and the customer keeps the account when leaving a job. 

Health Services Research

Health services research is a field of study on the ways in which financial, social, and organizational systems impact health care quality, cost, and access.  HSR examines how people get access to health care, how much care costs, and what happens to patients as a result of this care.  The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high quality care; reduce medical errors; and improve patient safety.

High Deductible Health Plan

These can come with lower premiums than traditional coverage, but the patient pays more out of pocket before coverage starts.  High deductibles generally top $1,200.  If they are at least $1,200 for an individual or $2,400 for a family, the plan can be paired with a health savings account.
Cosumer-directed health plans involve high-deductible insurance.

Hospital CAHPS (H-CAPS or CAHPS Hospital Survey)

Hospital CAHPS (H-CAHPS or CAHPS Hospital Survey) is a standardized survey instrument and data collection methodology for measuring patients' perspectives of hospital care. While many hospitals collect information on patient satisfaction, there is no national standard for collecting or publicly reporting this information that would enable valid comparisons to be made across all hospitals. H-CAHPS is a core set of questions that can be combined with customized, hospital-specific items to produce information that complements the data hospitals currently collect to support improvements in internal customer service and quality-related activities.

Hospital Discharge

Hospital Discharge is the process by which a patient is released from the hospital by health care professionals.

Hospital Quality Alliance

The Hospital Quality Alliance (HQA) is a public-private collaboration seeking to improve the quality of care provided by the nation's hospitals by measuring and publicly reporting on that care.

Hospital Referral Regions (HRRs)

Hospital referral regions are used by the Dartmouth Atlas of Health Care to define regional health care markets. These regions are defined by where patients in surrounding areas are most often referred to for tertiary care. Each HRR contains at least one hospital that performs major cardiovascular procedures and neurosurgery. HRRs can cross state lines.