Glossary

Glossary:

ADA:
Americans with Disabilities Act
 
Advisory Group:
A group approved by the governing body to advise the organization on professional issues and to assist the organization in  maintaining liaison with other health care providers in the community.  An advisory group is required for home health, private duty, pharmacy and infusion therapy nursing organizations.  Public Health organizations are required to formulate advisory groups as needed per external grant sources or due to community needs.  Community Nursing Centers are required to have an advisory board in the absence of a Board of Directors.  The Medicare certified home health agency must comply with CFR 484.16 for membership and responsibilities of the group.
 
Affiliate:
Persons or organizations that are associated with an organization as part of a formal business structure, or through contractual or service agreements such as providers of billing, therapy or other services.
 
Annually:
Every 12 months
 
Assessment:
A systematic collection of objective information data obtained through interview, observation and physical examination as well as information from other sources to thoroughly evaluate an individual, situation or event.
 
Basic personal care services:
Services provided by trained and or competency tested personnel to stable consumers with non-medical needs under the direct or indirect supervision of a registered nurse.  Services provided include provision of or assistance with personal care and activities of daily living according to the plan of care.
 
CARES:
CHAP's CARES (Computer-based Accreditation Review and Evaluation System) system is an innovative, web-based, custom software application that creates a higher quality, more efficient means to communicate and process vital information
 
CDC:
Centers for Disease Control and Prevention
 
Census:
Members of a given population.  Active patient census is those consumers who are currently receiving care, service and/or products.
 
Certified home health aide services:
Services provided by aides who have been trained and/or competency tested as well as by certified nursing assistants who have completed a state approved training program for certified nursing assistants and have received additional home care training and competency testing.  CHHA's provide care to consumers with complex care needs under the direct supervision of a registered nurse.
 
CFR:
Code of Federal Regulations
 
CHHA:
Certified Home Health Aide. 
 
CLIA:
Clinical Laboratory Improvement Amendments
 
CMS:
Centers for Medicare & Medicaid Services
 
Competence:
Possession of required skill, knowledge and experience to perform the duties required. 
 
Competency Testing:
Written testing and/or direct observation of an individual performing a task or procedure.  Only an individual with documented competency may perform competency testing by direct observation.
 
Complaint:
Dissatisfaction expressed by consumers, referral sources and employees.
 
Consumer:
The end-user or recipient of the care, services, products, equipment or supplies provided by the organization. Consumers may include individuals, families, groups, other health care entities and communities.
 
Compliance:
Acting in accordance with and adhering to laws, regulations, standards, and procedures. 
 
Contractor/Contract employee:
An individual or organization providing services under arrangement to the organization.  Persons providing services under contract with another business entity as well as independent contractor are considered contractors providing services under arrangement.
 
Coordination of Care:
Sharing of information between providers to ensure that the consumer's needs and preferences for care are understood and to enhance the quality of care, services and/or products provided. 
 
COP:
Medicare Conditions of Participation
 
Criterion:
A statement that defines in detail the requirements of the standard
 
dba:
Doing business as
 
Direct employee:
An employee hired by the organization for whom payroll taxes are paid and who receives a W-2 form annually.
 
Direct Supervision:
Reporting supervisor for the position rendering services.  Direct supervision does not require that the supervisor is present when care is being provided. 
 
DMEPOS:
Durable Medical Equipment, Prosthetics, Orthotics and Supplies
 
Element:
A component of each criterion that delineates requirements
 
Employees:
Individuals hired by organizations as well as volunteers of the organization.
 
Evidence Guidelines:
Guidelines and examples of evidence used by organizations and site visitors in determining organizational compliance with standards.
 
Executive Staff:
At a minimum, the executive staff includes the Senior Leader and the alternate to this position. The organization may include other management and leadership positions in this category. Job titles may include but not be limited to CEO, President, Executive Director, Administrator, among others. 
 
FDA:
US Food and Drug Administration
 
Governing Body:
A person or persons with legal authority, accountability and responsibility for the administration and performance of the organization.
 
Grievance:
Complaint or dissatisfaction expressed by consumers, referral sources or employees. 
 
HBV:
Hepatitis B Vaccine
 
Healthcare Associated Infection (HAI):
Infections that are acquired during the course of receiving treatment for another condition in a health care setting (CDC).
 
HH:
Home Health
 
HHA:
Home Health Aide
 
HIPAA:
Health Insurance Portability and Accountability Act
 
HME:
Home Medical Equipment
 
Home/Environmental Support Services:
Services provided by trained/competency tested personnel including homemakers, chore workers, companions, sitters and environmental workers including homemaking, housekeeping and other activities inside and outside the home which support consumer independence, are assistive in scope and do not require hands on personal care activities.  Supervision provided by direct or indirect supervision by a registered nurse when provided in conjuction with skilled or basic personal care services. When ONLY home/environmental services are provided, the qualified supervisor may be a LPN/LVN, Registered Dietician, Social Worker, Home Economist, or experienced hospitality industry housekeeping supervisor.
 
ICF/MR:
Intermediate Care Facility for Persons with Mental Retardation
 
IDT/IDG:
Interdisciplinary Team/Interdisciplinary Group, comprised of a physician, registered nurse, social worker and pastoral or other counselor.  Additional members may include physical therapist, occupational therapist, speech language therapist/audiologist, dietitian, pharmacist, home health aide/Homemaker and volunteer.
 
Indirect Supervision:
General, overall responsibility for the care/services provided to consumers. 
 
Information system:
The methods utilized by the organization to manage and organize data.  The system may be electronic or paper-based.
 
Inservice:
Training and education taking place during the course of employment to assist in the development of skills.
 
Introductory period:
A time frame identified by the organization that allows for the new employee to be instructed in, and become familiar with the position. This time frame may also be referred to as a probationary period.
 
Medication Reconcilitation:
A process utilized to accurately identify all medications taken by the consumer, including over the counter, herbal and home remedies, and resolve inconsistencies and real or potential problems in a consumer's medication regimen in consultation with the physician.
 
Paraprofessional:
A non-professional employee with a specified level of competency, supervised by a health care professional.
 
Plan of Care:
A document detailing of the needs of the consumer and the interventions that will be provided by the organization to assist the consumer in achieving desired outcomes.  Physician orders may be required for the Plan of Care for some services
 
OASIS:
Outcome and Assessment Information Set
 
OBQI:
Outcome Based Quality Improvement
 
OBQM:
Outcome Based Quality Management
 
Orientation:
Instruction and education provided to employees upon  beginning a new job.
 
OSHA:
Occupational Health and Safety Administration
 
OTC:
Over the Counter
 
PAC:
Professional Advisory Committee. See Advisory Group.
 
Periodic:
Recurring at regular intervals; the organization defines the timing of periodic events.
 
PI:
Performance Improvement
 
Protocol:
A set of rules and procedures to be followed.
 
Readiness:
All requirements for scheduling an accreditation site visit have been met. 
 
Scope of Services:
The range of services provided by the organization.
 
Screening:
Systematic examination or assessment utilized to determine the presence of a particular disease or condition. Screening methods may include performance of a medical procedure or other methods of evaluation such as completion of standardized assessment tools.
 
Senior Leader:
The leader with the highest level authority in the organization as identified in the organizational structure.
 
Service Unique:
Areas of care, services, equipment or supplies provided to consumers.
 
Site Visit:
An on-site visit to the provider organization by CHAP site visitor(s) for validation that Standards of Excellence are met, or to investigate a complaint, or to follow up on implementation of the Plan of Correction
 
SMDA:
Safe Medical Device Act
 
SNF/NF:
Skilled Nursing Facility/Nursing Facility
 
Standard Statement:
A blueprint for success that recognizes excellence and is a model or example for practice.
 
Sub-element:
Additional statements that provide more definition of selected elements.
 
Supervisor:
Person who has authority to hire, fire, and provide formal feedback;  next step in chain of command;  directs daily work and/or provides more global direction;  has final responsibility for performance of subordinate staff
 
Tag Items:
Identifiers used by CMS to indicate non-compliance with one or more Medicare  Conditions of Participation or standards.  It is cross referenced to a section of the Code of Federal Regulation
 
TB:
Tuberculosis
 
Telemedicine:
Remote monitoring via electronic communication to collect data and monitor the consumer's health and clinical status.  Telemedicine may be used to supplement home visits.
 
Transitions of care:
The movement of consumers between practitioners or care settings
 
Unduplicated Admissions:
The number of unique consumers admitted during a specified time period.  The consumer is reported only once regardless of the number of admissions that may have occurred during that time frame.

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The consultative advice given by the site surveyors during their site visit. The professionalism of the site surveyors is also a plus. The site surveyor's willingness to explain the details of a regulation and ways to be updated and compliant with a regulation.

Estrella Gies 
Administrator 
Select Home Care, Inc.
Chicago, IL

The site visit was really a great learning experience to help us move forward to continuously improve our agency.

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Owner and Director 
Livewell Home Health Care, LLC
Flat Rock, MI

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