مصطلحات الرعاية الصحية والتقنية

Activities of Daily Living

Basic self-care tasks including bathing, dressing, eating, toileting, transferring, and continence.

Assisted Living Facility

Residential facility providing personal care, meals, and supportive services for individuals who need assistance but not skilled nursing.

Application Programming Interface

Set of protocols and tools enabling different software applications to communicate with each other.

Amazon Web Services

Comprehensive cloud computing platform providing infrastructure, platform, and software services.

Continuous Integration/Continuous Deployment

Development practices automating code integration, testing, and deployment to production environments.

Centers for Medicare & Medicaid Services

Federal agency within HHS that administers Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).

Certified Nursing Assistant

Healthcare worker certified to provide basic patient care under nursing supervision.

Current Procedural Terminology

Standardized medical code set maintained by the AMA for reporting medical procedures and services.

Comma-Separated Values

Simple file format for storing tabular data where fields are separated by commas.

Division of Developmental Disabilities

State agency responsible for providing services to individuals with intellectual and developmental disabilities.

Development and Operations

Cultural and technical practice combining software development and IT operations for faster, reliable delivery.

Development, Security, and Operations

Approach integrating security practices throughout the software development lifecycle.

Direct Support Professional

Caregivers who provide direct assistance to individuals with disabilities in daily living activities and community participation.

Electronic Data Interchange

Standardized electronic format for exchanging healthcare transactions like claims and eligibility inquiries.

Electronic Health Record

Digital version of a patient's medical history maintained by healthcare providers over time.

Electronic Medical Record

Digital version of a patient's chart within a single healthcare organization.

Explanation of Benefits

Statement from insurance explaining what was covered, denied, and the patient's financial responsibility.

Electronic Protected Health Information

PHI that is created, stored, transmitted, or received electronically, subject to HIPAA Security Rule requirements.

Electronic Remittance Advice

Electronic explanation of payment sent by payers to providers detailing claim adjudication.

Electronic Visit Verification

A technology system required by the 21st Century Cures Act to verify home healthcare visits electronically, capturing time, location, and services provided.

Fee-for-Service

Payment model where providers are reimbursed for each service rendered rather than a bundled rate.

Federally Qualified Health Center

Community-based healthcare provider receiving federal funding to provide primary care in underserved areas.

General Data Protection Regulation

European Union regulation on data protection and privacy for individuals within the EU.

Home and Community-Based Services

Medicaid-funded services that allow individuals to receive care in their homes or communities rather than institutional settings.

Healthcare Common Procedure Coding System

Standardized coding system for healthcare products, supplies, and services not covered by CPT codes.

Home Health Aide

Trained caregiver providing personal care and health-related services in a patient's home.

Health Insurance Portability and Accountability Act

US law establishing national standards for protecting sensitive patient health information.

Infrastructure as Code

Managing and provisioning infrastructure through machine-readable configuration files rather than manual processes.

Instrumental Activities of Daily Living

Complex daily tasks including managing finances, transportation, shopping, meal preparation, and medication management.

Identity and Access Management

Framework of policies and technologies ensuring proper people have appropriate access to resources.

International Classification of Diseases

WHO standard diagnostic classification for epidemiology, health management, and clinical purposes.

Intellectual and Developmental Disabilities

Conditions originating before age 22 that affect cognitive functioning and/or adaptive behavior.

Individual Service Plan

Person-centered document outlining the services, supports, and goals for an individual receiving HCBS.

JavaScript Object Notation

Lightweight data interchange format that is easy for humans and machines to read and write.

Key Management Service

Cloud service for creating and managing cryptographic keys for data encryption.

Key Performance Indicator

Measurable value demonstrating how effectively an organization achieves key objectives.

Level of Care

Assessment determining the intensity of services an individual requires, often used for Medicaid eligibility.

Licensed Practical Nurse

Nurse licensed to provide basic nursing care under the direction of registered nurses and physicians.

Managed Care Organization

Health insurance entity that contracts with state Medicaid programs to provide healthcare services to enrolled beneficiaries.

Multi-Factor Authentication

Security method requiring multiple verification factors to prove identity.

Managed Long-Term Services and Supports

A managed care approach to delivering long-term care services through contracted health plans rather than fee-for-service Medicaid.

Non-Emergency Medical Transportation

Transportation services for Medicaid beneficiaries to access healthcare appointments when they have no other means of transportation.

New Jersey

US state where Via Lucra specializes in supporting healthcare providers with Medicaid compliance.

New Jersey Division of Developmental Disabilities

Division within NJDHS providing services to adults with intellectual and developmental disabilities.

New Jersey Department of Human Services

State agency overseeing programs for individuals with disabilities, seniors, and families.

National Provider Identifier

Unique 10-digit identification number for healthcare providers required by HIPAA.

Personal Care Services

Assistance with activities of daily living provided to individuals who need help due to age, illness, or disability.

Portable Document Format

File format for presenting documents consistently across different platforms and devices.

Protected Health Information

Any health information that can identify an individual, protected under HIPAA privacy rules.

Personally Identifiable Information

Any information that can be used to identify, contact, or locate an individual.

Plan of Care

Documented plan prescribing the types and frequency of services an individual needs based on assessment.

Quality Assurance

Systematic process ensuring products and services meet specified requirements and standards.

Role-Based Access Control

Security approach restricting system access based on users' roles within an organization.

Representational State Transfer

Architectural style for designing networked applications using stateless HTTP operations.

Registered Nurse

Licensed nurse who has completed nursing education and passed the NCLEX-RN examination.

Return on Investment

Financial metric measuring the profitability of an investment relative to its cost.

Software as a Service

Software licensing model where applications are hosted centrally and accessed via subscription.

Service Level Agreement

Contract defining the level of service expected from a vendor, including uptime and support response times.

Skilled Nursing Facility

Licensed facility providing 24-hour nursing care and rehabilitation services.

System and Organization Controls

Suite of audit reports evaluating controls at service organizations related to security and availability.

System and Organization Controls 2

Audit framework evaluating service organizations' controls for security, availability, processing integrity, confidentiality, and privacy.

Structured Query Language

Standard language for managing and querying relational databases.

Secure Sockets Layer

Cryptographic protocol for secure communication over computer networks (predecessor to TLS).

Single Sign-On

Authentication scheme allowing users to access multiple applications with one set of credentials.

Transport Layer Security

Cryptographic protocol providing secure communication over networks, successor to SSL.

User Interface

Visual elements and interactions through which users interact with software applications.

User Experience

Overall experience a user has when interacting with a product, including usability and satisfaction.

Virtual Private Cloud

Isolated cloud network environment where resources are logically separated from other customers.