Medicare's Quality Improvement Organization Program Maximizing Potential (2006) / Chapter Skim
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Appendix D Glossary and Acronyms
Appendix D Glossary and Acronyms
Pages 473-480
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Adverse event. An undesirable and usually unanticipated event or injury in a health care setting, including incidents that have no permanent effect, such as a fall or administration of improper medication.
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In the Quality Improvement Organization program, these are often organized around a specific task by the Quality Im provement Organizations Support Center. Conditions of Participation.
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. A public website that serves as an informational resource for quality improvement ac tivities and that is run by a Quality Improvement Organization Support Center.
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who provide health care services to beneficiaries. Providers in the Quality Improvement Organization program include hospitals, nursing homes, home health agencies, physicians, and pharmacies/pharmacists.
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Statement of work. Part of the Quality Improvement Organization core contract that delineates detailed work requirements, a list of deliver ables, evaluation criteria, and a budget.
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vision that, through the adoption of certain strategies (measurement and reporting, health information technology adoption, process redesign, and organization culture change) , the Quality Im provement Organization program, along with other efforts, can lead to measurable changes in the health care delivery system to align with the Institute of Medicine's six aims and CMS's vision of "the right care for every patient every time" (Pugh, 2005)
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FY fiscal year HCFA Health Care Financing Administration HEDIS Health Plan Employer Data and Information Set HINN hospital-issued notice of noncoverage HPMP Hospital Payment Monitoring Program IHI Institute for Healthcare Improvement IOM Institute of Medicine IPG identified participant group MedPAC Medicare Payment Advisory Commission MedQIC Medicare Quality Improvement Community MMA Medicare Modernization Act NODMAR Notice of discharge and Medicare appeal rights NQCB National Quality Coordination Board OASIS Outcome and Assessment Information Set OBQI Outcome-Based Quality Improvement (system) OBRA Omnibus Budget Reconciliation Act PARTner Program Activity Reporting Tool PEPPER Program for Evaluating Payment Patterns Electronic Re ports PRO Peer Review Organization PSRO Professional Standards Review Organization QAPI Quality Assessment and Performance Improvement (project)
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480 APPENDIX D SDPS Standard Data Processing System SOW scope of work TOPS Transmittal of Policy System (a document) REFERENCES CMS (Centers for Medicare and Medicaid Services)
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