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Mortality - The incidence of death in a popula on
Morbidity - The incidence and severity of illness and accidents in a popula on
Medigap - Health insurance sold by private insurance companies to fill the "gaps" in original
Medicare plan coverage
Medicare recovery audit program - A program to iden fy and correct improper payments from
Medicare to providers, with the aim of preven ng future improper payments by Medicare; a
common improper payment is for surgical services provided in the wrong se!ng (inpa ent
instead of outpa ent).
Magnet Recogni on Program - A program developed by the American Nurses Creden aling
Center that recognizes healthcare organiza ons for quality pa ent care, nursing excellence and
innova ons in professional nursing prac ce; Magnet designa on is the ul mate creden al for
high-quality nursing
Long-term care - A con nuum of maintenance, custodial, and health services provided to the
chronically ill, disabled or mentally handicapped.
Joint Commission - The independent, not-for-profit organiza on that evaluiates and monitors
the quality of care provided in hospitals
Interdisciplinary plan of care - A documented process that includes the pa ent, the family, and
all clinical disciplines involved in planning and providing care to a pa ent from system point of
entry, throuhgout the en re acute care episode, and to the next level of care
, Independent Prac ce Associa on - A legal en ty that contracts with a group of independent
physicians to provide services to managed care organiza ons at a nego ated per capita rate; the
arrangement is usually not exclusive, so the physicians may sign contracts with other managed
care companies
Indemnity Plans - Tradi onal fee-for-service health plans
Hospitalist - A physician who manages broad categories of hospitalized pa ents
Hospital preauthoriza on - A managed care technique in which the insured obtains permission
from a managed care organiza on before entering the hospital for nonemergency care.
Pallia ve Care - Interdisciplinary care provided to a pa ent with a serious, life-threatening, or
life-limi ng illness that aims not to provide cura ve treatment but rather to manage symptoms;
relieve pain and discomfort; improve quality of life; and meet the emo onal, social and spiritual
needs of the pa ent and the pa ent's family
Hospice - An organiza on that provides medical care and support services (pain and symptom
management, counseling, bereavement services) to terminally ill pa ents and their families; it
may be a freestandign facility, a unit of a hospital or other ins tu on, or a separate program of
a hospital, agency or ins tu on.
Healthcare Effec veness Data and Informa on Set - A comprehensive set of standardized
performance measures designed to provide purchasers and consumers with the informa on
they need for reliable comparison of health plan performance; HEDIS measures relate to
significant public health issues such as cancer, heart disease, smoking, asthma, and diabetes.
Health Savings Account - An account created for individuals who are covered under high-
deduc ble health plans to save for medical expenses that the plans do not cover