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Suggested Citation:"Appendix B: Acronyms." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
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Page 103
Suggested Citation:"Appendix B: Acronyms." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
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Page 104

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B Acronyms ACA Patient Protection and Affordable Care Act ACO accountable care organization AHRQ Agency for Healthcare Research and Quality ARRA American Recovery and Reinvestment Act of 2009 ASPR Office of the Assistant Secretary for Preparedness and Response (HHS) CHNA community health needs assessment CMS Centers for Medicare & Medicaid Services DSH disproportionate share hospital EHR electronic health record FQHC federally qualified health center HERD Health Care Emergency Response Data System HHS U.S. Department of Health and Human Services HIE health information exchange HIPAA Health Insurance Portability and Accountability Act HITECH Health Information Technology for Economic and Clinical Health Act HL7 Health Level Seven HPP hospital preparedness program 103

104 IMPACTS OF THE ACA ON PREPAREDNESS IEP information exchange portal ILI influenza-like illness IOM Institute of Medicine KHIN Kansas Health Information Network MHPAEA Mental Health Parity and Addiction Equity Act of 2008 ONC Office of the National Coordinator (HHS) PCORI Patient-Centered Outcomes Research Institute SHIN-NY Statewide Health Information Network of New York SNS strategic national stockpile

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Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system.

The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.

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