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Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
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G

Acronyms

ACO

accountable care organization

AHRQ

Agency for Healthcare Research and Quality

ARRA

American Recovery and Reinvestment Act of 2009

CBO

Congressional Budget Office

CCB

Configuration Control Board

CCW

Chronic Condition Warehouse (CMS)

CHIP

Children’s Health Insurance Program

CIO

chief information officer

CLIA

Clinical Laboratory Improvement Amendments of 1988

CMS

Centers for Medicare and Medicaid Services

CTAB

Chief Information Officer’s Technical Advisory Board (CMS)

DIB

Data Integrity Board

DME

durable medical equipment

DRG

diagnosis-related group

DRN

distributed research network

EA

enterprise architecture

EDE

enterprise data environment

EHR

electronic health record

EMR

electronic medical record

ESC

executive steering committee

Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
×
FBI

Federal Bureau of Investigation

FDA

U.S. Food and Drug Administration

FFS

fee for service

GAO

U.S. Government Accountability Office

GBE

global business ecosystem

GDP

gross domestic product

GIE

global information ecosystem

GME

graduate medical education

HCAHPS

Hospital Consumer Assessment of Healthcare Providers and Systems

HCERA

Health Care and Education Reconciliation Act of 2010

HCFA

Health Care Financing Administration (CMS predecessor)

HHS

Health and Human Services, U.S. Department of

HIE

health information exchange

HIGLAS

Health Care Integrated General Ledger Accounting System

HIM

health information model

HIPAA

Health Insurance Portability and Accountability Act of 1996

HITECH

Health Information Technology for Economic and Clinical Health

HOS

Health Outcomes Survey

ICD-9

International Statistical Classification of Diseases and Related Health Problems, 9th Revision

ICD-10

International Statistical Classification of Diseases and Related Health Problems, 10th Revision

ILC

Integrated IT Investment & System Life Cycle Framework

IOM

Institute of Medicine

IPERA

Improper Payments Elimination and Recovery Act of 2009

IRF-PAI

Inpatient Rehabilitation Facility-Patient Assessment Instrument

IPF

PPS Inpatient Psychiatric Facility Prospective Payment System

IRM

information resource management IT information technology

ITIRB

Information Technology Investment Review Board (CMS)

MAC

Medicare administrative contractor

MAX

Medicaid Analytic Extract

MCBS

Medicare Current Beneficiary Survey

MDRI

Medicaid Drug Rebate Initiative

Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
×
MDS

Minimum Data Set

MedPAC

Medicare Payment Advisory Commission

MEDPAR

Medicare Provider Analysis and Review

MIPPA

Medicare Improvements for Patients and Providers Act of 2008

MMA

Medicare Prescription Drug, Improvement, and Modernization Act of 2003

MSP

Medicare as a Secondary Payer

NCQA

National Committee for Quality Assurance

NQF

National Quality Forum

OASIS

Outcome and Assessment Information Set

OESS

Offices of E-Standards and Services (CMS)

OIS

Office of Information Services (CMS)

OMB

Office of Management and Budget

ONC

Office of the National Coordinator for Health Information Technology

ORDI

Office of Research, Development, and Information

OSCAR

Online Survey Certification and Reporting

PPACA

Patient Protection and Affordable Care Act

PRO

professional review organization

PSRO

professional standards review organization

QIO

quality improvement organization

ResDAC

Research Data Assistance Center (CMS)

RHIO

regional health information organization

SSA

U.S. Social Security Administration

SSI

Supplemental Security Income (from SSA)

TRA

Technical Reference Architecture (CMS)

VHA

Veterans Health Administration

VHIM

VHA Health Information Model

VISTA

Veterans Health Information Systems and Technology Architecture

Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
×

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Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
×
Page 175
Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
×
Page 176
Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
×
Page 177
Suggested Citation:"Appendix G: Acronyms." National Research Council. 2012. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services. Washington, DC: The National Academies Press. doi: 10.17226/13281.
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Page 178
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The Centers for Medicare and Medicaid Services (CMS) is the agency in the Department of Health and Human Services responsible for providing health coverage for seniors and people with disabilities, for limited-income individuals and families, and for children--totaling almost 100 million beneficiaries. The agency's core mission was established more than four decades ago with a mandate to focus on the prompt payment of claims, which now total more than 1.2 billion annually. With CMS's mission expanding from its original focus on prompt claims payment come new requirements for the agency's information technology (IT) systems.

Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services reviews CMS plans for its IT capabilities in light of these challenges and to make recommendations to CMS on how its business processes, practices, and information systems can best be developed to meet today's and tomorrow's demands. The report's recommendations and conclusions offered cluster around the following themes: (1) the need for a comprehensive strategic technology plan; (2) the application of an appropriate metamethodology to guide an iterative, incremental, and phased transition of business and information systems; (3) the criticality of IT to high-level strategic planning and its implications for CMS's internal organization and culture; and (4) the increasing importance of data and analytical efforts to stakeholders inside and outside CMS. Given the complexity of CMS's IT systems, there will be no simple solution.

Although external contractors and advisory organizations will play important roles, CMS needs to assert well-informed technical and strategic leadership. The report argues that the only way for CMS to succeed in these efforts is for the agency, with its stakeholders and Congress, to recognize resolutely that action must be taken, to begin the needed cultural and organizational transformations, and to develop the appropriate internal expertise to lead the initiative with a comprehensive, incremental, iterative, and integrated approach that effectively and strategically integrates business requirements and IT capabilities.

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