Glossary

AD Account

Active Directory Account

ADKAR

Awareness, Desire, Knowledge, Ability, Reinforcement

AFP

Alternate Funding Plan

ALC

Alternate Level of Care

AOT

Assisted Outpatient Treatment – community based mental health services

ARB

Architecture Review Board

Associated Parties/Partners

Referring to a party or group that OPOR collaborates closely with. An example of an associated partner is Oracle Health.

Note: this term replaces the previously used term ‘stakeholder’. We are moving away from this term as it has negative historical connotations.

ASSYST

Software used by the Enterprise Service Management team for incident management, Service Requests and Change Management Database. IT Self-Service is a component of this.

ASW

Autism Skills Worker

ATE

At The Elbow

AWS

Amazon Web Services

BAFO

Best and final offer

BMDI

Bedside Medical Device Integration

BMS

Bare Metal Server

BMT

Bone Marrow Transplant

BPMH

Business Process Model & Notation

Best Possible Medication History

BRA

Business Risk Acceptance, a form signed by a Business Owner and IM/IT Senior Director accepting risks identified by CSRM, when a decision made by the Business Owner to not complete the risk mitigation recommended by CSRM.

BRD

Business Requirements Document

Business Relationship Director

BS

Business Services – A division of NSH IMIT.

BUILDING BRANCHES

An engagement exercise helping clinical teams visualize the flow of patient information; identify pain points; and foster greater inter-professional collaboration.

BYOD

Bring Your Own Device

C3

Care Coordination Centre

CAB

Change Approval Board

CAUTI

Catheter Associated Urinary Tract Infection

CBC

Challenging Behavior Coordinator

CCI

Canadian Classification of Health Interventions

CDU

Care Delivery Unit

CE

Clinical Engineering

CFPC

College of Family Physicians Certification

Change Champion

Change Champions play a key role in taking the change message to a personal and peer level within their facility, department, or unit.
This individual serves as the trusted “go-to” person and acts as a conduit of information. A Change Champion works with their Accountable Leaders to:

Encourage colleagues’ engagement, support change management activities, support Go Live efforts, encourage post Go Live adoption

CHARTING BY EXCEPTION

The understanding that all systems are documented as NORMAL unless explicitly stated otherwise.

CHEO

Children’s Hospital of Eastern Ontario

CIHI

Canadian Institute for Health Information

CIS

Clinical Information System

CLABSI

Central Line-Associated Bloodstream Infection

CLDS

Clinical Leaders of Development (IWK), similar role to CNE (Clinical Nurse Educator) at NSH.

CLIN APPS

Clinical Applications, a portfolio within IM/IT.

Clinical Informatics Lead (CIL)

The Clinical Informatics Lead is responsible for translating standardized, evidence-based workflows into the CIS.

The Clinical Informatics lead independently addresses issues and makes decisions of moderate complexity with little or no supervision and delivers clear communication and documentation of complex concepts and issues across the organizations.

Clinical Lead

Clinical Leads provide information, complete assessments, and propose mitigation strategies for risks related to the people side of change and plan the change management activities for the OPOR Program.

They are supported by the Oracle Health OCM Leads, who will develop plans and strategies that augment the OPOR OCM Lead’s activities and facilitate effective Change Management.

CLMM

Closed Loop Medication Management

CLSI

Clinical Laboratory Standards Institute

CM

Change Management

CMDB

Change Management Database

CME

Capital Medical Equipment

CMIO

Chief Medical Information Office

CNE

Clinical Nurse Educator

COC

Continuum of Care

Clinical Operations Council (Zone VP Operations, Exec. Med. Directors, VP Research, Performance and CEO)

CoE

Centre of Excellence

COI

Conflict of Interest

COIN

Clinical, Biomedical Engineering/OPOR/IMIT/NSDS

COP

Community of Practice

COWS

Clinical Opiate Withdrawal Scale

CPAC

Clinical Practice Advisory Committee

CPG

Clinical Practice Guideline

CPHIMS

Certified Professional in Health Management Information & Systems

CPL

Clinical Practice Leader

CPOE

Computerized Provider Order Entry

CPSI

Canadian Patient Safety Institute

CPT

Current Procedural Terminology

CR/PR

Client Registry / Provider Registry

CRM

Customer Relationship Management

CSDS

Cyber Security and Digital Solutions

CSP

Clinical Standards Process

CSRM

Cyber Security Risk Management

CTA

Computed Tomography Angiography

Care Team Aid

CTAS

Canadian Triage & Assessment Score

CWS

Community Wide Scheduling

DAD

Discharge Abstract Database

DEC

Diabetes Education Centre

DHW

Department of Health and Wellness

DIS

Drug Information System

E & L

Education & Learning

EA

Enterprise Architecture

EDIRA

Equity, Diversity, Inclusion, Reconciliation, and Accessibility

EDIS

Emergency Department Information System

EDS

Essential Data Set. Information captured when documenting.

When you do a head-to-toe assessment on a patient, which elements MUST be captured vs. nice to have information.

EFR

Electronic Forms Repository

EIBI

Early Intensive Behavioral Intervention

ELT

Executive Leadership Team

EMAR

Electronic Medication Administration Record

EMC/EHS

Emergency Medical Care/Emergency Health Services

EMHAS

Emergency Mental Health & Addictions Services

EMR

Electronic Medical Records

EMRAM

Electronic Medical Record Adoption Model

EOC

Emergency Operations Centre

EPOC

Emergency Program of Care

ERM

Enterprise Risk Management

ESR

Erythrocyte Sedimentation Rate

ESS

Employee Self Service

FFS

Fee for Service

FORMULARY

Listing of drugs and medications purchased and stored by NSH & IWK.

FTB

Finance Treasury Board

GIM

General Internal Medicine

Go Live Facilitator

NSH or IWK employee who has gone through at least 1 go live as a front-line worker and who is now on loan to OPOR for a 2–3-week period to assist in the next go live.

GWS

Gradual Withdrawal Phase

HACS

Hospital acquired conditions

HI

Halifax Infirmary

HIE

Health Information Exchange Team (OPOR Provider Portal)

HLA

High Level Agenda

HMS

Healthy Management of Supplies

HMU

Hospitalist Medical Unit

HSMR

Hospital Standardized Mortality Rate

IAP

NSDS Information Access and Privacy team, a voting member in ARB, is a government office that ensures the NS Freedom of Information & Protection of Privacy (FOIPOP) Act is respected.

IAPP

International Association of Public Participation

ICD10

International Classification of Diseases 10th Revision

ICD9

International Classification of Diseases 9th Revision

IHIP

ICTS Health Intake Process

IM/IT

Information Management, Information Technology

Sometimes written as IMIT

IMCU

Intermediate Care Unit

IMD

Intelligent Medical Devices

INR

International Nationalized Ratio

IO

Intake & Output

IPAC

Infection Prevention and Control

IPPL

Interprofessional Practice and Learning. An education group that helps build specialty specific competencies. They manage the critical care courses for nurses working in the ICU. CCNP program does ICU course.

ISD

Internal Services Dept. Gov’t Dept responsible for large scale healthcare and Gov’t purchasing.

ISS

Initial Support and Stabilization Phase

LMS

Learning Management System

LOINC

Logical Observation Identifiers Names and Codes

LTC

Long Term Care

MAC

Medical Advisory Council

MAID

Medical Assistance in Dying

MAP

My Administrative Portal- Links Success Factors, SAP and OM

MEC

Memorandum to Executive Council

MED/ONC

Medical Oncology

MICC

Maintain & Improve Core Competencies

MOH

Medical Officer of Health

MOTP

Multi-Organ Transplant Program

MRP

Most Responsible Provider

MRSA

Methicillin-resistant Staphylococcus Aureus

NACRS

National Ambulatory Care Reporting System

NSCN

Nova Scotia College of Nursing

NSCRT

Nova Scotia College of Respiratory Technology

NSDS

Nova Scotia Digital Services

NSGEU

Nova Scotia Government Employees Union

NSNU

Nova Scotia Nurse Union

OAC

Orthopedic Assessment Clinic

OCM

Organizational Change Management

OCOAT

OPOR Clinical Operations Advisory Team

OH

Oracle Health

OHS

Occupational Health & Safety

OP3

One Province, One Process, One Policy – Listing of all NSH Policies

OPOR

One Person One Record

OPR

Optimization and Refinement Phase

Order Catalogue

A comprehensive listing of possible physician orders related to a specific care area or program.

Order Set

Processes to care for patient. An order populated with items required for a patient. Not a blank order form physician fills out

OTP

Oncology Transformation Project

PACS

Picture Archiving Communication System

Pain Points

Instances of difficulty experienced by clinicians while providing care.

PATIENTTRAK

Electronic White board for use in Emergency Departments (Regional Sites and IWK)

PCP

Primary Care Provider

PCR

Patient Track Registry

Polymerase Chain Reaction – fast, highly accurate way to diagnose certain infectious diseases and genetic changes. The tests work by finding the DNA or RNA of a pathogen – disease-causing organism – or abnormal cells in a sample.

PCS

Pro Cloud Server (EA & Prolaborate)

PDA

Preliminary Design Assessment

PDC

Provincial Diagnostic Committee

Peer Mentor

Peer Mentors are advanced users of the One Person One Record-Clinical Information System (OPOR-CIS). They have received advanced training in the new systems to assist peers during implementation. They support teams by providing basic trouble shooting, as well as issue triage assistance. Peer Mentors are knowledgeable about OPOR solution and workflows, support their peers 1:1, in the classroom, and/or learning labs.

Key qualifications:

Approachable and interacts positively with people under stress.

Competent and comfortable with technology.

Willing and able to invest time in coaching and training efforts.

Pen Test

Penetration Test – one of three recommendations that may be assigned upon review of a new project. This is done using NSDS resources.

PFT LAB

Pulmonary Function Testing Lab

PHN

Primary Health Network. Primary care is your family physician office, or your first point of contact in healthcare system.

PIA

Privacy Impact Assessment, completed by project leads and Privacy officers at either NSHA or IWK. When required by Privacy, the PIA must be completed and approved by Privacy to move project to ARB approval voting.

PIA Intake

Privacy Impact Assessment Intake

PIEM

Patient Identification and Encounter Management

PLM

Pathology & Laboratory Medicine

Product Lifecycle Management. A systematic approach to managing the series of changes a product goes through, from design and development to ultimate retirement or disposal

PM

Project Manager

PMCOE

Project Management Centre of Excellence

PMO

Project Management Office

PMP

Project Management Professional

POC

Proof of Concept

POCT

Point of Care Testing

PPL

Professional Practice Leader

PPO

Pre-Printed Order

PRE-RA

Pre-Risk Assessment is a document required for ARB review. The template is provided to IMIT Project Lead to complete in consultation with Business Owner.

PSO

Project Services Offices, a team within the Business Services & Strategy portfolio of IMIT department

PSR

Project Status Report

Q & PS

Quality and Patient Safety

QMATICS

An IT scheduling tool used by clerks in some clinical areas

RAD/ONC

Radiation/Oncology

RCU

Restorative Care Unit

RFID

Radio Frequency Identification Device – a tiny radio responder, radio receiver and a transmitter. Tag transmits digital data, usually with an identifying inventory number, back to the reader

ROP

Required Organizational Practice

RRT

Rapid Response Team

RTLS

Real time Location System – tracking and management of medical equipment

SaaS

Software as a Service

SAML

Security Assertion Markup Language

SAP

System Analysis Program Development – German global leader for enterprise resource planning, provides some of NSH HR services.

SBAR

Situation Background Assessment Recommendations. A communication tool NSH uses for preparing communication documents for the Executive Leadership Team

SDOH

Social Determinants of Health

SIMS

Safety Improvement Management System

Site Visit

Site visits refer to the practice of physically visiting facilities around the province to socialize OPOR. In the context of a new health initiative, site visits play a crucial role in familiarizing those affected and in influential roles with the implementation environment and establishing a direct connection with the communities involved. Site visits serve as a valuable tool for setting up the foundation of a new health initiative in the reality of the communities it aims to serve. They facilitate effective communication, foster relationships, and provide general information, feedback from these sites can then help tailor the initiative to the unique characteristics of the implementation sites.

SLA

Solution Level Agenda

SLT

Senior Leadership Team

SME

Subject Matter Expert

SMTP

Simple Mail Transfer Protocol

SNOMED CT

Systematized Nomenclature of Medicine – Clinical Terms is a standardized, multilingual vocabulary of clinical terminology used by physicians and other health care providers for the electronic exchange of clinical health information

SOP

Standards of Practice

Standard Operating Procedure. Set of step-by-step instructions compiled by an organization to help workers carry out complex routine operations.

SOW

Statement of Work

SRO

Senior Responsible Officer

SSO

Single Sign On

Support Model

Documented diagram and word document describing all teams involved in incident management for a particular application and/or medical device. NSDS resource dedicated to this work, as part of the ARB approvals process.

Tallman Lettering

Writing in all capital letters

Tick Charting

Paper charting patient head to toe assessment (brain, heart, lung, skin, toileting check)

ToR

Terms of Reference

TTCP

Telephone Triage Centralized Process

TTT

Train The Trainer

UAT

User Acceptance Training

UPP

Universal Pandemic Precautions

VAP

Ventilator Associated Pneumonia

VCB

Virtual Coffee Break

VM

Virtual Machine

WBS

Work Breakdown Structure

WC

Ward Clerk

Workflows

Sequential visualization of steps in completion of an activity

WOW

Workstation on Wheels

ZMAC

Zone Medical Advisory Committee

ZMED

Zone Medical Executive Directors