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.CSV File

.csv is a file extension that stands for "Comma Separated Values." It is a common format to share data and can be opened in most spreadsheet and statistical packages like Microsoft Excel.



Access Increases in Mental Health and Substance Abuse Services (AIMS)

Access Increases in Mental Health and Substance Abuse Services (AIMS), a program of the Health Resources and Services Administration (HRSA), supports the expansion of access to mental health services, and substance abuse services focusing on the treatment, prevention, and awareness of opioid abuse.



Adjusted Quartile Rankings

Rankings calculated by the Health Resources and Services Administration (HRSA) based on performance after adjusting for factors including minority patient population, uninsured patient population, and special patient population. For more information, see https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.



Bureau of Primary Health Care (BPHC)

The Bureau of Primary Health Care (BPHC) is part of the Health Resources and Services Administration of the U.S. Department of Health and Human Services. BPHC administers the Health Center Program for which the UDS Mapper was built to serve.



Centers for Medicare & Medicaid Services (CMS)

The Centers for Medicare & Medicaid Services (CMS) is part of the Department of Health and Human Services (HHS). They administer Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Marketplace.



Centroid

A centroid is the geometric center of a feature. In the UDS Mapper ZIP Codes are mapped to the ZCTA that best fits its location based on the ZIP Code centroids.



County Subdivisions

County Subdivisions are the primary divisions of counties and equivalent entities. They include census county divisions, census subareas, minor civil divisions, and unorganized territories and can be classified as either legal or statistical. Minor civil divisions (MCDs) are the primary governmental or administrative divisions of a county in many states (parishes in Louisiana) and the county equivalents in Puerto Rico and the Island Areas. Census county divisions (CCDs) are areas delineated by the Census Bureau in cooperation with state, tribal, and local officials for statistical purposes. CCDs have no legal function and are not governmental units. CCDs often exist where there are no legally established MCDs. Census subareas are statistical subdivisions of boroughs, city and boroughs, municipalities, and census areas, all of which are statistically equivalent entities for counties in Alaska.



DATA Waived Provider Rate

Physicians, physician assistants, and nurse practitioners with a waiver to provide Medication-Assisted Treatment (MAT) for opioid addiction per 100,000 population.



DATA Waived Providers

Physicians, physician assistants, and nurse practitioners with a waiver to provide Medication-Assisted Treatment (MAT) for opioid addiction.



Dominant Health Center

The dominant health center is the health center with the highest number, and therefore highest share of patients, of health center patients in a ZCTA.



Drug Poisoning Mortality

The estimated mortality rate (age-adjusted rate of deaths per 100,000 standard population) by drug poisoning. Drug-poisoning deaths are defined as having ICD–10 underlying cause-of-death codes X40–X44 (unintentional), X60–X64 (suicide), X85 (homicide), or Y10–Y14 (undetermined intent).



Extended Care Site (also called Community Living Centers (CLCs)) (Stand-Alone)

Extended care is defined by encounters between Veterans and providers within the VHA health care system in VA institutional care. Extended care services is defined in 38 U.S.C. 1710B as including geriatric evaluation, nursing home care, domiciliary services, adult day health care, other non-institutional alternatives to nursing home care, and respite care. Each point of service receives an extended care rating within the VHA site classifications based on the services provided at that location. VA Institutional Extended Care Sites (also called CLCs) provide care in beds associated with overnight institutional extended care programs. VA institutional extended care beds are defined by the treating specialty. There are three subtypes of institutional extended care beds: community living center (CLC) short-stay, CLC long-stay, and CLC hospice. The VHA site classification uses the sum of the BDOC of all three subtypes to calculate the total CLC BDOC. Note: These sites are stand-alone, and do not include the CLC programs co-located within a VAMC.



Facility/Point HPSA

A facility HPSA designation, as defined by the Public Health Service Act, is given to FQHCs and RHCs that meet the requirement of providing access to care regardless of ability to pay. FQHC in this definition includes all types of FQHCs: Health Center Program (HCP) awardees, HCP look-alikes, and outpatient health programs/facilities operated by tribal organizations (under the Indian Self-Determination Act) or urban Indian organizations (under the Indian Health Care Improvement Act).

Point HPSAs are only applicable to Alaskan Native and Native American Tribal populations. The Federally Recognized Native American Tribes and Alaskan Natives receive automatic population HPSAs. These HPSAs are represented as a point which is placed at a provider location/ facility within the tribal area.



Federal Office of Rural Health Policy (FORHP)

An office of the Health Resources and Services Administration (HRSA), FORHP helps increase access to care for underserved populations and build health care capacity through initiatives such as the Substance Abuse Treatment Telehealth Program.



Federal Office of Rural Health Policy (FORHP) Rural Opioid Awardee

Recipient of a grant from the Health Resources and Services Administration (HRSA) to promote rural health care services outreach by expanding the delivery of opioid related health care services to rural communities.



Federal Office of Rural Health Policy (FORHP) Substance Abuse Treatment Telehealth Awardee

Recipient of a grant from the Health Resources and Services Administration (HRSA) to improve access to health care services, particularly substance abuse treatment services, in rural, frontier, and underserved communities, by using telehealth technologies.



Federal Poverty Level (FPL)

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who is in poverty. If a family's total income is less than the family's threshold, then that family and every individual in it is considered in poverty. The official poverty thresholds do not vary geographically, but they are updated for inflation using the Consumer Price Index (CPI-U). The official poverty definition uses money income before taxes and does not include capital gains or noncash benefits (such as public housing, Medicaid, and food stamps). For more information, see: https://www.census.gov/topics/income-poverty/poverty/guidance/poverty-measures.html.



Federally Qualified Health Centers (FQHCs)

A Federally Qualified Health Center (FQHC) is a public or private, non-profit health care organization that meets certain criteria under the Medicare and Medicaid Programs (respectively, Sections 1861(aa)(4) and 1905(l)(2)(B) of the Social Security Act.) An organization that meets these criteria is eligible to apply for Health Center Program grant funding from the Health Resources and Services Administration's Bureau of Primary Health Care. Not all FQHC's receive this grant funding.



Food and Drug Administration (FDA)

Part of the Department of Health and Human Services, the Food and Drug Administration works to ensure the safety of drugs, biological products, medical devices, food, cosmetics, and products that emit radiation.



Geocode

In order to represent things like street addresses on a map, they must be geocoded. A geocode is a spatial representation of a descriptive locational reference (like street address.) Geocoding is the computational process of transforming a postal address description to a location on the Earth's surface (spatial representation in numerical coordinates).



Geographic Information Systems (GIS)

A geographic information system (GIS) integrates hardware, software, and data for capturing, managing, analyzing, and displaying all forms of geographically referenced information. GIS allows visualization, understanding, questioning, and interpretation of data in many ways that reveal relationships, patterns, and trends in the form of maps, globes, reports, and charts. For more information see: http://researchguides.library.wisc.edu/GIS



Health Care Center (HCC)

A HCC is a VA-owned, VA-leased, or contract clinic operated at least 5 days per week that provides primary care, mental health care, on site specialty services, and performs ambulatory surgery and/or invasive procedures which may require moderate sedation or general anesthesia.



Health Center Awardees with MAT Provider

A Health Center Program Awardee with a physician, physician assistant, and/or nurse practitioner providing Medication-Assisted Treatment (MAT) for opioid use disorders.



Health Center Program (HCP) Awardee

A public or private non-profit health care organization that meets certain criteria under the Medicare and Medicaid Programs (respectively, Sections 1861(aa)(4) and 1905(l)(2)(B) of the Social Security Act AND receives funds under the Health Center Program (Section 330 of the Public Health Service Act) (i.e., Community Health Centers, Migrant Health Centers, Healthcare for the Homeless Programs, and Public Housing Primary Care Programs). A detailed explanation of health center program terminology (http://bphc.hrsa.gov/technicalassistance/health_center_terminology_sheet.pdf) is available from the HRSA website.



Health Center Program (HCP) Look-Alike

An FQHC that meets all of the eligibility requirements of an organization that receives a Health Center Program grant, but does not receive Health Center Program grant funding.



Health Professional Shortage Area (HPSA)

A Health Professional Shortage Area is an urban or rural area, population group, or medical or other public facility which has received federal designation as having a shortage of health care providers. Each year, the Department of Health and Human Services (HHS) evaluates HPSA designations and awards them through state Primary Care Offices (PCO). There are separate designations for Primary Care, Dental Care, and Mental Health Care. All federally qualified health centers facilities receive automatic facility HPSA designation, while Rural Health Clinics must request facility HPSA designation. More information can be found here: https://bhw.hrsa.gov/shortage-designation/hpsas.



Health Resources and Services Administration (HRSA)

The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving health care to people who are geographically isolated, economically or medically vulnerable.



Medically Underserved Area/Population (MUA/P)

A medically underserved area (MUA) may be a whole county or a group of contiguous counties, a group of county or civil divisions or a group of urban census tracts that the Department of Health and Human Services (HHS) has designated as having a shortage of health services for residents. Designations are based on the qualifications outlined in the Index of Medical Underservice (IMU), published in the Federal Register on October 15, 1976.
A medically underserved population (MUP) may include groups of persons who face economic, cultural or linguistic barriers to health care. Designations are also based on the qualifications outlined in the Index of Medical Underservice (IMU), and exceptional MUP designations are based on the provisions of Public Law 99-280, enacted in 1986.
A Governor designated MUA/P is an exceptional designation given by HRSA at the request of a state Governor or other chief executive officer and local health official.



Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment (MAT) is the use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders.



Medication-Assisted Treatment (MAT) Provider

Physicians, physician assistants, and nurse practitioners who provide Medication-Assisted Treatment (MAT) for opioid addiction.




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