Statutes, codes, and regulations
Wyoming Administrative Code
Agency 048 - Health, Department ofSubagency 0050 - Rural Health, Office of
Chapter 9 - THE CRITICAL ACCESS AND RURAL HOSPITAL TECHNOLOGY GRANT PROGRAM
Section 9-4 - Definitions

048-9 Wyo. Code R. § 9-4

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Current through April 27, 2019
Section 9-4 - Definitions

The following definitions shall apply in the interpretation and enforcement of these rules. Where the context in which words are used in these rules indicates that such is the intent, words in the singular number shall include the plural and visa-versa. Throughout these rules gender pronouns are used interchangeably, except where the context dictates otherwise. The drafters have attempted to utilize each gender pronoun in equal numbers in random distribution. Words in each gender shall include individuals of the other gender.

For the purpose of these rules, the following definitions shall apply:

(a) "Applicant" means a critical access or rural hospital, as defined in W.S. 35-1-1002(a)(ii), which is applying for this grant.

(b) "Certified Electronic Health Record (Certified EHR)" means electronic health record technology or modules that offer the necessary technological capability, functionality, and security to help with meeting "meaningful use" criteria. Certification also helps providers and patients be confident that the electronic health IT products and systems used are secure, can maintain data confidentially, and can work with other systems to share information. Information on which electronic health record systems and modules are certified for the Medicare and Medicaid EHR Inventive Programs can be found online at http://healthit.hhs.gov/ [File Link Not Available].

(c) "Current Ratio" means the comparison of current assets to current liabilities (current ratio equals current assets divided by current liabilities).

(d) "Days Cash on Hand" means the numbers of days of cash available based on the following equation: cash on hand plus investment plus non-restricted funds at month's end divided by operating expense minus bad debt expense minus depreciation expense divided by 30.4.

(e) "Department" means the Wyoming Department of Health, Public Health Division, Rural and Frontier Health Section, Office of Rural Health.

(f) "Electronic Health Record (EHR)" means an electronic version of a patient's medical history that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that person's care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. The EHR automates access to information and has the potential to streamline the clinician's workflow. The EHR also has the ability to support other care-related activities directly or indirectly through various interfaces, including evidence-based decision support, quality management, and outcomes reporting. This definition, as well as additional information on EHRs, can be found on the Centers for Medicare and Medicaid Services (CMS) website at http://www.cms.gov/EHealthRecords/ [File Link Not Available].

  • (i) For the purposes of the Medicare and Medicaid Incentive Programs, eligible professionals, eligible hospitals, and critical access hospitals must use certified EHR technology. A list of certified EHR systems and modules is available online at http://healthit.hhs.gov/ [File Link Not Available].

(g) "Grant" means an award of state funds to an applicant through a written Grant Award Agreement.

(h) "Grant Amount" means the Program funds identified in the Grant Award Agreement.

(i) "Grant Award Agreement" means a legally enforceable and binding agreement describing the terms of the commitment between the Department and the grantee.

(j) "Grantee" means an applicant approved for a grant under the Program.

(k) "Grant Term" means the time frame under which a grantee must adhere to the Grant Award Agreement and Program requirements.

(l) "Meaningful Use" means the use of certified electronic health record technology in ways that can be measured significantly in quality and in quantity. The American Recovery and Reinvestment Act of 2009 specifies three (3) main components of "meaningful use":

  • 1) the use of certified EHR in a meaningful manner, such as e-prescribing;
  • 2) the use of certified EHR technology for electronic exchange of health information to improve quality of healthcare; and
  • 3) the use of certified EHR technology to submit clinical quality and other measures. The full definition of "meaningful use" can be found online at www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp%23BOOKMARK1/ [File Link Not Available].

(m) "Operating Margin" means the ratio of operating income divided by revenue (operating margin = operating income / revenue).

(n) "Program" means the Critical Access and Rural Hospital Technology Grant Program.

(o) "Repayment Agreement" means a written amendment to the Grant Award Agreement setting forth the terms of repayment of grant funds to the state when grantee fails to comply with the terms of the Program, the rules and/or the Grant Award Agreement.

(p) "Rural Hospital" means a hospital with forty (40) beds or less, as defined by W.S. W.S. W.S. 35-1-1002(a)(ii). This includes Critical Access Hospitals.

048-9 Wyo. Code R. § 9-4