The Holman Group - Provider Manual

Glossary Of Terms

Acute Care:
Short-term hospitalization for detoxification and/or psychiatric stabilization when a client presents an imminent danger to self, others, or is gravely disabled.

Care Management:
Individual ongoing review of treatment. The Care Manager will work closely with the provider to assure coordination of all treatment.

C.I.S.D. / C.I.S.M.:
Critical Incident Stress Debriefing / Critical Incident Stress Management. A special program provided for certain clients including emergency service workers and bank personnel. (For more information see CISD/CISM Section of this manual.)

Client:
The insured and/or covered dependent.

Coordination Care For:
To Coordinate Care with other Health Care Practitioners.

EAP (Employee Assistance Program):
A program provided directly by the employer for its employees to provide assessment, referral and short-term counseling where necessary. EAPs address problems that affect work performance such as substance abuse, family and relationship problems and crisis issues.

EAP Session:
An authorized session that is used for assessment and/or short-term therapy and is generally free to the client.

Emergent:
Indicating emergency care, that is, a client is provided an appointment within six hours of triage decision.

EPO (Exclusive Provider Organization):
A network of providers who have contracted with a health care organization to render treatment services on a fee-for-service basis to eligible employees and their covered dependents. EPO contracted providers receive client referrals from the contracting organization.

Formal Management Referral:
Recommendation by patient's employer (usually his/her manager) for assessment and treatment of client for behavioral problems that interfere with client's attendance and/or productivity at work. Employee will be asked to sign a limited release of information form during the first session to allow the Holman Account Manager to be appraised of the employee's participation in treatment.

Grievance Committee:
A committee comprised of at least one member from each of the Holman Departments. This committee meets as needed to discuss complaints filed by a client or a client representative.

Halfway House/Group Home:
Alternative living situations which provide clients with a sober or safe environment while attending work or school. Participation in community based support groups is expected. The client may also participate in outpatient, day treatment or partial hospitalization programs.

HMO (Health Maintenance Organization):
A prepaid health plan purchased by an employer for its employees and their covered dependents. HMO clients are only referred to HMO contracted providers.

Holman Account:
A corporation or labor union that has purchased an EAP/MAP/HMO for its employees.

Insurance Treatment Session:
An authorized session that is used for ongoing treatment and is charged to insurance. Deductibles and copayments may apply.

Language Assistance Program (LAP):
Enrollee/ members are able to request language assistance services upon request at no charge.

MAP (Membership Assistance Program):
An EAP for labor union accounts.

Partial Hospitalization/Day Treatment:
Treatment in either an acute or sub-acute setting in which the client participates in the full range of programming but does not remain overnight. Such programs are usually between six and twelve hours in length and meet several times per week.

Quality Management:
Program designed to assess the overall quality of service delivered to patients and client organizations. Managed by committee which meets at least quarterly.

Residential Care:
Sub-acute, inpatient treatment usually based on a non-medical model.

Resourcing:
Searching for treatment options, community based, for a specific need. Contact Provider Relations Department.

Self-Help Group:
Peer-based program of recovery from addictive and/or psychological behaviors often based on a twelve step model.

12-Step:
Spiritual/peer based program of recovery from addictive behaviors/emotional problems (AA: Alcoholics Anonymous, NA: Narcotics Anonymous, CA: Cocaine Anonymous, ALANON for significant others of alcoholics, etc., GA: Gamblers Anonymous).

Urgent:
Indicating urgent care, that is, a client is provided an appointment within 48 business hours of triage decision.