CE03
CE04
HEALTH PROBLEM --
Disease, illness, or a problem with the functioning of
the body or
organs. Health problems may be either physical or
mental.
An example of a health problem is influenza; some of
its
symptoms are fever, chills, and dizziness. Health
problems may
be either physical or mental. Be sure to record
health problems
only; do not record symptoms here unless the
respondent cannot
give a condition name.
For this study, pregnancy is also considered a
medical condition,
and SHOULD be recorded on the conditions roster.
Although not an
illness or impairment, it calls for medical advice and
assistance
and is an important element in a study of health care
utilization
and costs.
HE01
HE03
HE06
IMPAIRMENT --
Examples include missing limbs, fingers or other body
parts;
partial paralysis from an early case of polio,
accident or
war wound; stiff joints, deformed fingers or other
physical
evidence of arthritis; and vision or hearing loss.
HELP/SUPERVISION --
Help or supervision from another person includes a
range of
behaviors. The concept encompasses:
HE04
HELP/SUPERVISION --
Help or supervision from another person includes a
range of
behaviors. The concept encompasses:
HE07
AIDS/SPECIAL EQUIPMENT --
In the phrase ‘aids or any other special equipment’,
the key
word is ‘special’. Special equipment includes any
device that
is not used by the general population to perform a
specific
activity. There are many kinds of special equipment:
HE19
LIMITED ABILITY --
Difficulties in performing a task independently. We
are only
interested in difficulties that are associated with an
impairment or a PHYSICAL OR MENTAL HEALTH PROBLEM.
Limited
activity ability (for example, work activity) means
that a
person cannot do the role as long or in the same way
as he/she
did previous to the impairment or physical or mental
health
problem, but still does it to some extent (as opposed
to not
being able to do it at all).
IMPAIRMENT --
Examples include missing limbs, fingers or other body
parts;
partial paralysis from an early case of polio,
accident or
war wound; stiff joints, deformed fingers or other
physical
evidence of arthritis; and vision or hearing loss.
HE22
LIMITED IN PARTICIPATING --
Difficulties that limit the person’s ability to
participate in
the activities. We are only interested in difficulties
that
are associated with an impairment or a PHYSICAL OR
MENTAL
HEALTH PROBLEM. Limited activity participation (for
example,
playing sports) means that a person cannot do the
activity as
long or in the same way as he/she did previous to the
impairment or physical or mental health problem, but
still does
it to some extent (as opposed to not being able to do
it at all).
HE31
BLIND --
Refers to persons who cannot see at all or who only
have light
perception. It also includes persons who are
considered legally
blind. Legal blindness is defined as visual acuity of
20/200 or
less in the better eye (WITH the best possible
correction) or as
a visual field of 20 degrees or less.
HE28
DEAF --
Refers to inability to hear in BOTH EARS without the
use of
hearing aids. Also can include hearing loss greater
than 70 dB
(decibels) in the better ear without hearing aids.
DD02
DD05
DD10
HALF DAY OR MORE --
If a person’s work or school day is 9:00 a.m. to 3
p.m., for
example, and he/she stayed home from work or school
(because of
a physical or mental health problem) for more than 3
hours of
that time, we consider this as having missed a half
day or
more. If a person’s work FOR PAY is usually done at
home, or
if a person does housework for pay, include any half
days
missed from such work when it is due to illness or
injury.
CN01
CN01A
ACCIDENT/INJURY --
Physical problems because of some sort of external
trauma to
the body such as a fall or being in an auto accident.
This
refers to unexpected and undesirable events. Accidents
may
include poisonings, where the condition results from
swallowing,
breathing, or coming in contact with some poisonous
substance.
Illnesses and other types of problems due to a natural
process
in the body, such as any type of disease, should NOT
be included.
PP04
PP05
MEDICAL PROFESSIONALS AND PRACTITIONERS --
MEDICAL DOCTOR -
Include both doctors of medicine (M.D.) and doctors of
osteopathy (D.O.). Specific examples of physicians
include:
Types of providers NOT to be counted as medical
doctors
are chiropractors, dentists, nurses, optometrists,
paramedics, podiatrists, psychologists.
NURSE -
Includes several types of nursing specialists, such as
registered nurse (RN), licensed practical nurse (LPN),
nurse’s aide, occupational health nurse, community
health
nurse, or public health nurse (PHN).
NURSE PRACTITIONER -
A registered nurse (RN) who has completed additional
training
beyond basic nursing education. They have
qualifications
which permit them to carry out expanded health care
evaluation
and decision-making regarding patient care.
PARAMEDIC -
A medical person who is licensed to perform advanced
cardiac
life support procedures and other emergency medical
treatment under the direction of a physician.
HEALTH AIDE -
A nursing assistant who provides personal care and
home
management services to allow patients to live in their
own
homes. They work under the supervision of a physician
or
registered nurse and may help patients bathe,
exercise, and
dress. They may also check the patient’s temperature,
blood
pressure, pulse and respiration rates, and help give medications.
PHYSICIAN’S ASSISTANT -
A Physician Assistant (PA) is a medical person who
provides
health care services with the direction and
supervision of a
doctor of medicine (MD) or osteopathic physician (DO).
Physician Assistants train for several years in order
to earn
the certification to perform diagnostic, therapeutic,
preventive, and health maintenance services. Not to be
confused with non-medical persons who also ‘assist’
the physician.
MIDWIFE -
A female who practices the art of aiding in the
delivery of babies.
NURSE MIDWIFE -
A nurse who provides medical care and treatment to ob/gyn
patients under the supervision of a physician or
doctor. The
duties of a nurse midwife may include routine
gynecological
care, delivering babies, instructing patients in
prenatal and
postnatal health practices, instructing patient in the
care of
herself and the infant, examinations, etc.
OPTOMETRIST -
A medical person who examines the eyes and vision
system for
visual defects, diagnoses eye impairments, prescribes
corrective lenses, and provides other types of
treatment. Not
to be confused with an M.D. who specializes in
treating eye
diseases, such as an ophthalmologist.
OPHTHALMOLOGIST -
A doctor of medicine (MD) who specializes in treating
eye diseases.
PODIATRIST (FOOT DOCTOR) -
A podiatrist (DPM) (sometimes referred to as a ‘foot
doctor’),
is a medical person who deals with examination,
diagnosis,
treatment, and prevention of diseases, conditions, and
malfunctions affecting the human foot and its related structures.
CHIROPRACTOR -
Medical persons who practice a system of medicine
based on the
principles that the nervous system largely determines
the
state of health and that disease results from nervous
system
malfunctioning. Treatment consists primarily of the
adjustment and manipulation of parts of the body,
especially
the spinal column.
ACUPUNCTURIST -
Persons who use a technique for relieving pain,
treating
medical conditions, inducing regional anesthesia, or
improving
general well-being, in which thin needles are inserted
into
the body at specific points.
PHYSICAL THERAPIST -
Medical person who is concerned with the treatment of
musculoskeletal disorders with physical agents and
methods --
such as massage, manipulation, therapeutic exercises,
cold,
heat, hydrotherapy, electric stimulation, and light --
to
assist in rehabilitating patients and in restoring
normal
function after an illness or injury.
SPEECH THERAPIST -
A medical person trained in the application and use of
techniques aimed at improving language and speech disorders.
OCCUPATIONAL THERAPIST -
Medical persons who are concerned with improving the
person’s
ability to perform self-help tasks, tasks that are
associated
with employment activities, or tasks that allow an
individual
to more fully enjoy and participate in leisure time
activities. Occupational therapy is used in retraining
individuals after illnesses and accidents, as well as
providing ongoing help to persons with more permanent
disabilities from stroke, paralysis or deterioration
from
degenerative diseases such as arthritis or multiple
sclerosis.
AUDIOLOGIST -
Medical persons who evaluate and treat patients with
impaired
hearing and balance. This includes the fitting and
dispensing
of hearing aids.
PHYSIATRIST -
Medical doctor who specializes in rehabilitation
medicine.
Frequently directs a team of medical professionals
which can
include occupational and physical therapists.
MENTAL HEALTH PROFESSIONALS --
PSYCHIATRIST -
A physician who specializes in dealing with the
prevention,
diagnosis, and treatment of mental, addictive, and
emotional
disorders, such as psychoses, depression, anxiety
disorders,
substance abuse disorders, developmental disabilities,
sexual
dysfunctions, and adjustment reactions.
PSYCHOLOGIST -
A non-physician who specializes in the counseling and
testing
of persons with mental, addictive, or emotional
disorders.
PSYCHIATRIC SOCIAL WORKER -
A psychiatric social worker is a social worker who
usually
works in a psychiatric hospital, residential treatment
center,
psychiatric unit of a general hospital, or a mental
health
center. A psychiatric social worker assists
individuals and
their families in dealing with social, emotional, and
environmental problems resulting from mental illness
or
disability. A psychiatric social worker serves as a
link
between the patient, psychiatrist, clinical
psychologist,
family, and community.
A Licensed Clinical Social Worker (LCSW) is another
type of
psychiatric social worker. An LCSW may practice at any
one of
the above sites, but may also have his or her own
private
practice and may bill independently.
Include visits to other social workers or counselors
if the
visit would be reimbursed by insurance. That is, if
there is
a charge for the service that an insurance company
would pay
for, the service should be included.
MENTAL HEALTH THERAPIST -
A person trained to diagnose and treat emotional or
mental
health problems, including, psychiatrists,
psychologists,
counselors, social workers, etc.
MEDICAL FACILITY OR CLINIC --
HEALTH CLINIC -
Refers to a facility where medical care and advice are
given
by doctors, nurses, or other medical persons, but is
not
located at a hospital.
WALK-IN SURGI-CLINIC/CENTER -
A facility performing minor surgical procedures on an
outpatient basis, and NOT located in, or affiliated
with a
hospital (i.e. NOT an outpatient department at a
hospital).
COMPANY CLINIC -
A company doctor’s office or medical facility which is
operated principally for the employees (and sometimes
their dependents).
SCHOOL CLINIC -
A clinic which is operated principally for students
(and
sometimes their dependents) who are enrolled at a
college or university.
INFIRMARY -
A place for care of sick or injured people, especially
a small
hospital or dispensary in an institution such as a
school or
other institution.
NEIGHBORHOOD HEALTH CLINIC -
A free-standing facility located where it will be easy
for
patients to go, which provides diagnostic and
treatment
services. Neighborhood health clinics are frequently
maintained by government agencies or private
organizations.
FAMILY PLANNING CENTER -
A facility that provides social, educational, or
medical
services and supplies to help individuals determine
family
size or prevent unplanned pregnancies. This may
include birth
control counseling and referral, abortion services and
referral, pregnancy testing, sterilization counseling,
venereal disease referrals, public education service,
and
infertility counseling and referrals.
MENTAL HEALTH FACILITY -
A facility that provides the diagnosis, treatment, and
care of
patients with mental disorders.
RETAIL CLINIC -
A clinic located inside a pharmacy, grocery store, or
discount
retailer. (Examples include MinuteClinic, Take Care,
and
Target Clinics.) These clinics may offer patients more
convenience and/or a lower cost for non-emergency
care. The
services available at retail clinics typically include
diagnostic and preventive screenings as well as basic
immunizations. Some retail clinics with expanded
services may
treat acute conditions and provide referral
management.
DENTAL CARE --
DENTIST -
Medical persons whose primary occupation is caring for
teeth,
gums, and jaws. Dental care includes general work such
as
fillings, cleaning, extraction, and also specialized
work such
as root canals, fittings for braces, etc.
DENTAL SURGEON/ ORAL SURGEON -
A dental surgeon is a specialist who deals with
diseases,
injuries, and defects of the mouth and jaw through
invasive
procedures. Includes specialties like endodontists,
prosthodontists and orthodontists.
An oral and maxillofacial surgeon (OMFS) is a surgical
specialty devoted to the
well-defined anatomical region of the
mouth, jaws and the face as well as associated structures.
Most oral surgeons are initially
qualified in dentistry and
have undergone a further 4-6
years of specialty surgical training.
ORTHODONTIST -
A dental specialist who deals with preventing and
correcting
irregular teeth through devices such as braces and
retainers.
DENTAL HYGIENIST -
A person who is licensed to give certain dental
services under
the supervision of a dentist. These services include:
teeth
cleaning, x-rays, applying medications, and educating
in
dental matters.
DENTAL TECHNICIAN -
A person who works in a dental laboratory and prepares
dentures and other appliances such as orthodontic
devices and
crowns to fit dental prescriptions.
DENTAL ASSISTANT -
A person who assists a dentist in patient care, and
may
perform other functions in the dental office or
laboratory.
Most dental assistants are trained by the dentist.
PP06
PP07
TYPES OF HOSPITAL SERVICES --
HOSPITAL STAY -
A visit to a hospital where a person is admitted to
the
hospital. While most in-patient stays are 24-hours or
longer,
a person need not have stayed overnight to have been
“admitted” to a hospital; it is possible to be
admitted and
discharged on the same day.
EMERGENCY ROOM VISIT -
Any visit made during the person’s reference period to
a
hospital emergency room.
EMERGENCY ROOM -
A medical department at a hospital that is open 24
hours a day
where no appointment is necessary in order to receive
care.
Medical care may be administered by a physician,
nurse,
physician assistant, or other medical provider. Do NOT
include ‘urgent care centers’, which are owned by, or
affiliated with a hospital. Visits made to that type
of
facility should be coded as an outpatient department
visit.
OUTPATIENT DEPARTMENT VISIT -
Any visit made during the person’s reference period to
a
hospital outpatient department.
OUTPATIENT DEPARTMENT –
A unit of a hospital, a facility, or ‘urgent care
center’
owned by or affiliated with a hospital. The outpatient
department provides health and medical services to
individuals
who do not require hospitalization overnight and may
also
provide general primary care.
Do NOT include ‘urgent care centers’ which are not
owned by,
or affiliated with a hospital. Urgent care centers
which are
NOT affiliated with or owned by a hospital should be
coded as
a Medical Provider visit. Include visits made to
outpatient
departments for medical tests only.
Examples of outpatient departments include:
PP07B
PP07BB
PP22B
PP22BB
An alternative care professional provides specific
alternative
health care. The provider may have formalized training
and received
certification by a licensing board or related
professional
association, but some of these alternative care
practices are not
usually taught in U.S. medical schools or generally
available in U.S.
hospitals. Examples of alternative care providers are:
ACUPUNCTURIST –
Usually a medical person who uses a technique for
relieving
pain, treating medical conditions, inducing regional
anesthesia, or improving general well-being, in which
thin
needles are inserted into the body at specific points.
Acupuncture can also be practiced by medical doctors
(MD’s).
MASSAGE THERAPIST –
A person who treats a health problem through
manipulation,
methodical pressure, friction or kneading of the body.
HOMEOPATHIC –
A person who treats health problems based on a system
of
medicine based on the principle of ‘like cures like.’
Substances that cause the symptoms of a particular
health
problem are used in very small doses to treat the
problem.
NATUROPATHIC –
A person who treats health problems based on the
curative
abilities of nature’s elements, such as sun, water,
air
and earth. Many naturopathic physicians also use
modern
medical methods in conjunction with naturopathic
therapies.
HERBALIST –
A person who uses plant-based substances to prevent or
treat a health problem or to maintain good health.
Herbal
remedies are available in many forms, including pills,
liquids
and crèmes.
ALTERNATIVE/COMPLEMENTARY CARE –
Approaches to health care that are different from
those
typically practiced by medical doctors in the U.S.
Included
in this type of care are acupuncture, nutritional
advice or
lifestyle diets, massage therapy, herbal remedies,
bio-feedback training, meditation, imagery, or
relaxation
techniques, homeopathic treatment, spiritual healing
or
prayer, hypnosis, and traditional medicine, such as
Chinese,
Ayurvedic, American Indian, etc.
PP07A
PP07AA
PP22A
PP22AA
An independent laboratory or testing facility is
independent of any
physician’s office or hospital. A physician may direct
the laboratory
and perform diagnostic laboratory services for other
physicians. If a
physician maintains a laboratory to complete
diagnostic laboratory
services in connection with his own practice, it is
not considered to
be an independent laboratory or testing facility.
PP08
PP09
PP23
PP24
SKILLED MEDICAL CARE --
Home care from a nurse, any type of therapist, a
doctor, a social
worker, or anyone else providing nursing or medical
care.
PERSONAL CARE --
Home care services including bathing, dressing, or
help getting
around the house either paid or unpaid.
HOUSEHOLD CHORE SERVICES --
Help in the home with services like cooking or
cleaning either
paid or unpaid.
COMPANIONSHIP--
Services such as reading, talking, or going for a
walk, a drive,
or to a restaurant either paid or unpaid.
PP10
PP11
TYPES OF HEALTH CARE FACILITIES --
INPATIENT REHABILITATION FACILITY OR CONVALESCENT HOME
-
A nursing facility primarily designed to provide a
home-like
environment while patients recover from long-term
illnesses or
medical procedures, or who require continued care for
an
ongoing illness that is not in an acute stage. This is
not
the same as a retirement home.
NURSING HOME -
An institution that provides 24-hour continuous
skilled nursing
and other services to people who need nursing and
personal
services as inpatients.
RESIDENTIAL MENTAL HEALTH TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with mental or emotional
disorders. Do not
include ‘day care’ facilities for persons with
intellectual disabilities.
RESIDENTIAL EATING DISORDER TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with eating disorders.
RESIDENTIAL DRUG AND ALCOHOL TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with drug and/or alcohol
addiction disorders.
RESIDENTIAL ADDICTION TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with addiction disorders not
classified
above (i.e., gambling, sexual).
HOSPICE CARE –
A type of program that provides care and support
services to
the terminally ill. The intent is to allow the patient
to live
as fully as possible. Care and support may come from a
variety
of sources such as family, volunteers, nurses, social
workers,
the clergy, as well as physicians.
Do NOT include hospice care services delivered at the
patient’s
home. Care provided in the home should be coded as
home health.
RESPITE CARE –
Care received for only a limited time by severely
disabled or
impaired persons (e.g., quadriplegics, developmentally
disabled
children or adults, or Alzheimer’s patients) in a
long-term
health care place (e.g., a nursing home) or another
person’s
home, as a way of providing an interval of rest or
relief to
family members who are the usual primary caregivers at
home.
PP12
PP13
PP27
PP28
EYEGLASSES --
Devices worn outside the eye to correct vision
problems. A
magnifying glass for reading is not considered
glasses.
CONTACT LENSES --
A curved shell of glass or plastic worn directly
against the eye
to correct vision problems.
INSULIN --
A chemical used in the treatment of diabetes.
Typically, insulin
is administered with a syringe by the patient.
SYRINGES(DIABETIC SUPPLIES)--
An instrument used to inject insulin into the body for
treatment
of diabetes.
TEST PAPER(TEST STRIPS)--
Pre-treated paper, prescribed by a physician, used to
gauge the
level of sugar present in the body at a given time.
OTHER DIABETIC EQUIPMENT OR SUPPLIES --
Any other type of diabetic equipment or supplies not
listed here
that is typically prescribed by a physician; for
example, a blood
glucose monitor machine, glucose meter, insulin pumps,
lancets,
alcohol swabs or control solution.
PP13A
PP13B
PP29
PP30
EV03A
EV03AOV
ED06A
ED06AOV
AMBULANCE SERVICES -
Any charges associated with the use of an emergency
vehicle used for
transporting patients to a health care facility after
injury or
illness. Includes three basic types of emergency
transportation:
ground or surface, helicopter, or airplane.
ORTHOPEDIC ITEMS -
Items used to prevent, correct, or assist with
disorders of the
musculoskeletal system (e.g., skeleton, joints,
muscles, ligaments,
etc.). Orthopedic items include, but are not limited
to, corrective
shoes and inserts, braces, crutches, canes, walkers,
wheelchairs,
and scooters.
HEARING DEVICES -
Items used to correct or assist with impaired hearing.
Hearing
devices include, but are not limited to, hearing aids,
amplifiers
for a telephone, adaptive speech equipment, and speech
synthesizers
PROSTHESES -
An artificial replacement for a missing body part,
such as an hand,
arm or leg, eye that is used for functional and/or
cosmetic reasons
BATHROOM AIDS -
Items used to assist in the process of bathing,
showering, or using
the toilet. Bathroom aids include, but are not limited
to, portable
commodes, raised toilet seats, portable tub seats,
handrails, or
other bathing equipment.
MEDICAL EQUIPMENT -
Includes durable medical items used to assist with an
impairment or
physical health problem. Medical equipment includes,
but is not
limited to, hospital beds, lifts (used to help the
person out of
chairs), monitors (used to measure body functions such
as heart
rate, blood pressure, or breathing, intercom systems
used to listen
to person, etc.), special chairs, oxygen, bed pans,
adaptive feeding
equipment, vaporizers, and nebulizers.
DISPOSABLE SUPPLIES -
Includes disposable medical items used in the
treatment of a health
problem. Disposable supplies include, but are not
limited to,
ostomy supplies, bandages, dressings, tape, adult
disposable
diapers, catheters, syringes, and IV supplies.
ALTERATIONS/MODIFICATIONS -
Alterations or modifications to the person’s home or
automobile to
help him/her function better with his/her impairment
or physical
problem. Examples of changes to the home include
ramps, handrails,
elevators, or stair lifts. Examples of changes to the
automobile
include special controls, mirrors, doors, or
wheelchair lifts.
PP15
PP16
DENTIST --
Medical persons whose primary occupation is caring for
teeth,
gums, and jaws. Dental care includes general work such
as
fillings, cleaning, extraction, and also specialized
work such as
root canals, fittings for braces, etc.
DENTAL SURGEON/ORAL SURGEON --
A dental surgeon is a specialist who deals with
diseases,
injuries, and defects of the mouth and jaw through
invasive
procedures. Includes specialties like endodontists,
prosthodontists and orthodontists.
An oral and maxillofacial surgeon
(OMFS) is a surgical specialty
devoted to the well-defined
anatomical region of the
mouth,
jaws
and the
face
as well as associated structures. Most oral surgeons
are initially qualified in
dentistry and have undergone a further
4-6 years of specialty surgical
training.
ORTHODONTIST --
A dental specialist who deals with preventing and
correcting
irregular teeth through devices such as braces and
retainers.
DENTAL HYGIENIST --
A person who is licensed to give certain dental
services under
the supervision of a dentist. These services include:
teeth
cleaning, x-rays, applying medications, and educating
in dental matters.
DENTAL TECHNICIAN --
A person who works in a dental laboratory and prepares
dentures and other appliances such as orthodontic
devices and
crowns to fit dental prescriptions.
DENTAL ASSISTANT --
A person who assists a dentist in patient care, and
may
perform other functions in the dental office or
laboratory.
Most dental assistants are trained by the dentist.
PP17
PP18
MEDICAL DOCTOR --
Include both doctors of medicine (M.D.) and doctors of
osteopathy
(D.O.). Specific examples of physicians include:
Types of providers NOT to be counted as medical
doctors are
chiropractors, dentists, nurses, optometrists,
paramedics,
podiatrists, psychologists.
NURSE --
Includes several types of nursing specialists, such as
registered
nurse (RN), licensed practical nurse (LPN), nurse’s
aide,
occupational health nurse, community health nurse, or
public
health nurse (PHN).
NURSE PRACTITIONER --
A registered nurse (RN) who has completed additional
training
beyond basic nursing education. They have
qualifications which
permit them to carry out expanded health care
evaluation and
decision-making regarding patient care.
NURSE MIDWIFE --
A nurse who provides medical care and treatment to
ob/gyn
patients under the supervision of a physician or
doctor. The
duties of a nurse midwife may include routine
gynecological care,
delivering babies, instructing patients in prenatal
and postnatal
health practices, instructing patient in the care of
herself and
the infant, examinations, etc.
PHYSIATRIST --
Medical doctor who specializes
in rehabilitation medicine.
Frequently directs a team of medical professionals
which can
include occupational and physical therapists.
PSYCHIATRIST --
A physician who specializes in dealing with the
prevention,
diagnosis, and treatment of mental, addictive, and
emotional
disorders, such as psychoses, depression, anxiety
disorders,
substance abuse disorders, developmental disabilities,
sexual
dysfunctions, and adjustment reactions.
PSYCHOLOGIST --
A non-physician who specializes in the counseling and
testing of
persons with mental, addictive, or emotional
disorders.
PP19
PP20
HOSPITAL STAY --
A visit to a hospital where a person is admitted to
the hospital.
While most in-patient stays are 24-hours or longer, a
person need
not have stayed overnight to have been “admitted” to a
hospital;
it is possible to be admitted and discharged on the
same day.
EMERGENCY ROOM VISIT --
Any visit made during the person’s reference period to
a hospital
emergency room.
EMERGENCY ROOM –
A medical department at a hospital that is open 24
hours a day
where no appointment is necessary in order to receive
care.
Medical care may be administered by a physician,
nurse, physician
assistant, or other medical provider. Do NOT include
‘urgent
care centers’, which are owned by, or affiliated with
a hospital.
Visits made to that type of facility should be coded
as an
outpatient department visit.
OUTPATIENT DEPARTMENT VISIT --
Any visit made during the person’s reference period to
a hospital
outpatient department.
OUTPATIENT DEPARTMENT -
A unit of a hospital, a facility, or ‘urgent care
center’
owned by or affiliated with a hospital. The outpatient
department provides health and medical services to
individuals
who do not require hospitalization overnight and may
also
provide general primary care.
Do NOT include ‘urgent care centers’ which are not
owned by,
or affiliated with a hospital. Urgent care centers
which are
NOT affiliated with or owned by a hospital should be
coded as
a Medical Provider visit. Include visits made to
outpatient
departments for medical tests only.
Examples of outpatient departments include:
PP21
PP22
MEDICAL PROFESSIONALS AND PRACTITIONERS --
PARAMEDIC -
A medical person who is licensed to perform advanced
cardiac
life support procedures and other emergency medical
treatment
under the direction of a physician.
HEALTH AIDE -
A nursing assistant who provides personal care and
home
management services to allow patients to live in their
own
homes. They work under the supervision of a physician
or
registered nurse and may help patients bathe,
exercise, and
dress. They may also check the patient’s temperature,
blood
pressure, pulse and respiration rates, and help give medications.
PHYSICIAN’S ASSISTANT -
A Physician Assistant (PA) is a medical person who
provides
health care services with the direction and
supervision of a
doctor of medicine (MD) or osteopathic physician (DO).
Physician Assistants train for several years in order
to earn
the certification to perform diagnostic, therapeutic,
preventive, and health maintenance services. Not to be
confused with non-medical persons who also ‘assist’
the physician.
MIDWIFE -
A female who practices the art of aiding in the
delivery of babies.
OPTOMETRIST -
A medical person who examines the eyes and vision
system for
visual defects, diagnoses eye impairments, prescribes
corrective lenses, and provides other types of
treatment. Not
to be confused with an M.D. who specializes in
treating eye
diseases, such as an ophthalmologist.
OPHTHALMOLOGIST -
A doctor of medicine (MD) who specializes in treating
eye diseases.
PODIATRIST (FOOT DOCTOR) -
A podiatrist (DPM) (sometimes referred to as a ‘foot
doctor’),
is a medical person who deals with examination,
diagnosis,
treatment, and prevention of diseases, conditions, and
malfunctions affecting the human foot and its related structures.
CHIROPRACTOR -
Medical persons who practice a system of medicine
based on the
principles that the nervous system largely determines
the
state of health and that disease results from nervous
system
malfunctioning. Treatment consists primarily of the
adjustment and manipulation of parts of the body,
especially
the spinal column.
ACUPUNCTURIST -
Persons who use a technique for relieving pain,
treating
medical conditions, inducing regional anesthesia, or
improving
general well-being, in which thin needles are inserted
into
the body at specific points.
PHYSICAL THERAPIST -
Medical person who is concerned with the treatment of
musculoskeletal disorders with physical agents and
methods --
such as massage, manipulation, therapeutic exercises,
cold,
heat, hydrotherapy, electric stimulation, and light --
to
assist in rehabilitating patients and in restoring
normal
function after an illness or injury.
SPEECH THERAPIST -
A medical person trained in the application and use of
techniques aimed at improving language and speech
disorders.
OCCUPATIONAL THERAPIST -
Medical persons who are concerned with improving the
person’s
ability to perform self-help tasks, tasks that are
associated
with employment activities, or tasks that allow an
individual
to more fully enjoy and participate in leisure time
activities. Occupational therapy is used in retraining
individuals after illnesses and accidents, as well as
providing ongoing help to persons with more permanent
disabilities from stroke, paralysis or deterioration
from
degenerative diseases such as arthritis or multiple
sclerosis.
AUDIOLOGIST -
Medical persons who evaluate and treat patients with
impaired
hearing and balance. This includes the fitting and
dispensing
of hearing aids.
MEDICAL FACILITY OR CLINIC --
HEALTH CLINIC -
Refers to a facility where medical care and advice are
given
by doctors, nurses, or other medical persons, but is
not
located at a hospital.
WALK-IN SURGI-CLINIC/CENTER -
A facility performing minor surgical procedures on an
outpatient basis, and NOT located at a hospital (i.e.
NOT an
outpatient department at a hospital).
COMPANY CLINIC -
A company doctor’s office or medical facility which is
operated principally for the employees (and sometimes
their dependents).
SCHOOL CLINIC -
A clinic which is operated principally for students
(and
sometimes their dependents) who are enrolled at a
college or university.
INFIRMARY -
A place for care of sick or injured people, especially
a small
hospital or dispensary in an institution such as a
school or
other institution.
NEIGHBORHOOD HEALTH CLINIC -
A free-standing facility located where it will be easy
for
patients to go, which provides diagnostic and
treatment
services. Neighborhood health clinics are frequently
maintained by government agencies or private
organizations.
FAMILY PLANNING CENTER -
A facility that provides social, educational, or
medical
services and supplies to help individuals determine
family
size or prevent unplanned pregnancies. This may
include birth
control counseling and referral, abortion services and
referral, pregnancy testing, sterilization counseling,
venereal disease referrals, public education service,
and
infertility counseling and referrals.
MENTAL HEALTH FACILITY -
A facility that provides the diagnosis, treatment, and
care of
patients with mental disorders.
RETAIL CLINIC -
A clinic located inside a pharmacy, grocery store, or
discount
retailer. (Examples include MinuteClinic, Take Care,
and
Target Clinics.) These clinics may offer patients more
convenience and/or a lower cost for non-emergency
care. The
services available at retail clinics typically include
diagnostic and preventive screenings as well as basic
immunizations. Some retail clinics with expanded
services may
treat acute conditions and provide referral
management.
MENTAL HEALTH PROFESSIONALS --
PSYCHIATRIC SOCIAL WORKER -
A psychiatric social worker is a social worker who
usually
works in a psychiatric hospital, residential treatment
center,
psychiatric unit of a general hospital, or a mental
health
center. A psychiatric social worker assists
individuals and
their families in dealing with social, emotional, and
environmental problems resulting from mental illness
or
disability. A psychiatric social worker serves as a
link
between the patient, psychiatrist, clinical
psychologist,
family, and community.
A Licensed Clinical Social Worker (LCSW) is another
type of
psychiatric social worker. An LCSW may practice at any
one of
the above sites, but may also have his or her own
private
practice and may bill independently.
Include visits to other social workers or counselors
if the
visit would be reimbursed by insurance. That is, if
there is
a charge for the service that an insurance company
would pay
for, the service should be included.
MENTAL HEALTH THERAPIST -
A person trained to diagnose and treat emotional or
mental
health problems, including, psychiatrists,
psychologists,
counselors, social workers, etc.
PP25
PP26
INPATIENT REHABILITATION FACILITY OR CONVALESCENT HOME
--
A nursing facility primarily designed to provide a
home-like
environment while patients recover from long-term
illnesses or
medical procedures or who require continued care for
an ongoing
illness that is not in an acute stage. This is not the
same as a
retirement home.
NURSING HOME --
An institution that provides 24-hour continuous
skilled nursing and
other services to people who need nursing and personal
services as inpatients.
RESIDENTIAL MENTAL HEALTH TREATMENT CENTER --
A residential facility that provides diagnostic and
treatment
services to patients with mental or emotional
disorders. Do not
include ‘day care’ facilities for persons with
intellectual disabilities.
RESIDENTIAL EATING DISORDER TREATMENT CENTER –-
A residential facility that provides diagnostic and
treatment
services to patients with eating disorders.
RESIDENTIAL DRUG AND ALCOHOL TREATMENT CENTER –-
A residential facility that provides diagnostic and
treatment
services to patients with drug and/or alcohol
addiction disorders.
RESIDENTIAL ADDICTION TREATMENT CENTER –-
A residential facility that provides diagnostic and
treatment
services to patients with addiction disorders not
classified
above (i.e., gambling, sexual).
HOSPICE CARE –-
A type of program that provides care and support
services to
the terminally ill. The intent is to allow the patient
to live
as fully as possible. Care and support may come from a
variety
of sources such as family, volunteers, nurses, social
workers,
the clergy, as well as physicians.
Do NOT include hospice care services delivered at the
patient’s
home. Care provided in the home should be coded as
home health.
RESPITE CARE –-
Care received for only a limited time by severely
disabled or
impaired persons (e.g., quadriplegics, developmentally
disabled
children or adults, or Alzheimer’s patients) in a
long-term
health care place (e.g., a nursing home) or another
person’s
home, as a way of providing an interval of rest or
relief to
family members who are the usual primary caregivers at
home.
EV02
HOSPITAL STAY --
A visit to a hospital where a person is admitted to
the hospital.
While most in-patient stays are 24-hours or longer, a
person need
not have stayed overnight to have been “admitted” to a
hospital;
it is possible to be admitted and discharged on the
same day.
EMERGENCY ROOM VISIT --
Any visit made during the person’s reference period to
a hospital
emergency room.
EMERGENCY ROOM ––
A medical department at a hospital that is open 24
hours a day
where no appointment is necessary in order to receive
care.
Medical care may be administered by a physician,
nurse, physician
assistant, or other medical provider. Do NOT include
‘urgent care
centers’, which are owned by, or affiliated with a
hospital.
Visits made to that type of facility should be coded
as an
outpatient department visit.
OUTPATIENT DEPARTMENT VISIT --
Any visit made during the person’s reference period to
a hospital
outpatient department.
OUTPATIENT DEPARTMENT –
A unit of a hospital, a facility, or ‘urgent care
center’ owned by
or affiliated with a hospital. The outpatient
department provides
health and medical services to individuals who do not
require
hospitalization overnight and may also provide general
primary
care.
Do NOT include ‘urgent care centers’ which are not
owned by,
or affiliated with a hospital. Urgent care centers
which are
NOT affiliated with or owned by a hospital should be
coded as
a Medical Provider visit. Include visits made to
outpatient
departments for medical tests only.
Examples of outpatient departments include:
MEDICAL PROVIDER VISIT --
Any visit made during the person’s reference period to
a specific
setting of care where a medical provider was seen.
Settings of
care can include: a private doctor’s office, a clinic,
a health
maintenance organization (HMO), an independent
laboratory or X-ray
facility or an ‘urgent care center’ not owned by or
affiliated
with a hospital.
MEDICAL PROVIDER –
A doctor, nurse, or any other medical person or place
that
delivers medical or health related care.
DENTAL CARE VISIT --
Any visit made during the person’s reference period to
a dental
care provider for the purpose of dental care.
DENTAL CARE PROVIDER –
Medical persons whose primary occupation is caring for
teeth,
gums, and jaws. Dental care includes general work such
as
fillings, cleaning, extractions, and also specialized
work such
as root canals, fittings for braces, etc.
HOME HEALTH VISIT --
Visits to the home from persons (e.g. nurses, home
health aides,
social workers, therapists, or medical doctors) who
provide help
to a person who has a health problem or condition.
Non-medical services such as cleaning or cooking may
be included
if the service is provided because a person has a
health problem.
Such a person can be paid or unpaid, such as a friend,
neighbor,
relative or volunteer.
OTHER MEDICAL EXPENSES EVENT –
COLLECTED AT ALL ROUNDS:
Any purchase made during the reference period of one
of the
following types of medical supplies:
COLLECTED DURING ROUNDS 3 AND 5 ONLY:
If, during the calendar year, the person purchased or
obtained
multiple items from a single group, such as oxygen AND
a hospital
bed (both considered medical equipment), create only
one OM event
in CAPI.
If a person obtained multiple items from different
groupings, such
as a portable commode (bathroom aids) AND a wheelchair
(orthopedic
items) during the calendar year, then two OM events
should be
created in CAPI.
INSTITUTIONAL/LONG TERM HEALTH CARE STAY EVENT --
When an RU member is admitted to one of the following
types of
health care institutions (which are not a hospital or
a permanent residence):
INPATIENT REHABILITATION FACILITY OR CONVALESCENT HOME
–
A nursing facility primarily designed to provide a
home-like
environment while patients recover from long-term
illnesses
or medical procedures, or who require continued care
for an
ongoing illness that is not in an acute stage. This is
not
the same as a retirement home.
NURSING HOME -
An institution that provides continuous skilled
nursing and
other services to people who need nursing and personal
services
as inpatients.
RESIDENTIAL MENTAL HEALTH TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with mental or emotional
disorders. Do not
include ‘day care’ facilities for persons with
intellectual disabilities.
RESIDENTIAL EATING DISORDER TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with eating disorders.
RESIDENTIAL DRUG AND ALCOHOL TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with drug and/or alcohol
addiction disorders.
RESIDENTIAL ADDICTION TREATMENT CENTER –
A residential facility that provides diagnostic and
treatment
services to patients with addiction disorders not
classified
above (i.e., gambling, sexual).
HOSPICE CARE –
A type of program that provides care and support
services to
the terminally ill. The intent is to allow the patient
to live
as fully as possible. Care and support may come from a
variety
of sources such as family, volunteers, nurses, social
workers,
the clergy, as well as physicians.
Do NOT include hospice care services delivered at the
patient’s
home. Care provided in the home should be coded as
home health.
RESPITE CARE –
Care received for only a limited time by severely
disabled or
impaired persons (e.g., quadriplegics, developmentally
disabled
children or adults, or Alzheimer’s patients) in a
long-term
health care place (e.g., a nursing home) or another
person’s
home, as a way of providing an interval of rest or
relief to
family members who are the usual primary caregivers at
home.
EV06
FRIEND/NEIGHBOR --
A medical or non-medical person providing some type of
home health
services to the RU member. This person must fulfill
the following requirements:
RELATIVE --
A medical or non-medical person providing some type of
home health
services to the RU member. This person must fulfill
the following requirements:
VOLUNTEER --
A medical or non-medical person providing some type of
home health
services to the RU member. This person must fulfill
the following requirements:
OTHER-PAID --
A medical or non-medical person, group or agency
providing some
type of home health services to the RU member. Any
type of
provider who was PAID (other than a relative) should
be included
in this group.
MEAL DELIVERY SERVICE --
Any public or private services that ONLY provide meals
to
individuals at home. For example, Meals-on-Wheels.
HOME HEALTH CARE includes services received due to a
health problem or
condition. These services may be medical (e.g.,
physical therapy;
checking temperature, blood pressure, and pulse and
respiration rates;
or helping to give medications) or personal (e.g.,
cleaning, repairs,
cooking, or companionship).
EV07OV1
EV07OV2
MOTHER --
A female parent.
FATHER --
A male parent.
SISTER --
A female relative having the same parent(s) as
another.
BROTHER --
A male relative having the same parent(s) as another.
GRANDPARENT --
A parent of one’s mother or father.
GRANDCHILD --
A child of one’s daughter or son.
AUNT --
The sister of one’s father or mother or the wife of
one’s uncle.
UNCLE --
The brother of one’s father or mother or the husband
of one’s aunt.
NIECE --
A daughter of one’s brother or sister.
NEPHEW --
A son of one’s brother or sister.
COUSIN --
A child of one’s uncle, aunt, or cousin.
EV10
EV10OV
COMPANION --
Persons who care for elderly, disabled, or
convalescent
persons by attending to the patient’s personal needs,
reading
aloud, playing cards, or other games to entertain the
RU
member because of the RU member’s health problem.
DOMESTIC WORKER --
Persons who provide cleaning, cooking, or other
household
chores services for the RU member because of his or
her health problem.
HOUSE CLEANER --
Persons who provide cleaning services for the RU
member
because of his or her health problem.
HEALTH PROFESSIONAL --
A person whose job is to provide medical treatment,
nursing
care, or therapy to persons with health problems.
Examples
include medical doctors, nurses, and physical
therapists.
HOMEMAKER --
Persons who advise or help the RU member in dealing
with
problems, such as nutrition, cleanliness, and
household
utilities because of his or her health problem.
HOME HEALTH AIDE --
A certified health care worker who provides personal
care and
home management services to allow patients to live in
their own
homes. Working under the supervision of a physician or
registered
nurse, the home health aide may provide any of the
following
services: patient bathing, exercise, dressing,
assisting the
patient with medications, checking patient
temperature, blood
pressure, respiration, and pulse.
NURSE’S AIDE --
Persons who may perform any combination of tasks, and
may be
directed by nursing and medical staff, to care for
patients at
home. Their duties may include bathing patients;
giving alcohol
rubs; measuring and recording the intake and output of
liquids;
taking and recording temperature, pulse and
respiration rates;
examining equipment to detect maintenance needs and
notifying the
supervisor of these needs.
PERSONAL CARE ATTENDANT --
Non-medical persons who are usually paid (but can be
unpaid) who
help a disabled persons perform activities of daily
living
including: bathing, dressing, meal preparation,
feeding, paying
bills, and transportation.
EV11
EV11OV
DIETITIAN/NUTRITIONIST --
Persons concerned with the application of the
principles of
nutrition to plan and supervise the preparation and
serving of
meals. Includes planning menus and diets for special
nutritional
requirements; participating in research; or
instructing in the
field of nutrition.
HOME HEALTH AIDE --
A certified health care worker who provides personal
care and
home management services to allow patients to live in
their own
homes. Working under the supervision of a physician or
registered nurse, the home health aide may provide any
of the
following services: patient bathing, exercise,
dressing,
assisting the patient with medications, checking
patient
temperature, blood pressure, respiration, and pulse.
HOSPICE WORKER --
A person who provides health and personal care in the
home to
persons who are dying. They may administer medical
treatments,
help people bathe, dress, and eat, or help them manage
their
household affairs.
I.V./INFUSION THERAPIST --
A person who administers, monitors, and maintains
equipment which
is used to provide medication or nutrition
intravenously (placed
in a person’s body by inserting a needle into a vein).
The needle
is attached to a tube and bag, and is left in place
for an
extended period of time. The bag is replaced when
empty.
MEDICAL DOCTOR --
Include both doctors of medicine (M.D.) and doctors of
osteopathy
(D.O.). Specific examples of physicians include:
Types of providers NOT to be counted as medical
doctors are
chiropractors, dentists, nurses, optometrists,
paramedics,
podiatrists, psychologists.
NURSE --
Includes several types of nursing specialists, such as
registered
nurse (RN), licensed practical nurse (LPN), nurse’s
aide,
occupational health nurse, community health nurse, or
public
health nurse (PHN).
NURSE PRACTITIONER --
A registered nurse (RN) who has completed additional
training
beyond basic nursing education. They have
qualifications which
permit them to carry out expanded health care
evaluation and
decision-making regarding patient care.
NURSE’S AIDE --
Persons who may perform any combination of tasks, and
may be
directed by nursing and medical staff, to care for
patients at
home. Their duties may include bathing patients;
giving alcohol
rubs; measuring and recording the intake and output of
liquids;
taking and recording temperature, pulse and
respiration rates;
examining equipment to detect maintenance needs and
notifying the
supervisor of these needs.
OCCUPATIONAL THERAPIST --
Medical persons who are concerned with improving the
person’s
ability to perform self-help tasks, tasks that are
associated
with employment activities, or tasks that allow an
individual
to more fully enjoy and participate in leisure time
activities.
Occupational therapy is used in retraining individuals
after
illnesses and accidents, as well as providing ongoing
help to
persons with more permanent disabilities from stroke,
paralysis
or deterioration from degenerative diseases such as
arthritis or
multiple sclerosis.
PERSONAL CARE ATTENDANT --
Non-medical persons who are usually paid (but can be
unpaid) who
help a disabled persons perform activities of daily
living
including: bathing, dressing, meal preparation,
feeding, paying
bills, and transportation.
PHYSICAL THERAPIST --
Medical person who is concerned with the treatment of
musculoskeletal disorders with physical agents and
methods -- such
as massage, manipulation, therapeutic exercises, cold,
heat,
hydrotherapy, electric stimulation, and light -- to
assist in
rehabilitating patients and in restoring normal
function after an
illness or injury.
RESPIRATORY THERAPIST --
Respiratory therapists (RT) specialize in the
assessment and
treatment of breathing disorders resulting from
chronic lung
problems (e.g. asthma, bronchitis, emphysema, COPD),
as well as
breathing disorders stemming from other conditions
such as heart
attack, stroke, or trauma. Respiratory therapists are
specialists
in airway management, mechanical ventilation,
acid/base balance,
and critical care medicine.
SOCIAL WORKER --
A person who assists patients and their families in
handling
social, environmental, and emotional problems
associated with
illness or injury. Can include social work
specialists, such as a
medical or psychiatric social worker.
SPEECH THERAPIST --
A medical person trained in the application and use of
techniques
aimed at improving language and speech disorders.
PV01
PERSON --
The provider works individually, that is, the provider
is not
associated with any group practice, HMO, clinic, etc.
FACILITY --
The provider is either a place, such as a hospital,
clinic,
emergency room, laboratory, etc., or the provider is
an individual
who is associated with a group practice, HMO, clinic,
etc.
This category does not include individual providers or
facilities
all working at the same location, such as a ‘medical
building’
which houses several INDEPENDENTLY functioning medical
offices,
laboratories, doctors, etc.
HS02
EMERGENCY ROOM --
A medical department at a hospital that is open 24
hours a day
where no appointment is necessary in order to receive
care.
Medical care may be administered by a physician,
nurse, physician
assistant, or other medical provider. Do NOT include
‘urgent care
centers’, which are owned by, or affiliated with a
hospital.
Visits made to that type of facility should be coded
as an
outpatient department visit.
ED07
HOSPITAL STAY --
A visit to a hospital where a person is admitted to
the hospital.
While most in-patient stays are 24-hours or longer, a
person need
not have stayed overnight to have been “admitted” to a
hospital;
it is possible to be admitted and discharged on the
same day.
EMERGENCY ROOM VISIT --
Any visit made during the person’s reference period to
a hospital
emergency room.
EMERGENCY ROOM –
A medical department at a hospital that is open 24
hours a day
where no appointment is necessary in order to receive
care.
Medical care may be administered by a physician,
nurse, physician
assistant, or other medical provider. Do NOT include
‘urgent care
centers’, which are owned by, or affiliated with a
hospital.
Visits made to that type of facility should be coded
as an
outpatient department visit.
OUTPATIENT DEPARTMENT VISIT --
Any visit made during the person’s reference period to
a hospital
outpatient department.
OUTPATIENT DEPARTMENT -
A unit of a hospital, a facility, or ‘urgent care
center’
owned by or affiliated with a hospital. The outpatient
department provides health and medical services to
individuals
who do not require hospitalization overnight and may
also
provide general primary care.
Do NOT include ‘urgent care centers’ which are not
owned by,
or affiliated with a hospital. Urgent care centers
which are
NOT affiliated with or owned by a hospital should be
coded as
a Medical Provider visit. Include visits made to
outpatient
departments for medical tests only.
Examples of outpatient departments include:
MEDICAL PROVIDER VISIT --
Any visit made during the person’s reference period to
a specific
setting of care where a medical provider was seen.
Settings of
care can include: a private doctor’s office, a clinic,
a health
maintenance organization (HMO), an independent
laboratory or X-ray
facility or an ‘urgent care center’ not owned by or
affiliated
with a hospital.
MEDICAL PROVIDER –
A doctor, nurse, or any other medical person or place
that
delivers medical or health related care.
DENTAL CARE VISIT --
Any visit made during the person’s reference period to
a dental
care provider for the purpose of dental care.
DENTAL CARE PROVIDER –
Medical persons whose primary occupation is caring for
teeth,
gums, and jaws. Dental care includes general work such
as
fillings, cleaning, extractions, and also specialized
work
such as root canals, fittings for braces, etc.
HS05
OPERATION OR SURGICAL PROCEDURE --
Choose this category only if the surgical procedure
best
describes the reason for the hospital admission. A
woman who
gave birth by cesarean section should not be coded
under
operation or surgical procedure because her primary
purpose for
entering the hospital was to give birth. An operation
or
surgical procedure includes any procedure which
involves
cutting into the skin, including stitching of cuts and
wounds.
For this question, surgery includes the following:
Injections, transfusions and routine blood tests are
not
considered surgery here, nor are pumping or washing
out the
stomach or bowels.
TREATMENT OR THERAPY FOR A MEDICAL CONDITION, NOT
INCLUDING
SURGERY --
The application of non-surgical remedies to counteract
the
effects of a disease or health care problem. Some
examples are
therapeutic radiation and chemotherapy. Therapy for
MENTAL
health problems should not be included.
DIAGNOSTIC TESTS ONLY --
This category will be chosen if the main reason for
the
hospital stay is for the administration of
examinations or
tests to detect the presence of a disease or physical
problem.
Exclude hospital stays resulting from the treatment of
a
disease or physical problem.
GIVE BIRTH TO A BABY - NORMAL OR CESAREAN SECTION
(MOTHER) --
Hospital stay due to the emergence and separation of
offspring
from the body of the mother. Includes normal
childbirth
(delivery of baby through the birth canal) and
cesarean
section (surgical operation for delivering a baby by
cutting
through the mother’s abdominal and uterine walls).
TO BE BORN (BABY) --
This category is for the newborn BABY’S hospital stay.
PREGNANCY RELATED COMPLICATIONS --
Code this category only to capture a hospital stay due
to a reason
related to a woman’s pregnancy, where the result was
NOT a live
birth. This could include reasons such as stillbirth,
miscarriage,
placenta previa, or other pregnancy-related
complications that
resulted in a hospital-stay admission. If the
result was a live
birth, regardless of any related complication, use the
code ‘GIVE
BIRTH TO A BABY’
HS06
OPERATIONS/SURGICAL PROCEDURES --
Any procedure which involves cutting into the skin,
including
stitching of cuts and wounds. For this question,
surgery
includes the following:
Injections, transfusions and routine blood tests are
NOT
considered surgery here, nor are pumping or washing
out the
stomach or bowels.
HS06AA
ICU --
An intensive care unit (ICU) is a specialized
department used in
many
hospitals
that provides close monitoring nursing and medical
care for critically ill patients. They are
characterized by
continuous nursing and medical supervision and by the
use of
sophisticated monitoring devices and resuscitative
equipment.
Include any unit designated as intensive care such as:
HS06A
VAGINAL DELIVERY --
Delivery of an infant through the normal openings of
the uterus
and vagina.
CAESAREAN SECTION --
Surgical operation for delivering a baby by cutting
through the
mother’s abdominal and uterine walls.
HS08
ER08
OP14
MV14
DN05
PRESCRIBED MEDICINE --
Prescribed medicines are those ordered by a physician
or other
authorized medical person through a written or verbal
prescription for a pharmacist to fill. Prescription
medicines
can also be given by a medical provider directly to a
patient
to take home, such as free samples. (Free samples are
collected
separately in the Prescribed Medicine Section at
question PM06.)
Prescription medicines do NOT include:
Some state laws require prescriptions for certain
over-the-
counter medicines. Sometimes physicians write a
prescription
for over-the-counter drugs such as aspirin. Therefore,
consider any medicine a prescribed medicine if the
respondent
reports it as prescribed. If it is an over-the-counter
drug,
however, the prescription must be a written one to be
filled by
a pharmacist, not just an oral instruction. If in
doubt, probe
whether the patient got a WRITTEN prescription to fill
at a
pharmacy. If there is still any doubt, report the
medicine as a
prescription medicine.
OP04
MV03
MV06
MEDICAL DOCTOR --
Include both doctors of medicine (M.D.) and doctors of
osteopathy (D.O.). Specific examples of physicians
include:
Types of providers NOT to be counted as medical
doctors are
chiropractors, dentists, nurses, optometrists,
paramedics,
podiatrists, psychologists.
ER02
The purpose of this question is to identify the BEST
category of
care the person received during this visit to the
emergency room.
Code only one response.
DIAGNOSIS OR TREATMENT FOR A HEALTH PROBLEM --
DIAGNOSIS is an examination or test to detect the
presence of a
disease or other physical problem. TREATMENT is any
procedure
to counteract the effects of a disease or health care
problem.
An example of a visit for ‘diagnosis and treatment’ is
a person
who had a fever and a sore throat: the provider
DIAGNOSED the
condition as the flu, and recommended TREATMENT of bed
rest and aspirin.
Even if the provider determines the person does NOT
have a
health condition or if the provider is unable to
determine what
the problem is, the visit was for purposes of
diagnosis
regardless of the outcome of the examination.
If the only care received during the visit was tests
such as
blood work or x-rays, consider this ‘diagnosis or
treatment for
a health problem’ even if there is no known condition.
For
example, if a woman has a baseline mammogram, this is
considered ‘diagnosis’ even if no condition is
suspected or discovered.
EMERGENCY (E.G., ACCIDENT OR INJURY) --
Refers to immediate care intended to assess and
address an
acute problem that has the patient in extreme
discomfort or
threatens his/her life.
PSYCHOTHERAPY OR MENTAL HEALTH COUNSELING --
A treatment technique for certain forms of mental
disorders
relying principally on verbal communications between
the mental
health professional and the patient. Can be
individual,
family, and/or group therapies. Include care provided
by any
type of health professional so long as treatment is
for MENTAL
health. Does NOT include visits with clergy to discuss
personal problems. Any other professional mental
health
therapist such as a psychiatrist, psychologist,
counselor,
social worker, etc. would be included.
FOLLOW-UP OR POST-OPERATIVE VISIT --
Includes visits to check on patient’s progress after
some type of
surgery or other medical treatment. This includes
visits to
verify that patient has fully recovered, to remove
stitches or a
cast, or to adjust medications.
VISION EXAM --
A test of the patient’s eyesight, either to determine
whether
any correction by glasses/contact lenses is needed, or
to
determine if a different degree of correction is
needed.
PREGNANCY RELATED (INCLUDING PRENATAL CARE AND
DELIVERY)--
Consultations and examinations relating to pregnancy,
i.e.,
prenatal (or before delivery) and postnatal (or after
delivery)
care of the mother up to six weeks after childbirth.
This category also includes normal childbirth
(delivery of the
baby through the birth canal) and cesarean section
(surgical
operation for delivering a baby by cutting through the
mother’s
abdominal and uterine walls).
ER05
ER05OV1
OP11
OP11OV1
MV11
MV11OV1
LABORATORY TESTS --
The non-invasive collection of samples of blood,
urine, or any
other body fluids, tissues, or other substances to be
examined
by a medical person in order to get more information
about the
patient’s condition. This includes the collection of
stool
samples, or cells from smears like Pap tests. Test
should be
coded here if the specimen was collected during the
particular
event, regardless of where or when the specimens were
examined.
THROAT SWAB –-
A doctor or other health professional wipes the back
of the
patient’s throat with a long cotton swab. The swab is
then tested
in the office or sent to an outside laboratory. This
may also be
known as a throat culture or strep screen.
SONOGRAM OR ULTRASOUND --
A photographic image of an internal region of the body
obtained
from the reflection patterns of high frequency sound
waves.
X-RAYS --
A photographic image of a person’s skeleton and
internal organs
obtained by exposing the patient to a limited amount
of
radiation. ‘X-ray’ here means simple x-rays which do
not
involve ingestion of any substance or any more
complicated
imaging equipment. This process is used to diagnose
broken
bones, lung disease, etc. This category includes
barium x-rays.
MAMMOGRAM --
An x-ray photograph of the breasts, usually used to
detect
breast cancer.
MRI OR CATSCAN --
An MRI (magnetic resonance imaging) is a non-invasive
process
that generates electronic images of specific atoms and
molecular structures inside the human body such as
cells,
tissues, and organs. The process uses a magnetic field
outside
the body to generate images.
A CATSCAN is a computerized x-ray image of the
internal body
structures, displayable in various cross-sections.
This is also
referred to as CT imaging.
EKG OR ECG --
These are both abbreviations for electrocardiogram
which is a
graphic record of the electrical activity of the
heart.
EEG --
EEG is an abbreviation for electroencephalogram which
is a
graphic record of the electrical activity of the
brain.
VACCINATION --
A shot or oral medication given to the patient to
prevent
him/her from contracting a communicable disease.
ANESTHESIA --
The loss of sensation induced by an anesthetic and
limited to a
specific area (local anesthesia) or involving a loss
of
consciousness (general anesthesia).
OTHER DIAGNOSTIC TEST --
Include any other non-invasive test performed with
chemicals or
machines on body tissue or fluid samples and any test
of range
of motion, sensitivity, etc. performed by a medical
person
directly on a patient.
ER06
OP12
MV12
FF06
FF11
SURGICAL PROCEDURE --
Any procedure which involves cutting into the skin,
including
stitching of cuts and wounds. For this question,
surgery
includes the following:
Injections, transfusions, and routine blood tests are
NOT
considered surgery here, nor are pumping or washing
out the
stomach or bowels.
OP05
CHIROPRACTOR --
Medical persons who practice a system of medicine
based on the
principles that the nervous system largely determines
the state
of health and that disease results from nervous system
malfunctioning. Treatment consists primarily of the
adjustment
and manipulation of parts of the body, especially the
spinal column.
DENTIST/DENTAL CARE PERSON --
Medical persons whose primary occupation is caring for
teeth,
gums, and jaws. Dental care includes general work such
as
fillings, cleaning, extractions, and also specialized
work such
as root canals, fittings for braces, etc.
MIDWIFE --
A female who practices the art of aiding in the
delivery of babies.
NURSE/NURSE PRACTITIONER --
The term NURSE includes several types of nursing
specialists,
such as registered nurse (RN), licensed practical
nurse (LPN),
nurse’s aide, occupational health nurse, community
health nurse,
or public health nurse (PHN).
A NURSE PRACTITIONER is a registered nurse (RN) who
has
completed additional training beyond basic nursing
education.
They have qualifications which permit them to carry
out
expanded health care evaluation and decision-making
regarding patient care.
OPTOMETRIST --
A medical person who examines the eyes and vision
system for
visual defects, diagnoses eye impairments, prescribes
corrective lenses, and provides other types of
treatment. Not
to be confused with medical doctors who specialize in
treating
eye diseases, such as ophthalmologists.
PODIATRIST --
A podiatrist (DPM) (sometimes referred to as a ‘foot
doctor’),
is a medical person who deals with examination,
diagnosis,
treatment, and prevention of diseases, conditions, and
malfunctions affecting the human foot and its related structures.
PHYSICIAN’S ASSISTANT --
A Physician’s Assistant (PA) is a medical person who
provides
health care services with the direction and
supervision of a
doctor of medicine (MD) or osteopathic physician (DO).
Physician’s Assistants train for several years in
order to earn
the certification to perform diagnostic, therapeutic,
preventive,
and health maintenance services. Not to be confused
with non-
medical persons who also ‘assist’ the physician.
PHYSICAL THERAPIST --
Medical person who is concerned with the treatment of
musculoskeletal disorders with physical agents and
methods -- such
as massage, manipulation, therapeutic exercises, cold,
heat,
hydrotherapy, electric stimulation, and light -- to
assist in
rehabilitating patients and in restoring normal
function after an
illness or injury.
OCCUPATIONAL THERAPIST --
Medical persons who are concerned with improving the
person’s
ability to perform self-help tasks, tasks that are
associated
with employment activities, or tasks that allow an
individual
to more fully enjoy and participate in leisure time
activities.
Occupational therapy is used in retraining individuals
after
illnesses and accidents, as well as providing ongoing
help to
persons with more permanent disabilities from stroke,
paralysis
or deterioration from degenerative diseases such as
arthritis or
multiple sclerosis.
PSYCHOLOGIST --
A non-physician who specializes in the counseling and
testing of
persons with mental, addictive, or emotional
disorders.
SOCIAL WORKER --
A person who assists patients and their families in
handling
social, environmental, and emotional problems
associated with
illness or injury. Can include social work
specialists, such
as a medical or psychiatric social worker.
TECHNICIAN --
A person with the knowledge and skill to carry out a
specific
technical medical procedure, such as an x-ray
technician.
ACUPUNCTURIST --
Usually a medical person who uses a technique for
relieving pain,
treating medical conditions, inducing regional
anesthesia, or
improving general well-being, in which thin needles
are inserted
into the body at specific points. Acupuncture can also
be
practiced by medical doctors (MD’s).
MASSAGE THERAPIST --
A person who treats a health problem through
manipulation,
methodical pressure, friction or kneading of the body.
HOMEOPATHIC/NATUROPATHIC/HERBALIST/OTHER
ALTERNATIVE/COMPLEMENTARY
CARE PROVIDER --
HOMEOPATHIC –
A person who treats health problems based on a system
of
medicine based on the principle of ‘like cures like.’
Substances that cause the symptoms of a particular
health
problem are used in very small doses to treat the
problem.
NATUROPATHIC –
A person who treats health problems based on the
curative
abilities of nature’s elements, such as sun, water,
air and
earth. Many naturopathic physicians also use modern
medical
methods in conjunction with naturopathic therapies.
HERBALIST –
A person who uses plant-based substances to prevent or
treat a
health problem or to maintain good health. Herbal
remedies
are available in many forms, including pills, liquids
and crèmes.
ALTERNATIVE/COMPLEMENTARY CARE –
Approaches to health care that are different from
those
typically practiced by medical doctors in the U.S.
Included
in this type of care are acupuncture, nutritional
advice or
lifestyle diets, massage therapy, herbal remedies,
bio-feedback training, meditation, imagery, or
relaxation
techniques, homeopathic treatment, spiritual healing
or
prayer, hypnosis, and traditional medicine, such as
Chinese,
Ayurvedic, American Indian, etc.
OP07
MV07
GENERAL CHECKUP --
A visit to determine the general state of a person’s
health.
Includes physical examinations required to obtain
employment, for
college entrance, to obtain insurance, periodic
(yearly) general
checkups, visits to the well-baby clinic, etc. NOT
included are
visits for a checkup or examination for a SPECIFIC
CONDITION such
as TB or a heart condition.
DIAGNOSIS OR TREATMENT FOR A HEALTH PROBLEM --
DIAGNOSIS is an examination or test to detect the
presence of a
disease or other physical problem. TREATMENT is any
procedure
to counteract the effects of a disease or health care
problem.
An example of a visit for ‘diagnosis and treatment’ is
a person
who had a fever and a sore throat: the provider
DIAGNOSED the
condition as the flu, and recommended TREATMENT of bed
rest and aspirin.
Even if the provider determines a person in fact does
NOT have
a health condition, the visit was for purposes of
diagnosis
regardless of the outcome of the examination.
If the only care received during the visit was tests
such as
blood work or x-rays, consider this ‘diagnosis or
treatment for
a health problem’ even if there is no known condition.
For
example, if a woman has a baseline mammogram, this is
considered ‘diagnosis’ even if no condition is
suspected or
discovered.
EMERGENCY (E.G., ACCIDENT OR INJURY) --
Refers to immediate care intended to assess and
address an acute
problem that has the patient in extreme discomfort or
threatens
his/her life.
PSYCHOTHERAPY OR MENTAL HEALTH COUNSELING --
A treatment technique for certain forms of mental
disorders
relying principally on verbal communications between
the mental
health professional and the patient. Can be
individual, family,
and/or group therapies. Include care provided by any
type of
health professional so long as treatment is for MENTAL
health.
Does NOT include visits with clergy to discuss
personal problems.
Any other professional mental health therapist such as
a
psychiatrist, psychologist, counselor, social worker,
etc. would
be included.
FOLLOW-UP OR POST-OPERATIVE VISIT --
Includes visits to check on patient’s progress after
some type of
surgery or other medical treatment. This includes
visits to
verify that patient has fully recovered, to remove
stitches or a
cast, or to adjust medications.
IMMUNIZATIONS OR SHOTS --
IMMUNIZATIONS are oral medications or shots given to
the patient
to prevent the patient from contracting a communicable
disease.
SHOTS are hypodermic injections. This category
includes allergy shots.
VISION EXAM --
A test of the patient’s eyesight, either to determine
whether any
correction by glasses/contact lenses is needed, or to
determine if
a different degree of correction is needed.
PREGNANCY RELATED (INCLUDING PRENATAL CARE AND
DELIVERY)--
Consultations and examinations relating to pregnancy,
i.e.,
prenatal (or before delivery) and postnatal (or after
delivery)
care of the mother up to six weeks after childbirth.
This category also includes normal childbirth
(delivery of the
baby through the birth canal) and cesarean section
(surgical
operation for delivering a baby by cutting through the
mother’s
abdominal and uterine walls).
WELL CHILD EXAM --
One of a series of routine examinations of an infant
given to
monitor the infant’s growth and development. If an
infant goes
only for an immunization, code as ‘immunization or
shots’. If
the immunization is part of a well child visit, code
as ‘well
child exam’. This term applies not just to infants,
but toddlers,
preschoolers and often older children.
OP19
MV16
The purpose of this question is to identify any
‘repeat visits’ that
were made, that is where the person visited the same
provider more
than once for the same condition.
REPEAT VISITS --
Any visit to the same medical provider for the same
condition
and services with the same charge as another visit.
OP20
MV17
COST THE SAME AMOUNT --
Sometimes the respondent will not know the actual
charge for any
(or some) of the visits, but always makes the same
copayment for
each visit. As long as the visits were for the same
condition(s)
and the same services were received at each visit,
code this
question as ‘YES’ (visits were all for the same
amount).
MV04
CHIROPRACTOR --
Medical persons who practice a system of medicine
based on the
principles that the nervous system largely determines
the state
of health and that disease results from nervous system
malfunctioning. Treatment consists primarily of the
adjustment
and manipulation of parts of the body, especially the
spinal column.
DENTIST/DENTAL CARE PERSON --
Medical persons whose primary occupation is caring for
teeth,
gums, and jaws. Dental care includes general work such
as
fillings, cleaning, extractions, and also specialized
work such
as root canals, fittings for braces, etc.
MIDWIFE --
A female who practices the art of aiding in the
delivery of babies.
NURSE/NURSE PRACTITIONER --
The term NURSE includes several types of nursing
specialists,
such as registered nurse (RN), licensed practical
nurse (LPN),
nurse’s aide, occupational health nurse, community
health nurse,
or public health nurse (PHN).
A NURSE PRACTITIONER is a registered nurse (RN) who
has
completed additional training beyond basic nursing
education.
They have qualifications which permit them to carry
out
expanded health care evaluation and decision-making
regarding patient care.
OPTOMETRIST --
A medical person who examines the eyes and vision
system for
visual defects, diagnoses eye impairments, prescribes
corrective lenses, and provides other types of
treatment. Not
to be confused with medical doctors who specialize in
treating
eye diseases, such as ophthalmologists.
PODIATRIST --
A podiatrist (DPM) (sometimes referred to as a ‘foot
doctor’),
is a medical person who deals with examination,
diagnosis,
treatment, and prevention of diseases, conditions, and
malfunctions affecting the human foot and its related structures.
PHYSICIAN’S ASSISTANT --
A Physician’s Assistant (PA) is a medical person who
provides
health care services with the direction and
supervision of a
doctor of medicine (MD) or osteopathic physician (DO).
Physician’s Assistants train for several years in
order to earn
the certification to perform diagnostic, therapeutic,
preventive,
and health maintenance services. Not to be confused
with non-
medical persons who also ‘assist’ the physician.
PHYSICAL THERAPIST --
Medical person who is concerned with the treatment of
musculoskeletal disorders with physical agents and
methods -- such
as massage, manipulation, therapeutic exercises, cold,
heat,
hydrotherapy, electric stimulation, and light -- to
assist in
rehabilitating patients and in restoring normal
function after an
illness or injury.
OCCUPATIONAL THERAPIST --
Medical persons who are concerned with improving the
person’s
ability to perform self-help tasks, tasks that are
associated
with employment activities, or tasks that allow an
individual
to more fully enjoy and participate in leisure time
activities.
Occupational therapy is used in retraining individuals
after
illnesses and accidents, as well as providing ongoing
help to
persons with more permanent disabilities from stroke,
paralysis
or deterioration from degenerative diseases such as
arthritis or
multiple sclerosis.
PSYCHOLOGIST --
A non-physician who specializes in the counseling and
testing
of persons with mental, addictive, or emotional
disorders.
SOCIAL WORKER --
A person who assists patients and their families in
handling
social, environmental, and emotional problems
associated with
illness or injury. Can include social work
specialists, such
as a medical or psychiatric social worker.
TECHNICIAN --
A person with the knowledge and skill to carry out a
specific
technical medical procedure, such as an x-ray
technician.
RECEPTIONIST, CLERK, SECRETARY --
A person who assists a medical person in performing
clerical
tasks, such as scheduling appointments, filing and
maintaining
medical records, billing, and answering the telephone.
ACUPUNCTURIST --
Usually a medical person who uses a technique for
relieving pain,
treating medical conditions, inducing regional
anesthesia, or
improving general well-being, in which thin needles
are inserted
into the body at specific points. Acupuncture can also
be
practiced by medical doctors (MD’s).
MASSAGE THERAPIST --
A person who treats a health problem through
manipulation,
methodical pressure, friction or kneading of the body.
HOMEOPATHIC/NATUROPATHIC/HERBALIST/OTHER
ALTERNATIVE/COMPLEMENTARY
CARE PROVIDER --
HOMEOPATHIC –
A person who treats health problems based on a system
of
medicine based on the principle of ‘like cures like.’
Substances that cause the symptoms of a particular
health
problem are used in very small doses to treat the
problem.
NATUROPATHIC –
A person who treats health problems based on the
curative
abilities of nature’s elements, such as sun, water,
air and
earth. Many naturopathic physicians also use modern
medical
methods in conjunction with naturopathic therapies.
HERBALIST –
A person who uses plant-based substances to prevent or
treat a
health problem or to maintain good health. Herbal
remedies
are available in many forms, including pills, liquids
and crèmes.
ALTERNATIVE/COMPLEMENTARY CARE –
Approaches to health care that are different from
those
typically practiced by medical doctors in the U.S.
Included
in this type of care are acupuncture, nutritional
advice or
lifestyle diets, massage therapy, herbal remedies,
bio-feedback training, meditation, imagery, or
relaxation
techniques, homeopathic treatment, spiritual healing
or
prayer, hypnosis, and traditional medicine, such as
Chinese,
Ayurvedic, American Indian, etc.
MV13
ARTHROSCOPIC (VISUALIZATION OF JOINTS) SURGERY --
Surgery involving arthroscopy. Arthroscopy is direct
joint
visualization by means of an arthroscope.
CLEANING OR MEDICAL TREATMENT OF WOUND, INFECTION, OR
BURN --
Removal of foreign material and dead or damaged tissue
from
wounds, infections, or burns.
REMOVAL OF DISEASED TISSUE (EXCISION OF LESION) --
Cutting away or taking out a circumscribed area of
pathologically altered tissue, an injury or wound, or
a single
infected patch in a skin disease.
STITCHES (WOUND SUTURE) --
Operation or uniting parts by stitching them together.
Suture
is the thread for sewing up wounds or surgical
incisions.
Stitches fashioned from the thread are also called
sutures.
The stitching process is known as suturing.
EAR TUBES (TYMPANOSTOMY TUBES) --
Tubes placed through the ear drum (tympanic membrane)
to allow
ventilation of the middle ear as part of the treatment
of ear
infections (otitis media with effusion).
DN03
GENERAL DENTIST --
A general dentist conducts routine examinations, fills
cavities,
extracts teeth (except for wisdom teeth), and performs
services
not done by the specialists listed in the other parts
of this question.
DENTAL HYGIENIST --
A person who is licensed to give certain dental
services under
the supervision of a dentist. These services include:
teeth
cleaning, x-rays, applying medications, and educating
in dental matters.
DENTAL TECHNICIAN --
A person who works in a dental laboratory and prepares
dentures
and other appliances such as orthodontic devices and
crowns to
fit dental prescriptions.
DENTAL SURGEON/ORAL SURGEON --
A dental surgeon is a specialist who deals with
diseases,
injuries, and defects of the mouth and jaw through
invasive
procedures. Includes specialties like endodontists,
prosthodontists and orthodontists.
An oral and maxillofacial surgeon
(OMFS) is a surgical specialty
devoted to the well-defined anatomical region of the mouth, jaws
and the face as well as associated structures. Most oral surgeons
are initially qualified in dentistry and have
undergone a further
4-6 years of specialty surgical training.
ORTHODONTIST --
A dental specialist who deals with preventing and
correcting
irregular teeth through devices such as braces and
retainers.
ENDODONTIST --
A dental specialist who performs root canal work and
otherwise
deals with diseases of the dental pulp and roots.
PERIODONTIST --
A dental specialist who deals with diseases in the
bone,
connective tissue, and gums surrounding and supporting
the teeth.
DN04
DN04OV
DIAGNOSTIC OR PREVENTATIVE:
GENERAL EXAM, CHECKUP OR CONSULTATION --
Refers to the activity performed by either a dentist
or a
dental hygienist to determine whether cavities or gum
disease
have developed, or whether examination by a specialist
may be necessary.
CLEANING, PROPHYLAXIS, OR POLISHING --
Refers to activities performed by a dentist or dental
hygienist to maintain healthy teeth and prevent
cavities.
Cleaning includes scraping tartar deposits off teeth,
both
above and below the gumline.
X-RAYS, RADIOGRAPHS AND BITEWINGS --
All are different names for photographic images of the
teeth
obtained through the use of small amounts of
radiation.
These images are used to discover hidden cavities and
flaws in teeth.
FLUORIDE TREATMENT --
The application of a solution containing the chemical
fluoride, which is intended to make the teeth more
resistant
to tooth decay.
SEALANT (PLASTIC COATINGS ON BACK TEETH) --
The application of a material to close fissures,
grooves, or
pits on the chewing surfaces of back teeth.
RESTORATIVE OR ENDODONTIC:
FILLINGS --
A substance of plastic, amalgam, gold, etc. which is
used to
close a cavity in a decayed tooth. The substance is
placed
directly into the cleaned cavity and then shaped to
match the
rest of the tooth.
INLAYS --
A filling of metal, porcelain, or the like which is
first
shaped to fit a cavity and then cemented into it. The
inlay
is prepared outside of the patient’s mouth.
CROWNS OR CAPS --
An artificial substitute for the part of a tooth above
the
gumline. Can be made of gold, porcelain, etc.
ROOT CANAL --
A procedure in which the pulp of an injured or dead
tooth is
removed and replaced with a filling in order to save
the tooth.
PERIODONTIC (GUM TREATMENT):
PERIODONTAL SCALING, ROOT PLANING, OR GUM SURGERY --
Procedures or surgeries that treat diseases in the
bone,
connective tissue, and gums surrounding and supporting
the teeth.
PERIODONTAL RECALL VISIT (PERIODIC OR REGULAR) --
Refers to periodontal treatment that occurs on a
periodic or
regular basis.
ORAL SURGERY:
EXTRACTION, TOOTH PULLED --
Removal of a tooth; includes both adult and baby
teeth.
IMPLANTS --
Metal posts permanently imbedded in the jawbone to
which
false teeth are attached.
ABSCESS OR INFECTION TREATMENT --
Refers to care for a localized area of the gum
surrounding a tooth.
OTHER ORAL SURGERY --
Includes surgical procedures on the jaw.
PROSTHETICS:
FIXED BRIDGES --
A fixed replacement for one or several natural teeth,
attached at each end to a natural tooth.
DENTURES OR REMOVABLE PARTIAL DENTURES --
False teeth that are removable from the mouth.
RELINING OR REPAIR OF BRIDGES OR DENTURES --
Includes replacing false teeth and repairing the
supporting
structure for false teeth, including the portion
covering the gums.
ORTHODONTICS:
ORTHODONTIA, BRACES, OR RETAINERS --
Refers to services and appliances fitted to some or
all teeth
to correct irregularly spaced teeth.
ADDITIONAL PROCEDURES:
BONDING, WHITENING, OR BLEACHING --
Processes used to improve the appearance of teeth by
either
using chemical to whiten them or by applying an
overlay to
cover stained or discolored teeth.
TREATMENT FOR TMD (TEMPOROMANDIBULAR DISORDERS) OR
TMJ (TEMPOROMANDIBULAR JOINT) --
TMD refers to various problems associated with the
TMJ, which
connects the lower jaw to the skull. The major symptom
is
pain in the jaws, face, head or neck, which may be
associated
with dislocations, difficulty opening the mouth and
decreased
jaw function. Numerous therapies may be performed.
Most are
conservative (moist heat, massage, mouth guards,
medication,
bite adjustments). Some persons receive extensive
reconstruction of teeth with crowns, or surgery on the
jaw
and jaw point.
HH01
CERTIFIED NURSING ASSISTANT (CNA) --
Persons who provide general nursing care to patients
at home.
These person must have received training in order to
be certified
to perform these duties. Duties may include things
such as
administering prescribed medicines and treatment in
accordance
with approved nursing techniques. They may record
significant
conditions and reactions and notify their supervisor
of the
patient’s condition and reaction to drugs, treatments,
and
significant incidents. They may also take the
patient’s
temperature, pulse, blood pressure, and other vital
signs to
detect deviations from normal.
COMPANION --
Persons who care for elderly, disabled, or
convalescent persons
by attending to the patient’s personal needs, reading
aloud,
playing cards, or other games to entertain the RU
member because
of the RU member’s health problem.
DIETITIAN/NUTRITIONIST --
Persons concerned with the application of the
principles of
nutrition to plan and supervise the preparation and
serving of
meals. Includes planning menus and diets for special
nutritional
requirements; participating in research; or
instructing in the
field of nutrition.
HOME HEALTH/HOME CARE AIDE --
A health worker who provides personal care and home
management
services to allow patients to live in their own homes.
A home
health aide may work under the supervision of a
physician or
registered nurse and may help patients bathe,
exercise, and dress.
He or she may check the patient’s temperature, blood
pressure, and
pulse and respiration rates; give massages and help
give medications.
HOSPICE WORKER --
A person who provides health and personal care in the
home to
persons who are dying. They may administer medical
treatments,
help people bathe, dress, and eat, or help them manage
their
household affairs.
HOMEMAKER --
Persons who advise or help the RU member in dealing
with problems,
such as nutrition, cleanliness, and household
utilities because of
his or her health problem.
I.V./INFUSION THERAPIST --
A person who administers, monitors, and maintains
equipment which
is used to provide medication or nutrition
intravenously (placed
in a person’s body by inserting a needle into a vein).
The needle
is attached to a tube and bag, and is left in place
for an
extended period of time. The bag is replaced when
empty.
MEDICAL DOCTOR --
Include both doctors of medicine (M.D.) and doctors of
osteopathy
(D.O.). Specific examples of physicians include:
Types of providers NOT to be counted as medical
doctors are
chiropractors, dentists, nurses, optometrists,
paramedics,
podiatrists, psychologists.
NURSE --
Includes several types of nursing specialists, such as
registered
nurse (RN), licensed practical nurse (LPN), nurse’s
aide,
occupational health nurse, community health nurse, or
public
health nurse (PHN).
NURSE PRACTITIONER --
A registered nurse (RN) who has completed additional
training
beyond basic nursing education. They have
qualifications which
permit them to carry out expanded health care
evaluation and
decision-making regarding patient care.
NURSE’S AIDE --
Persons who may perform any combination of tasks, and
may be
directed by nursing and medical staff, to care for
patients at
home. Their duties may include bathing patients;
giving alcohol
rubs; measuring and recording the intake and output of
liquids;
taking and recording temperature, pulse and
respiration rates;
examining equipment to detect maintenance needs and
notifying the
supervisor of these needs.
OCCUPATIONAL THERAPIST --
Medical persons who are concerned with improving the
person’s
ability to perform self-help tasks, tasks that are
associated
with employment activities, or tasks that allow an
individual
to more fully enjoy and participate in leisure time
activities.
Occupational therapy is used in retraining individuals
after
illnesses and accidents, as well as providing ongoing
help to
persons with more permanent disabilities from stroke,
paralysis
or deterioration from degenerative diseases such as
arthritis or
multiple sclerosis.
PERSONAL CARE ATTENDANT --
Non-medical persons who are usually paid (but can be
unpaid) who
help a disabled persons perform activities of daily
living
including: bathing, dressing, meal preparation,
feeding, paying
bills, and transportation.
PHYSICAL THERAPIST --
Medical person who is concerned with the treatment of
musculoskeletal disorders with physical agents and
methods -- such
as massage, manipulation, therapeutic exercises, cold,
heat,
hydrotherapy, electric stimulation, and light -- to
assist in
rehabilitating patients and in restoring normal
function after an
illness or injury.
RESPIRATORY THERAPIST --
Respiratory therapists (RT) specialize in the
assessment and
treatment of breathing disorders resulting from
chronic lung
problems (e.g. asthma, bronchitis, emphysema, COPD),
as well as
breathing disorders stemming from other conditions
such as heart
attack, stroke, or trauma. Respiratory therapists are
specialists
in airway management, mechanical ventilation,
acid/base balance,
and critical care medicine.
SOCIAL WORKER --
A person who assists patients and their families in
handling
social, environmental, and emotional problems
associated with
illness or injury. Can include social work
specialists, such as a
medical or psychiatric social worker.
SPEECH THERAPIST --
A medical person trained in the application and use of
techniques
aimed at improving language and speech disorders.
HH03
HOSPITALIZATION --
A medical event when a person is admitted to a
hospital. Note
that a person need not have stayed overnight to be
considered
‘hospitalized’ or ‘admitted’ to a hospital. A person
may be
admitted and discharged on the same day.
HH04
HEALTH PROBLEM --
Diseases or ailments. A disease is an illness or
disorder
of the function of the body or of certain tissues,
organs, or
systems, which is characterized by an identifiable
group of
symptoms. An ailment is a mild mental or physical
disorder.
An example of a health problem is influenza; some of
its
symptoms are fever, chills, and dizziness. Health
problems may
be either physical or mental.
Be sure to record health problems only; do not record
symptoms
here unless the respondent cannot give a condition
name.
HH06
MEDICAL TREATMENT EXAMPLES --
MEDICAL THERAPY EXAMPLES --
PM04
Make sure that the prescribed medicine reported by the
respondent
for this question has not already been reported in a
prior question.
PRESCRIPTIONS --
Prescribed medicines are those ordered by a physician
or other
authorized medical person through a written or verbal
prescription for a pharmacist to fill. Prescription
medicines
can also be given by a medical provider directly to a
patient
to take home, such as free samples. (Free samples are
collected
separately in the Prescribed Medicine Section at
question PM06.)
Prescription medicines do NOT include:
Some state laws require prescriptions for certain
over-the-counter
medicines. Sometimes physicians write a prescription
for over-
the-counter drugs such as aspirin. Therefore, consider
any
medicine a prescribed medicine if the respondent
reports it as
prescribed. If it is an over-the-counter drug,
however, the
prescription must be a written one to be filled by a
pharmacist, not just an oral instruction. If in doubt,
probe
whether the patient got a WRITTEN prescription to fill
at a
pharmacy. If there is still any doubt, report the
medicine as a
prescription medicine.
REFILLS --
A medicine is refilled for the person whose name
appears on the
prescription label. Usually, prescriptions have
specified
limits to the number of times they can be refilled.
Even if the medicine ends up being taken by someone
else,
record only the person the prescription was written
for.
PM06
FREE SAMPLES --
Limited amounts of a prescription medication which are
given out
by doctors to patients free of charge, sometimes in
lieu of a
written or verbal prescription.
PM16
MAIL-ORDER --
Refers to a service that delivers prescriptions
through either
the mail, a rapid mail service such as Federal
Express, or
through United Parcel Service (UPS).
IN ANOTHER STORE --
Pharmacies that are located within another store, such
as a
department or grocery store. Pharmacies located within
a K-mart
or Wal-mart are common examples of this type of
pharmacy.
IN AN HMO/CLINIC/HOSPITAL --
Pharmacies that are located within an HMO, clinic, or
hospital facility.
DRUG STORE --
An independent or chain retail store where the primary
business
is the service provided by the pharmacy.
ON-LINE PHARMACY --
An independent or chain retail store which fills
prescriptions
over the internet. A person accesses and places their
order with
this type of pharmacy through a website.
CP01A
HEALTH INSURANCE OR ANOTHER SOURCE OF COVERAGE --
Any individual, company, or organization, besides the
person or
family, that made any payments to the pharmacy for the
prescription medicines received. This includes: health
insurance
companies, HMOs, Medicare, Medicaid, SCHIP (State
Children’s
Health Insurance Program) or other types of public
health
programs. This also includes other types of coverage
which may
sometimes pay for prescription medicines, such as
employers, car
or home owner’s insurance, worker’s compensation
policies, etc.
CP01B
SOURCE --
Any individual, company, or organization, besides the
person or
family, that made any payments to the pharmacy for the
prescription medicines received. This includes health
insurance
companies, HMOs, employers, car or home owner’s
insurance,
worker’s compensation policies, Medicare, Medicaid,
SCHIP (State
Children’s Health Insurance Program) or other types of
public
programs, etc.
For this question please enter the USUAL source of
payment for the
person’s prescription medicines during the reference
period. For
example, if the person obtained three prescribed
medicines, and
two were paid for by their regular insurance company
and one was
paid for by their car insurance policy, their USUAL
source of
payment for their prescribed medicines would be their
regular
insurance company.
CP01
FAMILY SENDS IN CLAIM FORMS --
The RU member or family must pay the full amount of
the
prescription ‘up-front’ to the pharmacy or
prescription mail-order
firm. The family later completes a claim form so his
or her
insurance company will reimburse all or a portion of
the
prescription cost.
PHARMACY AUTOMATICALLY FILES CLAIMS --
The RU member of family has some type of insurance
that will cover
the cost of prescription drugs. The family pays only a
portion of
the full cost of the prescription or does not have to
pay any
portion of the cost. The pharmacy will then file the
insurance
claims for the family and is reimbursed for the
remainder of the
prescription charge directly from the insurance
company.
NOT EITHER TYPE OF SITUATION --
This includes all other types of payment arrangements
not
described above. For example, the person must pay the
full amount
of the prescription with no reimbursement from any
insurer, you
would code this category.
CP02
CP02OV
COPAYMENT --
A fixed sum that a person pays for health services,
regardless of
the actual charge (the insurer pays the rest of the
actual
charge). For example, the person may pay $10 for each
office
visit, $75 for each day in the hospital, and $5 for
each drug prescription.
For the purposes of MEPS, paying $0 for every visit,
regardless of
the services, is classified as a copayment.
CP03
CHARGE --
The dollar amount ASKED (‘charged’) for a service by a
health
care provider. This may not be the actual amount PAID
to the provider.
CP04
COPAYMENT --
A fixed sum that a person pays for health services,
regardless of
the actual charge (the insurer pays the rest of the
actual
charge). For example, the person may pay $10 for each
office
visit, $75 for each day in the hospital, and $5 for
each drug prescription.
For the purposes of MEPS, paying $0 for every visit,
regardless of
the services, is classified as a copayment.
TOTAL CHARGE --
The total dollar amount asked (‘charged’) for a
service by a
health care provider. This includes any amounts that
are paid
by health insurance or other sources, and may include
charges
for procedures such as x-rays, lab tests, or
diagnostic
procedures if performed during the visit to the
provider.
CP05
ANYTHING IN WRITING --
A document that indicates the charges for services
provided by
a medical provider. This usually takes the form of a
bill or
statement listing the charges for a particular service
or item.
Also include receipts for payments.
CP06
PAID AT TIME OF VISIT --
The charge was paid at the time of the visit to the
provider, and
the person may not have received a bill.
MADE A COPAYMENT --
A co-payment is a fixed sum that a person pays for
health services
regardless of the actual charge (the insurer pays the
rest of the
actual charge). For example, the person may pay $10
for each
office visit, $75 for each day in the hospital, and $5
for each
drug prescription.
BILL SENT DIRECTLY TO OTHER SOURCE --
This situation normally applies where the provider or
the person
sends the bill to the insurance company in order for
the insurance
company to pay the health care provider.
BILL HAS NOT ARRIVED --
The person expects to receive a bill from the health
care provider
as to the charges owed, however this bill has not
arrived.
NO BILL SENT: HMO PLAN --
No bill was sent to the person since the charges were
paid by the
person’s Health Maintenance Organization (HMO) or the
services
were received at an HMO facility. HMOs are
organizations that
have responsibility for providing comprehensive health
care
services in exchange for a fixed periodic payment.
With an HMO,
a person must generally receive their care from HMO
physicians;
otherwise the expense is not covered unless the person
was
referred by the HMO or there was a medical emergency.
With an
HMO, the cost of a visit is covered in full or you
have to pay a
small amount. HMOs can be sponsored by the government,
medical
schools, hospitals, employers, labor unions, consumer
groups,
insurance companies, and hospital-medical plans.
NO BILL SENT: VA (Veterans Administration) / CHAMPVA
--
No bill was sent to the person since the charges were
paid by
either the Veterans Administration (VA), which
provides medical
services to veterans of the Armed Forces (particularly
those with
service-connected disabilities) or The Civilian Health
and Medical
Program of the Department of Veteran's Affairs
(CHAMPVA), which
provides health coverage to dependents and survivors
of disabled
or deceased veterans.
NO BILL SENT: MILITARY FACILITY --
No bill was sent to the person because care was
obtained at a
military hospital or clinic located on a military
base.
NO BILL SENT: PUBLIC ASSISTANCE/MEDICAID/SCHIP --
The charges were paid by public assistance, Medicaid
or a State
Children’s Health Insurance Program (SCHIP). Medicaid
is a
federally-assisted, state-administered program that
offers health
benefits to low income persons on public assistance.
The program
also may cover the aged, the blind, and the disabled
who are in
financial need. Medicaid may be known by different
names in
different states.
The Children's Health Insurance Program (SCHIP) is a
program which
gives each state permission to offer health insurance
for
children, up to age 19, who are not already insured
and for
uninsured families with limited income and resources
who earn too
much to qualify for Medicaid. SCHIP is a state
administered
program and may be known by different names in
different states.
NO BILL SENT: INDIAN HEALTH SERVICE –-
No bill was sent because the person went to a provider
employed
by, or under contract to, the Indian Health Service
(IHS), the
agency responsible for providing federal health
services to
American Indians and Alaska Natives.
NO BILL SENT: WORKER’S COMPENSATION --
Worker’s compensation is a system, required by law, of
compensating workers injured or disabled in connection
with work.
The system establishes the liability of an employer
for injuries
or sickness that arise over and in the course of
employment. The
liability is created without regard to the fault or
negligence of
the employer. The benefits under this system generally
include
hospital and other medical payments and compensation
for loss of income.
NO BILL SENT: SCHOOL, EMPLOYER, OR OTHER PRIVATE
HEALTH CENTER/CLINIC --
No bill was sent because the care was provided by a
school clinic,
an employer clinic, or some other private health
center or clinic.
Care received in these types of clinics are usually
provided as
benefits to the recipient and the cost of the care is
paid covered
by the school, employer, or private health center.
NO BILL SENT: PUBLIC CLINIC/HEALTH CENTER OR PRIVATE
CHARITY (INCLUDE
COMMUNITY AND MIGRANT HEALTH CENTER AND FEDERALLY
QUALIFIED HEALTH
CENTERS) --
No bill was sent by the health care provider since the
person went
to a provider providing health care at no charge.
These providers
can include community and migrant health centers or
Federally-
qualified health centers, among others.
NO CHARGE: TELEPHONE CALL --
No bill was sent by the health care provider because
the provider
does not charge for consultation received over the
telephone.
FREE FROM PROVIDER (PROFESSIONAL COURTESY/FREE
SAMPLE)--
The provider provided the services as a professional
courtesy
extended from one provider to another or to family
members or
office staff. This can also include free samples of
medicine, or
the donation of a provider’s services. This does NOT
include
visits to public or ‘free’ clinics where the services
are covered
by public and/or private funding sources. Such
situations should
be coded as No Bill Sent: Public clinic/health center
or private charity.
GOVERNMENT-FINANCED RESEARCH AND CLINICAL TRIALS --
This includes all charges that were paid by the
government or a
research institute in return for the person’s
participation in
medical research. The research may take the form of
clinical
trials of an experimental medication, which are part
of the
government’s medical approval process. The person’s
participation
does not necessarily involve a specific health
condition.
INCLUDED WITH OTHER CHARGES --
This normally applies to a ‘flat fee’ situation where
the person
is charged a ‘lump sum’ for a variety of services or a
series of
visits which relate to the same condition.
FLAT FEE --
A situation where the person is charged a ‘lump sum’
for a variety
of services or a series of visits which relate to the
same condition.
CP07OV1
HMO --
HMOs are organizations that have responsibility for
providing
comprehensive health care services in exchange for
fixed periodic
payment. With an HMO, a person must generally receive
their care
from HMO physicians; otherwise the expense is not
covered by the
HMO unless the person was referred by the HMO or there
was a
medical emergency. With an HMO, the cost of a visit is
typically
covered in full or you have to pay a fixed amount of
money per
visit. HMOs can be sponsored by the government,
medical schools,
hospitals, employers, labor unions, consumer groups,
insurance
companies, and hospital-medical plans.
VA (Veterans Administration) / CHAMPVA --
The Veterans Administration, or VA, provides medical
assistance to
veterans of the Armed Forces, particularly those with
service-
connected disabilities.
The Civilian Health and Medical Program of the
Department of
Veteran's Affairs (CHAMPVA), provides health coverage
to
dependents and survivors
of disabled or deceased
veterans.
TRICARE--
TRICARE is a health care program for active duty and
retired
members of the uniformed services, their families, and
survivors.
TRICARE offers eligible beneficiaries three choices
for their
healthcare; TRICARE Prime - where military treatment
facilities
are the principal source of healthcare; TRICARE Extra
- a
preferred provider option; and TRICARE Standard - a
fee-for-
service option (the old CHAMPUS Program). TRICARE for
life covers
uniformed service beneficiaries who have attained the
age of 65,
are Medicare-eligible, and have purchased Medicare
Part B.
OTHER MILITARY --
Includes any health care received on military bases by
current
active duty personnel and their dependents and retired
Armed
Forces members and their dependents or survivors.
PUBLIC ASSISTANCE/MEDICAID/SCHIP --
Public assistance refers to the government agencies
concerned with
providing aid to persons suffering from poverty,
unemployment,
etc. Their health care is provided through Medicaid.
Medicaid is
a federally-assisted, state-administered program that
offers
health benefits to low income persons on public
assistance. The
program also may cover the aged, the blind, and the
disabled who
are in financial need. Medicaid may be known by
different names
in different states.
The Children's Health Insurance Program (SCHIP) is a
program which
gives each state permission to offer health insurance
for
children, up to age 19, who are not already insured
and for
uninsured families with limited income and resources
who earn too
much to qualify for Medicaid. SCHIP is a state
administered
program and may be known by different names in
different states.
INDIAN HEALTH SERVICE –-
The Indian Health Service (IHS), an agency within the
Department
of Health and Human Services, is responsible for
providing federal
health services to American Indians and Alaska
Natives.
WORKER’S COMPENSATION --
A system, required by law, of compensating workers
injured or
disabled in connection with work. The system
establishes the
liability of an employer for injuries or sickness that
arise over
and in the course of employment. The liability is
created without
regard to the fault or negligence of the employer. The
benefits
under this system generally include hospital and other
medical
payments and compensation for loss of income.
PRIVATE INSURANCE COMPANY --
A corporation primarily engaged in the business of
selling
insurance policies to the public.
CP08
TOTAL CHARGE --
The total dollar amount asked (‘charged’) for a
service by a
health care provider. This includes any amounts that
are paid
by health insurance or other sources, and may include
charges
for procedures such as x-rays, lab tests, or
diagnostic
procedures if performed during the visit to the
provider.
FLAT FEE --
A situation where the person is charged a ‘lump sum’
for a
variety of services or a series of visits which relate
to the
same condition.
CP09
CP09OV1
WHAT MAKES UP TOTAL CHARGE --
The total dollar amount asked (‘charged’) for a
service by a
health care provider. This includes:
If the bill or statement lists charges for procedures
separate
from other charges for the visit and are not included
in the
total charge, add those charges to the others to
obtain one
‘total charge’ that includes ALL charges that are
associated
with the visit. However, if the person has a SEPARATE
bill or
statement for procedures such as x-rays or lab work,
do NOT
include those charges in the total charge for the
visit. These
charges will be recorded at a different screen.
FLAT FEE --
A situation where the person is charged a ‘lump sum’
for a
variety of services or a series of visits which relate
to the
same condition.
CP10
SET AMOUNT --
An amount a provider charges for a visit no matter
what the
specific services provided during a particular visit
were.
A possible example of this are regular visits to a
physical
therapist for treatment: the specific treatment may be
different from visit to visit yet the charge is always
the same.
COPAYMENT --
A fixed sum that a person pays for health services,
regardless
of the actual charge (the insurer pays the rest of the
actual
charge). For example, the beneficiary may pay $10 for
each
office visit, $75 for each day in the hospital, and $5
for each
drug prescription.
For the purposes of MEPS, paying $0 for every visit,
regardless
of the services, is classified as a copayment.
CP11
CP11OV1
CP11OV2
AMOUNTS TO INCLUDE --
Any and all amounts paid directly (e.g.,
out-of-pocket, up-front)
to the provider/pharmacy/place for the care or
services received.
This includes all amounts that may have been
reimbursed later by
any provider or insurance company.
CP12
SOURCE --
Any person, company, or organization, besides the
person or
family, that made any payments to the
provider/pharmacy/place for
the care or services received. This includes health
insurance
companies, HMOs, employers, car or home owner’s
insurance,
worker’s compensations policies, Medicare, Medicaid,
SCHIP (State
Children’s Health Insurance Program) or other types of
public
programs, etc.
This source should have paid the
provider/pharmacy/place DIRECTLY,
that is, the family should not be paid in the
anticipation that
they would in turn pay the provider. If this is the
case,
consider it a reimbursement, not a direct payment.
ALREADY PAID --
The person or family assumes the source has sent in
the payment to
the provider/pharmacy/place for the care or services
received.
CP13
PAYMENTS MADE DIRECTLY TO PROVIDER --
Any source that has paid the provider/pharmacy/place
DIRECTLY,
that is, the family was not paid by the source in the
anticipation
that the family would in turn pay the provider. If
this is the
case, consider it a reimbursement, not a direct
payment.
A SOURCE is any person, company, or organization,
besides the
person or family, that made any payments to the
provider/pharmacy/
place for the care or services received. This includes
health
insurance companies, HMOs, employers, car or home
owner’s
insurance, worker’s compensations policies, Medicare,
Medicaid,
SCHIP (State Children’s Health Insurance Program)or
other types of
public programs, etc.
CP14
SOURCE --
Any person, company, or
organization, besides the person or
family, that made any reimbursement to the family for
the care or
services received. This includes health insurance
companies,
HMOs, employers, car or home owner’s insurance,
worker’s
compensations polices, Medicare, Medicaid, SCHIP
(State
Children’s Health Insurance Program) or other types of
public
programs, etc.
REIMBURSEMENT --
Repayment by a third party (usually an insurance
company) for
charges a person pays for health care services covered
by the
person’s health insurance plan. For example, the terms
of a
person’s health insurance plan may require that a
person pay
the pharmacy directly for a prescription and then
request a
‘reimbursement’ from his/her insurance company for all
or a
percentage of the total amount paid.
CP15
REIMBURSEMENT --
Repayment by a third party (usually an insurance
company) for
charges a person pays for health care services covered
by the
person’s health insurance plan. For example, the terms
of a
person’s health insurance plan may require that a
person pay
the pharmacy directly for a prescription and then
request a
‘reimbursement’ from his/her insurance company for all
or a
percentage of the total amount paid.
CP38
PROVIDER NAME --
In some instances, a provider may have more than one
name.
This question is asking if the paperwork (i.e., bill
or
statement) indicates that the provider is listed under
another
name. For example, a respondent may report that the
hospital’s
name is the University of Chicago Hospital when the
bill
indicates that the patient was seen at Wyler
Children’s
Hospital.
RE02
RE06
RESPONDENT RULES --
BEST/PREFERRED RESPONDENT:
The best or preferred respondent for the interview is
the person
who is most knowledgeable about the family’s health
care and who
is keeping records about health care use and expenses
since
January 1st.
For ROUND 1, this is likely to be the person who was
the
respondent for the NHIS interview and, in most cases,
was the
person contacted on the advance contact effort.
For ROUNDS 2-5, the best respondent is the person who
was
respondent for the previous round’s interview.
SELECTING A NEW RU MEMBER AS RESPONDENT:
If you need to select a new respondent for the RU,
select an RU
member who is at least 18 years old or older and
knowledgeable
about the family’s health care use and expenses.
Always encourage
all adult RU members to assist with the interview,
especially if
there is a specific RU member for whom the selected
respondent
cannot provide all health information. Keep in mind
that a new
respondent may also be a new member of the RU. Verify
that the
person is a member of the RU before selecting ‘RU
member’ for
respondent type.
PROXY RESPONDENTS:
In a small number of cases it may not be possible to
conduct an
interview with an RU member. Examples include:
In cases where a proxy respondent is necessary, try to
determine
who outside the RU could provide information about the
medical
care and expenses for the RU member(s). The proxy
respondent must
be someone 18 years or older who can provide
information about the
RU member(s) health care use and expenses during the
person’s
reference period.
BEFORE YOU COMPLETE THE INTERVIEW WITH A PROXY, YOU
MUST OBTAIN
APPROVAL FROM YOUR SUPERVISOR.
NOTE: If Round 1 and the only RU member died or
entered an
institution BEFORE January 1st, DO NOT CONTINUE WITH
THE
INTERVIEW. Verify the date of death or
institutionalization and
close out the case.
RE09
LOCATING ADDRESS --
The locating address is where the RU members actually
live. This
will not necessarily be the same as the address where
their mail
is received or as their legal or voting residence. It
is the
address you will use to locate the RU for the
in-person interview.
Try to obtain as complete an address as possible,
verifying or
obtaining house numbers and apartment numbers when
necessary. If
the locating address is a description (for example,
brick house
with green shutters and front porch), probe the
respondent for the
actual address, such as the one the post office uses
to deliver
mail to the home. Be sure to verify all parts of the
address,
including the zip code. If the respondent reports that
there is a
separate mailing address (for example, a post office
box), tell
the respondent that you will be asking for the mailing
address at
the end of the interview.
RE10
RE10OV1
RE10OV2
RE10OV3
RE10OV4
RE40
RE40OV1
RE40OV2
RE40OV3
RE40OV3
RE40OV4
RE40OV5
RE66H
RE66HOV1
RE66HOV2
RE66HOV3
RE66HOV4
RE66HOV5
RE74
RE74OV1
RE74OV2
RE74OV3
RE74OV4
RE74OV5
RE110
RE110OV1
RE110OV2
RE110OV3
RE110OV4
RE110OV5
RE110OV6
RE110OV7
RE111A
RE111AO1
RE111AO2
RE111AO3
RE111AO4
RE111AO5
RE111AO6
RE111AO7
PM14
PM14OV1
PM14OV2
PM14OV3
PM14OV4
PM14OV5
PM14OV6
PM14OV7
PM14OV8
PM15
PM15OV1
PM15OV2
PM15OV3
PM15OV4
PM15OV5
PM15OV6
PM15OV7
PM15OV8
PD18
PD18OV1
PD18OV2
PD18OV3
PD18OV4
PD18OV5
PD18OV6
PD18OV7
PD18OV8
PD18OV9
PD18OV10
PD18OV11
PD18OV12
CL47
CL47OV1
CL47OV2
CL47OV3
CL47OV4
CL47_2
CL47_2_OV1
CL47_2_OV2
CL47_2_OV3
CL47_2_OV4
CL49
CL49OV1
CL49OV2
CL49OV3
CL49OV4
CL49OV5
CL49OV6
CL49OV7
CL49_2
CL49_2_OV1
CL49_2_OV2
CL49_2_OV3
CL49_2_OV4
CL49_2_OV5
CL49_2_OV6
CL49_2_OV7
CL51
CL51OV1
CL51OV2
CL51OV3
CL51OV4
CL51OV5
CL51OV6
CL51OV7
CL51OV8
CL51OV9
CL51OV10
CL55
CL55OV1
CL55OV2
CL55OV3
CL55OV4
CL55OV5
CL55OV6
CL55OV7
CL55OV8
CL55OV9
CL55OV10
CL55_2
CL55_2_OV1
CL55_2_OV2
CL55_2_OV3
CL55_2_OV4
CL55_2_OV5
CL55_2_OV6
CL55_2_OV7
CL55_2_OV8
CL55_2_OV9
CL55_2_OV10
CL59
CL59OV1
CL59OV2
CL59OV3
CL59OV4
CL59OV5
CL59OV6
CL59OV7
CL61B
CL61BOV3
CL61BOV4
CL61BOV5
CL61BOV6
CL61BOV7
CL61BOV8
CL61BOV9
CL61B_2
CL61B_2_OV3
CL61B_2_OV4
CL61B_2_OV5
CL61B_2_OV6
CL61B_2_OV7
CL61B_2_OV8
CL61B_2_OV9
STATE ABBREVIATIONS --
Alabama: AL
Alaska: AK
Arizona: AZ
Arkansas: AR
California: CA
Colorado: CO
Connecticut: CT
Delaware: DE
District of Columbia: DC
Florida: FL
Georgia: GA
Hawaii: HI
Idaho: ID
Illinois: IL
Indiana: IN
Iowa: IA
Kansas: KS
Kentucky: KY
Louisiana: LA
Maine: ME
Maryland: MD
Massachusetts: MA
Michigan: MI
Mississippi: MS
Minnesota: MN
Missouri: MO
Montana: MT
Nebraska: NE
Nevada: NV
New Hampshire: NH
New Jersey: NJ
New Mexico: NM
New York: NY
North Carolina: NC
North Dakota: ND
Oklahoma: OK
Ohio: OH
Oregon: OR
Pennsylvania: PA
Rhode Island: RI
South Carolina: SC
South Dakota: SD
Tennessee: TN
Texas: TX
Utah: UT
Vermont: VT
Virginia: VA
Washington: WA
West Virginia: WV
Wisconsin: WI
Wyoming: WY
Foreign Country: FC
Please use the code ‘FC’ anytime the respondent
indicates that
the address, provider, job, pharmacy, etc. was not in
one of
the 50 states. Record the name of the city or
province, and
the country name in the city field. Record ‘FC’ in the
state
field. For example, if your respondent lives in
Buffalo, NY
and reported that he or she worked in Toronto, Canada,
you
would record ‘Toronto, Canada’ in the city field and
‘FC’ in
the state field.
RE11
FREQUENTLY ASKED QUESTIONS --
You have never recorded me before. Why now?
Prior to now we didn’t have the capability to record.
Now that we
do, we can use the recordings to improve the survey
and for
quality control.
Which questions are you recording?
It is a random selection of questions that are
selected for recording.
Do I have to be recorded?
No, we can continue the interview without the
recording.
What are the recordings being used for? Who will hear
them?
The recordings are mainly for quality control
purposes. We will
also use the recordings to identify ways to improve
the survey
questions. Only MEPS project staff will have access to
the
recordings. Your personal information will never be
shared with anyone.
RE13OV
RE13OV1
MARRIED --
Refers to legal marriage. This includes common law
marriages in
states where common law marriages are recognized
(i.e., if state
law considers them married, we consider them married).
WIDOWED --
Spouse is deceased.
DIVORCED --
Legal cancellation of marriage.
SEPARATED --
Legal or informal separation due to marital discord.
It is
necessary to probe further when a person is reported
as
‘separated’ -- if the spouse is absent for reasons
other than
marital discord, the ‘married’ category applies.
A person is considered NEVER MARRIED if s/he has never
been LEGALLY
married. If the person has had informal unions in the
past but has
never had a legal marriage, s/he is included in this
category even
if s/he considered themselves as living together as
married partners.
If the respondent asks what is meant by marriage, tell
him or her that
we are only interested in LEGAL married status for
this question.
However, accept what the respondent tells you here
without attempting
to reconcile the response with information given
previously concerning
the marital status of the person. For example, if a
respondent tells
you here that he is married, but when you collected
relationship
information he told you that the woman he is living
with is his
‘partner’, you would code him here as married and
continue to the next
person in the RU without questioning his response. An
answer
indicating that an RU member is ‘single’ or ‘not
married’ should be
probed to determine if s/he has been married in the
past or not.
RE14
RE15
RE15OV1
RE15OV2
RE66E
RE96B1
RE96B2
RE94A
RE95
RE95A
RE95B
RE95E
RE96B
RE96B1
RE96B2
FULL-TIME ACTIVE DUTY (WITH THE ARMED FORCES) --
This includes:
RE19
INSTITUTIONALIZED IN A HEALTH CARE FACILITY --
A person is considered institutionalized in a health
care facility
if s/he is living in a facility that provides 24-hour
continuous
skilled nursing and is staffed with trained medical
personnel.
Institutions that provide this type of care include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must provide
24-hour
skilled nursing care) --
An institution other than a nursing home that provides
24-hour
continuous skilled nursing care for patients,
regardless of
age, who have chronic diseases or disabilities, and
who
require preventative, diagnostic, therapeutic, and
supportive
services over long periods of time. Long term health
care may
call on a variety of health care professionals (such
as
physicians, nurses, physical therapists, and social
workers)
as well as non-professionals (family, others) and may
be
delivered in a health care or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them
as institutionalized, and include them in the MEPS
interview.
RE19A
LIVING WITH THIS FAMILY --
Person is living with this family at the time of the
current round
interview. This is the person’s usual place of
residence where
the person plans to live for the foreseeable future.
USUAL PLACE OF RESIDENCE SOMEWHERE ELSE --
Person is not living with the family at the time of
the current
round interview, but has usual place of residence
somewhere else.
This could include living in another household or
living in a
military facility.
DECEASED --
The person is no longer living at the time of the
current round interview.
RE19B
RE19BOV
RE19BOV1
RE19BOV2
RE19BOV3
RE19BOV4
RE19C
RE19COV
RE19COV1
RE19COV2
RE19COV3
RE19COV4
RE19D
RE19DOV1
RE19DOV2
LEAVE THE HEALTH CARE FACILITY --
The person must have been discharged from or have
formally left
the health care facility because the person is
deceased or because
the person is now living somewhere other than the
health care
facility. If the person has only temporarily left the
health care
facility to visit family or for a stay in the
hospital, do not
count this as having left the facility.
RE19E
INSTITUTIONALIZED IN A HEALTH CARE FACILITY --
A person is considered institutionalized in a health
care facility
if s/he is living in a facility that provides
24-hour continuous
skilled nursing and personal care and is
staffed with trained
medical personnel. Institutions that provide
this type of care
include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must
provide 24-hour
skilled nursing care) --
An institution other than a nursing home that provides
24-hour
continuous skilled nursing and personal care for
patients,
regardless of age, who have chronic diseases or
disabilities,
and who require preventative, diagnostic,
therapeutic, and
supportive services over long periods of
time. Long term care
may call on a variety of health care
professionals (such as
physicians, nurses, physical therapists, and social
workers)
as well as non-professionals (family, others) and may
be
delivered in a health care or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them as
institutionalized, and include them in the MEPS
interview.
INSTITUTIONALIZED IN A NON-HEALTH CARE FACILITY --
A person is institutionalized in a non-health care
facility if
s/he is living in a correctional facility. Non-health
care
facilities include: Homes for juvenile delinquents, jails, and prisons.
STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12
--
A person under 24 years old who usually lives in the
household,
but at the time of this interview lives at a boarding
school or
academy in grades 1-12. Grades 1-12 includes
elementary school,
middle school, high school (both junior and senior
high school).
The school can be public, private, military, or
parochial.
STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL
--
A person under 24 years old who usually lives in the
household,
but at the time of this interview lives away at
post-secondary
school. If the person returns to the RU on weekends,
school
holidays or vacations, we still consider him/her as
“living away
at school”. Post-secondary school includes:
COLLEGES OR UNIVERSITIES --
Junior college, community college, four-year college
or
university, nursing school or seminary where a college
degree
is offered, and graduate school or professional school
that
is attended after obtaining a degree from a 4-year institution.
OTHER TRAINING SCHOOLS AFTER HIGH SCHOOL --
Secretarial school, mechanical or computer training
school,
nursing school where a college degree is NOT offered,
and any
other vocational, trade, or business school where a
college
degree is not offered. The person need NOT have
obtained a
high school diploma or equivalency to attend this type
of school.
ANOTHER HOUSEHOLD - CURRENTLY NOT FULL-TIME MILITARY
--
Person is living in another household and is not on
full-time
active duty in the Armed Forces on the date of the
current round
interview. This includes persons who are living in a
different
household, either inside the U.S. or outside the U.S.
DO NOT
include persons who are living in an institution or
are living
away at school, either grades 1-12 or post-secondary,
in this category.
It is important to determine if the person being asked
about is
on full-time active duty in the military (i.e., the
Armed Forces
of the United States) on the date of the current round
interview.
DO NOT include persons who are on full-time active
duty in the
military in this category. See definition of full-time
active
duty in the Armed Forces below.
ANOTHER HOUSEHOLD/MILITARY FACILITY - CURRENTLY
FULL-TIME MILITARY --
Person is living in another household or military
facility and is
on full-time active duty in the Armed Forces on date
of the
current round interview. This includes persons who are
living in
another household or in a military facility, either
inside the
U.S. or outside the U.S. DO NOT include persons who
are living in
an institution or were living away at school, either
grades 1-12
or post-secondary, in this category.
It is important to determine if the person being asked
about is
on full-time active duty in the military (i.e., the
Armed Forces
of the United States) on the date of the current round
interview
interview. Include only persons who ARE on full-time
active duty
in the military in this category.
Person who are considered to be ON FULL-TIME ACTIVE
DUTY IN THE
ARMED FORCES includes:
RE19F
RE37
RE73B
LIVING WITHIN U.S. --
This includes all the states in the United States,
including
Hawaii and Alaska. It does NOT include the U.S.
territories such
as Puerto Rico, Guam, or the U.S. Virgin Islands.
LIVING OUTSIDE U.S. --
This includes all countries other than the United
States as well
as territories such as Puerto Rico, Guam, and the U.S.
Virgin
Islands. Hawaii and Alaska are considered INSIDE the
United States.
RE19G
RE56
RE80
GRADES 1-12 --
Includes elementary school, middle school, and high
school (both
junior and senior high school). The school can be
public,
private, military, or parochial.
COLLEGE OR UNIVERSITY --
Junior college, community college, four-year college
or
university, nursing school or seminary where a college
degree is
offered, and graduate school or professional school
that is
attended after obtaining a degree from a 4-year
institution.
OTHER TRAINING SCHOOL AFTER HIGH SCHOOL --
Secretarial school, mechanical or computer training
school,
nursing school where a college degree is NOT offered,
and any
other vocational, trade, or business school where a
college degree
is not offered. The person need NOT have obtained a
high school
diploma or equivalency to attend this type of school.
RE19H
RE19HOV
RE38
RE38OV1
RE66K
RE73C
RE73COV1
ANOTHER HOUSEHOLD –
If the full-time active duty armed forces person lives
in any
place of private residence including apartments,
townhouses,
houses, co-ops, mobile homes, boarding rooms, etc. OR
the
full-time active duty armed forces member is living
with at least
one civilian, key RU member in military housing, code
person as
living in another household.
MILITARY FACILITY –-
If person lives in any building or grounds on an Army,
Air Force,
Navy, Marine, or Coast Guard base, military training
school or
academy (Army (West Point), Air Force, Naval or Coast
Guard
academies); or any other facility owned exclusively
for military
purposes WITHOUT at least one civilian, key RU member,
code person
as living in military facility.
LIVING WITHIN U.S. --
This includes all the states in the United States,
including
Hawaii and Alaska. It does NOT include the U.S.
territories such
as Puerto Rico, Guam, or the U.S. Virgin Islands.
LIVING OUTSIDE U.S. --
This includes all countries other than the United
States as well
as territories such as Puerto Rico, Guam, and the U.S.
Virgin
Islands. Hawaii and Alaska are considered INSIDE the
United States.
RE21
HH MEMBERSHIP RULES --
Persons are considered members of this RU if they are
related to
the reference person by blood, marriage, living
together as
married, adoption or foster care relationship and meet
the
following criteria:
Consider persons who are just temporarily away (in a
hospital,
away on a business trip, or on vacation) as still in
this RU.
A student living away at school in grades 1 through 12
will be
included in this RU’s interview, but should be coded
as having
left the RU at this question. Later in the interview,
you will
code the reason this person is no longer in the RU as
‘Student
Under 24 Living Away at School in Grades 1-12’. This
will tell
CAPI to keep the person as a current RU member.
A student living away at post-secondary school should
also be
coded as no longer in the RU. However, post-secondary
students
will be removed from the RU and interviewed
separately. You will
code this person as ‘Student Under 24 Living Away at
Post-
Secondary School’ later in the interview.
ROUND 1 ONLY: During Round 1 you may learn that a
person listed
as a member of the household at the time of the NHIS
was
listed incorrectly. That is, he or she did not meet
the
rules of household membership for this RU at the time
of the
NHIS. For example, the person may have been just
visiting
at the time of the NHIS, but had a primary residence
elsewhere. Select ‘Incorrectly listed in RU during
NHIS’ for
this person if you learned he/she did not meet the
rules of
household membership.
ROUND 2 - 5 ONLY: During Rounds 2-5 you may learn that
a person
listed as a member of the household at the time of the
previous round’s interview was listed incorrectly.
That is,
he or she did not meet the rules of household
membership for
this RU at the time of the interview. For example, the
person may have been just visiting at the time of the
interview, but had a primary residence elsewhere or
the person
may not be related to the reference person. If either
situation applies, select ‘Incorrectly listed in RU
during
previous interview’ for this person.
RE35
DECEASED --
The person is no longer living.
STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12
--
A person under 24 years old who usually lives in the
household,
but at the time of this interview lives at a boarding
school or
academy in grades 1-12. Grades 1-12 includes
elementary school,
middle school, high school (both junior and senior
high school).
The school can be public, private, military, or
parochial.
STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL
--
A person under 24 years old who usually lives in the
household,
but at the time of this interview lives away at
post-secondary
school. If the person returns to the RU on weekends,
school
holidays or vacations, we still consider him/her as
“living away
at school”. Post-secondary school includes:
COLLEGES OR UNIVERSITIES --
Junior college, community college, four-year college
or
university, nursing school or seminary where a college
degree
is offered, and graduate school or professional school
that
is attended after obtaining a degree from a 4-year institution.
OTHER TRAINING SCHOOLS AFTER HIGH SCHOOL --
Secretarial school, mechanical or computer training
school,
nursing school where a college degree is NOT offered,
and any
other vocational, trade, or business school where a
college
degree is not offered. The person need NOT have
obtained a
high school diploma or equivalency to attend this type
of school.
MOVED - CURRENTLY NOT IN MILITARY --
This includes persons who have moved out of the
household to other
households, either inside the U.S. or outside the U.S.
DO NOT
include persons who moved to an institution or are
living away at
school, either grades 1-12 or post-secondary, in this
category.
It is important to determine if the person being asked
about is
currently on full-time active duty in the military
(i.e., the
Armed Forces of the United States). DO NOT include
persons who
are currently on full-time active duty in the military
in this
category. See definition of full-time active duty in
the Armed
Forces below.
MOVED - CURRENTLY ON FULL-TIME ACTIVE DUTY IN ARMED
FORCES --
This includes persons who have moved out of the
household to
another household or to a military facility, either
inside the
U.S. or outside the U.S. DO NOT include persons who
moved to an
institution or are living away at school, either
grades 1-12 or
post-secondary, in this category.
It is important to determine if the person being asked
about is
currently on full-time active duty in the military
(i.e., the
Armed Forces of the United States). Include only
persons who ARE
currently on full-time active duty in the military in
this category.
Person who are considered to be CURRENTLY ON FULL-TIME
ACTIVE DUTY
IN THE ARMED FORCES includes:
INSTITUTIONALIZED --
A person is considered institutionalized if s/he is
living in a
facility that provides 24-hour continuous skilled
nursing and
personal care and is staffed with trained medical
personnel, or if
s/he is living in a correctional facility.
Institutions include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must
provide 24-hour
skilled nursing care) --
An institution, other than a nursing home that
provides
24-hour skilled nursing care for patients, regardless
of age,
who have chronic diseases or disabilities, and who
require
preventative, diagnostic, therapeutic, and supportive
services
over long periods of time. Long term care may call on
a
variety of health care professionals (such as
physicians,
nurses, physical therapists, and social workers) as
well as
non-professionals (family, others) and may be
delivered in a
health care or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them as
institutionalized, and include them in the MEPS
interview.
OTHER NON-HEALTH CARE INSTITUTIONS --
This includes homes for juvenile delinquents, and
jails or prisons.
RE36
RE66G
RE73A
NURSING HOMES --
An institution that provides 24-hour continuous
skilled nursing
and other services to people who need nursing and
personal
services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTION (MUST PROVIDE
24-HOUR
SKILLED NURSING CARE) --
An institution other than a nursing home that provides
24-hour
continuous skilled nursing care for patients,
regardless of age,
who have chronic diseases or disabilities, and who
require
preventative, diagnostic, therapeutic, and supportive
services over
long periods of time. Long term health care may call
on a variety
of health care professionals (such as physicians,
nurses, physical
therapists, and social workers) as well as
non-professionals
(family, others) and may be delivered in a health care
or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them as
institutionalized, and include them in the MEPS
interview.
OTHER NON-HEALTH CARE INSTITUTION --
This includes homes for juvenile delinquents, and
jails or prisons.
RE42
RE43
OWNS/RENTS HOME --
A person OWNS the home even if they are still paying
on a
mortgage. A person RENTS the home if s/he pays on a
continuing
basis without gaining any rights to ownership.
If more than one person ‘owns or rents’ the home, ask
the
respondent to choose one person. This person will then
be used as
the reference person in the remainder of the
interview.
RE44
HEAD OF HOUSEHOLD --
If no one in the household owns or rents the home, we
ask for the
name of the ‘head of household’. This is the person in
the
household who has the primary responsibility for the
care of the family.
If more than one person is considered ‘head of
household’, ask the
respondent to choose one person. This person will then
be used as
the reference person in the remainder of the
interview.
RE46
RE46OV1
RE47
LIVING TOGETHER AS MARRIED/PARTNER RELATIONSHIPS --
In addition to marriage, two people in a ‘partner’
relationship
who are not married are considered related. This
applies BOTH to
partners of the same sex and of different sexes.
Because these are relationships between the household
member and
the Reference Person that the respondent may not have
considered
or offered, you may need to probe to determine if this
category applies.
Example:
If the respondent is the Reference Person and is
female and
reports the relationship of an unrelated male to be a
‘friend’,
you would want to tactfully probe to determine if she
considers
him her boyfriend or living together as married
partners instead
of just friends. If she says they are living together
as married,
they would be considered related. If they are NOT
living together
as if they are married partners, they should be viewed
as unrelated.
RE56A
PERSON WAS ...
INSTITUTIONALIZED --
A person was institutionalized if s/he was living in a
health care
facility that provided 24-hour continuous skilled
nursing care (and
was staffed with trained medical personnel) or if s/he
was living
in a correctional facility. Institutions include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must
provide 24-hour
skilled nursing care) --
An institution, other than a nursing home, that
provides 24-
hour continuous skilled nursing care for patients,
regardless
of age, who have chronic diseases or disabilities, and
who
require preventative, diagnostic, therapeutic, and
supportive
services over long periods of time. Long term health
care may
call on a variety of health care professionals (such
as
physicians, nurses, physical therapists, and social
workers)
as well as non-professionals (family, others) and may
be
delivered in a health care or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them
as institutionalized, and include them in the MEPS
interview.
OTHER NON-HEALTH CARE INSTITUTIONS --
This includes homes for juvenile delinquents, and
jails or
prisons.
STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL
--
A person under 24 years old who usually lives in the
household,
but at the time of this interview lives away at
post-secondary
school. If the person returns to the RU on weekends,
school
holidays or vacations, we still consider him/her as
“living away
at school”. Post-secondary school includes:
COLLEGES OR UNIVERSITIES --
Junior college, community college, four-year college
or
university, nursing school or seminary where a college
degree
is offered, and graduate school or professional school
that
is attended after obtaining a degree from a 4-year
institution.
OTHER TRAINING SCHOOLS AFTER HIGH SCHOOL --
Secretarial school, mechanical or computer training
school,
nursing school where a college degree is NOT offered,
and any
other vocational, trade, or business school where a
college
degree is not offered. The person need NOT have
obtained a
high school diploma or equivalency to attend this type
of school.
PERSON WAS NOT FT MILITARY AT TIME OF NHIS AND WAS ...
It is important to determine if the person being asked
about was
serving on full-time active duty in the military
(i.e., the
Armed Forces of the United States) at the time of the
NHIS
interview. DO NOT include persons who were serving on
full-time
active duty in the military at the time of the NHIS in
this
category. See definition of full-time active duty in
the Armed
Forces below.
LIVING IN U.S. --
This includes all the states in the United States,
including
Hawaii and Alaska. It does NOT include the U.S.
territories such
as Puerto Rico, Guam, or the U.S. Virgin Islands.
LIVING OUTSIDE U.S. --
This includes all countries other than the United
States as well
as territories such as Puerto Rico, Guam, and the U.S.
Virgin
Islands. Hawaii and Alaska are considered INSIDE the
United States.
PERSON WAS FT MILITARY AT TIME OF NHIS AND WAS ...
It is important to determine if the person being asked
about was
serving on full-time active duty in the military
(i.e., the
Armed Forces of the United States) at the time of the
NHIS
interview. Include only persons who WERE serving on
full-time
active duty in the military at the time of the NHIS in
this category.
Person who are considered to have been SERVING ON
FULL-TIME
ACTIVE DUTY IN THE ARMED FORCES includes:
LIVING AT A MILITARY FACILITY --
Refers to any building or grounds on an Army, Air
Force, Navy,
Marine, or Coast Guard base; military training
schools;
military academies (Army (West Point), Air Force,
Naval
or Coast Guard academies); or any other facility owned
exclusively
by the military or use exclusively for military
purposes.
LIVING OUTSIDE U.S. --
This includes all countries other than the United
States as well
as territories such as Puerto Rico, Guam, and the U.S.
Virgin
Islands. Hawaii and Alaska are considered INSIDE the
United States.
LIVING IN ANOTHER HOUSEHOLD IN U.S. --
A household includes any place of private residence
including
apartments, townhouses, houses, co-ops, mobile homes,
boarding
rooms, etc. ‘In U.S.’ includes all the states in the
United
States, including Hawaii and Alaska. It does NOT
include the
U.S. territories such as Puerto Rico, Guam, or the
U.S.
Virgin Islands.
RE66C
LIVING IN AN INSTITUTION --
A person was living in an institution if s/he was
living in a
health care facility that provided 24-hour continuous
skilled
nursing and personal care and was staffed with trained
medical
personnel and are expected to remain in the facility
for longer
than 100 days or if s/he was living in a correctional
facility.
Institutions include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must
provide 24-hour
skilled nursing care) --
An institution, other than a nursing home that
provides 24-
hour continuous skilled nursing care for patients,
regardless
of age, who have chronic diseases or disabilities, and
who
require preventative, diagnostic, therapeutic, and
supportive
services over long periods of time. Long term health
care may
call on a variety of health care professionals (such
as
physicians, nurses, physical therapists, and social
workers)
as well as non-professionals (family, others) and may
be
delivered in a health care or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them
as institutionalized, and include them in
the MEPS interview.
OTHER NON-HEALTH CARE INSTITUTIONS --
This includes homes for juvenile delinquents, and
jails or prisons.
RE66D
LIVING OUTSIDE U.S. --
This includes all countries other than the United
States as well
as territories such as Puerto Rico, Guam, and the U.S.
Virgin
Islands. Hawaii and Alaska are considered INSIDE the
United States.
RE66F
RE66FOV
NOT YET BORN --
Person had not yet been born on date in question.
STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12
--
Person was under 24 years old, usually lived in the
household, but
was living at a boarding school or academy in grades
1-12. Grades
1-12 includes elementary school, middle school, high
school (both
junior and senior high school). The school can be
public,
private, military, or parochial.
STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL
--
Person was under 24 years old, usually lived in the
household, but
was living away at post-secondary school. If the
person returned
to the RU on weekends, school holidays or vacations,
we still
consider him/her as “living away at school”.
Post-secondary
school includes:
COLLEGES OR UNIVERSITIES --
Junior college, community college, four-year college
or
university, nursing school or seminary where a college
degree
is offered, and graduate school or professional school
that
is attended after obtaining a degree from a 4-year institution.
OTHER TRAINING SCHOOLS AFTER HIGH SCHOOL --
Secretarial school, mechanical or computer training
school,
nursing school where a college degree is NOT offered,
and any
other vocational, trade, or business school where a
college
degree is not offered. The person need NOT have
obtained a
high school diploma or equivalency to attend this type
of school.
ANOTHER HOUSEHOLD - NOT FULL-TIME MILITARY ON (DATE
SHOWN ON CAPI SCREEN) --
Person was a living in another household and was not
on full-time
active duty in the Armed Forces. This includes persons
who were
living in a different household. DO NOT include
persons who were
living in an institution or were living away at
school, either
grades 1-12 or post-secondary, in this category.
It is important to determine if the person being asked
about was
on full-time active duty in the military (i.e., the
Armed Forces
of the United States). DO NOT include persons who were
on full-
time active duty in the military in this category. See
definition
of full-time active duty in the Armed Forces below.
ANOTHER HOUSEHOLD OR MILITARY FACILITY-FULL-TIME
MILITARY
ON (DATE SHOWN ON CAPI SCREEN) --
Person was a living in another household, military
facility or
military academy AND was on full-time active duty in
the Armed
Forces. This includes persons who were living in
another
household or in a military facility. DO NOT include
persons who
were living in an institution or were living away at
school,
either grades 1-12 or post-secondary, in this
category.
It is important to determine if the person being asked
about was
on full-time active duty in the military (i.e., the
Armed Forces
of the United States). Include only persons who WERE
on full-time
active duty in the military in this category.
Person who are considered to be ON FULL-TIME ACTIVE
DUTY IN THE
ARMED FORCES includes:
LIVING WITH THIS FAMILY (PERSON LEFT OFF ROSTER LAST
INTERVIEW) --
Person was living with this family, but was not
included as part
of the family during the previous interview.
INSTITUTIONALIZED --
A person was institutionalized if s/he was living in a
facility
that provided 24-hour continuous skilled nursing and
personal care
(and was staffed with trained medical personnel) or if
s/he was
living in a correctional facility. Institutions
include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must
provide 24-hour
skilled nursing care) --
An institution, other than a nursing home, that
provides 24-
hour continuous skilled nursing care for patients,
regardless
of age, who have chronic diseases or disabilities, and
who
require preventative, diagnostic, therapeutic, and
supportive
services over long periods of time. Long term health
care may
call on a variety of health care professionals (such
as
physicians, nurses, physical therapists, and social
workers)
as well as non-professionals (family, others) and may
be
delivered in a health care or other institution.
If the person is admitted as an inpatient to a
community-based
hospital, regardless of the length of stay, do not
code them
as institutionalized, and include them in the MEPS
interview.
OTHER NON-HEALTH CARE INSTITUTIONS --
This includes homes for juvenile delinquents, and
jails or prisons.
RE73
RE73OV1
NOT YET BORN --
Person had not yet been born on the date in question.
STUDENT UNDER 24 LIVING AWAY AT SCHOOL IN GRADES 1-12
--
Person was under 24 years old, usually lived in the
household, but
was living at a boarding school or academy in grades
1-12. Grades
1-12 includes elementary school, middle school, high
school (both
junior and senior high school). The school can be
public,
private, military, or parochial.
STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL
--
Person was under 24 years old, usually lived in the
household, but
was living away at post-secondary school. If the
person returned
to the RU on weekends, school holidays or vacations,
we still
consider him/her as “living away at school”.
Post-secondary
school includes:
COLLEGES OR UNIVERSITIES --
Junior college, community college, four-year college
or
university, nursing school or seminary where a college
degree
is offered, and graduate school or professional school
that
is attended after obtaining a degree from a 4-year institution.
OTHER TRAINING SCHOOLS AFTER HIGH SCHOOL --
Secretarial school, mechanical or computer training
school,
nursing school where a college degree is NOT offered,
and any
other vocational, trade, or business school where a
college
degree is not offered. The person need NOT have
obtained a
high school diploma or equivalency to attend this type
of school.
ANOTHER HOUSEHOLD (NOT MILITARY AT TIME OF NHIS) --
Person was a living in another household and was not
on full-time
active duty in the Armed Forces on date of the NHIS
interview.
This includes persons who were living in a different
household,
either inside the U.S. or outside the U.S. DO NOT
include persons
who were living in an institution or were living away
at school,
either grades 1-12 or post-secondary, in this
category.
It is important to determine if the person being asked
about was
on full-time active duty in the military (i.e., the
Armed Forces
of the United States) on the date of the NHIS
interview. DO NOT
include persons who were on full-time active duty in
the military
in this category. See definition of full-time active
duty in the
Armed Forces below.
ANOTHER HOUSEHOLD OR MILITARY FACILITY (ON FULL-TIME
ACTIVE DUTY IN
THE ARMED FORCES AT TIME OF NHIS) --
Person was a living in another household, military
facility or
military academy and was on full-time active duty in
the Armed
Forces on date of the NHIS interview. This includes
persons who
were living in another household or in a military
facility, either
inside the U.S. or outside the U.S. DO NOT include
persons who
were living in an institution or were living away at
school,
either grades 1-12 or post-secondary, in this
category.
It is important to determine if the person being asked
about was
on full-time active duty in the military (i.e., the
Armed Forces
of the United States) on the date of the NHIS
interview. Include
only persons who WERE on full-time active duty in the
military in
this category.
Person who are considered to be ON FULL-TIME ACTIVE
DUTY IN THE
ARMED FORCES includes:
LIVING WITH THIS FAMILY (PERSON LEFT OFF NHIS ROSTER)
--
Person was living with this family at the time of the
NHIS
interview, but was not included as part of the family
during the
NHIS interview.
INSTITUTIONALIZED --
A person was institutionalized if s/he was living in a
health care
facility that provided 24-hour continuous skilled
nursing and
personal care (and was staffed with trained medical
personnel) or
if s/he was living in a correctional facility.
Institutions include:
NURSING HOMES --
An institution that provides 24-hour continuous
skilled
nursing and other services to people who need nursing
and
personal services as inpatients.
OTHER LONG-TERM HEALTH CARE INSTITUTIONS (Must
provide 24-hour
skilled nursing care) --
An institution other than a nursing home that provides
24-
hour continuous skilled nursing care for patients,
regardless
of age, who have chronic diseases or disabilities, and
who
require preventative, diagnostic, therapeutic, and
supportive
services over long periods of time. Long term health
care may
call on a variety of health care professionals (such
as
physicians, nurses, physical therapists, and social
workers)
as well as non-professionals (family, others) and may
be
delivered in a health care or other institution.
OTHER NON-HEALTH CARE INSTITUTIONS --
This includes homes for juvenile delinquents, and
jails or prisons.
RE76E
LEGAL GUARDIAN --
An adult who has been given the legal right and
responsibility by a
court to control and care for a minor child (a person
under 18
years of age). The guardian may also be charged with
the legal
responsibility of the minor child's estate (i.e.,
property). The
adult has legal authority to make personal decisions
for the child,
including responsibility for his physical, medical and
educational
needs. A legal guardian will be under the supervision
of the court
and will be required to appear in court to give
periodic reports
about the status of the child and its estate.
For the purposes of this study, a legal guardian
cannot be deceased.
RE82
USUAL YEAR-ROUND PLACE OF RESIDENCE --
The place where person lives during the majority of a
calendar year.
RESIDENCE ONLY DURING SCHOOL YEAR --
Person lives at this household only during the months
s/he is
attending school and lives elsewhere when not
attending school.
SOME OTHER ARRANGEMENT --
This category covers living situations not covered by
the above
two categories. For example, a child’s divorced
parents have
joint custody of the child and the child lives 50% of
the time
with his/her mother at one residence and the other 50%
of the time
with his/her father at a different residence.
RE83
PRIMARY RESPONSIBILITY --
The person who is most often responsible for the
health and health
care for the person being asked about. This includes
making sure
the person being asked about receives all need health
care (doctor
visits, dental visits, takes medications, etc.) and
paying for
that health care.
RE97
MARRIED --
Refers to legal marriage. This includes common law
marriages in
states where common law marriages are recognized
(i.e., if state
law considers them married, we consider them married).
WIDOWED --
Spouse is deceased.
DIVORCED --
Legal cancellation of marriage.
SEPARATED --
Legal or informal separation due to marital discord.
It is
necessary to probe further when a person is reported
as
‘separated’ -- if the spouse is absent for reasons
other than
marital discord, the ‘married’ category applies.
NEVER MARRIED --
Person has never been LEGALLY married. If the person
has had
informal unions in the past but has never had a legal
marriage,
s/he is included in this category even if s/he
considered
themselves as living together as married partners.
If the respondent asks what is meant by marriage, tell
him or her
that we are only interested in LEGAL married status
for this
question. However, accept what the respondent tells
you here
without attempting to reconcile the response with
information
given previously concerning the marital status of the
person. For
example, if a respondent tells you here that he is
married, but
when you collected relationship information he told
you that the
woman he is living with is his ‘partner’, you would
code him here
as married and continue to the next person in the RU
without
questioning his response. An answer indicating that an
RU member
is ‘single’ or ‘not married’ should be probed to
determine if s/he
has been married in the past or not.
RE103
REGULAR SCHOOL --
A school that advances a person toward an elementary
or high
school diploma, or a college/university or
professional school
(such as law, medicine, dentistry) degree.
Regular school INCLUDES graded public, private, and
parochial
schools, colleges, universities, graduate and
professional
schools, seminaries where a Bachelor’s degree is
offered, junior
colleges specializing in skill training, colleges of
education,
and nursing schools where a Bachelor’s degree is
offered. Count
schooling in other than regular schools only if the
credits
obtained are acceptable in a regular school system.
If the person attended school in another country, in
an un-graded
school, in a ‘normal school’, under a tutor, or under
other
special circumstances, ask the respondent to give the
nearest
equivalent of years in regular U.S. school.
If the person attended school OUTSIDE OF THE ‘REGULAR’
SCHOOL
SYSTEM, you will need to probe to determine if the
schooling is
applicable here. Use the following guidelines to
determine if the
schooling should be included at this question:
TRAINING PROGRAMS -
Count training received ‘on the job’, in the Armed
Forces, or
through correspondence school ONLY if it was credited
toward a
school diploma, high school equivalency (GED), or
college degree.
VOCATIONAL, TRADE, OR BUSINESS SCHOOL -
Do NOT include secretarial school, mechanical or
computer
training school, nursing school where a Bachelor’s
degree is
not offered, and other vocational trade or business
schools
outside the regular school system.
GENERAL EDUCATIONAL DEVELOPMENT (GED) OR HIGH SCHOOL
EQUIVALENCY -
An exam certified equivalent of a high school diploma.
If the
person has not actually completed all four years of
high
school, but has acquired his/her GED (high school
equivalency
based on passing the GED exam), count this as you
would a high
school graduate and code ‘TWELFTH GRADE (HIGH SCHOOL
DIPLOMA)’.
ADULT EDUCATION -
Adult education classes should NOT be included as
regular
school unless such schooling has been counted for
credit in a
regular school system. If a person has taken adult
education
classes but NOT FOR CREDIT, these classes should not
be counted
as regular school. Adult education courses given in a
public
school building are part of regular schooling only if
their
completion can advance a person toward an elementary
school
certificate, a high school diploma (or GED), or
college degree.
NURSING EDUCATION -
Education for nurses and nursing related fields can
vary.
If there are questions from the respondent, please use
the
following guidelines. The CNA is a vocational training
program that lasts usually 6-9 months and is not a
degree—
select the grade/level completed at the last regular
school.
The LPN and LVN programs usually include a “diploma”
or
“certification” after one year’s vocational training;
select
the most appropriate category under the heading for
“College:”
and code the “Other Degree” at the follow-up question.
The RN
is a degree program from either a nursing school
(usually a 3
year program equivalent to 3 years of college and
equivalent
to more than an associate degree) or a community
college or
college/university program that can either be at the
associates, bachelors, masters, or PhD levels—select
the
most appropriate category under the heading for
“College:”
and code the appropriate degree at the follow-up
question.
GRADE OR YEAR --
For this study, we have classified grades 1 through 8
as
ELEMENTARY SCHOOL, and grades 9 through 12 as HIGH
SCHOOL.
However, you should note that the final grade of
elementary school
may be anywhere from grade 5 to grade 8, depending on
the school
system. So, if the respondent says the person you are
asking
about completed elementary school, probe to determine
what grade
that represents.
Completing a given grade in school should be counted
as the number
of years it NORMALLY takes to complete that grade
level of
education, regardless of how many years it actually
took the
person to finish. This means that for persons who
skipped or
repeated grades in elementary school, you will enter
the highest
grade completed REGARDLESS of the number of years they
were in
school. This rule is true for elementary school
through high
school and is especially relevant to college. For
example, if the
person you are asking about is reported as having a
‘Bachelor’s
Degree’, it should be coded as ‘Fourth Year
(BACHELOR’S DEGREE)’
regardless of how many years it took him/her to
receive it. Code
‘Five or More Years (GRADUATE DEGREE)’ should be
entered only if
the person has completed one or more years of graduate
or
professional school.
For persons still in school, be sure to report the
highest grade/
level completed. For example, a person currently in
the 10th grade
probably completed the 9th grade.
RE104
HAVE HIGH SCHOOL DIPLOMA --
A certificate that verifies that a person has
successfully
completed the required courses of a high school
curriculum. By
‘have a high school diploma’, we mean did the person
graduate from
high school rather than literally do they have the
document
bearing record of graduation.
PASSED GED --
A GED (general educational development) is an exam
certified as
the equivalent to attaining a high school diploma.
RE105
BACHELOR’S DEGREE --
An educational degree given by a college or university
to a person
who has completed a four-year course or its equivalent
in the
humanities or related studies (B.A.) or in the
sciences (B.S.).
MASTER’S DEGREE --
An educational degree given by a college or university
to a person
who has completed a prescribed course of graduate
study in the
humanities or related studies (M.A.) or in the
sciences (M.S.).
It ranks above a bachelor’s degree and below a
doctorate degree
and usually takes two years to complete.
DOCTORATE DEGREE --
The highest educational degree given by a college or
university to
a person who has completed a prescribed course of
advanced
graduate study. Examples include a Doctor of
Philosophy (Ph.D.),
Doctor of Laws (J.D.), Doctor of Medicine (M.D.), etc.
NO DEGREE --
If the person has some years of college, but has not
yet obtained
an educational degree, code ‘NO DEGREE’. For example,
if the
person is in his/her last term towards earning a
Bachelor’s
degree, code ‘NO DEGREE’.
OTHER --
If the person obtained an educational degree other
than a
Bachelor’s, Master’s, or Doctorate degree, code
‘OTHER’. A high
school degree or GED is NOT considered an educational
degree for
this question.
RE108
RE108OV
PART-TIME --
A person is considered to be attending school
part-time if s/he is
carrying less than a full load of class hours in a
semester or quarter.
FULL-TIME --
A person is considered to be attending school
full-time if s/he is
carrying a full load of class hours in a semester or
quarter.
RJ01A
MAIN JOB/BUSINESS --
If only one current job or business, that job/business
is the
main one. If more than one current job or business,
the
respondent should designate as main, the job he/she
considers
the most important or the one worked the most hours.
The main
job is not necessarily the job held the longest.
JOB --
A definite arrangement for regular work every week or
month, for
pay or other compensation (e.g., profits, anticipated
profits, or
pay in kind, such as room and board). A job may also
be a formal
arrangement with one or more employers to work on a
continuing
basis for a specified number of hours per week or days
per month,
but on an irregular schedule during the specified week
or month.
BUSINESS --
A business exists when one or more of the following
conditions are
met: (1) Machinery or equipment of substantial value
is in use in
conducting business, (2) an office, store or other
place of
business is maintained, or (3) the business is
advertised by
listing in the classified section of the phone book,
displaying
a sign, distributing cards or leaflets, or any other
methods
which publicize that the work or service is offered to
clients.
EM01
EM02
EM03
EM04
JOB FOR PAY --
Paid work for wages, salary, commission, or pay ‘in
kind’.
Examples of ‘pay in kind’ include meals, living
quarters, or
supplies provided in place of wages. This definition
of
employment INCLUDES work in the person’s own business,
professional practice, or farm, paid leaves of absence
(including vacations and illnesses), and work without
pay in a
family business or farm run by a relative. This
definition
EXCLUDES unpaid volunteer work (such as for a church
or
charity), unpaid leaves of absences, temporary layoffs
(such as
a strike), and work around the house.
JOB --
A definite arrangement for regular work every week or
month, for
pay or other compensation (e.g., profits, anticipated
profits, or
pay in kind, such as room and board). A job may also
be a formal
arrangement with one or more employers to work on a
continuing
basis for a specified number of hours per week or days
per month,
but on an irregular schedule during the specified week
or month.
BUSINESS --
A business exists when one or more of the following
conditions
are met: (1) Machinery or equipment of substantial
value is in
use in conducting business, (2) an office, store or
other place
of business is maintained, or (3) the business is
advertised by
listing in the classified section of the phone book,
displaying
a sign, distributing cards or leaflets, or any other
methods
which publicize that the work or service is offered to
clients.
RJ07
RJ08
RJ08A
EM17
EM26
EM39
EM52
EM69
EM81
EM113
EM114
HEALTH INSURANCE --
Health benefits coverage, paid in whole or in part by
the
employer, providing employees with health-related
benefits.
Coverage may also include family members of the
employee. A
health benefits plan may include the following:
hospitalization,
major medical, surgical, prescriptions, dental, and
vision.
RJ10
JOB ENDED --
Voluntary or involuntary termination of employment
based on the
completion or cancellation of a predetermined task or
work order.
For example, construction workers may no longer be
employed due
to the fact that a specific project has been completed
and no
subsequent projects have begun.
BUSINESS DISSOLVED/SOLD --
Voluntary or involuntary cessation of operations by
the owners
of the business.
RETIRED --
Voluntary termination of employment usually the result
of reaching
a specified age and tenure. Also include situations in
which the
person is no longer seeking main employment due to a
retirement decision.
ILLNESS OR INJURY --
Inability to work due to impairments, or physical or
mental
health problems. The impairment or problem should be
of such
severity that it incapacitates the individual and
prevents
him/her from doing any kind of gainful employment.
LAID OFF --
Persons are on layoff if they are waiting to be
recalled to a
job from which they were temporarily separated for
business-
related reasons, such as temporary drops in demand,
business
downturns, plant remodeling, material shortages, and
inventory
taking. They must have either been given a date to
report back
to work or, if not given a date, must expect to be
recalled to
their job within six months.
QUIT TO HAVE A BABY --
Pregnant RU member voluntarily terminates employment
due to the
birth of her child. If the RU member quits to take
care of an
adopted child, code as ‘Quit to Take Care of Home or
Family’.
QUIT TO GO TO SCHOOL --
RU member is no longer employed in order to attend
classes at
any kind of public or private school, including trade
or
vocational schools in which students receive no
compensation in
money or kind, or only minimal educational stipends
(fellowship, scholarship).
QUIT TO TAKE CARE OF HOME OR FAMILY --
This answer category includes cases where an RU member
ceases
employment in order to be in the household to take
care of
household duties, children, and/or spouse. It also
includes
cases where an RU member may quit in order to be
available to
care for another family member who is ill, either in
the RU
member’s home or elsewhere.
QUIT BECAUSE WANTED TIME OFF --
Voluntarily out of the labor force because of a desire
for time off.
QUIT TO TAKE ANOTHER JOB --
Voluntary termination of employment resulting from
acceptance
of other employment opportunities.
UNPAID LEAVE --
An uncompensated leave of absence from a job. The
absence must
be at least one work week or longer.
EM05
EM11
EM18
EM27
EM40
EM53
EM70
EM82
OE27
SELF-EMPLOYED --
Individuals working for profit or fee in a business or
farm
they own. The business or farm may be incorporated or unincorporated.
EM77
EM78
EM89
RETIRED --
Voluntary termination of employment usually the result
of reaching
a specified age and tenure. Also include situations in
which the
person is no longer seeking main employment due to a
retirement
decision.
EM93
MORE THAN ONE LOCATION --
This question pertains to the establishment which
directly employs
(pays) the RU member. A direct employer may have
facilities at
more than one location. However, if the employer is a
franchise
of a national or international firm with only one
location, then
the employer is considered not to have facilities in
more than one location.
EM94
INCORPORATED --
Act which makes a business a taxable entity through
establishment
of a charter and the satisfaction of all state and/or
federal
regulations. Incorporated businesses act through its
officers as
a distinct entity, with by-laws and publicly or
privately held stock.
EM95
SOLE PROPRIETORSHIP --
Unincorporated business owned by a single individual,
needing only
a business license to operate.
PARTNERSHIP --
Unincorporated business owned by two or more
individuals, needing
only a business license to operate.
EM96
PRIVATE COMPANY, INDIVIDUAL, OR ORGANIZATION --
Employees of an organization whose operations are
owned by private
individuals and not a governmental entity.
FEDERAL GOVERNMENT --
Federal employees include individuals working for any
branch of
the federal government, as well as elected officials
and civilian
employees of the armed forces.
STATE GOVERNMENT --
State employees include individuals working for
agencies of state
governments, as well as paid state officials, the
state police,
and employees of state universities and colleges.
LOCAL GOVERNMENT --
Local government employees include individuals
employed by cities,
towns, counties, parishes, and other local areas, as
well as
employees of city-owned businesses, such as electric
power
companies, water and sewer services, etc.
ARMED FORCES --
Non-civilian members of any of the armed services of
the federal
government (Army, Navy, Air Force, Coast Guard,
Marines).
FOREIGN (NON U.S.) GOVERNMENT --
Individuals who work for a government other than the
U.S. This
includes all levels of government as long as it is
non-U.S.
Do not use this answer category for individuals
working at some
level of non-foreign government, but who work outside
the
boundaries of the U.S. For example, a person working
for the
U.S. State Department in Africa.
EM101
EM101OV1
JOB ENDED --
Voluntary or involuntary termination of employment
based on the
completion or cancellation of a predetermined task or
work order.
For example, construction workers may no longer be
employed due to
the fact that a specific project has been completed
and no
subsequent projects have begun.
RETIRED --
Voluntary termination of employment usually the result
of reaching
a specified age and tenure. Also include situations in
which the
person is no longer seeking main employment due to a
retirement decision.
ILLNESS OR INJURY --
Inability to work due to impairments, or physical or
mental
health conditions. The impairment or condition should
be of
such severity that it incapacitates the individual and
prevents
him/her from doing any kind of gainful employment.
LAID OFF --
Persons are on layoff if they are waiting to be
recalled to a job
from which they were temporarily separated for
business-related
reasons, such as temporary drops in demand, business
downturns,
plant remodeling, material shortages, and inventory
taking.
They must have either been given a date to report back
to work or,
if not given a date, must expect to be recalled to
their job
within six months.
QUIT TO HAVE A BABY --
Pregnant RU member voluntarily terminates employment
due to the
birth of her child. If the RU member quits to take
care of an
adopted child, code as ‘Quit to Take Care of Home or
Family’.
QUIT TO GO TO SCHOOL --
RU member is no longer employed in order to attend
classes at
any kind of public or private school, including trade
or
vocational schools in which students receive no
compensation in
money or kind, or only minimal educational stipends
(fellowship, scholarship).
QUIT TO TAKE CARE OF HOME OR FAMILY --
This answer category includes cases where an RU member
ceases
employment in order to be in the household to take
care of
household duties, children, and/or spouse. It also
includes
cases where an RU member may quit in order to be
available to
care for another family member who is ill, either in
the RU
member’s home or elsewhere.
QUIT BECAUSE WANTED TIME OFF --
Voluntarily out of the labor force because of a desire
for time off.
QUIT TO TAKE OTHER JOB --
Voluntary termination of employment resulting from
acceptance
of other employment opportunities.
EM102
EM102OV1
BUSINESS DISSOLVED OR SOLD --
Voluntary or involuntary cessation of operations by
the owners
of the business.
RETIRED --
Voluntary termination of employment usually the result
of reaching
a specified age and tenure. Also include situations in
which the
person is no longer seeking main employment due to a
retirement decision.
ILLNESS OR INJURY --
Inability to work due to impairments, or physical or
mental
health conditions. The impairment or condition should
be of
such severity that it incapacitates the individual and
prevents
him/her from doing any kind of gainful employment.
STOPPED/LEFT BUSINESS TO HAVE A BABY --
Pregnant RU member voluntarily terminates, sells, or
leaves a
business due to the birth of her child. If the RU
member
leaves to take care of an adopted child, code as
‘Stopped/Left
Business to Take Care of Home or Family’.
STOPPED/LEFT BUSINESS TO GO TO SCHOOL --
RU member terminates, sells, or leaves a business in
order to
attend classes at any kind of public or private
school, including
trade or vocational schools in which students receive
no
compensation in money or kind, or only minimal
educational
stipends (fellowship, scholarship).
STOPPED/LEFT BUSINESS TO TAKE CARE OF HOME OR FAMILY
--
This answer category includes cases where an RU member
terminates,
sells, or leaves a business in order to be in the
household to
take care of household duties, children, and/or
spouse. It also
includes cases where an RU member may terminate, sell,
or leave a
business in order to be available to care for another
family
member who is ill, either in the RU member’s home or
elsewhere.
STOPPED/LEFT BUSINESS BECAUSE WANTED TIME OFF --
Voluntarily terminated, sold, or left a business
because of a
desire for time off.
STOPPED/LEFT BUSINESS TO TAKE OTHER JOB --
Business was voluntarily terminated, sold, or left in
order to
accept an alternative position of employment.
EM104
EM111
ACTUAL HOURS WORKED PER WEEK --
The number of hours actually worked during a typical
work week.
Hours worked will include overtime if the RU member
worked
overtime for most of the weeks during the reference
period.
The actual hours worked is often not the same as the
hours on
which the person’s salary is based. In this question,
we want
the ACTUAL hours spent working on the job, whether the
hours
are paid or not. However, unpaid hours spent traveling
to and
from work are never included in hours worked per week.
EM110
PENSION/RETIREMENT PLAN --
Employment benefit which provides income payments to
employees
upon their retirement. Pension plans provide benefits
to
employees who have met specified criteria, normally
age and/or
length of service requirements. The two main types of
pension
plans are:
EM115
CHOICE OF HEALTH INSURANCE PLANS --
Many employers/establishments offer, instead of one
basic plan,
different types of enrollments that attempt to tailor
coverage
to the needs of the employee. For each enrollment
type, there
may be a different set of coverage provisions, a
separate
premium rate, and a varying proportion of total cost
assumed by
the employer. Plans may be called HMO, PPO, indemnity,
high
deductible, etc.
EM116
EM117
LABOR UNION --
An organization of wage or salary earners formed for
the purpose
of serving their collective interests with respect to
wages,
working conditions, and benefits. Participation in a
labor union
normally requires that the employee pay dues that may
be directly
deducted from their gross wages or salary.
EM126
EM126OV1
COULD NOT FIND WORK --
Unable to secure gainful employment while in an active
job search.
RETIRED --
Voluntary termination of employment usually the result
of reaching
a specified age and tenure. Also include situations in
which the
person is no longer seeking main employment due to a
retirement decision.
UNABLE TO WORK BECAUSE ILL/DISABLED --
Inability to work due to impairments, or physical or
mental
health conditions. The impairment or condition should
be of
such severity that it incapacitates the individual and
prevents
him/her from doing any kind of gainful employment.
ON TEMPORARY LAYOFF --
Persons are on temporary layoff if they are waiting to
be recalled
to a job from which they were temporarily separated
for business-
related reasons, such as temporary drops in demand,
business
downturns, plant remodeling, material shortages, and
inventory
taking. They must have either been given a date to
report back
to work or, if not given a date, must expect to be
recalled to
their job within six months.
MATERNITY/PATERNITY LEAVE --
Paid or unpaid leave of absence due to pregnancy or
care for a
newborn child.
GOING TO SCHOOL --
RU member is no longer employed in order to attend
classes at
any kind of public or private school, including trade
or
vocational schools in which students receive no
compensation in
money or kind or only minimal educational stipends
(fellowship, scholarship).
TAKING CARE OF HOME OR FAMILY --
This answer category includes cases where an RU member
ceases
employment in order to be in the household to take
care of
household duties, children, and/or spouse. It also
includes
cases where an RU member may quit in order to be
available to
care for another family member who is ill, either in
the RU
member’s home or elsewhere.
WANTED SOME TIME OFF --
Voluntarily out of the labor force because of a desire
for time off.
WAITING TO START NEW JOB --
Unemployment based on the timing of the interview. The
RU
member has left one job, but has yet to begin work for
a new
employer, although the RU member has been officially
hired by
the second employer.
EM128
WEEKS WORKED --
If a person worked at least two and one-half days out
of the
week, count it as a full week.
WORK FOR PAY --
Paid work for wages, salary, commission, or pay ‘in
kind’.
Examples of ‘pay in kind’ include meals, living
quarters, or
supplies provided in place of wages. This definition
of
employment INCLUDES work in the person’s own business,
professional practice, or farm, paid leaves of absence
(including vacations and illnesses), and work without
pay in
a family business or farm run by a relative. This
definition
EXCLUDES unpaid volunteer work (such as for a church
or
charity), unpaid leaves of absences, temporary layoffs
(such
as a strike), and work around the house.
EW01
SALARIED --
Salaried employees are paid to perform a job
regardless of the
number of hours worked. These employees are not paid
on an
hourly basis and may not receive compensation for
hours worked
beyond 40 hours per week. In essence, there is little
to no link
between compensation and scheduled hours.
PAID BY THE HOUR --
Method of payment in which earnings are paid for each
hour worked.
Each straight-time hour is paid at the same rate and
the rate is
not dependent on any measure of straight-time hours
worked.
PAID SOME OTHER WAY --
Other means of payment for work include being paid on
commission,
paid with bonuses, and payment by the day, piecework,
job, or mile.
EW02
EW02OV1
BY THE DAY --
Method of payment where the period of employment for
which wages
are dispersed is one working day. A common example is
child day
care where workers may be compensated for each day
worked (not on
an hourly or yearly basis).
PIECEWORK --
A method of incentive wage payment where earnings are
based on a
constant rate of pay for each unit of output. For
example, $3.50
for each garment produced.
COMMISSION --
A method of incentive payment paid in addition to or
in lieu of
a base rate, based upon business created or sales
confirmed.
The commission period and the base rate period need
not be of
the same length. For example, the commission period
could be
monthly, daily, or hourly.
BONUS --
Special cash payments. Sometimes bonuses are given as
a reward
for an employee’s production in excess of a quota or
for
completion of a job in less than a standard time
period.
Bonuses may also be paid by the employer to those
employees who
meet certain criteria (e.g., one year of continuous
employment
with the establishment) or they may be lump sum
payments to all
employees (e.g., Christmas bonuses). Payments may be
graduated
according to a worker’s length of service, position in
the
organization, or a combination of these and other
criteria.
BY THE JOB/MILE --
Method of payment based on each mile driven or job
completed.
EW17
HOURS WORKED PER WEEK (ON WHICH SALARY BASED) --
The number of hours worked per week on which the
person’s salary
is based is often not the same as the hours actually
worked. In
this question, we want the number of hours on which
the SALARY IS
BASED, regardless of how many actual hours the person
works during
the week. Overtime hours should not be included. By
definition,
salaried RU members are not compensated for overtime.
EW23
EW23OV1
EW23OV2
TIPS --
Customer payment above amount owed, rendered as
supplemental
compensation for an employee.
BONUSES --
Special cash payments. Sometimes bonuses are given as
a reward
for an employee’s production in excess of a quota or
for
completion of a job in less than a standard time
period.
Bonuses may also be paid by the employer to those
employees who
meet certain criteria (e.g., one year of continuous
employment
with the establishment) or they may be lump sum
payments to all
employees (e.g., Christmas bonuses). Payments may be
graduated
according to a worker’s length of service, position in
the
organization, or a combination of these and other
criteria.
COMMISSIONS --
A method of incentive payment paid in addition to or
in lieu of
a base rate, based upon business created or sales
confirmed.
The commission period and the base rate period need
not be of
the same length. For example, the commission period
could be
monthly, daily, or hourly.
HX03
HX03OV1
HX04
PROFESSIONAL ASSOCIATION --
An organization of individuals that share a
professional
affiliation (for example, the American Medical
Association).
Membership may include the right to buy health
insurance through
the organization or association.
SMALL BUSINESS GROUP --
A group of small businesses that band together to
negotiate better
deals on health insurance for their employees than
they could each
negotiate on their own.
UNION --
An organization of wage or salary earners formed for
the purpose
of serving their collective interests with respect to
wages,
working conditions, and benefits. Participation in a
labor union
normally requires that the employee pay dues that may
be directly
deducted from their gross wages or salary.
INSURANCE AGENT --
An individual primarily engaged in the business of
selling
insurance policies to the public.
INSURANCE COMPANY --
A corporation primarily engaged in the business of
selling
insurance policies to the public.
HMO (HEALTH MAINTENANCE ORGANIZATION) --
HMOs are a common type of insurance plan. If the
respondent says
s/he is or has been covered by health insurance from
an HMO,
accept her/his response. If the respondent needs
clarification,
use the definition below.
HMOs are organizations that have responsibility for
providing
comprehensive health care services in exchange for
fixed periodic
payment. With an HMO, a person must generally receive
their care
from HMO physicians; otherwise the expense is not
covered unless
the person was referred by the HMO or there was a
medical
emergency. With an HMO, the cost of a visit is
typically covered
in full or you have to pay a fixed amount of money per
visit.
HMOs can be sponsored by the government, medical
schools,
hospitals, employers, labor unions, consumer groups,
insurance
companies, and hospital-medical plans.
HIGH RISK POOL –-
High risk pools are designed as a way to provide
health insurance
coverage for those who are unable to purchase medical
insurance
otherwise. Usually this includes individuals who have
been
denied health insurance coverage, typically due to a
pre-existing condition.
Most states have formed their own high risk pools and
they are
known by different names in each state. A temporary
national
high risk pool program may be in effect until 2014.
PREVIOUS EMPLOYER --
Health insurance purchased for this business through
any former
employer. The RU member being asked about must have
worked for
this employer at some point in the past.
PREVIOUS EMPLOYER (COBRA) ––
Health insurance purchased for this business through
any former
employer. The RU member being asked about must have
worked for
this employer at some point in the past. This health
insurance
must continue through COBRA.
COBRA is defined as insurance provided by a former
employer. This
is a federal law that allows persons without any other
group
health insurance to continue their employment-related
coverage at
group rates for 18 to 36 months after having left a
job. However,
the primary insured person or policyholder usually has
to pay the
entire premium.
STATE EXCHANGE NAME/MARKETPLACE --
This is a “new” central marketplace where people can
shop for
health insurance plans online, in person or by phone
and access
financial assistance to help pay for coverage.
HX05
HX06
MEDICARE --
A Federal health insurance program for people 65 or
older and for
certain persons under 65 with long-term disabilities.
Almost
everyone with Social Security is covered by Medicare.
Medicare consists of four parts, A,B,C, and D:
PART A -
Part A is called the Hospital Insurance Program. It
helps
pay for inpatient care in a hospital or in a skilled
nursing
facility, and for hospice care. It is available to
nearly
EVERYONE 65 OR OLDER.
PART B -
Part B is called the Supplementary Medical Insurance
Program.
It helps pay for the doctor and surgeon services,
outpatient
hospital services, medical equipment, and a number of
other
medical services and supplies.
If a person chooses this additional insurance, the
monthly
premium is deducted from his/her Social Security to
obtain
coverage for Part B of Medicare.
PART C -
Part C encompasses the Medicare Advantage plans. A
Medicare
Advantage Plan (like an HMO or PPO) is a health plan
choice
available as part of Medicare. Medicare Advantage
Plans,
sometimes called “Part C” or “MA Plans,” are offered
by private
companies approved by Medicare. The plan provides all
of a
person’s Part A (Hospital Insurance) and Part B
(Medical
Insurance) coverage.
PART D –
Medicare Part D coverage, also referred to as Medicare
prescription drug coverage, is insurance that covers
both
brand-name and generic prescription drugs at
participating
pharmacies. Everyone with Medicare can choose this
additional
coverage, regardless of income and resources, health
status,
or current prescription expenses.
HX08
The purpose of this question is to distinguish between
persons that
receive Medicare because they are over 65 and persons
who receive
Medicare due to a condition or disability. If the
person you are
asking about receives Medicare because of a medical
condition or
disability, code ‘1’ (Yes).
CONDITION --
A condition is a physical or mental health problem
that can be
identified by a health care professional by examining
you and by
using tests.
DISABILITY --
An inability to work or carry out roles that
individuals are
generally expected to be able to do because of
limitations in
physical or mental functioning caused by impairments,
or physical
or mental health conditions.
HX09
SOCIAL SECURITY --
Social Security is also known as the Old Age,
Survivors and
Disability Insurance program (OASDI), in reference to
its three
parts:
RETIREMENT BENEFITS –
The amount of the monthly benefit depends upon
previous
earnings and upon the age at which the person
chooses to begin receiving benefits. The earliest age
at which
benefits are payable is 62.
DISABILITY –
A person who has worked long enough and recently
enough to be
covered can receive benefits upon becoming totally
disabled,
regardless of his or her age. The person must be
unable to
continue in his or her previous job and unable to
adjust to
other work; furthermore, the disability must be
long-term
(lasting or expected to last for at least one year or
to
result in death). The amount of the disability benefit
payable
depends on the person's age and previous earnings.
SURVIVORS' BENEFITS –
If a worker covered by Social Security dies, a
surviving
spouse or children can receive survivors' benefits.
Sometimes, survivors' benefits are available to a
divorced
spouse. Children cannot receive survivors' benefits
after age
19 unless the child was disabled before age 22.
HX10
PR09
PR11
MEDICAID/SCHIP --
Since respondents often confuse MediCAID and MediCARE,
stress to
the respondent that for this question, s/he should
consider
MEDICAID or the State Children’s health Insurance
Program (SCHIP).
Medicaid is often known by different names in
different States,
and is a Federally-assisted State-administered
program. This
program offers health benefits to low income persons
on public
assistance and, in some states, to those deemed
medically needy
because their incomes are only slightly above public
assistance
standards or because they have incurred substantial
medical bills.
Most SSI (Supplemental Security Income) recipients are
covered by
Medicaid, as are most TANF recipients and their
dependents. The
aged, the blind, and the disabled who are in financial
need are
also eligible for Medicaid.
The Children's Health Insurance Program (SCHIP) is a
program which
gives each state permission to offer health insurance
for
children, up to age 19, who are not already insured
and for
uninsured families with limited income and resources
who earn too
much to qualify for Medicaid. SCHIP is a state
administered
program and may be known by different names in
different states.
HX12
PR19
PR21
TRICARE --
TRICARE is a health care program for active duty and
retired
members of the uniformed services, their families, and
survivors.
TRICARE offers eligible beneficiaries three choices
for their
health care; TRICARE Prime – where military treatment
facilities
are the principal source of health care; TRICARE Extra
– a
preferred provider option; and TRICARE Standard – a
fee-for-
service option (the old CHAMPUS Program). TRICARE for
life covers
uniformed service beneficiaries who have attained the
age of 65,
are Medicare-eligible, and have purchased Medicare
Part B.
CHAMPVA --
CHAMPVA is a health care benefits program for the
spouse or
widow(er) and for the children of a veteran who is
rated
permanently and totally disabled due to a
service-connected
disability, or died of a service-connected disability,
or died on
active duty and the dependents are not otherwise
eligible for
TRICARE benefits. Under CHAMPVA, the Veterans
Administration
shares the cost of covered health care services and
supplies with
eligible beneficiaries.
HX14
PR23
PR27
INSURANCE TYPES TO INCLUDE --
Any health insurance that is fully or partially paid
for by state
funds (state sponsored) which provides hospital and
physician
benefits. This does not include Medicaid or
SCHIP(which should be
recorded at the Medicaid/SCHIP question) nor does it
include plans
which do not provide hospital and physician benefits
(these plans
should be recorded as state specific plans).
HX16
OTHER STATE PROGRAMS --
Any public program that provides health services
administered by
the state that is NOT considered Medicaid or SCHIP.
The programs
we are interested in appear on the CAPI screen and
vary by state.
Typically, these programs DO NOT provide hospital and
physician
benefits. Pharmacy assistance, AIDS drug assistance
and kidney
disease programs are the most common types of other
state specific programs.
In addition to condition-specific programs, enrollment
in a state
program such as TANF, SSI, WIC, Indian Health Service
(IHS),
public health clinic access and VA health should also
be included
at this item if the respondent mentions it.
DO NOT INCLUDE medical programs that use an
alternative name such
as Medi-Cal, Public Assistance, SCHIP and Medical
Assistance.
Selected state program definitions:
TANF --
This is a cash assistance program. TANF is known by
different
names in different states. Temporary Assistance for
Needy
Families (TANF) provides assistance and work
opportunities
to needy families.
SSI --
Also known as Supplemental Security Income (SSI), this
federal program provides monthly cash payments in
accordance
with uniform, nationwide eligibility requirements to
persons
of all ages who are blind, disabled, or both needy and
65
years or older.
WIC --
This program provides food assistance and nutritional
screening to low-income pregnant and postpartum women
and
their infants, as well as to low-income children up to
age 5.
WIC is short for the Special Supplemental Food Program
for
Women, Infants, and Children.
INDIAN HEALTH SERVICE (IHS) --
A Department of Health and Human Services health care
program
that provides medical care to eligible American
Indians and
Alaska Natives at IHS facilities and pays for the cost
of
selected health care services at non-IHS facilities.
PUBLIC HEALTH CLINIC --
Clinics that are run by state and local Public Health
Departments to provide services such as prenatal care.
VETERANS’ ADMINISTRATION (VA) HEALTH CARE --
This program provides health care to veterans of the
Armed Forces.
HX17
HX17OV1
HX17OV2
HX17OV3
HX17OV4
HX17OV5
HX17OV6
PR35
PR37
STATE SPECIFIC PLANS --
The programs we are interested in appear on the CAPI
screen and
vary by state. Typically, these programs DO NOT
provide hospital
and physician benefits. Pharmacy assistance, AIDS drug
assistance
and kidney disease programs are the most common types
of other
state specific programs. If the respondent only
mentions
enrollment in TANF, SSI, WIC, Indian Health Service
(IHS), public
health clinic or VA, code ‘NONE OF THESE’ and record
program at HX18.
HX18
HX18OV1
HX18OV2
HX18OV3
HX18OV4
HX18OV5
PR39
PR40
PR41
PR42
TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) --
This is a cash assistance program. Temporary
Assistance for Needy
Families (TANF) provides assistance and work
opportunities to
needy families.
SSI (SUPPLEMENTAL SECURITY INCOME) --
This federal program provides monthly cash payments in
accordance
with uniform, nationwide eligibility requirements to
persons of
all ages who are blind, disabled, or both needy and 65
years or older.
WIC (WOMEN, INFANTS AND CHILDREN) --
This program provides food assistance and nutritional
screening to
low-income pregnant and postpartum women and their
infants, as
well as to low-income children up to age 5. WIC is
short for the
Special Supplemental Food Program for Women, Infants,
and Children.
IHS (INDIAN HEALTH SERVICE) --
A Department of Health and Human Services health care
program that
provides medical care to eligible American Indians and
Alaska
Natives at IHS facilities and pays for the cost of
selected health
care services at non-IHS facilities.
PUBLIC HEALTH CLINIC --
Clinics that are run by state and local Public Health
Departments
to provide services such as prenatal care.
VA (VETERANS ADMINISTRATION) --
This program provides health care to veterans of the
Armed Forces.
HX22
HX23
HX23OV1
HX24
GROUP OR ASSOCIATION --
Includes many types of organizations, but principally
groups like
the American Association of Retired Persons (AARP),
church groups,
or clubs. It also may include professional
associations. These
are organizations of individuals that share an
interest or common
characteristics or professional affiliation (for
example, the
American Medical Association). Membership may include
the right
to buy health insurance through the organization or
association.
SCHOOL --
Health insurance purchased through a school that
covered someone
in the RU during the reference period. Any type of
school applies
here, whether it is a grade or high school, college,
or
university, trade or vocational school, public or
private, etc.
INSURANCE AGENT --
An individual primarily engaged in the business of
selling
insurance policies to the public.
INSURANCE COMPANY --
A corporation primarily engaged in the business of
selling
insurance policies to the public.
HMO (HEALTH MAINTENANCE ORGANIZATION) --
HMOs are a common type of insurance plan. If the
respondent says
s/he is or has been covered by health insurance from
an HMO,
accept her/his response. If the respondent needs
clarification,
use the definition below.
HMOs are organizations that have responsibility for
providing
comprehensive health care services in exchange for
fixed periodic
payment. With an HMO, a person must generally receive
their care
from HMO physicians; otherwise the expense is not
covered unless
the person was referred by the HMO or there was a
medical
emergency. With an HMO, the cost of a visit is
typically covered
in full or you have to pay a fixed amount of money per
visit.
HMOs can be sponsored by the government, medical
schools,
hospitals, employers, labor unions, consumer groups,
insurance
companies, and hospital-medical plans.
HIGH RISK POOL --
High risk pools are designed as a way to provide
health insurance
coverage for those who are unable to purchase medical
insurance
otherwise. Usually this includes individuals who have
been
denied health insurance coverage, typically due to a
pre-existing condition.
Most states have formed their own high risk pools and
they are
known by different names in each state. A temporary
national
high risk pool program may be in effect until 2014.
UNION --
An organization of wage or salary earners formed for
the purpose
of serving their collective interests with respect to
wages,
working conditions, and benefits. Participation in a
labor union
normally requires that the employee pay dues that may
be directly
deducted from their gross wages or salary.
ANYONE’S PREVIOUS EMPLOYER (COBRA) --
Health insurance purchased or obtained that covered an
RU member
during the reference period through any former
employer. An RU
member must have worked for this employer at some
point in the
past. This health insurance must continue through
COBRA.
COBRA is defined as insurance provided by a former
employer. This
is a federal law that allows persons without any other
group
health insurance to continue their employment-related
coverage at
group rates for 18 to 36 months after having left a
job. However,
the primary insured person or policyholder usually has
to pay the
entire premium.
ANYONE’S PREVIOUS EMPLOYER (NOT COBRA) --
Health insurance purchased or obtained that covered an
RU member
during the reference period through any former
employer.
An RU member must have worked for this employer at
some point
in the past.
SPOUSE’S/DECEASED SPOUSE’S PREVIOUS EMPLOYER --
Health insurance purchased or obtained that covered an
RU member
during the reference period through a spouse’s or
deceased
spouse’s former employer. This spouse or deceased
spouse must
have worked for this employer at some point in the
past.
SOME OTHER EMPLOYER --
Health insurance purchased or obtained from any other
employer,
not already asked about that covered someone in the RU
during the
reference period. This includes all employer types not
already
described above and not talked about in the Employment
Section.
UNDER PLAN OF SOMEONE NOT LIVING HERE --
This includes any type of health insurance provided to
an RU
member during the reference period by someone who is
not part of
the RU. For example, if a child is covered under his
mother’s
insurance, with whom he does not live, code this
category.
STATE EXCHANGE NAME/MARKETPLACE --
This is a “new” central marketplace where people can
shop for
health insurance plans online, in person or by phone
and access
financial assistance to help pay for coverage.
OTHER SOURCE --
This includes health insurance provided to an RU
member by some
source not described above.
HX35A
PR06B
MEDICARE PART D ––
Medicare Part D coverage, also referred to as Medicare
prescription drug coverage, is insurance that covers
both brand-
name and generic prescription drugs at participating
pharmacies.
Everyone with Medicare can choose this additional
coverage,
regardless of income and resources, health status, or
current
prescription expenses.
HX31
HX32
PR02
PR03
MEDICARE MANAGED CARE --
Medicare managed care plans are available in some
areas of the
country. In most managed care plans, you can only go
to doctors,
specialists, or hospitals on the plan’s list. Plans
must cover
all services covered by Medicare. Some managed care
plans cover extras.
HX42
HX42OV1
MC01
PR13
PR29
HMO (HEALTH MAINTENANCE ORGANIZATION) --
HMOs are organizations that have responsibility for
providing
comprehensive health care services in exchange for
fixed periodic
payment. With an HMO, a person must generally receive
their care
from HMO physicians; otherwise the expense is not
covered unless
the person was referred by the HMO or there was a
medical
emergency. With an HMO, the cost of a visit is
typically covered
in full or you have to pay a fixed amount of money per
visit.
HMOs can be sponsored by the government, medical
schools,
hospitals, employers, labor unions, consumer groups,
insurance
companies, and hospital-medical plans.
HX43
MC02
PR14
PR30
PRIMARY CARE DOCTOR --
A primary care doctor or provider is the person or
place an
individual would go to if they had a new health
problem, needed
preventive health care, or needed a referral to a
specialist.
Examples of primary care providers include general
practitioners,
family practitioners, pediatricians, internists, and
some nurses
and nurse practitioners who make decisions regarding
patient care.
ROUTINE CARE --
Health care that is considered usual and customary;
that is, care
that is not for an emergency and not received from a
specialist
that a person was referred to. Routine care usually
consists of
the initial diagnosis and treatment of medical
problems,
preventive health care, etc.
HX34
HX35B
HX45
HX61
PR06
PR06C
PR16
PR32
OE09A
OE23A
OE35A
PREMIUM --
A payment required in exchange for insurance policy
coverage for a
specific period of time.
COPAYMENT --
A fixed sum that a beneficiary pays for health
services,
regardless of the actual charge (the insurer pays the
rest of the
actual charge). For example, the beneficiary may pay
$10 for each
office visit, $75 for each day in the hospital, and $5
for each
drug prescription.
COINSURANCE --
Similar to a co-payment except that it is defined as a
percent of
the total charges for the health care service. For
example, a
beneficiary may pay 20% of charges for a visit to the
doctor or
10% of charges for a hospital stay.
DEDUCTIBLE --
The amount of money an insured person must pay ‘at the
front end’
before the insurer will pay. For example, if you have
a plan with
a $100 deductible, you would be responsible for the
first $100 of
your health care bills.
HX47
HX60A
OE38B
PR34
METAL PLANS --
There are four types of health
insurance plans available through
the marketplace. They are Bronze,
Silver, Gold and Platinum health
insurance plans. They are
sometimes referred to as “metal plans”.
The metal level corresponds to
the average percentage of essential
health care expenses that the
plan will pay. On average, Bronze
will cover 60%, Silver 70%, Gold
80% and Platinum 90% of essential
health care expenses. This isn't
the same as coinsurance, in
which you pay a specific
percentage of the cost of a specific
service. The higher the metal
level (i.e. Gold and Platinum), the
more the plan will pay towards
your health care expenses and,
therefore, the lower your
out-of-pocket costs for things such as
deductibles, copayments and
coinsurance.
To qualify for a catastrophic
plan, you must be under 30 years old
OR get a “hardship exemption”
because the Marketplace determined
that you’re unable to afford
health coverage. Catastrophic health
plans have a low premium but very
high out-of-pocket costs.
HX48
HX48OV1
HX48OV2
HX48OV3
HX48OV4
HX48OV5
HX48OV6
HX48OV7
HX48OV8
HX48OV9
HX48OV10
HX48OV11
HX48OV12
OE10
OE10OV1
OE10OV2
OE10OV3
OE10OV4
OE10OV5
OE10OV6
OE10OV7
OE10OV8
OE10OV9
OE10OV10
OE10OV11
OE10OV12
OE10OV13
OE24
OE24OV1
OE24OV2
OE24OV3
OE24OV4
OE24OV5
OE24OV6
OE24OV7
OE24OV8
OE24OV9
OE24OV10
OE24OV11
OE24OV12
OE24OV13
OE37
OE37OV1
OE37OV2
OE37OV3
OE37OV4
OE37OV5
OE37OV6
OE37OV7
OE37OV8
OE37OV9
OE37OV10
OE37OV11
OE37OV12
OE37OV13
HOSPITAL AND PHYSICIAN BENEFITS (INC. COVERAGE THROUGH
AN HMO) --
This category represents insurance plans that cover
beneficiaries
for health care services received from hospitals and
physicians.
Do not include dental insurance, vision insurance,
etc.
DENTAL --
This type of insurance covers the costs of specified
aspects of
dental care, ranging from coverage of basic
diagnostic,
preventive, and restorative services to coverage that
includes
oral surgery and orthodontics.
PRESCRIPTION DRUGS --
Insurance that provides coverage for prescription
drugs.
Prescription drugs are those ordered by a physician or
other
authorized medical person through written or verbal
prescription
for a pharmacist to fill.
VISION --
Insurance that provides coverage for ophthalmologist,
optometrist
and/or optician appointments, glasses, contact lenses,
or other
vision corrections.
MEDICARE SUPPLEMENT/MEDIGAP --
Private insurance products that supplement Medicare
insurance benefits.
LONG-TERM CARE IN A NURSING HOME --
Refers to an insurance policy that pays ONLY for a
nursing home or
other long term care.
Long term care does NOT include living in a ‘life care
center’
even though long term care may be available as part of
the living
arrangement. If the respondent mentions a ‘life care
center’ as a
policy, record that information using the code ‘91’
(Other) and
record the name ‘life care center’ on the ‘Specify’
line. This
study does not consider this coverage to be health
insurance.
EXTRA CASH FOR HOSPITAL STAYS --
These plans pay a specified amount of cash for each
day or week
that a person is hospitalized. The cash payment is not
related in
any way to the person’s hospital or medical bills, and
can be used
for purposes other than paying medical expenses. For
example, the
extra cash can be used to pay for child care when a
parent is ill
or to replace income from lost work. This study does
not consider
this coverage to be health insurance.
SERIOUS DISEASE OR DREAD DISEASE --
These plans are limited to only certain types of
illnesses such as
cancer, stroke, or heart attacks. This study does not
consider
this coverage to be health insurance.
DISABILITY --
This kind of insurance pays all or part of an
employee’s salary
(and possibly medical care costs) if the employee
becomes unable
to work due to physical or mental disability. The
study does not
consider this coverage to be health insurance.
WORKERS’ COMPENSATION --
A system, required by law, of compensating workers
injured or
disabled in connection with work. This system
establishes the
liability of an employer for injuries or sickness that
arise over
and in the course of employment. The liability is
created without
regard to the fault or negligence of the employer. The
benefits
under this system generally include hospital and other
medical
payments and compensation for loss of income. This
study does not
consider this coverage to be health insurance.
ACCIDENT --
Pays for medical services related to injuries of
accidental
nature. Since the coverage is limited to accidents,
such as car
accidents, the study does not consider this coverage
to be health insurance.
HX49
HX51
HX54
OE11
OE25
OE38
INSURANCE COMPANY --
A corporation primarily engaged in the business of
furnishing
insurance protection for the public.
HMO (HEALTH MAINTENANCE ORGANIZATION) --
HMOs are organizations that have responsibility for
providing
comprehensive health care services in exchange for
fixed periodic
payment. With an HMO, a person must generally receive
their care
from HMO physicians; otherwise the expense is not
covered unless
the person was referred by the HMO or there was a
medical
emergency. With an HMO, the cost of a visit is
typically covered
in full or you have to pay a fixed amount of money per
visit.
HMOs can be sponsored by the government, medical
schools,
hospitals, employers, labor unions, consumer groups,
insurance
companies, and hospital-medical plans.
HX60
PLAN LETTER --
Medigap insurance is designed to supplement coverage
offered under
the Medicare program. Medigap policies sold after 1991
are
assigned a letter A through L. These letters indicate
what kind
of coverage the Medigap policy offers.
HX63A
OE09B
OE23B
OE35B
ANNUAL DEDUCTIBLE --
The amount you must pay out-of-pocket for covered
health services
in a calendar year before the insurance company begins
to pay for
your health care costs.
This is different from the yearly out-of-pocket
maximum which is
the highest amount your health insurance company
requires you to
pay towards the cost of your health care.
HX63B
OE09C
OE23C
OE35C
HEALTH SAVINGS ACCOUNTS (HSAs) --
An account that is used to pay for medical expenses
not covered by
one’s insurance plan. HSAs require a companion high
deductible
insurance policy. Contributions are made into the
account by the
individual or the individual's employer. The
contributions are
invested over time and can be used to pay for
qualified medical
expenses.
HSAs are different from Flexible Spending Accounts in
that HSA
balances can roll over from year to year and money in
a Flexible
Spending Account must be spent by the end of the plan
year or you
lose it. Flexible Spending Account can only be opened
when
offered by your employer, and you don't need to have a
high-
deductible health insurance plan or any type of health
insurance
plan.
Do not include participation in a Medicare
Medical Savings
Account which is associated with a Medicare Advantage
Plan.
HX66
HX66OV1
HX66OV2
HX66OV3
HX66OV4
HX66OV5
HX66OV6
HX66OV7
HX66OV8
HX66OV9
HX66OV10
HX66OV11
HX66OV12
HX66OV13
HX66OV14
HX66OV15
HX66OV16
HX78
HX78OV1
HX78OV2
HX78OV3
HX78OV4
HX78OV5
HX78OV6
HX78OV7
HX78OV8
HX78OV9
HX78OV10
HX78OV11
HX78OV12
HX78OV13
HX78OV14
HX78OV15
HX78OV16
OBTAINED THROUGH --
UNION -
An organization of wage or salary earners formed for
the
purpose of serving their collective interests with
respect to
wages, working conditions, and benefits. Participation
in a
labor union normally requires that the employee pay
dues that
may be directly deducted from their gross wages or
salary.
PRIVATE EMPLOYER -
This category includes insurance obtained through
employment
with a private company, individual or organization.
These are organizations whose operations are owned by
private
individuals and not a government entity.
PUBLIC EMPLOYER (FEDERAL, STATE OR LOCAL GOVERNMENT)-
This category includes insurance obtained through
employment
with a public employer, such as the federal, state or
local government.
FEDERAL employees include individuals working for any
branch of the federal government, as well as elected
officials and civilian employees of the armed forces.
STATE employees include individuals working for
agencies
of state governments, as well as paid state officials,
the state police, and employees of state universities
and colleges.
LOCAL employees include individuals employed by
cities,
towns, counties, parishes, and other local areas, as
well as employees of city-owned businesses, such as
electric power companies, water and sewer services,
etc.
MEDICARE --
A Federal health insurance program for people 65 or
older and for
certain persons under 65 with long-term disabilities.
Almost
everyone with Social Security is covered by Medicare.
Medicare has of three parts, A, B and D:
PART A --
Part A is called the Hospital Insurance Program. It
helps pay
for inpatient care in a hospital or in a skilled
nursing
facility, and for hospice care. It is
available to nearly EVERYONE 65 OR OLDER.
PART B --
Part B is called the Supplementary Medical Insurance
Program.
It helps pay for the doctor and surgeon services,
outpatient
hospital services, medical equipment, and a number of
other
medical services and supplies.
If a person chooses this additional insurance, the
monthly
premium is deducted from his/her Social Security to
obtain
coverage for Part B of Medicare.
PART D –
Medicare Part D coverage, also referred to as Medicare
prescription drug coverage, is insurance that covers
both
brand-name and generic prescription drugs at
participating
pharmacies. Everyone with Medicare can choose this
additional
coverage, regardless of income and resources, health
status,
or current prescription expenses.
MEDICAID/SCHIP --
Since respondents often confuse MediCAID and MediCARE,
stress to
the respondent that for this question, s/he should
consider
MEDICAID or the State Children’s health Insurance
Program (SCHIP).
Medicaid is often known by different names in
different States,
and is a Federally-assisted State-administered
program. This
program offers health benefits to low income persons
on public
assistance and, in some states, to those deemed
medically needy
because their incomes are only slightly above public
assistance
standards or because they have incurred substantial
medical bills.
Most SSI (Supplemental Security Income) recipients are
covered by
Medicaid, as are most TANF recipients and their
dependents. The
aged, the blind, and the disabled who are in financial
need are
also eligible for Medicaid.
The Children's Health Insurance Program (SCHIP) is a
program
which gives each state permission to offer health
insurance for
children, up to age 19, who are not already insured
and for
uninsured families with limited income and resources
who earn too
much to qualify for Medicaid. SCHIP is a state
administered
program and may be known by different names in
different states.
TRICARE --
TRICARE is a health care program for active duty and
retired
members of the uniformed services, their families, and
survivors.
TRICARE offers eligible beneficiaries three choices
for their
health care; TRICARE Prime – where military treatment
facilities
are the principal source of health care; TRICARE Extra
– a
preferred provider option; and TRICARE Standard – a
fee-for-
service option (the old CHAMPUS Program). TRICARE for
life covers
uniformed service beneficiaries who have attained the
age of 65,
are Medicare-eligible, and have purchased Medicare
Part B.
CHAMPVA --
CHAMPVA is a health care benefits program for the
spouse or
widow(er) and for the children of a veteran who is
rated
permanently and totally disabled due to a
service-connected
disability, or died of a service-connected disability,
or died on
active duty and the dependents are not otherwise
eligible for
TRICARE benefits. Under CHAMPVA, the Veterans
Administration
shares the cost of covered health care services and
supplies with
eligible beneficiaries.
VA OR MILITARY HEALTH CARE --
This program provides health care to veterans of the
Armed Forces.
PURCHASED DIRECTLY FROM --
GROUP OR ASSOCIATION -
Includes many types of organizations, but principally
groups
like the American Association of Retired Persons
(AARP),
church groups, or clubs. It also may include
professional
associations. These are organizations of individuals
that
share an interest or common characteristics or
professional
affiliation (for example, the American Medical
Association).
Membership may include the right to buy health
insurance
through the organization or association.
INSURANCE AGENT -
An individual primarily engaged in the business of
selling
insurance policies to the public.
INSURANCE COMPANY -
A corporation primarily engaged in the business of
selling
insurance policies to the public.
HEALTH MAINTENANCE ORGANIZATION (HMO) --
HMOs are organizations that have responsibility for
providing
comprehensive health care services in exchange for
fixed periodic
payment. With an HMO, a person must generally receive
their care
from HMO physicians; otherwise the expense is not
covered by the
HMO unless the person was referred by the HMO or there
was a
medical emergency. With an HMO, the cost of a visit is
typically
covered in full or you have to pay a fixed amount per
visit. HMOs
can be sponsored by the government, medical schools,
hospitals,
employers, labor unions, consumer groups, insurance
companies, and
hospital-medical plans.
OTHER GOVERNMENT SPONSORED PROGRAM --
Any health insurance that is fully or partially paid
for by state
funds (state sponsored) which provides hospital and
physician
benefits. This does not include Medicaid (which should
be
recorded at the Medicaid question) nor does it include
plans which
do not provide hospital and physician benefits (these
plans should
be recorded as state specific plans).
OTHER PUBLIC PROGRAMS --
TANF -
This is a cash assistance program. Temporary
Assistance
for Needy Families (TANF) provides assistance and work
opportunities to needy families.
SSI -
Also known as Supplemental Security Income (SSI), this
federal program provides monthly cash payments in
accordance
with uniform, nationwide eligibility requirements to
persons
of all ages who are blind, disabled, or both needy and
65
years or older.
STATE SPECIFIC PLANS -
The programs we are interested in can vary by state.
Typically, these programs DO NOT provide hospital and
physician benefits. Pharmacy assistance, AIDS drug
assistance
and kidney disease programs are the most common types
of other
state specific programs. Other examples include:
Temporary Aid
For Needy Families (TANF), Supplemental Security
Income (SSI),
Women, Infants, and Children (WIC), Indian Health
Service
(HIS), public health clinics and Veterans’
Administration (VA)
health care.
HP01
GENERAL HEALTH COVERAGE --
Health insurance that covers a broad range of health
care
services, including those caused by illnesses,
disease, etc.,
as well as, injuries and accidents.
HP09
HP10
HP11A
HP11B
POLICYHOLDER --
The person in whose name the policy is written or the
primary
insured person.
HP11
POLICYHOLDER --
The person in whose name the policy is written or the
primary
insured person.
If respondent cannot identify just one policyholder,
select the
oldest person who has this coverage.
HP12
HP12OV1
EMPLOYMENT --
Paid work for wages, salary, commission, or pay ‘in
kind’.
Examples of ‘pay in kind’ include meals, living
quarters, or
supplies provided in place of wages. This definition
of
employment INCLUDES work in the person’s own business,
professional practice, or farm, paid leaves of absence
(including
vacations and illnesses), and work without pay in a
family
business or farm run by a relative. This definition
EXCLUDES
unpaid volunteer work (such as for a church or
charity), unpaid
leaves of absences, temporary layoffs (such as a
strike), and work
around the house.
CURRENTLY EMPLOYED --
Person is employed at this establishment as of date of
the interview.
PREVIOUSLY EMPLOYED --
Person is not employed as of date of the interview,
but has been
employed at this establishment in the past.
RETIRED --
Voluntary termination of employment usually the result
of reaching
a specified age and tenure. Also include situations in
which the
person is no longer seeking main employment due to a
retirement decision.
DECEASED --
The person is no longer living.
HP13
FEDERAL GOVERNMENT --
Federal employees include individuals working for any
branch of
the federal government, as well as elected officials
and civilian
employees of the armed forces.
HP14
OE14
OE16
COBRA --
Insurance provided by a former employer. This is a
federal law
that allows persons without any other group health
insurance to
continue their employment-related coverage at group
rates for 18
to 36 months after having left a job. However, the
primary
insured person or policyholder usually has to pay the
entire premium.
HP15
HP17
OE06
OE08A
OE20
OE22A
OE32
OE34A
OE44
OE47
DEPENDENT --
A person who is covered by an insurance policy
purchased or
obtained by another individual (the policyholder).
CL03
THIS SCREEN CONTAINS INSTRUCTIONS FOR FILLING OUT MPC
AUTHORIZATION
FORMS, SIGNATURE RULES, AND LEAVING AFs WITH
RESPONDENTS.
Prepare one Authorization Form for EACH
person-provider pair displayed
by CAPI. Use a black pen. If no preprinted form is
available, use a
blank MPC AF from your bulk supplies.
Instructions for filling out authorization forms:
| IF PATIENT IS: | THEN FORM SHOULD BE SIGNED BY: |
|---|---|
| a. Age 18 or older | Only patient for Items 4 and 5, unless one of d-f applies |
| b. Age 14 through 17 | Patient and Parent or guardian (Items 4-9) |
| c. Age 13 or younger | Parent (Items 6-9) |
| d. Unable to sign but able to make mark | Patient and Witness (Items 6-9) |
| e. Deceased | Proxy (Items 6-9) |
| f. Unable to sign name or make mark | Proxy (Items 6-9) |
For each absent person who needs to sign an
authorization form,
prepare an AF with Sections A, C, and ‘Field Use Only’
filled out.
CIRCLE the item numbers on the lines corresponding to
Item 3 (Other
Name) and the appropriate lines for patient and/or
proxy signature
and date (Items 4-9) to indicate which items need to
be completed by
the absentee signer(s).
Insert the prepared authorization form into the back
pocket of the MPC
Authorization Form Booklet. Make arrangements for
authorization form
follow up either by mail or an in-person visit. If
possible, make an
appointment to return to the RU within 10 days to pick
up any
outstanding forms. If the AFs are to be returned by
mail, be sure to
include a postage-paid envelope with the materials
left with the MPC
Authorization Form Booklet.
CL04
CL04OV1
CL04OV2
SIGNED, NO PROBLEM: With this code, you are required
to enter
the date on which the authorization form was signed
and the MPC
authorization form number.
SIGNED, WITH PROBLEM: Use this code if there is a
problem with a
signed form. Describe the problem as well as enter the
date the
authorization form was signed and the MPC
authorization form number.
LEFT WITH RESPONDENT: Use this code if the eligible RU
member is
not present. Leave the Authorization Form Booklet and
prepared
authorization form with the respondent to give to that
person. No
additional information is required in CAPI with this
authorization
form status.
MAILED TO RESPONDENT: Use this code if the eligible RU
member is a
student away at school or is away for an extended
period of time.
Mail the Authorization Form Booklet and completed
authorization
form to that person. No additional information is
required in
CAPI with this code.
REFUSED: Use this code if the RU member refuses to
sign the
authorization form. A follow-up question as to the
reason for the
refusal is asked.
If possible, leave the Authorization Form Booklet and
prepared
authorization form with the respondent or RU member in
case he or
she reconsiders.
OTHER: Use this code if none of the above
authorization form status
codes apply. Specify the reason for using this code.
Leave the
Authorization Form Booklet and prepared authorization
form with
the RU member or respondent.
CL31
THIS SCREEN CONTAINS INSTRUCTIONS FOR FILLING OUT
PHARMACY
AUTHORIZATION FORMS, SIGNATURE RULES, AND LEAVING AFs
WITH
RESPONDENTS.
Prepare one authorization form for EACH
person-pharmacy pair displayed
by CAPI. If the preprinted Pharmacy authorization form
cannot be
located, use a blank AF from your bulk supplies.
Instructions for filling out Pharmacy authorization
forms:
| IF PERSON IS: | THEN FORM SHOULD BE SIGNED BY: |
|---|---|
| a. Age 18 or older | Patient only (Items 4 and 5, unless one of d-f applies) |
| b. Age 14 through 17 | Patient and parent or guardian (Items 4-9) |
| c. Age 13 or younger | Parent or guardian (Items 6-9) |
| d. Unable to sign name but able to make mark | Patient and witness (Items 6-9) |
| e. Deceased | Proxy (Items 6-9) |
| f. Unable to sign name or make mark | Proxy (Items 6-9) |
Section E: If proxy, make sure reason for proxy is
marked and
relationship to person is completed.
IMPORTANT: All authorization forms MUST BE signed and
dated. If a
proxy signs (Item 6), then Item 7 (Date Signed), Item
8 (Signer’s
Relationship to Person), and Item 9 (Reason for Proxy
Signature) must
be completed.
For each absent person who needs to sign a Pharmacy
authorization
form, prepare a Pharmacy AF with sections A, C, and
‘FIELD USE ONLY’
filled out. CIRCLE the item numbers on the lines
corresponding to
Item 3 (Other Names) and the appropriate lines for
person and/or proxy
signature and date (Items 4-9) to indicate which items
need to be
completed by absentee signer(s).
Insert the prepared authorization form(s) into the
pocket of
the Pharmacy Authorization Form Booklet. Make
arrangements for
authorization form followup either by mail or an
in-person visit.
If possible, make an appointment to return to the RU
within 10 days
to pick up any outstanding authorization forms. If the
AFs are to
be returned by mail, be sure to include a postage-paid
envelope with
the other materials left with the Authorization Form
Booklet.
CL32
CL32OV1
CL32OV2
SIGNED, NO PROBLEM: With this code, you are required
to enter the
date on which the authorization form was signed and
the Pharmacy
authorization form number.
SIGNED, WITH PROBLEM: Use this code if there is a
problem with a
signed form. You are required to describe and enter
the Pharmacy
authorization form number.
LEFT WITH RESPONDENT: Use this code if the eligible RU
member is not
present. Leave the Authorization Form Booklet and
prepared
authorization form with the respondent to give to that
person. No
additional information is required in CAPI with this
authorization
form status.
MAILED TO RESPONDENT: Use this code if the eligible RU
member is a
student away at school or is away for an extended
period of time.
Mail the Authorization Form Booklet and prepared
authorization form to
that person. No additional information is required in
CAPI with this code.
REFUSED: Use this code if the RU member refuses to
sign the
authorization form. A follow-up question as to the
reason for the
refusal is asked.
If possible, leave the Authorization Form Booklet and
prepared
authorization form with the respondent or RU member in
case he or
she reconsiders.
OTHER: Use this code if none of the above
authorization form status
codes apply. Specify the reason for using this code.
Leave the
Authorization Form Booklet and prepared authorization
form with the
RU member or respondent.
CL34A
CL34B
Having the last 4 digits of your social security
number will allow
MEPS to link the information you provided about
(yourself/NAME) with
health claims-related records from the Centers for
Medicare and
Medicaid Services. The Medicare claims data can help
MEPS identify
ways to improve the survey and reduce the amount of
time the interview takes.
CL35
Prepare a self-administered questionnaire (SAQ)
entitled, ‘A Survey of
Your Health Opinions’ for each key member of the RU
who is at least 18
years old and is a key member of the RU on the date of
the Round 2 or
4 interview. This information is displayed by CAPI.
Use the
following guidelines:
SAQs may be completed either before you leave the RU,
or later and
returned by mail. Be sure to leave a prepared SAQ with
the respondent
for each eligible key RU member who is not available
at the time
of the interview. Outstanding SAQs may be collected
during a follow up
visit ONLY IF you will be returning to collect
Authorization Forms.
CL38
In Round 2 or 4, every key RU member who was 18 years
of age or older
and Part of the RU on the Round 2 or 4 interview date
was asked to
complete A Survey of Your Health and Health Opinions.
Persons requested to complete this survey may have
returned the survey
while the interviewer was in the household or some may
have preferred
to complete it late and mail it back to the home
office.
For each person displayed on the CAPI roster, an SAQ
was either not
collected at the time of the Round 2 or 4 interview or
was not
received by the home office. For these people, we
would like to
collect the SAQ now.
If the respondent or eligible person does not recall
the SAQ, show an
example to help refresh his/her memory. If the
respondent or eligible
person mentions that the SAQ was lost or misplaced,
distribute a blank
SAQ to each person whose name is displayed on the CAPI
screen (or has
mentioned that a new SAQ is needed). If the person is
unavailable at
the time of the interview, leave this SAQ(s) with the
respondent.
Use the following guidelines to prepare an SAQ.
SAQs may be completed either before you leave the RU,
or later and
returned by mail. Outstanding SAQs may be collected
during a follow-
up visit ONLY IF you will be returning to collect
Authorization Forms.
CL40AA
In Round 5, some RU members are randomly sampled to
complete a survey
entitled “Your Choices About Your Health.”
Persons requested to complete this survey may have
returned it to the
home office prior to the Round 5 interview date, or
they may return
the survey to the interviewer at the time of the Round
5 interview or
they may prefer to complete it later and mail it back
to the home office.
If the respondent or eligible person does not recall
this
questionnaire, show an example to help refresh his/her
memory. The
questionnaire is titled “Your Choices About Your
Health”. The inside
of the questionnaires are blue for males and purple
for females. If
the respondent or eligible person mentions that the
questionnaire was
lost or misplaced, distribute a blank gender
appropriate “Your
Choices About Your Health” questionnaire to each
person whose name is
displayed on the CAPI screen (or has mentioned that a
new SAQ is
needed). If the person is unavailable at the time of
the interview,
leave the appropriate male or female version of the
questionnaire(s).
Use the following guidelines to prepare a “Your
Choices About Your
Health” questionnaire:
These questionnaires may be completed either before
you leave the RU,
or later and returned by mail.
Outstanding “Your Choices About Your Health”
questionnaires may be
collected during a follow up visit ONLY IF you
will be returning to
collect Authorization Forms.
CL67
CALENDAR –-
Any calendar used by the respondent to record
information prior
to the MEPS interview. The information may be
handwritten or
digitally recorded. Examples include the MEPS monthly
planner or
any other hard-copy or electronic calendar – like
calendar apps
on a phone or Google calendar.
Do not use this option if you are reconstructing
events with a
respondent. Instead select the records used to
reconstruct events.
ELECTRONIC RECORDS --
Any records accessed electronically or through the
internet such
as online bank records, online credit card statements,
online
patient portal information, or records stored in phone
apps.
INSURANCE PAYMENT STATEMENT/EOB --
Forms or explanations of benefits (EOBs) received from
insurance
companies or Medicare or full summaries printed out
from an
insurance website.
BILL/STATEMENT FROM PROVIDER --
Statements or bills from a doctor’s (or other health
care
provider’s) office related to a visit. Some providers
give out
full summaries of health care if requested.
PHARMACY PATIENT PROFILE --
Print-outs from a pharmacy regarding all the
prescriptions
received during a given time.
MEDICINE BOTTLE/RECEIPT --
Include any bottle, bag, tube, container or receipt
the respondent referenced.
CHECK BOOK --
A physical checkbook or checking account statement.
DOCTOR’S CARD OR APPOINTMENT SLIP --
May have been saved with appointment information or
used to gather
provider name and address information.
TELEPHONE BOOK --
Code this if a physical phone book was used or if the
respondent
used an electronic device or an Internet website to
look up a
name or address.
TAX RETURN/TAX FORM --
1040 forms or schedules used to complete the income or
assets sections.
INSURANCE CARDS --
Cards with insurance plan information.
OTHER --
Anything else, such as credit card receipts for other
medical
equipment, etc.
AC05
AC07
AC08
AC09
USUAL SOURCE OF HEALTH CARE --
The particular medical person, doctor’s office,
clinic, health
center, or other place a person would usually go to if
he or she
was sick or needed advice about his or her health.
AC11
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT --
A unit of a hospital, a facility, or ‘urgent care
center’ owned by
or affiliated with a hospital. The hospital clinic or
outpatient
department provides health and medical services to
individuals who
do not require hospitalization overnight and may also
provide
general primary care.
Do NOT include ‘urgent care centers’ which are not
owned by, or
affiliated with a hospital. Urgent care centers which
are NOT
affiliated with or owned by a hospital should be coded
as a
Medical Provider visit.
Examples of outpatient departments include:
HOSPITAL EMERGENCY ROOM --
A medical department at a hospital that is open 24
hours a day
where no appointment is necessary in order to receive
care.
Medical care may be administered by a physician,
nurse, physician
assistant, or other medical provider. Do NOT include
‘urgent
care centers’, which are owned by, or affiliated with
a hospital.
Visits made to that type of facility should be coded
as an
outpatient department visit.
OTHER KIND OF PLACE --
A medical place that is not a hospital outpatient
department or
clinic or a hospital emergency room. Include in this
category
group practices, private doctor’s offices, health
clinics, walk-in
surgi-center/clinics and urgi-centers/clinics not
owned by or
affiliated with a hospital, company or school clinics,
infirmaries, neighborhood health clinics, family
planning centers,
and mental health facilities.
AC15
MEDICAL DOCTOR --
Include both doctors of medicine (M.D.) and doctors of
osteopathy (D.O.). Specific examples of physicians
include:
Types of providers NOT to be counted as medical
doctors are
chiropractors, dentists, nurses, optometrists,
paramedics,
podiatrists, psychologists.
AC16
NURSE --
Includes several types of nursing specialists, such as
registered
nurse (RN), licensed practical nurse (LPN), nurse’s
aide,
occupational health nurse, community health nurse, or
public
health nurse (PHN).
NURSE PRACTITIONER --
A registered nurse (RN) who has completed additional
training
beyond basic nursing education. They have
qualifications
which permit them to carry out expanded health care
evaluation
and decision-making regarding patient care.
PHYSICIAN’S ASSISTANT --
A Physician Assistant (PA) is a medical person who
provides
health care services with the direction and
supervision of a
doctor of medicine (MD) or osteopathic physician (DO).
Physician Assistants train for several years in order
to earn
the certification to perform diagnostic, therapeutic,
preventive, and health maintenance services. Not to be
confused
with non-medical persons who also ‘assist’ the
physician.
MIDWIFE --
A female who practices the art of aiding in the
delivery of babies.
CHIROPRACTOR --
Medical persons who practice a system of medicine
based on the
principles that the nervous system largely determines
the
state of health and that disease results from nervous
system
malfunctioning. Treatment consists primarily of the
adjustment and manipulation of parts of the body,
especially
the spinal column.
AC22
AC22OV1
AC22OV2
AC22OV3
AC22OV4
PREVENTIVE HEALTH CARE --
The provider in question provides coverage for care or
services
that prevent physical or mental health problems.
Preventive
health care or service may include things such as:
immunizations,
routine physicals, cholesterol checks, prenatal care,
‘stop
smoking’ classes, nutritional advice, etc.
REFERRAL --
Some health insurance plans require that individuals
get
authorization before consulting a specialist. This
authorization
is a referral.
AP12
DENTAL CHECK-UP -
A visit to a dental care provider to check the health
status of
the person’s teeth. It often includes examination,
x-rays and/or
cleaning and polishing of the teeth.
AP15
BLOOD PRESSURE CHECK –
Application of a device that measures the person's
blood pressure.
The device typically involves a strap that is placed
around the
upper arm and inflated. Blood pressure is the pressure
exerted by
the blood against the inner walls of the blood
vessels, especially
the arteries; it varies with health, age, emotional
stress, etc.
AP16
BLOOD CHOLESTEROL CHECK -
A blood cholesterol check requires taking a blood
sample from the
person. The blood is then analyzed to determine the
level of
cholesterol it contains. Cholesterol is a type of
fatty substance
found in animal fats, blood, nerve tissue, and bile.
High levels of
cholesterol are thought to be a factor in coronary
heart disease.
AP18
FLU VACCINATION -
A flu vaccination protects a patient against
“influenza,” also
called the flu. The vaccine, which may be in the form
of a shot
given in the arm or a nasal spray, can help to prevent
the patient
from catching a severe respiratory infection that can
be caused by
the flu virus.
AP20A
HYSTERECTOMY -
A hysterectomy is an operation in which the uterus or
womb is
surgically removed.
AP28
MODERATE OR VIGOROUS PHYSICAL ACTIVITY –
Moderate physical activity causes only light sweating
or a slight
or moderate increase in breathing or heart rate and
would include
activities such as fast walking, raking leaves, mowing
the lawn,
or heavy cleaning. Vigorous physical activity causes
heavy sweating
or large increases in breathing or heart rate and
would include
activities such as running, race walking, lap
swimming, aerobics
classes, or fast bicycling.
IN02
IN03
TAX RETURN -
A form on which taxable income is reported and tax is
computed. The
form is then sent to the appropriate level of the
government (e.g.,
state, federal, etc.). Tax returns can be submitted to
the
government on paper or electronically by computer or
telephone.
IN04
SINGLE -
A tax filing status that can be used by anyone who was
never
married, legally separated, or widowed and not
remarried as of
December 31st of the tax year. Reports taxable income
of one tax filer.
MARRIED FILING JOINT RETURN -
A tax filing status that can be used by anyone who was
married as of
December 31st of the tax year (even if person is not
living with the
spouse at the end of the tax year) or whose spouse
died between
January 1st of the tax year and April 31st of the
following year and
the person did not remarry. Reports taxable income of
two tax
filers: a husband and wife.
MARRIED FILING SEPARATELY -
A tax filing status that can be used by anyone who
meets the
criteria for ‘married filing joint return,’ however,
the tax return
reports the taxable income of ONE tax filer: either
the husband OR
the wife.
HEAD OF HOUSEHOLD WITH QUALIFYING PERSON -
A tax filing status that can be used by anyone who is
UNMARRIED and
who paid over half of the cost of keeping up a home
that was the
main home for all of the tax year for any of the
following people:
This filing status can also be used by someone who is married
and who is legally separated from his/her spouse in the tax
year and who:
QUALIFYING WIDOW(ER) WITH DEPENDENT CHILDREN -
A tax filing status that can be used by anyone whose spouse died in
either of the two years previous to the tax year and the person has
not remarried in the tax year and who:
IN05
FILING JOINTLY -
When the person files his/her tax return under the tax
filing status
of ‘married filing joint return.’ This tax filing
status can be
used by anyone who was married as of December 31st of
the tax year
(even if person was not living with the spouse at the
end of the tax
year) or whose spouse died between January 1st of the
tax year and
April 31st of the following year and the person did
not remarry.
Reports taxable income of two tax filers: a husband
and wife.
IN06
DEPENDENTS -
For tax filing purposes, a dependent of the tax filer
is someone who
meets all of the following criteria:
IN08
HOUSEHOLD -
The household is all of the family members who are
currently living
in the RU being interviewed.
IN10
ITEMIZED AND STANDARD DEDUCTIONS -
ITEMIZED DEDUCTION -
When the deduction that is used in the process of
determining the
tax filer’s taxable income is determined by listing
and totaling a
variety of expenses (e.g., medical expenses, various
taxes such as
estate or real estate taxes, mortgage interest,
charitable
contributions, etc.). These expenses are listed on the
Schedule A
tax form for itemized deductions.
STANDARD DEDUCTION -
When the deduction that is used in the process of
determining the
tax filer’s taxable income is a single dollar amount,
determined
by the government. This amount is found on a chart in
the tax
booklet and is based on the tax filing status.
IN15
HEALTH INSURANCE DEDUCTION -
A person may be able to deduct
100% of the amount paid for medical
and dental insurance and qualified long-term care
insurance for
themselves, their spouse and dependents if they are
one of the
following:
If the person responds that he/she does not qualify
for this
deduction, code ‘3’ (not applicable).
IN17
EARNED INCOME CREDIT -
An amount that can be deducted from the tax filer’s
net income in
determining his/her taxable income. It is available to
tax filers
who do not have any qualifying children, earned less
than $9,230 in
the tax year, and the tax filer(s) are at least 25
years old on the
last day of the tax year.
IN18
IN18OV
AMOUNTS TO INCLUDE (FOR WAGES OR SALARY, TIPS,
COMMISSIONS, OR
BONUSES) -
This includes all income from wages, salary,
commissions, and
bonuses and is shown in Box 2 of the tax filer’s W-2
form. Tips,
scholarships, fellowship grants, and dependent care
benefits should
also be included.
IN19
IN19OV
AMOUNTS TO INCLUDE (FOR INTEREST FROM SAVINGS
ACCOUNTS, BONDS, NOW
ACCOUNTS, MONEY MARKET ACCOUNTS, OR SIMILAR TYPES OF
INVESTMENTS) -
Include interest income from seller-financed
mortgages, banks,
savings and loan associations, money market
certificates, credit
unions, savings bonds, etc. These amounts can be found
on forms
1099-INT or 1099-OID.
IN20
DIVIDENDS -
Money that is divided among stockholders, creditors,
members of a
cooperative, etc. These amounts can be found on form
1099-DIV.
IN21
INCOME TAX REFUNDS -
These amounts represent that part of a refund of State
(and Local,
if applicable) income tax attributable to itemized
deductions taken
in a prior year that resulted in a Federal tax
benefit. Typically
the taxpayer reports as an itemized deduction for
Federal income
taxes the amount of State (and Local) income tax
withheld from their
earnings during the year. If the tax filer has more
State and Local
income tax withheld during the year than was required,
the State
government will reimburse or “refund” the over-payment
during the
following year.
IN22
ALIMONY -
An allowance that the court orders paid to a person by
his/his
spouse or former spouse after a legal separation or
divorce or
while legal action is pending.
IN23
IN23OV1
IN23OV2
AMOUNTS TO INCLUDE (FOR EARNINGS OR LOSS FROM OWN
FARM) -
Include income or loss associated with being the sole
proprietor of
a farm. Farm business costs and expenses are
deductible from farm
gross business receipts in arriving at farm net profit
or loss.
Gains and losses from these sources are calculated on
Schedule F.
AMOUNTS TO INCLUDE (FOR NON-FARM BUSINESS OR PRACTICE)
-
Include income or loss associated with being the sole
proprietor of
a non-farm business, including self-employed members
of a
profession. Business costs and expenses are deductible
from gross
receipts or gross sales in arriving at net profit or
loss.
Compensation of the sole proprietor is taxable income
and,
therefore, not allowed as a business deduction in
computing net
income. The net gain or loss is computed on Schedule C
or C-EZ.
IN24
IN24OV
AMOUNTS TO INCLUDE (FOR NET GAIN/LOSS FROM SALE OF
PROPERTY OR OTHER ASSETS) -
Both sales of capital and non-capital assets are to be
included. In
general, capital assets for tax purposes include all
property held
for personal use or investment. Examples of such
assets are
personal residences, furniture, automobiles, and
stocks and bonds.
Net gains or losses from the sale of capital assets
are reported on
Schedule D. Net capital gains also include capital
gain
distributions reported directly on Form 1040 if the
tax filer did
not have other gains or losses to report on Schedule
D. Property
other than capital assets generally includes property
of a business
nature, and net gains or losses from the sale of such
assets is
reported on Form 9747.
IN25
IN25OV
IRA (INDIVIDUAL RETIREMENT ACCOUNT) -
An Individual Retirement Account, or IRA, is a
personal retirement
plan whereby a limited amount of annual earnings may
be invested, as
in mutual funds or a savings account, with the
investment money and
its earnings being tax-free until retirement. Payments
from these
accounts must be reported on the tax filer’s income
tax return.
Payments include regular distributions, early
distributions,
rollovers, and any other money or property the person
received from
his/her IRA account or annuity. These amounts can be
found on form 1099-R.
KEOGH ACCOUNT -
A retirement plan for self-employed persons and
certain groups
of employees whereby a limited amount of annual
earnings may be
invested, as in mutual funds or a savings account,
with the invested
money and its earnings being tax-free until
retirement. These
amounts can be found on form 1099-R.
401K -
A 401(k) is an optional retirement plan supported by
many companies.
This money is taken out and invested before the
employee’s paycheck
is taxed. The plan is set up by a qualified employer
with the
primary contributions being deposited by the employee.
Often there
is a company matching plan where they will also
contribute a
percentage of the money the employee contributed.
While the 401(k)
continues to grow, taxes will not be paid on it. When
the employee
withdraws the money at retirement, he/she will be
taxed on the
amount in the account. There is a penalty to remove
the money prior
to retirement age; however, many plans allow the
employee to borrow
money using the plan as collateral or remove the money
without
penalty in certain emergencies. These amounts can be
found on form 1099-R.
IN26
AMOUNTS TO INCLUDE (FOR PRIVATE PENSIONS, MILITARY
RETIREMENT, OTHER
FEDERAL EMPLOYEE PENSIONS, STATE OR LOCAL GOVERNMENT
PENSIONS OR ANNUITIES) -
Payments from pensions and annuities, including
payments
(distributions) from retirement plans, life insurance
annuity
contracts, profit-sharing plans, employee savings
plans, disability
pensions received after the tax filer has reached the
minimum
retirement age set by his/her employer.
IN28
IN28OV
AMOUNTS TO INCLUDE (NET GAIN OR LOSS FROM ESTATES OR
TRUSTS,
PARTNERSHIPS, S CORPORATIONS, ROYALTIES, OR RENTAL
INCOME) -
Gains and losses from these sources are calculated on
Schedule E.
ESTATE OR TRUST: Include income that was the
beneficiaries’ share
of fiduciary income from any estate or trust, for
example,
income required to be distributed, amounts credited to
beneficiaries’ accounts from fiduciary income, and any
“accumulation distribution” made by the fiduciary of a
“complex
trust” for income accumulated in prior tax years.
PARTNERSHIP OR S CORPORATION: Since partnerships and
S corporations are not taxable entities, their net
profit or
loss is taxed, in general, directly to the members of
the
partnership or shareholders in the S corporation. This
income
includes the taxpayer’s share of the ordinary gain or
loss of
the enterprise and certain payments made to the
taxpayer for the
use of capital or as a salary.
RENTAL INCOME: Income or loss less amounts for
depreciation,
repairs, improvements and other allowable expenses
related to
the rented property.
ROYALTIES: Income from oil, gas and other mineral
rights,
patents, and literary, musical or artistic works.
IN30
IN30OV
UNEMPLOYMENT COMPENSATION -
Payments made by a State government to a person who is
unemployed.
Payments are usually at regular intervals and over a
fixed period of
time. These amounts can be found on form 1099-G.
IN31
IN31OV
SOCIAL SECURITY -
Social Security is also known as the Old Age,
Survivors and
Disability Insurance program (OASDI), in reference to
its three parts:
RETIREMENT BENEFITS –
The amount of the monthly benefit depends upon
previous
earnings and upon the age at which the person chooses
to begin
receiving benefits. The earliest age at which benefits
are
payable is 62.
DISABILITY –
A person who has worked long enough and recently
enough to be
covered can receive benefits upon becoming totally
disabled,
regardless of his or her age. The person must be
unable to
continue in his or her previous job and unable to
adjust to
other work; furthermore, the disability must be
long-term
(lasting or expected to last for at least one year or
to
result in death). The amount of the disability benefit
payable
depends on the person's age and previous earnings.
SURVIVORS' BENEFITS –
If a worker covered by Social Security dies, a
surviving
spouse or children can receive survivors' benefits.
Sometimes,
survivors' benefits are available to a divorced
spouse.
Children cannot receive survivors' benefits after age
19
unless the child was disabled before age 22.
IN34
WORKER’S COMPENSATION -
A system, required by law, of compensating workers
injured or
disabled in connection with work. This system
establishes the
liability of an employer for injuries or sickness that
arise over
and in the course of employment. The liability is
created without
regard to the fault or negligence of the employer. The
benefits
under this system generally include hospital and other
medical
payments and compensation for loss of income.
IN37
S.S.I. (SUPPLEMENTAL SECURITY INCOME) -
Also known as Supplemental Security Income (SSI), this
federal
program provides monthly cash payments in accordance
with uniform,
nationwide eligibility requirements to persons of all
ages who are
blind, disabled, or both needy and 65 years or older.
IN41
PUBLIC ASSISTANCE -
Public assistance payments include assistance payments
made to
low-income persons, such as temporary assistance for
needy families
(TANF), and general assistance.
IN44
TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) -
This is a cash assistance program. TANF is known by
different
names in different states. Temporary Assistance for
Needy Families
(TANF) provides assistance and work opportunities to
needy families.
IN46
CHILD SUPPORT -
Payments that the court orders a parent to pay to
cover the cost of
the care of a child who is not living with the parent
making the payment.
IN47
WHO TO INCLUDE (FOR RECEIVING CHILD SUPPORT) -
Any/all members of RU are eligible to receive child
support. Child
support are payments that the court orders a parent to
pay to cover
the cost of the care of a child who is not living with
the parent
making the payment.
IN49
VETERAN’S PAYMENTS -
Veterans’ payments include payments made periodically
by the
Department of Veterans Affairs to disabled members of
the Armed
Forces or to survivors of deceased veterans for
education and
on-the-job training, and means-tested assistance to
veterans.
IN52
REGULAR CASH CONTRIBUTIONS AND HOUSEHOLD --
REGULAR CASH CONTRIBUTIONS –
Include periodic payments from non-household members.
Gifts or
sporadic assistance from persons outside the household
are not
included.
HOUSEHOLD –
The household is all of the family members who are
currently
living in the RU being interviewed.
IN55
SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) ––
SNAP (formerly known as the Food Stamp Program)
enables
eligible low-income households to buy nutritious food
with
electronic benefits they can use like a debit card to
purchase food at stores authorized by USDA.
IN59
IN60
IN60OV
IN63
WAGES AND SALARY -
WAGES –
Money paid by an employer for each hour the person
works.
Hours worked beyond 40 hours a week might be
compensated at a
higher rate than regular hours. There is a direct link
between compensation and hours worked.
SALARY –
Money paid by an employer for the performance of a
job,
regardless of how many hours are worked. The workers
are not
paid on an hourly basis and might not receive
compensation for
hours worked beyond 40 hours per week. In essence,
there is
little or no link between compensation and hours
worked.
FARM INCOME (OR LOSS) -
Include income or loss associated with being the sole
proprietor of a farm. Farm business costs and expenses
are
deductible from farm gross business receipts in
arriving at
farm net profit or loss. Gains and losses from these
sources
are calculated on Schedule F.
BUSINESS INCOME (OR LOSS) -
Include income or loss associated with being the sole
Proprietor of a non-farm business, including
self-employed
members of a profession. Business costs and expenses
are
deductible from gross receipts or gross sales in
arriving at
net profit or loss. Compensation of the sole
proprietor is
taxable income and, therefore, not allowed as a
business
deduction in computing net income. The net gain or
loss is
computed on Schedule C or C-EZ.
SOCIAL SECURITY -
Social Security is also known as the Old Age,
Survivors and
Disability Insurance program (OASDI), in reference to
its
three parts:
RETIREMENT BENEFITS –
The amount of the monthly benefit depends upon
previous
earnings and upon the age at which the person chooses
to begin
receiving benefits. The earliest age at which benefits
are
payable is 62.
DISABILITY –
A person who has worked long enough and recently
enough to be
covered can receive benefits upon becoming totally
disabled,
regardless of his or her age. The person must be
unable to
continue in his or her previous job and unable to
adjust to
other work; furthermore, the disability must be
long-term
(lasting or expected to last for at least one year or
to
result in death). The amount of the disability benefit
payable
depends on the person's age and previous earnings.
SURVIVORS' BENEFITS –
If a worker covered by Social Security dies, a
surviving
spouse or children can receive survivors' benefits.
Sometimes,
survivors' benefits are available to a divorced
spouse.
Children cannot receive survivors' benefits after age
19
unless the child was disabled before age 22.
RAILROAD RETIREMENT -
A federally legislated program which provides
retirement,
disability, and survivor annuities to workers whose
employment
was connected with the railroad industry for at least
10
years. The system provides for close coordination with
the
Social Security system. Benefits are financed through
a
combination of employee, employer, and Federal
Government contributions.
PRIVATE, MILITARY, OR GOVERNMENT PENSIONS -
Pensions are employee benefits which provide income
payments
to employees upon their retirement. Pensions provide
benefits
to employees who have met specified criteria, normally
age
and/or length of service requirements. Pensions can be
paid
by various employers including private companies, the
military, or any level of the government.
INTEREST -
Money paid to a person as compensation for the use of
his/her
Money that is held in seller-financed mortgages,
banks,
savings and loan associations, money market
certificates,
credit unions, savings bonds, etc.
DIVIDENDS -
Money that is divided among stockholders, creditors,
members
of a cooperative, etc.
RENTAL INCOME (OR LOSS) -
Income or loss less amounts for depreciation, repairs,
improvements and other allowable expenses related to
the
rented property.
AS04
VALUE (FOR 'THIS HOME') --
When determining the present value of real estate (the
primary
residence), we want to know the market value for the
land and
structures on that land. This would be the amount the
property
would bring if sold in the current real estate market.
The
respondent should not report the profit he or she
would make if
the property was sold, but the actual sale price that
could be
achieved.
If the respondent has no idea what the property would
bring in
the current market, the tax appraisal value may be
entered instead.
AS06
MORTGAGES AND OUTSTANDING LOANS –-
MORTGAGES –
Include only the principal balance that has not yet
been
paid. The respondent should not include items such as
interest, property tax, insurance, escrow, etc. that
might be
included in the mortgage payments.
OUTSTANDING LOANS –
These are loans that have not been paid in full, that
is,
money is still owed.
AS07
AS14
CURRENTLY OWED (FOR REAL ESTATE AND VEHICLES) --
Include only the principal balance that has not yet
been paid. The
respondent should not include items such as interest,
property
tax, insurance, escrow, etc. that might be included in
the
mortgage or vehicle payments.
AS11
VALUE (FOR VEHICLES) --
When determining the present value of transportation
vehicles, we
want to know the market value for the vehicles. This
would be the
amount the vehicles would bring if sold in the current
market. The
respondent should not report the profit he or she
would make if
the vehicle(s) were sold, but the actual sale price(s)
that could
be achieved.
AS13
MONEY OWED AND OUTSTANDING LOANS (FOR VEHICLES) –-
MONEY OWED –
Include only the principal balance that has not yet
been
paid. The respondent should not include items such as
interest, that might be included in the vehicle
payments.
OUTSTANDING LOANS –
These are loans that have not been paid in full, that
is,
money is still owed.
AS16
RETIREMENT ACCOUNTS –-
IRA –
An Individual Retirement Account, or IRA, is a
personal
retirement plan whereby a limited amount of annual
earnings
may be invested, as in mutual funds or a savings
account,
with the investment money and its earnings being
tax-free
until retirement. Payments from these accounts must be
reported on the tax filer's income tax return.
Payments
include regular distributions, early distributions,
rollovers, and any other money or property the person
received from his/her IRA account or annuity.
401K –
A 401(k) is an optional retirement plan supported by
many
companies. This money is taken out and invested
before the
employee's paycheck is taxed. The plan is set up by a
qualified employer with the primary contributions
being
deposited by the employee. Often there is a company
matching
plan where they will also contribute a percentage of
the
money the employee contributed.
403(b) ACCOUNT –
A
403(b) is a retirement savings plan available
for public
education organizations, some non-profit employers and
self-employed ministers in the United States. It is
similar
to a 401(k) plan where part of the employee's salary
is
taken out and invested in the 403(b) plan before
income tax
is paid on it. The investment is allowed to grow tax
deferred until the money is taxed as income when taken
out
of the plan.
KEOGH ACCOUNT –
A retirement plan for self-employed persons and
certain
groups of employees whereby a limited amount of annual
earnings may be invested, as in mutual funds or a
savings
account, with the invested money and its earnings
being
tax-free until retirement.
AS18
VALUE (FOR RETIREMENT ACCOUNTS) --
The amount of money you would receive today if you
withdrew all
the money in these types of accounts. Do not deduct
from this
amount any penalties that might be incurred because of
early withdrawal.
AS20
BANK ACCOUNTS –-
CHECKING ACCOUNTS –
A bank account against which the depositor can draw
checks for
transfer of funds to the name on the check. Checking
accounts
may or may not bear interest.
SAVINGS ACCOUNTS –
A bank account that bears interest. Generally,
deposits and
withdrawals of funds are done at the banking
institution with
withdrawn funds going directly to the holder of the
account
or another of his or her bank account.
MONEY MARKET ACCOUNTS –
An account that requires that you keep a minimum
balance and
allows you to write checks, but limits the number you
may
write and has a minimum allowable amount of each check written.
AS22
VALUE (FOR BANK ACCOUNTS) --
The amount you would receive if you withdrew all the
money in
these accounts today. Do not deduct from this amount
any
penalties that might be incurred because of early
withdrawal.
AS24
OTHER ACCOUNTS OR FINANCIAL ASSETS –
CERTIFICATES OF DEPOSIT (CDs) –
A bank certificate acknowledging the receipt of a
specified
large sum of money in a special kind of time deposit
drawing
interest and requiring written notice of withdrawal
and
usually subject to financial penalties if withdrawals
are
made before the maturity date. Also known as CDs.
GOVERNMENT SAVINGS BONDS –
Any of various series of interest-bearing certificates
issued
by a government (local, state, or federal) promising
to pay
the holder a specified sum on a specified date,
usually
maturing over long periods.
INDIVIDUAL DEVELOPMENT ACCOUNTS –
Matched savings accounts that enable people with low
incomes
to save money and build assets. Every dollar that is
saved in
an IDA will be matched with donations from government
agencies, non-profit organizations and private
companies
TREASURY BILLS –
Also called T-bills. Treasury Bills mature in one year
or
less. They do not pay interest prior to maturity;
instead
they are sold at a discount of the face value.
BONDS, BOND MUTUAL FUNDS –
A certificate of debt issued by a corporation,
government
(local or federal), or foreign country that guarantees
payment of the original investment plus interest by a
specified future date.
SHARES OF STOCK –
The capital or funds that a corporation raises through
the
sale of shares entitling the holder to dividends and
the
other rights of ownership.
STOCK MUTUAL FUNDS –
A company without fixed capitalization freely buys and
sells
its own shares and uses the capital to invest in other companies.
EDUCATION SAVINGS ACCOUNTS –
Education Savings Accounts can refer to 529 plans or
Coverdell Education Savings Accounts.
529 PLANS –
There are two types of 529 plans: prepaid and savings.
PREPAID –
Prepaid plans allow one to purchase tuition
credits, at today's rates, to be used in the
future. Therefore, performance is based upon
tuition inflation. May be administered by states
or higher education institutions.
SAVINGS –
Savings plans are different in that all growth
is based upon market performance of the
underlying investments, which typically consist
of mutual funds. May be administered by states,
but record-keeping and administrative services
are usually delegated to a mutual fund company
or other financial services company.
COVERDELL EDUCATION SAVINGS ACCOUNT –
Also known as an Education Savings Account, a
Coverdell
ESA, a Coverdell Account, or just an ESA and formerly
known as an Education Individual Retirement Account.
Coverdell ESAs allow money to grow tax deferred and
proceeds to be withdrawn tax free for qualified
education expenses at a qualified institution.
Qualified expenses in an ESA includes primary and
secondary school, not just college and university.
ANNUITIES –
A contract sold by an insurance company designed to
provide
payments to the holder at specified intervals, usually
after
retirement. The holder is taxed only when they start
taking
distributions or if they withdraw funds from the
account. All
annuities are tax-deferred, meaning that the earnings
from
investments in these accounts grow tax-deferred until
withdrawal. Annuity earnings are also tax-deferred so
they
cannot be withdrawn without penalty until a certain
specified
age. Fixed annuities guarantee a certain payment
amount,
while variable annuities do not.
BENEFICIARY TO A TRUST –
Another person's asset is being held in your name by a
third party.
AS26
VALUE (FOR OTHER FINANCIAL ASSETS) --
The total amount that would be received if all of the
'other'
assets were sold or otherwise converted to cash.
This includes any amounts you would receive if you
withdrew all
the money in any financial account today. Do not
deduct from
this amount any penalties that might be incurred
because of early withdrawal.
AS28
ALL OTHER PROPERTY AND ASSETS –-
SECOND HOME –
Includes any other homes an RU member owns (i.e., the
RU
member's name is on the title) other than his or her
primary
residence. Examples include vacation homes and housing
units
that are rented to others.
REAL ESTATE –
Land, including the buildings and improvements on it
and it's
natural assets, such as minerals, water, etc.
BUSINESS –
A business exists when one or more of the following
conditions
are met: (1) Machinery or equipment of substantial
value is in
use in conducting business; (2) an office, store or
other
place of business is maintained, or (3) the business
is
advertised by listing in the classified section of the
phone
book, displaying a sign, distributing cards or
leaflets, or
any other methods which publicize that the work or
service is
offered to clients.
FARM –
Includes buildings on the premises of a farm, such as
a barn or
farm house, or on any land that is part of the farm,
such as
land under cultivation.
RECREATIONAL VEHICLES –
Vehicles used for the purpose of relaxation or
amusement such
as mopeds, camping trailers, motor homes, boats,
airplanes, jet
skis, snowmobiles, gliders, canoes, kayaks, or hang
gliders, etc.
OTHER SIGNIFICANT ASSETS –
Include any savings or assets owned by an RU member
that have
not already been accounted for in previous questions.
For
example, cash stored in the home, jewelry, art,
antiques,
money owed to an RU member by others, or a collection
for
investment purposes ('collectibles' such as coins,
postage
stamps, baseball cards, etc.).
AS30
VALUE (FOR OTHER PROPERTIES OR ASSETS) --
The total amount that would be received if all of the
'other'
assets were sold or otherwise converted to cash.
IF REAL ESTATE –
We want to know the market value for the land and
structures
on that land. This would be the amount the property
would
bring if sold in the current real estate market. The
respondent should not report the profit he or she
would make
if the property was sold, but the actual sale price
that could
be achieved.
If the respondent has no idea what the property would
bring in
the current market, the tax appraisal value may be
entered instead.
IF BUSINESS OR FARM –
We want to know the market value of the land,
structures,
equipment, and other capital on that land. This would
be the
amount the farm or business would bring if sold in the
current market.
The respondent should not report the profit he or she
would
make if the farm or business was sold, but the actual
sale
price that could be achieved. Also, income from the
farm or
business should not be included at this question.
IF BOAT OR RECREATIONAL VEHICLE –
We want to know the market value for the vehicles.
This would
be the amount the vehicles would bring if sold in the
current
market. The respondent should not report the profit he
or she
would make if the vehicle(s) were sold, but the actual
sale
price(s) that could be achieved.
IF JEWELRY, ART WORK, ANTIQUES, COLLECTIBLES, ETC. –
We want to know the market value for the item(s). This
would
be the amount the item(s) would bring if sold in the
current
market. The respondent should not report the profit he
or she
would make if the item (s) were sold, but the actual
sale
price(s) that could be achieved.
If the respondent has no idea what the item(s) would
bring in
the current market, the appraisal value may be entered
AS32
MONEY OWED AND OUTSTANDING LOANS (FOR OTHER PROPERTY AND ASSETS) --
MONEY OWED –
Include only the principal balance that has not yet
been paid.
The respondent should not include items such as
interest,
property tax, insurance, escrow, etc. that might be
included
in the mortgage, vehicle, or loan payments.
OUTSTANDING LOANS –
These are loans that have not been paid in full, that
is,
money is still owed.
AS33
CURRENTLY OWED (FOR OTHER PROPERTY AND ASSETS) --
Include only the principal balance that has not yet
been paid. The
respondent should not include items such as interest,
property tax,
insurance, escrow, etc. that might be included. in the
mortgage,
vehicle, or loan payments.
AS35
DEBTS --
A financial obligation or liability of one person to
another or
others. Includes formal arrangements such as bank
loans and credit
card debt as well as private arrangements such as
loans from a
parent. A debt might or might not include interest on
the
principal loan amount.
AS37
DEBTS AMOUNT TO --
Include only the principal balance that has not yet
been paid for
all debts other than those specifically asked about in
previous
questions. The respondent should not include items
such as
interest, property tax, insurance, escrow, etc. that
might be
included in debt payments.
CS28
CS28OV
CS29
CS29OV
CS30
CS30OV
CS31
CS31OV
CS32
CS32OV
CS33
CS33OV
CS35
CS35OV
“ADVICE TO YOU” --
“Advice to you” can mean advice given to anyone in the
RU or a
parent or guardian outside of the RU on behalf of
(PERSON) by
any type of doctor or other health provider. Include
advice
given in either written or verbal form.
A health provider could be a general doctor, a
specialist doctor,
a nurse practitioner, a physician assistant, a nurse,
or anyone
else (PERSON) would see for health care.
CS34
CS34OV
“ADVICE TO YOU (ABOUT HELMETS)” --
“Advice to you” can mean advice given to anyone in the
RU or a
parent or guardian outside of the RU on behalf of
(PERSON) by
any type of doctor or other health provider. Include
advice
given in either written or verbal form.
A health provider could be a general doctor, a
specialist doctor,
a nurse practitioner, a physician assistant, a nurse,
or anyone
else (PERSON) would see for health care.
In addition to advice given to you about (PERSON)
using a helmet
when riding a bicycle or motorcycle, please also
include advice
given to you about children wearing helmets when
riding ATV’s,
battery powered cars, on the back of an adult’s
bicycle, or in
jogging strollers.
PE02
HYPERTENSION -
Hypertension, is also known as high blood pressure. It
is defined as
a long-term high resting systolic blood pressure (the
“top” number,
which represents the pressure generated when the heart
beats) above
140, and/or high diastolic blood pressure (the
“bottom” number,
which represents the pressure in the vessels when the
heart is at
rest) above 90. Hypertension often has no symptoms,
though patients
often complain of headaches. Treatment typically
includes
medications and lifestyle changes, such as weight
loss, exercise,
and dietary adjustments. Do NOT include
pregnancy-induced
hypertension, also known as preeclampsia, for this
question.
Preeclampsia, can happen in late pregnancy and is
characterized
by persistently high blood pressure, swelling of the
extremities, and protein in the urine. Typically with
pregnancy-induced hypertension, blood pressure returns
to
normal shortly after delivery.
PE11
OTHER TYPES OF HEART CONDITIONS TO INCLUDE --
If ‘coronary heart disease’, ‘angina’, ‘heart attack’,
or
‘myocardial infarction’ are mentioned, back up to
PE05, PE07, or
PE09, as appropriate.
Include any other types of heart conditions or
diseases affecting
the person during his or her lifetime. This includes,
but is not
limited to, congenital heart diseases, heart murmurs,
irregular
heartbeat, arrhythmias, cardiomyopathy, inflammatory
heart disease,
and valvular heart disease.
PE13
TRANSIENT ISCHEMIC ATTACK –-
A transient ischemic attack (TIA) is an episode that
occurs when
the blood supply to part of the brain is briefly
interrupted. TIA
symptoms, which usually occur suddenly, are similar to
those of
stroke but do not last as long. Most symptoms of a TIA
disappear
within an hour, although they may persist for up to 24
hours.
Symptoms can include muscle weakness, numbness on one
side of the
body, trouble speaking, swallowing, and memory loss
among others.
A TIA is often considered a warning sign that a true
stroke may
happen in the future if something is not done to
prevent it.
PE15
EMPHYSEMA –-
Emphysema is a long-term, progressive disease in which
the air
sacs in the lungs become damaged. Its primary symptom
is
progressive shortness of breath. Emphysema is one of
several
diseases known collectively as chronic obstructive
pulmonary
disease (COPD).
PE17
Bronchitis is an inflammation of the lungs caused by
infection or by
inhaling irritating fumes. Symptoms include cough,
fever, and chest pain.
ACUTE BRONCHITIS –-
Acute bronchitis develops suddenly. It generally lasts
less than
2 weeks. Most healthy people who develop bronchitis
get better
without any complications.
CHRONIC BRONCHITIS --
Chronic bronchitis becomes long-term. A cough that
lasts for at
least 3 months to two years in a row suggests chronic
bronchitis.
It is a form of COPD (chronic obstructive pulmonary
disease).
PE25
REMISSION --
A complete or partial disappearance of the signs and
symptoms of
disease in response to treatment. This is generally
the period
during which a disease is under control. A remission,
however, is
not necessarily a cure.
PE26
DIABETES -
Diabetes is a health problem caused by decreased
production of
insulin, or by decreased ability to use insulin.
Insulin is a
hormone produced by the pancreas that is necessary for
cells to
be able to use blood sugar. Diabetes occurs in several
forms, the
most common are: Type I, Type II, and gestational
diabetes.
However, do NOT include any occurrence of gestational
diabetes
for this question.
Gestational diabetes starts or is first recognized
during
pregnancy. It usually becomes apparent during the 24th
to 28th
weeks of pregnancy. In many cases, the blood-glucose
level
returns to normal after delivery.
PE30
Arthritis is an inflammation of one or more joints of
the body,
usually with pain, redness, and stiffness.
RHEUMATOID ARTHRITIS --
Rheumatoid arthritis is a chronic disease that can
affect joints
in any part of the body. The immune system mistakenly
causes the
joint lining to swell.
OSTEOARTHRITIS --
Osteoarthritis is the most common type of arthritis.
It occurs
when the cartilage wears away, and can occur in any
joint, but
often affects the hands, knees, hips, and joints in
the spine.
Osteoarthritis is sometimes called degenerative joint
disease.
PE32
ASTHMA -
Asthma is a lung problem that makes breathing
difficult. Asthma
causes attacks of wheezing but there are also time
periods with
relatively normal breathing. Treatment for mild asthma
(rare
attacks) typically includes the use of inhalers on an
as-needed
basis. Treatment for significant asthma (symptoms
occur at least
every week) typically includes the regular use of
anti-inflammatory
medications, usually inhaled steroids and
bronchodilators.
PE34
ASTHMA ATTACK -
When you have an asthma attack, your airways narrow in
response to
some form of irritation, or “trigger,” making
breathing difficult.
The muscles around the airways also tighten, further
closing off
breathing. The resulting symptoms include coughing,
wheezing,
shortness of breath, and a tight feeling in the chest.
In a severe
attack, breathing may be blocked. Asthma “attacks”
range from mild
to life threatening and can last minutes to days.