[ A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z ] O . . . Ohio Bureau of Workers' Compensation (BWC) The Ohio Bureau of Workers' Compensation has provided injured workers, or their families, with medical and wage-loss compensation for work-related injuries, diseases and deaths since 1913. BWC has a central office in Columbus and service offices located statewide. Ohio's workers' compensation system has the largest exclusive state fund in the nation and is the second largest underwriter of workers' compensation insurance in the country. Open Enrollment A period of time which eligible subscribers may elect to enroll in, or transfer between, available programs providing health care coverage. Organized Care System Often used to discuss a more evolved form of IDSs and CCNs, this relatively new term describes the result of mergers and alliances between and among physicians, health systems, and managed care organizations. These systems often have the same performance imperatives as IDSs and CCNs: improve health status, integrate delivery, demonstrate value, improve efficiency of care delivery and prevention, and meet patient and community needs. Out-of-Area Benefits The coverage allowed to HMO members for emergency situations outside of the prescribed geographic area of the emergency situations outside of the prescribed geographic area of the HMO. Outcomes Management A clinical outcome is the result of medical or surgical intervention or nonintervention. It is thought that through a database of outcomes experience, caregivers will know better which treatment modalities result in consistently better outcomes for patients. Outcomes management may lead to the development of clinical protocols. Outlier One of the following: A patient whose length of stay or treatment cost differs substantially from the stays or costs of most other patients in a diagnosis related group. One who does not fall within the norm; term typically used in utilization review. A provider who uses either too many or too few services (for example, anyone whose utilization differs 2 standard deviations from the mean on a bell curve is termed an "outlier.") Outlier Thresholds The day and cost cutoff points that separate inlier patients from outlier patients. Outpatient Care Care given a person who is not bedridden. Outpatient Services Outpatient services are medical and other services provided by a hospital or other qualified facility, such as a mental health clinic, rural health clinic, mobile X-ray unit, or free-standing dialysis unit. Such services include outpatient physical therapy services, diagnostic X-ray and laboratory tests. [ A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z ]