Anything I use my hands to construct is hand-made and that includes if I open a box of mac & cheese, cook it, and serve it--that's hand made. Every quilt show I've attended has categorized every entry by hand-pieced, machine-pieced, hand-quilted, machine-quilted or any combination of the above. There is no doubt how an item was created and there shouldn't be derision about what ever one chooses to do. It's all about creating beautiful objects and as long as the method is distinguished there should be no problems.