Bumedinst 6010.13

Front 1

BUMED submits a QA program summary report require by DoD Directive 6025.13 how often?

Back 1

Annually

Front 2

An executibe management team may perform the command QA committee function if it meets at least how often?

Back 2

Monthly

Front 3

A medical record is considered delinquent if all required record components are not completed within how many days of patient discharge?

Back 3

30

Front 4

The Clinical Performance Profiles provides a format for compiling and summarizing individual-specific information per what instruction?

Back 4

BUMEDINST 6230.66

Front 5

What is the state in which there is a cariance from preestablished minimally acceptable standards of care?

Back 5

Definiency

Front 6

The Clinical Performance Profile is what type of document?

Back 6

Internal

Front 7

Identifying, assessing, and decreasing risk to patients and staff are objuectives of the QA program to reduce exposure to what?

Back 7

Liability

Front 8

Who are personnel who are required to be licensed but are not included in the definitinon of health care practitioners?

Back 8

Clinical Support Staff

Front 9

MTF's and DTF's (claimancy 18 only) must forward an annual assessment of the preceding fiscal year's QA program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO to reach BUMED by what date of each year?

Back 9

January 15th

Front 10

Naval Medical Department policy, procedures, and responsibilities for naval DTF's ashore and afloat were issued in 1987 and incorporated into this instruction in what year?

Back 10

1989

Front 11

A review of the QA program effectiveness must be completed with revison as necessary every how often?

Back 11

Annually

Front 12

An infection is considered nosocomial if it first becomes apparent how many hours (or more) after admission?

Back 12

72

Front 13

What data elements are not required for those cases closed through administrative denial of payment or where the health care incident occurred before January 1, 1985?

Back 13

Provider-specific

Front 14

What is the process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities?

Back 14

Peer review

Front 15

Documents and records created per this instruction are medical QA materials and are therefore exempt from the requirement of what act?

Back 15

Freedom of Information Act

Front 16

What is a determination concerning a monitor outcome confirmed through the peer review process?

Back 16

Validation

Front 17

The Quality Assurance program was originally issued in what year to standardize QA activities within Naval Medical Command MTF's?

Back 17

1984

Front 18

MTF's and DTF's, with guidance from higher authority, must develop what type of programs?

Back 18

Clinical monitoring

Front 19

Which committee is multidisciplinary and provides a forum for discussion and oversight of all nonmedical staff QA functions?

Back 19

QA

Front 20

Who may elect to have a fleet-wide medical and dental QA program under the cognizance of the fleet medical and dental officer?

Back 20

TYCOMS

Front 21

What is a structured approach which continuously analyzes clinical and administrative processes within pre-established boundaries using various analytic tables?

Back 21

Continuous Quality Improvement

Front 22

All treatment facilities must fully integrate into their QA program Risk Management procedures requiring review of cases and events that represent liability or injury risk to patients and staff, and must recommend methods of decreasing what?

Back 22

Liability risk

Front 23

Fixed MTF's and DTF's meeting applicable criteria gain and maintain what by the Joint Commission on Accreditation of Healthcare Organizations?

Back 23

Accreditation

Front 24

QA inquiries and medical records related to a potentially compensable event (PCE) and Judge Advocate General (JAGMAN) investigations must be maintained in a secure location at the local command for a minumum of how many years or as long as needed thereafter?

Back 24

2

Front 25

The Naval School of Health Sciences in Bethesda, Maryland, will conduct how many educational workshops each year in the principles, components, and management of QA programs for naval Medical Department personnel?

Back 25

Two

Front 26

Routine QA program-related documentation must be maintained in a secure location for a period of how many years before disposal?

Back 26

5

Front 27

What is an inpatient acquired infection not present or incubating at the time of admission?

Back 27

Nosocomial Infection

Front 28

Who interprets DoD, SECNAV, and CNO policies and provides guidance for Navy-wide QA program implementation?

Back 28

BUMED

Front 29

MTF's and DTF's will have what type of program to monitor resource use and to recommend ways to balance assigned mission statements with existing healthcare resources?

Back 29

Utilization Review