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34 Cards in this Set
- Front
- Back
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What is the instruction number for this program?
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BUMEDINST 6010.13
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When was the QA program for MTF’s originally issued and why? For DTF’s?
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In 1984 to standarize QA activities within Naval Medical Command MTFs
1987 for DTF’s ashore and afloat and included into this instruction in 1989 |
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Routine QA program-related documentation must be maintained in a secure location for a period of how many years before disposal?
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5 years
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QA inquiries and medical records related to a potentially compensable event and Judge Advocate General investigations must be maintained in a secure location at the local command for a minimum of how many years?
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2 years or as long as needed after
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How often is the programs effectiveness reviewed?
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Annually
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Who conducts two educational workshops each year in the principles, components, and management of QA programs for naval Medical Department personnel?
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Naval School of Health Sciences, Bethesda, MD
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Fixed MTFs and DTFs must forward an annual assessment of the preceding fiscal year’s QA program to reach BUMED by what date?
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15 January of each year
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Whose purpose is to establish policy, publish procedures, and assign responsibility for quality assurance and risk management activities?
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QA Program.
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In what year was the QA program originally issued to standardize QA activities?
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1984
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Routine QA related documentation must be maintained in a secure location for how long?
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5 years.
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QA inquiries and medical records related to a potentially compensable event (PCE) and JAGMAN investigations must be maintained for a minimum of how long?
a. |
2 years.
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6. The way which data generated by the QA program is used to continuously improve the command and patient care?
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Methodology
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What programs are used to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources?
a. |
UR(Utilization Review)
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QA Program committees consist of what 4 groups?
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ECOMS
QA Committee Safety Committee Infection Control Committee. |
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Who is responsible for all medical staff functions?
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ECOMS
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10. Which is multidisciplinary and provides a forum for discussion and oversight of all non-medical staff QA Functions?
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QA Committee.
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Who interprets DOD, SECNAV, and CNO policies and provides guidance for Navy wide QA program implementation?
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Chief, BUMED
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Chief, BUMED submits a QA program summary report how often?
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Annually.
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Who implements and coordinates a TYCOM-wide QA program?
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Type Commanders.
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They may elect to have a fleet-wide medical and dental QA program under the cognizance of whom?
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Fleet Medical and Dental Officer.
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Who provides technical support and assistance for QA related issues on request to fixed and non-fixed naval medical and dental activities? .
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OIC of Naval Healthcare Support Offices
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Who conducts two educational workshops each year in the principles, components, and management of QA program for naval Medical Department personnel?
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NSHS Portsmouth Va.
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What are assigned report control symbols?
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Risk management care review and malpractice information.
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Personnel who are required to be licensed but not included in the definition of health care practitioners?
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Clinical support staff.
(Pharmacists, Dental hygienists, and non-privileged nurses) |
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Those not involved in direct patient care?
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Non-licensed support staff
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A medical record is considered delinquent if all required record components are not completed within ho many days of patient discharge?
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30 days
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The state in which there is a variance from pre-established minimally acceptable standards of care is called what?
a. |
Deficiency
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An infection is considered nosocomial if it first becomes apparent how many more hours after admission? .
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72 hours or more
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A postoperative wound infection develops when?
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After surgery
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The process of evaluating the outcomes of QA program related monitoring activities? They are commonly used to reach a conclusion when an expected structure, process, or outcome of patient care standard is not met? .
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Peer review
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What is the term used for an Adverse event?
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Potentially Compensable Event (PCE).
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What are the three categories of PCE’s?
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None or Minor
Temporary Long term |
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What is the formal and systemic exercise of monitoring and reviewing medical care delivery and outcomes?
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QA
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What is a structured approach which continuously analyzes clinical and administrative processes within pre-established boundaries?
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Continuous Quality Improvement.
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