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23 Cards in this Set
- Front
- Back
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BUMEDINST 6010.13
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Quality Assurance Program
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Purpose of the QA program
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est. policy, publish procedures, and assign responsibility for QA and risk management activities in the Navy medical and dental treatment facilities
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Routine QA program-related documentation must be maintained where and for how long?
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In a secure location
5 years |
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QA inquiries & medical records related to a potentially compensable event and JAGMAN investigations must be maintained in a secure location at the local command for?
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at least 2 yrs or as long as needed thereafter.
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How often is the QA program effectiveness (with revision) reviewed?
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Annually
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Inpatient fixed MTFs must have what standing committees? (4)
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ECOMS
QA Committee Safety Committee Infection Control Committee |
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Fixed ambulatory care facilities must have what committees? (2)
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ECOMS)
QA committee |
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Who interprets policies and provides guidance for Navy-wide QA program implementation?
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Chief, BUMED
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Who provides consultation, educational support, and QA-related info to Navy treatment facilities?
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Chief, BUMED
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Who serves as a liaison with the Duputy Assistant JAG (Claims and Tort Litigation) and ensures the completion and accuracy of DD2526?
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Chief, BUMED
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Who maintains a risk management database (RMDB)?
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Chief, BUMED
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Who ensures at a minimum, QA assist visits to each subordinate medical and dental command as req. to maintain optimal QA program function?
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TYCOM
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Who provides tech support and assistance for QA-related issues on request to fixed and nonfixed naval medical and dental activities?
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OIC of Naval HSO's
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Who implements an effective, flexible, integrated, and compregensive QA program, guided by a written plan?
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CO's, OIC's, SMDR's
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How many educational workshops is NSHS, Bethesda required to conduct for naval Medical Dept pers. (Reviews principles, components, and mangmnt of QA programs)
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2
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MTFs and DTFs must fwd an annual assessment of the preceding fiscal yrs QA program to MED-3C4 with a cope to the cognizant responsible line commander and HLTHCARE SUPPO to reach BUMED no later than?
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15 January
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Annual assessment of the preceding fiscal year's TYCOM QA program to MED-3C4 with a copy to cognizant FLTCINC and HLTHCARE SUPPO to reach BUMED NLT?
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15 January
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A medical record is considered delinquent if all required record components are not completed within _____ _____ of pts discharge from the hospital?
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30 days
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An infection is considered nosocomial if it first becomes apparent _____hours or more after admission.
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72
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The process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities.
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Peer review
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An event or outcome during the precess of medical or dental care in which the pt suffers a lack of improvement, injury, or illness of severity greater than ordinarily experienced by pts with similar procedures or illnesses.
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Poteneially Compensable Event (PCE) (Adverse Event)
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The formal and systematic exercise of monitoring and reviewing medical care delivery and outcome
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QA
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A structued approach which continuously analyzes clinical and admin processes w/in pre-est. boundaries using various analytic tables. Goal is to improve efficiency and effectiveness of such processes by addressing and eliminating special cause variations, eliminating nonvalue added steps, etc
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Continuous Quality Improvement
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