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29 Cards in this Set

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  • Back
  • 3rd side (hint)
What is a structured approach which continuously analyzes clinical and administrative processes within pre-established boundaries using various analytic tables?
-continuous quality improvement
-administrative quality assurance
-perpetual quality improvement
-structured analysis
-continuous quality improvement
Fixed MTF's and DTF's meeting applicable criteria must gain and maintain what by the joint commission on Accreditation of Healthcare Organizations?
-Accreditation
-Accreditation
-Certification
-Interim to operate
-Memorandum of Agreement
Who interprets Department of Defense(DoD), secretary of the Navy(SECNAV), and CNO policies and provides quidance for Navy-wide QA program implementation?
-BUMED
-CHNAVPERS
-BUMED
-BUPERS
-MILLINGTON
All treatment facilities must fully intergrate 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?
-Liability risk
-Patient risk
-Personnel risk
-Liability risk
-Financial risk
A medical record is considered delinquent if all required record components are not completed within how many days of patient discharge?
-30
-45
-90
-60
-30
BUMED submits a QA program summary report required by DoD Directive 6025.13 how often?
-Annually
-semiannually
-quarterly
-monthly
-annually
Routine QA program-related documentation must be maintained in a secure location for a period of how many years before disposal?
-5
-3
-1
-5
-6
What is an inpatient acquired infection not present or incubating at the time of admission?
-Nosocomial infection
-Nosocomial infection
-socomial infection
-nocomial infection
-nosuscomial infection
What is the state in which there is a variance from preestablished minimally acceptable standards of care?
-Deficiency
-standardized medicine
-Unsat
-Delinquency
-Deficiency
Who are personnel who are required to be liscensed but are not included in the definition of healthcare providers?
-Clinical support Staff
-Secretaries
-Clinical support staff
-Medical assistants
-medical personnel
Documents and records created per this instruction are medical QA materials and are therefore exempt from the requirements of what act?
-Freedom of information act
-Health insurance portability act
-patriot act
-digital millenium act
-Freedom of information act
An executive management team may perform the command QA committee function if it meets at least how often?
-Monthly
-Weekly
-quarterly
-monthly
-annually
An infection is considered nonsocomial if it first becomes apperent how many hours(or more) after admission?
-72
-96
-72
-24
-48
A review of the QA program effectiveness must be completed with revision as necessary every how often?
-Annually
-Semiannually
-bi-annually
-monthly
-annually
MTF's and DTF's will have what type of programs to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources?
-utilization review
-budget review
-resource review
-production review
-utilization review
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 fiscal year?
-15 January
-15 january
-14 febuary
-30 september
-31 april
The Quality Assurance program was originally issued in what year to standardize QA activities within Naval Medical Command MTF's?
-1984
-1986
-1984
-1985
-1981
QA inquiries and medical records related to potentially compensable event(PCE) and judge advocate General(JAGMAN) investigations must be maintained in a secure location at the local command for a minimim of how many years or as long as needed thereafter?
-2
-5
-2
-3
-7
Identifying, assessing, and decreasing risk to patients and staff are objectives of the QA program to reduce exposure to what?
-Liability
-Accountability
-Harm
-Liability
-risk
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?
-1989
-1991
-1990
-1989
-1992
MTF's and DTF's, with guidance from higher authority, must develop what type of programs?
-Clinical monitoring
-Clinical cleanliness
-MWR
-clinical monitoring
-clinical testing
The Naval school of Health Services 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?
-2
-3
-12
-6
-2
What data elements are not required for those cases closed through administrative denial of payment or where the health care incident occured before January 1, 1985?
-Provider-specific
-Patient specific
-Any
-social security number
-Provider specific
Which committee is multidisciplinary and provides a forum for discussion and oversight of all nonmedical staff QA functions?
-QA
-Oversight committee
-multidisciplinary committee
-QA
-nonmedical staff committee
The clinical performance profile is what type of document?
-Internal
-internal
-private
-external
-confidential
The clinical performance profile provides a format for compiling and summarizing individual-specific information per what instruction?
-BUMEDINST 6320.66
-BUMEDINST 6320.69
-BUMEDINST 5320.66
-BUMEDINST 6320.66
-BUMEDINST 6321.66
What is the process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities?
-Peer review
-peer review
-quality assurance
-cross evaluation
-concurrent hypothesis
What is the determination concerning a monitor outcome confirmed through the peer review process?
-Validation
-Certification
-Validation
-Confirmation
-Accreditation
Who may elect to have a fleet wide medical and dental QA program under the cognizance of the fleet medical and dental officer?
-TYCOMS
-Commanding officers
-TYCOMS
-Fleet master chief
-BUMED