Bumedinst 6010.13, Quality Assurance Program (Qa)

Front 1

The quality assurance program was originally issued in what year to standardize qa activies withi naval medical command MTF's?

Back 1

1984

Front 2

naval medical department policy, procedures, and responsiblities for naval DTF's ashore and afloat were issued in 1987 and incorporated into this instruction in what year?

Back 2

1989

Front 3

fixed MTF's and DTF's meeting applicable criteria must gain and maintain what by the joint commission on accreditation of healthcare organizations?

Back 3

Accreditation

Front 4

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

Back 4

5

Front 5

QA inquiries and medical recordes 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 minimum of how many years or as long as needed thereafter?

Back 5

2

Front 6

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

Back 6

Liability

Front 7

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

Back 7

Annually

Front 8

The clinical performance profile provides a format for compiling and summarizing individual-specific information per what instruction?

Back 8

BUMEDINST 6320.66

Front 9

The clinical performance proflie is what type of document?

Back 9

Internal

Front 10

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

Back 10

Clinical Monitoring

Front 11

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

Back 11

Liability Risk

Front 12

MTF's and DTF's will have what type of program to monitor resource use and to recommand ways to balance assigned mission statement with existing health care resources?

Back 12

Utilization review

Front 13

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

Back 13

The QA

Front 14

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

Back 14

Monthly

Front 15

Who interprets department of defense, secretary of the navy, and cno policies and provides guidance for the navy-wide QA program implementation"?

Back 15

BUMED

Front 16

BUMED submits a QA program summary reports required by DOD directive 6025.13 how often?

Back 16

Annually

Front 17

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 17

Provider- specific

Front 18

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

Back 18

TYCOMS

Front 19

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 program for naval medical department personnal?

Back 19

TWO

Front 20

MTF's and DTF's 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 20

15 January

Front 21

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

Back 21

Freedom of information act

Front 22

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

Back 22

Clinical support Staff

Front 23

What is a determination concerning a monitor outcome confirmed throught he peer review process?

Back 23

Validation

Front 24

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

Back 24

30

Front 25

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

Back 25

deficiency

Front 26

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

Back 26

Nosocomial Infection

Front 27

an infection is considered nosocmial if it first becomes apparent how many hours after admission?

Back 27

72

Front 28

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

Back 28

Peer review

Front 29

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

Back 29

Continuous Quality Improvement