Bumedinst 6010.13 Quality Assurance (Qa) Program

Front 1

What is the instruction for the Quality Assurance Program?

Back 1

BUMEDINST 6010.13

Front 2

Who is held accountable for the implementation of the QA Program within Naval Medical and Dental Treatment Facilities?

Back 2

All health care personnel providing services

Front 3

All QA program related documentation must be maintained onboard in a secure location. How long must QA related documents be held onboard before they can be disposed of?

Back 3

5 years

Front 4

QA inquires and medical records related to a potentially compensable event (PCE) must be maintained in a secure location at the local command. How long must these QA inquires and medical records be held onboard?

Back 4

2 years at least

Front 5

Judge Advocate General (JAMAN) investigations must be maintained onboard in a secure location at the local command. How long must these investigation documents be held onboard?

Back 5

2 years at least

Front 6

The QA program was originally issued to standardize all medical treatment facilities. In what year was the QA program originally issued?

Back 6

1984

Front 7

Naval medical policy, procedures, and responsibilities, for Dental treatment facilities, were issued in 19___(what year) and they were incorporated into the QA instruction in 19___(what year).

Back 7

1987 and 1989

Front 8

MTFs and DTFs who implement a QA program must gain and maintain accreditation from what group/association?

Back 8

Joint Commission JCAHO

Front 9

Name three main objectives of the QA program?

Back 9

It exposes areas of the command and patient care that need improvement, it identifies areas of education and training needed by health care providers, and affords providers the opportunity to comply with Joint Commissions accreditation standards.

Front 10

Name the key element that makes the QA program effective in MTFs and DTFs.

Back 10

Continuous Monitoring of the quality and appropriateness of health care

Front 11

What set of procedures must all treatment facilities fully integrate into their QA program?

Back 11

Risk Management procedures

Front 12

Name four examples of Potentially Compensable Events (PCE) for Medical and Dental treatment facilities.

Back 12

Death including suicide
Any complication of treatment resulting in: brain damage, sensory nerve damage, or loss of a limb
Inadvertent blood transfusion with HIV or hepatitis virus contaminated blood
Procedure preformed on the wrong patient or body part including wrong tooth extracted.

Front 13

In treatment facilities the QA program and Risk Management program must go hand and hand, because of the need to review cases and events that represent liability and injury risk for both patients and staff...right? So,

Back 13

The QA & RM programs merge to produce procedures that in turn are used to review what four liability and injury risk subjects?

Hint 13

All malpractice claims
Judge Advocate General (JAMAN) investigations
All Potentially Compensable Events (PCE)
Patient complaints

Front 14

Who monitors the implementation and coordination of medical and dental QA programs?

Back 14

BUMED

Front 15

Who interprets Department of Defense (DoD), Secretary of the Navy (SECNAV), & CNO policies and provides guidance for navy-wide QA program implementation?

Back 15

BUMED

Front 16

Who provides consultation, educational support, and QA-related information to Navy treatment facilities?

Back 16

BUMED

Front 17

The QA program summary report must be submitted annually. Who is responsible for its submission?

Back 17

BUMED

Front 18

Who reviews potentially compensable events (PCEs) and malpractice RM data reported centrally by MTF’s and DTF’s?

Back 18

BUMED

Front 19

Who is responsible for providing technical support and assistance for QA related issues and recommending corrective action to meet Joint Commission requirements?

Back 19

Officer in Charge of Naval Healthcare Support Offices

Front 20

True or False: TYCOMS may elect to have a fleet-wide medical/dental QA program ran by the fleet medical/dental officer.

Back 20

True

Front 21

True or False: Fleet Commanders implement and coordinate a TYCOM-wide QA program?

Back 21

False ANS: Type Commanders (TYCOM) hold that responsibility

Front 22

After BUMED reviews potentially compensable events (PCEs) and malpractice claims, data is abstracted and reported to what two places?

Back 22

Assistant Secretary of Defense (Health Affairs) (ASD/HA) and to the National Practitioner Data Bank created by P.L. 99-660

Front 23

What DD Form does MED-3C4 use to report closed malpractice claims to the Assistant Secretary of Defense (Health Affairs) (ASD/HA)?

Back 23

DD 2526

Front 24

This person serves as liaison with the Deputy Assistant Judge Advocate General (Claims and Tort Litigation) and ensures the completion and accuracy of DD 2526.

Back 24

BUMED

Front 25

What is DD 2526?

Back 25

Case Abstract for Malpractice Claims instruction sheet

Front 26

Who is responsible for maintaining a Risk Management Database (RMDB)?

Back 26

BUMED

Front 27

Who ensures that subordinate commanders comply with the Quality Assurance Program, BUMEDINST 6010.13?

Back 27

Fleet Commanders in Chief (FLTCINCs)

Front 28

True or False: Fleet Commanders implement and coordinate a TYCOM-wide QA program?

Back 28

False ANS: Type Commanders (TYCOM) hold that responsibility

Front 29

Who is responsible for maintaining a Risk Management Database (RMDB)?

Back 29

BUMED

Front 30

Who ensures that subordinate commanders comply with the Quality Assurance Program, BUMEDINST 6010.13?

Back 30

Fleet Commanders in Chief (FLTCINCs)

Front 31

True or False: TYCOMS may elect to have a fleet-wide medical/dental QA program ran by the fleet medical/dental officer.

Back 31

True

Front 32

True or False: MTF’s that meet the criteria for participation in the Joint Commission survey process must maintain accreditation.

Back 32

True

Front 33

All PCE’s and all other cases involving serious injury or prolonged disability must be included in the MTF/DTF database for analysis and be reported to what using DD 2526?

Back 33

MED-3C4

Front 34

This school in Bethesda, MD conducts two educational workshops each year in the principles, components, and management of QA programs for naval Medical Department personnel.

Back 34

Naval School of Health Sciences

Front 35

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?

Back 35

January 15th