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23 Cards in this Set

  • Front
  • Back

By what date of each year must MTFs and DTFs (claimancy 18 only)


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 HEALTHCARE SUPPO? (Page 10)

15 JAN

What must fixed MTFs and DTFs that meet the applicable criteria gain and maintain accreditation by? (Page 2)

Joint Commission

MTFs meeting the criteria for participation in the Joint Commission


survey process must maintain accreditation per what reference?


(Page 10)

BUMEDINST 6000.2D

Medical and Dental QA programs support credentials review and privileging activities following what reference? (Page 3)

BUMEDINST 6320.66

How often should the QA program be reviewed for effectiveness and be revised as necessary? (Page 4)

Annually

What multidisciplinary committee is required when there is more than a single professional discipline providing patient care within the facility or type command under the cognizance of a single privileging authority? (Page 8)

QA Committee

How many ECOMS are there per individual privileging authority? (Page 8)

One

QA inquiries and medical records 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? (Page 3)

2

What programs will MTFs and DTFs have to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources? (Page 6)

Utilization Review (UR)

What year was the QA program originally issued to standardize QA


activities within Naval Medical Command MTFs? (Page 2)

1984

Who interprets D0D, SECNAV, and CNO policies as well as provides


guidance for Navy-wide QA program implementation? (Page 9)

Chief, BUMED

How many educational workshops are conducted by the Naval School of Health Sciences located in Bethesda, MD each year in he principles,


components, and management of QA programs for the naval medical


department personnel? (Page 10)

2

How many years must routine QA program-related documentation be maintained in a secure location prior to disposal? (Page 3)

5

How often must QA program summary reports be submitted by the Chief, BUMED? (Page 9)

Annually

What type of infection is an inpatient acquired infection that was not present or incubated at the time of admission? (Enclosure 1, Page 2)

Nosocomial

A medical record is considered delinquent if all required record


components are not completed within how many days of patient


discharge? (Enclosure 1, Page 1)

30

What is the formal and systematic exercise of monitoring and reviewing medical care and outcome called? (Enclosure 1, Page 2)

Quality Assurance (QA)

An infection is considered nosocomial if it first becomes apparent within how many hours or more after admission? (Enclosure 1, Page 2)

72

What personnel are required to be licensed but are not included in the definition of health care practitioners? (Enclosure 1, Page 1)

Clinical Support Staff

What state occurs when there is a variance from pre-established


minimally acceptable standards of care? (Enclosure 1, Page 1)

Deficiency

What is a determination concerning a monitor outcome confirmed through the peer review process? (Enclosure 1, Page 1)

Validation

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


(Enclosure 1, Page 2)

Peer Review

What is an event or outcome during the process of medical or dental care in which the patient suffers a lack of improvement, injury, or illness of severity greater than ordinarily experienced by patients with similar


procedures or illnesses? (Enclosure 1, Page 2)

PCE