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50 Cards in this Set
- Front
- Back
Responsibility of CNO
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Administering and directing Privacy Act of USN
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Responsibility of USMC Commandant
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Administering and directing Privacy Act of USMC
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DON Privacy Program
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SECNAVINST 5211.5
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HIPPA
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Health Insurance Portability and Accountability Act
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Provision of SECNAVINST 5211.5
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Know what is maintained
Have access to own record Permit amendment Prevents records to be obtained w/o consent Necessary and lawful purposes only Current & accurate information Adequate safeguarding response in <10 days |
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Officials authority for release
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Officials have cognizance
Systems managers as designated |
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Authority for release of information
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Notification
Access Amendment of records |
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Release of Medical Records Information
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Individual info is private and confidential.
Any disclosure that can be an invasion of privacy should NOT be made. |
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Release of Medical records information
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Released UNLESS authority thinks it will cause physical or mental injury
Released to rep with WRITTEN Authority |
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Release of Medical Record Information
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A need to know basis
Follow HIPPA Guidelines |
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Disclosure Accounting
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OPNAVINST 5211/9 part 3 of medical record with name of who record was disclosed to
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Amendment of medical record
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only when information is inaccurate or irrelevant.
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Amendment should:
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be in writing
provide information to identify and locate description of info and reason Contain evidence supporting the request. |
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Time for amendments
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Must be within 10 working days or 30 days under extreme circumstances
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Violations of the Privacy ACT
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Three all are misdemeanors all are punishable in fines up to $5,000
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Criminal Penalties
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maintaining unauthorized records
Wrongful disclosure of records wrongful request or obtaining records |
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HIPPA Penalties
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not > $50,000
not > 1 year prison or both |
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HIPPA Under False Pretenses
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not > $100,000
not > 5 years prison or both |
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HIPPA with intent to sell, transfer, commercial use, personal gain, or malicious harm
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not > $250,000
not> 10 years pision or both |
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DD 2005
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provides information req'd by privacy act of 1974
Must be read and signed at in-processing if declined to sign explain on SF600 |
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Scope and Purpose of P.E.
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Establish Patient is capable of doing physical activity
Pt is not going to incur physical disability. |
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Depending on the "Needs of the Navy...
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All standard are subject to change.
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Instruction that replaced routine physicals with annual PHA
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Article 15-9, MANMED Chapter 15
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Who can sign Physicals
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Licensed independent practitioner/PA
GMO with completed accredited internship |
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Physical forms
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DD2807-1 Report of medical history
DD2808 Report of Medical Exam |
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Validity Reports
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If >90 days but <2 Years has elapsed since last exam, update 2807-1 and annotate addendum to medical history
WILL NOT work for some special duties Keep copy on record for 2 years |
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Waiver requests
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Waiver does not mean member is physically qualified (NPQ/WR)
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Authorized to grant waiver
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Commander charged with enlisting and commisioning
Chief, Bureau of Medicine and Surgery |
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By direction autority
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Director, BUMED Qualifications and Standards
SMO, Naval Recruiting Command Navy Brigade Surgeon, Uniformed Services University of Health Sciences |
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Waiver Packages include:
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Most recent completed physical exam
All pertinent past medical history Past and current limitations of activity lab of specialty eval results |
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Waiver Process for special duty assignments is in...
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MANMED Ch. 15 Section IV
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Once granted the waiver becomes
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Part of the permanent medical record.
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applicants may transfer
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after a written waiver has been received from the appropriate waiver authority
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MANMED CH 15, Section IV delineated requirements for special duty exams ie
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Aviation personnel
Diving Duty Nuclear field duty Submarine duty Naval special warfare duty Commissioning programs (MANMED Ch. 15, Section II) |
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Transfer withing the U.S. (except isolated duty)
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Medical and dental records screened
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Transfer to sea, overseas, or isolated duty
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Suitabibliy for assignment is covered in the BUMEDINST 1300.2 Series
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What form is put in medical record noting the record has been screened and verified
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SF 600
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When is a release from Active Duty (separation or retirement) physical done?
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Within 180 days of the members last active duty day
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What does the final note in the physical have to say?
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The member is physically qualified
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What instruction states that the service member has not developed any condition that might constitute a disability and to ensures member is physically qualified for recall.
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SECNAVINST 1850.4 Disability Evaluation Manual, and MANMED Ch. 18 Medical Evaluation Boards
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Ensure completion of what after return from recent deployment?
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Post deployment health screening
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What is the instruction for deserters?
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MANMED Ch. 15 article 15-25
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What is included in a separation physical?
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DD Form 2807-1 unless last exam is current then document any new medical conditions Review the outpatient medical record.
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What is required for any new medical condition discovered?
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focused physical exam and lab test results. May be documented on a pre-formatted SF600. A DD 2808 may be used and may be more appropriate.
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What is the form used when a member is qualified for separation and what do you do with it?
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DD Form 2697, Report of medical assessment, forward a copy to DVA.
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What test must service members over 35 receive and where is it documented?
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Hepatitis C screening on NAVMED 6230/1
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What form is completed id member is not found physically qualified?
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SF 600
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Separation physical for a deserted will include
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DD 2807-1
Focused physical exam and labs results Results of the eval will be recorded via SF600. determination if physically qualified for separation. DD 2697 (for VA) |
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Annual exams for women include?
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Weight Check
Blood Pressure Chlamydia Screening |
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What are the regulations reguarding Papanicolaou Smears
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first screen delayed 3 yrs after onset of sexual activity of by 21 yrs old
<30 Annual screening >30 with 3 consecutive tests Q2-3 Years. |