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51 Cards in this Set
- Front
- Back
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Operation Health Readiness Program (OHRP) is managed and monitored by who?
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Office of Health Safety and Work-Life (HSWL) CG-11
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How is quality assurance defined by the USCG Medical Manual?
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functions that attempt to ensure desired level of performance by documenting, monitoring, evaluating and adjusting healthcare standards. QA does not neccessarily contain QI
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How is quality improvement defined by the USCG Medical Manual?
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a SYSTEM that attempts to proactively improve on minimum healthcare standards along with accredidation organization. always contain qa
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Quality improvement studies
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clinical processes identified as needing review for improvement. evaluate the extent, severity and impact of a need or problem
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professional oversight
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technical guidance, peer review, resource utilization review, external accredidation,
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governing body
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cg-11
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who reviews credentials and grants privileges for all CG medical and dental officers
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director of health and safety
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who ensures commandants health care QI program is executed at the field level
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HSWL
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fwd qi focus group minutes to
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HSWL
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regular accredidation cycle is
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once every 3 years
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facilities that do not receive a three year accredidation
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will be re-surveyed within 12 months
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max members of QIFG
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15
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commitee of a whole consists of
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all staff members(small clinics
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maintain QIFG minutes
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for 5 years
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QIFG shall meet
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quarterly, and more often as local needs dictate
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HSWL reviews minutes on
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CG Central
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who reviews the QIP
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director of health and safety
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how often QIP reviewed
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annually
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when to provide QI review and evaluation report
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by 30NOV annually. includes plan for upcoming year
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Who is responsible for ensuring health care providers in CG facilities are competent and capable?
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CG-11Health, Safety & Work-Life
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who initiates and maintains all PCF's
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AFIP Armed Forces Institute of Pathology
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A provider's curriculum vitae should remain current within what time?
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3 years
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What must be provided for proof of competence and letters of reference
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proof of competence: two letters of reference within one year. description of clinical privileges held from last 5 years
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Providers from other military service may use what instead of letters of reference
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OER and PARS
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national practitioner data bank query current within
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2 years
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PCF and their contents are class what security
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class 3
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how many sectioned folder
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6
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how to perform verification
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phone call, place all verification documents with their source documents in PCF section 6
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staff privileges reviewed
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every 3 years
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new providers submit written request for privileges how long beforeaccession
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45 days
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AFIP shall complete primary source verification and prepare portfolio within how long
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30 days(45 for foriegn grads)
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what database used for all applicants
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CCQAS
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provisional privileges are effective for
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one year
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PRC will evaluate full staff privileges every
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3 years
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providers will submit written privilege requests to CG-112 how long prior to renewal
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90 days
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Health Insurance Portability and Accountability (HIPAA) law was established?
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21 August 1996
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A member must complete HIPAA upon reporting within what time frame?
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within 30 days
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How long before your HIPAA is overdue due you have before you lose access to CHCS/PGUI and it is deactivated?
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90 days
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When is a members HIPAA training due?
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birth month
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complete how many QIS annually
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4
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qis step 1
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identify problem
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qis step 2
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gather info
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qis step 3
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develop solution
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qis step 4
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training
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qis step 5
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implement solution
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qis step 6
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report results
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qis step 7
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evaluate solution
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What is the qis report template form
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cg 6000-6
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During a peer review, clinic administrator selects how many records?
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10
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How long before peer review will cg-1122 contact clinic administrator?
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8 weeks
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How long before scheduled visit will peer review contact clinic?
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2 weeks
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