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23 Cards in this Set
- Front
- Back
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The Quality Assurance Program was originally issued in what year to standarized QA activities within Naval Medical Command MTF's? |
1984
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MTF's and DTF's will have what type of programs to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources? |
Utilization Review
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An executive management team may perform the command QA commitee function if it meets at least how often? |
Monthly
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BUMED submits a QA program summary report required by DOD directive 6025.13 how often? |
Annually
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Who interprets department of defense (DOD), Secretary of the Navy (SECNAV), and (CNO) policies and pprovides a guidence for Navy -Wide QA program implementation? |
BUMED
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An infection is considered nosocomial if it first becomes apparent how many hours (or more) after admission? |
72
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MTFs and DTFs (claimancy 18 only) must forward an annual assesment of the preceeding fiscal year's QA program to MED-3C4 with a copy to cognizant responsible line commander and HLTHCARE SUPPO to reach BUMED by what date of each year? |
15 January
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QA inquiries and medical records related to a potentially copensable 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? |
2
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Who may elect to have fleet-wide medical and dental QA program under the cognizance of the fleet medical and dental officer? |
TYCOMS
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What is the state in which there is a variance from preestablished minimally acceptable standards of care?
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Deficency
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Which commitee is multidisciplinary and provides a forum for discussion and oversight of all non-medical staff QA functions? |
QA
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Identifying, asseessing, and decreasing risk to patients and staff are objectives of the QA program to reduce exposure to what? |
Liability
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What is an inpatient acquired infection not present/ incubating at the time of admission? |
Nosocomial infection
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who are personnel who are required to be licensed but are not included in the definition of health care practitioners? |
Clinical Support staff
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A medical record is considered delinquent if all required record components are not completed within how many days of patient discharge? |
30
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Routine QA program-related documentation must be maintained in a secure location for a period of how many years before disposal? |
5
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What is a structured approach which continuously analyzes pre-established boundaries using various analytic tables? |
Continuous Quality Improvement
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Naval Medical Department policy, preocedures, and responsibilities for naval DTF's ashore and afloat were issued in 1987 and incorporated into this instruction in what year? |
1989
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What is the process by which practitioners of the same or like discipline evaluate the outcomes of QA Program-related monitoring activities |
Peer Review
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All Treatment Facilities must fully integrate into their QA Program risk management procedures requiring review of cases and events that represent liability or injury risk to patients and staff, and must recommend methods of decreasing what? |
Liabilty Risk
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The Naval school of health sciences in Bethesda, MD, will conduct how many educational workshops each year in the principles, components, and manage- department personnel? |
TWO
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The Clinical performance profile is what type of document? |
Internal
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What data elements are not required for those cases closed through administative denial of payment or where the health care incident occurred before January 1, 1985? |
Provider-Specific |
