019-024 Flashcards

1
Q

Who requires that all active duty personnel attend in- and out-processing programs and that these programs include information on TRICARE benefits?

A

The DOD.

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2
Q

What type of briefing ensures that all members departing PCS obtain the most up-to-date information regarding the TRICARE benefit?

A

A medical out-processing brief.

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3
Q

What are some things that should be passed on to the gaining MTF?

A

Recent identification and/or clinical management efforts to control chronic disease condition, poorly controlled chronic disease conditions requiring regular, uninterrupted follow-up, current pregnancy or medical diagnoses requiring obstetrics follow-up, newborns with follow-up requirements, pending radiographic, laboratory, and pathologic specimens, and pending/incomplete referrals or referrals where a result has not been obtained.

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4
Q

What is the National Defense Authorization Act?

A

The Senate and House “instructions: to the DOD to change, add, or eliminate programs.

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5
Q

In the NDAA, what Title addresses health concerns?

A

Title VII, Healthcare Provision.

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6
Q

What are some factors that may affect implementation dates?

A

Funding, public reviews/comments, contract awards, and additional policy.

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7
Q

From the text, what is an example of data driven decisions?

A

Checking the weather in the morning to see if you need a jacket or umbrella, or going to see movies by considering the reviews and finding out what time a specific movie is playing.

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8
Q

What does the MHS use to assist with day-to-day activities?

A

Real time, or near real time, operational systems.

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9
Q

What is health informatics?

A

It is the study of resources and methods for managing health information.

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10
Q

What three basic elements describe the TOC?

A

Get data, process data, and display data.

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11
Q

What report answers “how many appointments were left unbooked?”

A

The Access to Care Appointment Utilization Report.

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12
Q

What are the categories the data metrics website is divided in to?

A

Ambulatory metrics, inpatient metric, clinical coding reports, DQ reports, WWR metrics, and Online help Documents Ambulatory Data Management.

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12
Q

What reports are available within the ADM module in CHCS?

A

Appointments with no ADM records by clinic, ADM patients with third party insurance, ADM compliance, ADM records with unresolved coding issues and interface transmission status of ADM record.

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13
Q

What system produces various non-standard reports that are not necessarily run on a consistent basis?

A

CHCS adhoc reports.

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14
Q

With whom do MTF commanders establish resource-sharing agreements?

A

MCS contractor.

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15
Q

What can the MCS contractor provide through resource sharing?

A

Personnel, equipment, equipment maintenance, and supplies.

16
Q

What allows the MCS contractor, through agreements with MTF commanders, to provide personnel, equipment, equipment maintenance, and supplies necessary to enhance the capability of the MTF to provide healthcare to TRICARE beneficiaries?

A

Resource sharing

17
Q

What is an alternative to resource sharing which provides additional flexibility to MTF commanders?

A

Resource support.

18
Q

Who makes a good faith effort to work with the contractor to execute sound resource sharing agreements?

A

MTF commanders.

19
Q

Why does the TRO perform periodic reviews of MTF and VA facility resource sharing agreements?

A

To ensure compatibility with agreements including VA facilities as network providers

20
Q

What acts and amendments must medical personnel comply with?

A

The Privacy Act, FOIA, HIPAA, Drug Abuse Offense and Treatment act, and Comprehensive Alcohol Abuse amendments.

21
Q

What is PII the acronym for and what is it?

A

PII is Personally Indefinable Information, which if lost, compromised or disclosed without authorization, could result in substantial harm, embarrassment, inconvenience, or unfairness to an individual.

22
Q

Medical records are maintained within a system of records protected by which act?

A

The Privacy Act.

23
Q

What form eliminates the need for a separate privacy act statement for each medical or dental document?

A

AF Form 560, Authorization and Treatment Statement.

24
Q

Relative to the release of medical information, what is the purpose of the DD Form 2005?

A

It serves as evidence that, as prescribed by the privacy act, the individual was informed of the purpose and uses of the information collected and was advised of his/her rights and obligations when providing their data.

25
Q

What must a FOIA request contain?

A

It must be in writing and must reasonably describe the record(s) the individual is looking for and it must indicate a willingness to pay fees associated with processing.

26
Q

What laws take precedence over other directives pertaining to access and release of medical information?

A

The drug and alcohol laws.

27
Q

Whenever you release information under the guidelines of the drug and alcohol abuse acts, what statement must accompany the disclosure?

A

“Prohibition on Redisclosure: This information has been disclosed to you from records whose Confidentiality is protected by federal law. Federal regulations prohibit you from making any further Disclosure of this information without the specific written consent of the person to whom it pertains. A General authorization for the release of the medical or other information is not sufficient for this purpose

28
Q

What is the purpose of HIPAA?

A

To improve the portability and continuity of health insurance coverage, improve access to long-term care services and coverage, and simplify the administration of healthcare.

29
Q

List the six requirements of the HIPPA Privacy Rule.

A

(1) Use of information, (2) acknowledgement of notice of privacy practices, (3) disclosure or release, (4) patient rights to access,(5) accounting of disclosure, and (6) restrictions on information.

30
Q

What are two of the HIPAA’s privacy officer responsibilities?

A

Any two of the following: (1) Develops policies and procedures for local implementation of the HIPAA Privacy regulation; (2) Ensures initial and refresher privacy training to all the MTF workforce; (3) Ensures continuous assessment, implementation, monitoring, and revision of the MTF HIPAA Privacy programs; (4) Coordinates on the review process for applicable MDG policies and procedures to ensure alignment with current HIPAA practices; (5) Establishes, recognizes and shares best practices relative to the management of the privacy of health information; (6) Ensures a mechanism is in place at the MTF for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization’s privacy policies and procedures in coordination and collaboration with other similar functions, and when necessary, legal counsel.

31
Q

Who must complete HIPAA training?

A

All MTF employees, and new commanders and first sergeants.

32
Q

What does the MHS use to explain how the patient PHI may be used and disclosed?

A

NoPP labels.