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*** OCCUPATIONAL REFERENCES - SEPT 2014 *** > ***2019*** BUMEDINST 6010.13 QUALITY ASSURANCE (QA) PROGRAM > Flashcards

***2019*** BUMEDINST 6010.13 QUALITY ASSURANCE (QA) PROGRAM Flashcards

1
Q

QA program issued in what year?

A

1984 (FUR)

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2
Q

DTFs added to program in what year?

A

1989 (FIB)

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3
Q

What must be gained by Joint Commission?

A

Accreditation

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4
Q

Retain QA docs for how long?

A

5 yrs

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5
Q

QA inquiries requiring JAGMAN retained how long?

A

2 yrs

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6
Q

QA program reviewed how often?

A

Annually

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7
Q

Clinical performance profile is what type of document?

A

Internal

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8
Q

MTF/DTF must develop what?

A

Clinical monitoring

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9
Q

MTF/DTF must recommend methods of decreasing?

A

Liability risk

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10
Q

Program to monitor resource usage?

A

Utilization review

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11
Q

Multidisciplinary committee provides forum for discussion and oversight of nonmedical staff functions?

A

The QA

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12
Q

Executive management may perform command QA committee if they meet how often?

A

Monthly

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13
Q

Interprets policies and provides guidance for QA program implementation?

A

BUMED

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14
Q

BUMED submits QA summary report required by DoD directive 6025.13 how often?

A

Annually

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15
Q

Data elements not required for cases closed before Jan 1, 1985

A

Provider-specific

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16
Q

Who may elect to have fleet-wide medical and dental QA program under the cognizance of the fleet medical and dental officer?

A

TYCOMS

17
Q

Bethesda will conduct how many annual workshops?

A

2

18
Q

Forward annual assessment by what date each year?

A

15 Jan

19
Q

Documents and records created per this instruction are exempt from?

A

Freedom of Information Act

20
Q

Personnel required to be licensed but not included in the definition of health care practitioners?

A

Clinical support staff

21
Q

Monitor outcome confirmed through peer review process?

A

Validation

22
Q

Med record delinquent if not complete after how many days of Pt discharge?

A

30

23
Q

Nosocomial must be apparent how many hrs or more after admission?

A

72

24
Q

Analyze processes with pre-established boundaries using analytic tables?

A

Continuous Quality Improvement

25
Q

What is the instruction for the Quality Assurance Program?

A

BUMEDINST 6010.13

26
Q

Who is held accountable for the implementation of the QA Program within Naval Medical and Dental Treatment Facilities?

A

All health care personnel providing services

27
Q

Name three main objectives of the QA program?

A
  • exposes areas of the command and patient care that need improvement
  • it identifies areas of education and training needed by health care providers
  • affords providers the opportunity to comply with JCAHO
28
Q

Key element that makes the QA program effective?

A

Continuous Monitoring of the quality and appropriateness of health care

29
Q

What set of procedures must all treatment facilities fully integrate into their QA program?

A

Risk Management procedures

30
Q

four examples of Potentially Compensable Events (PCE) for Medical and Dental treatment facilities.

A
  • Death including suicide
  • Any complication of treatment resulting in: brain damage, sensory nerve damage, or loss of a limb
  • Inadvertent blood transfusion with HIV or hepatitis virus contaminated blood
  • Procedure preformed on the wrong patient or body part including wrong tooth extracted.
31
Q

Provides technical support and assistance for QA related issues and recommending corrective action JCAHO requirements?

A

Officer in Charge of Naval Healthcare Support Offices

32
Q

After BUMED reviews (PCEs) and malpractice claims, data is abstracted and reported to what two places?

A

Assistant Secretary of Defense (Health Affairs) (ASD/HA)

National Practitioner Data Bank created by P.L. 99-660

33
Q

What DD Form does MED-3C4 use to report closed malpractice claims to the Assistant SECDEF (Health Affairs) (ASD/HA)?

A

DD 2526 (notch) Case Abstract for Malpractice Claims instruction sheet

34
Q

Who is responsible for maintaining a Risk Management Database (RMDB)?

A

BUMED

35
Q

Who ensures that subordinate commanders comply with the Quality Assurance Program, BUMEDINST 6010.13?

A

Fleet Commanders in Chief

*** OCCUPATIONAL REFERENCES - SEPT 2014 *** (32 decks)

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