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

Question 1

QA program issued in what year?

Answer 1

1984 (FUR)

Question 2

DTFs added to program in what year?

Answer 2

1989 (FIB)

Question 3

What must be gained by Joint Commission?

Answer 3

Accreditation

Question 4

Retain QA docs for how long?

Answer 4

5 yrs

Question 5

QA inquiries requiring JAGMAN retained how long?

Answer 5

2 yrs

Question 6

QA program reviewed how often?

Answer 6

Annually

Question 7

Clinical performance profile is what type of document?

Answer 7

Internal

Question 8

MTF/DTF must develop what?

Answer 8

Clinical monitoring

Question 9

MTF/DTF must recommend methods of decreasing?

Answer 9

Liability risk

Question 10

Program to monitor resource usage?

Answer 10

Utilization review

Question 11

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

Answer 11

The QA

Question 12

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

Answer 12

Monthly

Question 13

Interprets policies and provides guidance for QA program implementation?

Answer 13

BUMED

Question 14

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

Answer 14

Annually

Question 15

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

Answer 15

Provider-specific

Question 16

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

Answer 16

TYCOMS

Question 17

Bethesda will conduct how many annual workshops?

Answer 17

2

Question 18

Forward annual assessment by what date each year?

Answer 18

15 Jan

Question 19

Documents and records created per this instruction are exempt from?

Answer 19

Freedom of Information Act

Question 20

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

Answer 20

Clinical support staff

Question 21

Monitor outcome confirmed through peer review process?

Answer 21

Validation

Question 22

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

Answer 22

30

Question 23

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

Answer 23

72

Question 24

Analyze processes with pre-established boundaries using analytic tables?

Answer 24

Continuous Quality Improvement

Question 25

What is the instruction for the Quality Assurance Program?

Answer 25

BUMEDINST 6010.13

Question 26

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

Answer 26

All health care personnel providing services

Question 27

Name three main objectives of the QA program?

Answer 27

* 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

Question 28

Key element that makes the QA program effective?

Answer 28

Continuous Monitoring of the quality and appropriateness of health care

Question 29

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

Answer 29

Risk Management procedures

Question 30

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

Answer 30

* 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.

Question 31

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

Answer 31

Officer in Charge of Naval Healthcare Support Offices

Question 32

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

Answer 32

Assistant Secretary of Defense (Health Affairs) (ASD/HA) National Practitioner Data Bank created by P.L. 99-660

Question 33

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

Answer 33

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

Question 34

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

Answer 34

BUMED

Question 35

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

Answer 35

Fleet Commanders in Chief