228-232

Question 1

Match the description of items from part 2 of AF Form 560 listed in column A with the item listed in column B. Column B items may be used once or not at all.

Column A

Answer 1

Administrative data.

Question 2

What is used as the source document for entering admission information into the CHCS?

Answer 2

AF Form 560

Question 3

Match the description of items from part 2 of AF Form 560 listed in column A with the item listed in column B. Column B items may be used once or not at all.

Leave this item blank until provided an appropriate entry by the CHCS.

Answer 3

Register number.

Question 4

Match the description of items from part 2 of AF Form 560 listed in column A with the item listed in column B. Column B items may be used once or not at all.

Enter “NB” for an infant born in your MTF.

Answer 4

Age.

Question 5

Match the description of items from part 2 of AF Form 560 listed in column A with the item listed in column B. Column B items may be used once or not at all.

The term “DIS” (Disease) is used in this item.

Answer 5

Type of case.

Question 5

Match the description of items from part 2 of AF Form 560 listed in column A with the item listed in column B. Column B items may be used once or not at all.

Enter whether or not the patient has private insurance coverage.

Answer 5

Administrative data.

Question 6

Who completes the circled items found on the AF Form560?

Answer 6

Admitting health care provider.

Question 7

What type of case should be entered in item 8 of the AF Form 560 for a female patient being admitted for pregnancy?

Answer 7

DIS

Question 8

What rank should be entered into item 11 of the AF Form 560 for an OSI agent?

Answer 8

AB

Question 9

What is CHCS?

Answer 9

An automated information system designed to support the administration and delivery of health care

Question 10

What external computer system does CHCS communicate with to process patient eligibility inquiries?

Answer 10

DEERS

Question 11

What CHCS subsystem supports admissions, dispositions, and transfers?

Answer 11

PAD

Question 12

What is the purpose of the “Cancel ADT transactions” option?

Answer 12

To cancel admissions to, and transfers or dispositions from, inpatient units

Question 13

What is an “AD HOC” report?

Answer 13

Reports tailored to meet a specific purpose

Question 14

What letter does the CHCS produce each time an active duty patient is admitted as an inpatient?

Answer 14

CHCS admission notification letter

Question 15

Who receives the CHCS admission notification letter?

Answer 15

Active duty patients’ commander

Question 16

Which CHCS report lists admissions, dispositions change of status, newborns, and interward transfers occurring in a given 24-hour period?

Answer 16

Admissions and dispositions report

Question 17

What items in the admission package may accompany the patient to the inpatient unit?

Answer 17

The AF Form 560; pertinent information from clinic services, one index card, AF Form 577, the patient’s outpatient record, embossed card, other pertinent information as requested, inpatient records from the previous MTF when the patient is admitted by transfer and a patient ID bracelet.

Question 18

Describe the contents of the master index of patients.

Answer 18

It’s an index card file containing an active and inactive section. The active section contains cards for all hospital patients currently under treatment; the inactive section contains cards on patients that are no longer under treatment in the MTF (discharged).

Question 18

What is the purpose of the patient suspense file?

Answer 18

It is a working file for all documents, communications, or administrative actions affecting the patient during their hospitalization. It serves as a file for inpatient records while patients are absent from the MTF as part of their treatment, on leave, etc., and as a follow-up file to ensure administrative actions are carried out promptly when required

Question 19

What is the patient control file?

Answer 19

It serves as an inventory of patients covering a 24-hour period (0001 through 2400) and indicates which patients are bed occupants, subsisting out, on leave, AWOL, nonmilitary hospital patients etc.

Question 20

Who must be notified whenever a military patient is admitted to the hospital? How is this notification made?

Answer 20

The member’s unit commander; contacting the member’s squadron by telephone or priority electrical message or by sending the CHCS generated notificationletter

Question 21

Who assumes medical administrative responsibility of an active duty Air Force member admitted to a nonmilitary hospital?

Answer 21

The commander of the nearest Air ForceMTF.

Question 22

What information is needed when an active duty member is admitted to a nonmilitary hospital?

Answer 22

The patient’s full name, grade, SSN, unit, duty station, and exact location; the name and telephone number of the attending physician; date and time of admission; status (leave, pass, etc.); circumstances surrounding the admission; diagnosis, present condition, and prognosis; the earliest date that the patient may be transferred to a military MTF.

Question 23

On preadmission cases, which blocks are left blank when completing part 1 of AF Form 560?

Answer 23

The register number, time, and date of admission.

Question 24

When an active duty patient is to be hospitalized over 90 days, what organization should be notified?

Answer 24

The individual’s MPF.

Question 25

Who has the responsibility for accepting patient valuables?

Answer 25

MDG/CC.

Question 26

Who normally performs the actual duties associated with patient valuables?

Answer 26

Patient valuables custodian (primary and/or alternate).

Question 27

What does the term “valuables”mean?

Answer 27

Cash, jewelry, and other articles of a similar nature.

Question 28

How often is an inspection of patient valuables conducted?

Answer 28

Monthly.

Question 29

For what purposes are the following forms used:
AF Form 1053.

Answer 29

Used as a log of each patient who has deposited valuables.

Question 30

What criteria does the MDG/CC use to appoint an individual to perform an inspection of patient valuables?

Answer 30

NCO in the grade of E–5 or above, a civilian with comparable grade, or anofficer.

Question 31

For what purposes are the following forms used:
AF Form 1052.

Answer 31

To store small valuables such as jewelry, or cash etc. that will fit into it and a record of all valuables being deposited.

Question 33

For what purposes are the following forms used:
DD Form 599.

Answer 33

A tag attached to each item that cannot be placed in the AF Form1052.