BUMED 6010.13 Quality Assurance Program Flashcards
who interprets DoD, SECNAV and CNO policies as well as provides guidance for Navy-Wide QA program implementation
Chief, BUMED
What is the formal and systematic exercise of monitoring and reviewing medical care and outcome called
Quality Assurance
An infection is considered nosocomial if it first becomes apparent within how many hours or more after admission
72
What state occurs when there is a variance from pre-established minimally acceptable standards of care
Deficiency
How often should the QA program be reviewed for effectiveness and be revised as necessary
Annually
What is the process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities
Peer Review
What personnel are required to be licensed but are not included in the definition of health care practitioners
Clinical Support Staff
What program will MTF and DTFs have to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources
Utilization Review
By what date of each year must and DTFs forward annual assessment of preceding fiscal year’s QS program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO
Jan 15
may must routine QA program-related documentation be maintained in a secure location prior to disposal
5
How often must QA program summary reports be submitted by the Chief, BUMED
Annually
How many ECOMS are there per individual privileging authority
1
A medical records is considered delinquent if all required record components are not completed within how many days of patient dischard
30
QA inquiries and medical records related to a potentially compensable event (PCE) and JAGMAN investigations must be maintained in a secure location at the local command for a min of how many years or as long as needed thereafter
2
What is an event or outcome during the process of a medical or dental care in which the patient suffers a lack of improvement, injury or illness of severity greater than ordinarily experienced by patients with similar procedures or illnesses
PCE
What year was the QA program originally issued to standardize QA activities within Navy Medical Commmand MTF’s
1984
MTF’s meeting the criteria for participation in the Joint Commission survey process must maintain accreditation per what reference
BUMEDINST 6000.2D
What multidisciplinary committee is required when there is more than a single professional discipline providing patient care within the facility or type command under cognizance of a single privileging authority
QA Committee
What is a determination concerning a monitor outcome confined through the peer review process
Validation
How many education workshops are conducted by the Naval School of Health Sciences located in Bethesda, MD each year in the principles, components and management of QA programs for naval medical department personnel
2
What type of infection is an inpatient acquired infection that was not present or incubated at the time of admission
Nosocomial
Medial and Dental QA programs support credentials review and privileging activities per what reference
BUMEDINST 6320.66
What must fixed MTF and DTF’s that meet the applicable criteria gain and maintain accreditation by
JCAHO
