BUMEDINST 6010.13 Flashcards
When was the QA program originally issued?
1984
What is BUMEDINST 6010.13
Quality Assurance Program
Naval DTF’s ashore and afloat were issued and incorporated when?
1987 and 1989
How long are routine QA program documentation kept?
5 years in a secure location
PCE and JAGMAN related documents must be kept for how long?
minimum 2 years in a secure location
Inpatient fixed MTF’s must have what commitees?
ECOMS
QA
SAFETY
INFECTION CONTROL
Naval school of health sciences, Bethesda, MD conducts how many QA workshops a year?
Two
Fixed MTF’s and DTF’s must forward an annual assessment when?
15th of January every year to BUMED
TYCOM must forward an annual assessment when?
15th of January to BUMED
An infection is considered nosocomial when?
becomes apparent after 72hours of admission
What is the case abstract for malpractice claims instruction sheet?
DD 2526
DD 2526 is forwarded to who and within how many days?
MED-3C4
30 days
MTF’s and DTF’s will have what program to monitor resources?
Utilization review
Executive management team meets how often?
Monthly
Identifying, assessing and decreasing risk to patients and staff reduces exposure to what?
Liabillity
Medical record is delinquent if record is not complete within how many days of discharge?
30
Documents and records created through QA are exempt from what?
Freedom of Information Act
Who interprets DoD, SECNAV and CNO policies for QA implementation?
BUMED
MTF’s and DTF’s must develop what program?
Clinical monitoring
Review of QA program effectiveness must completed how often?
Annually
Process in which practitioners of the same or like discipline evaluate QA program activities?
Peer review
Personnel who are required to be licensed but are not health care practitioners?
clinical support staff
What data elements are not required for cases before January 1, 1982?
provider-specific
Clinical performance profile is under what instruction?
BUMEDINST 6320.66
What is confirmed outcome from peer review process?
validation
Structured approach that continuously analyzes clinical and administrative process?
continuous quality improvement
Clinical performance profile is what kind of document?
internal
BUMED submits QA summary report how often?
annually
Who may elect to have medical and dental QA programs?
TYCOMS
Which committee is multidiciplinary?
QA
What is the state in which there is a variance of acceptable care?
deficiency