BUMEDINST 6010.13

Question 1

BUMEDINST 6010.13

Answer 1

QUALITY ASSURANCE (QA) PROGRAM

Question 2

What year was the QA program originally issued to standardize QA activities within Naval Medical Command MTF’s?

Answer 2

1984

Question 3

What must fixed MTFs and DTFs that meet the applicable criteria gain and maintain accreditation by?

Answer 3

JCAHO

Question 4

How many years must routine QA program-related documentation be maintained in a secure location prior to disposal?

Answer 4

5

Question 5

QA inquiries and medical records related to a potentially compensable event (PCE) and Judge Advocate General (JAGMAN) investigations must be maintained in a secure location at the local command for a minimum of how many years or as long as needed thereafter?

Answer 5

2

Question 6

Medical and Dental QA programs support credentials review and privileging activities following what reference?

Answer 6

BUMEDINST 6320.66

Question 7

How often should the QA program be reviewed for effectiveness and be revised as necessary?

Answer 7

Annually

Question 8

What programs will MTF and DTFs have to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources?

Answer 8

Utilization Review (UR)

Question 9

How many ECOMS are there per individual privileging authority?

Answer 9

One

Question 10

What multidisciplinary committee is required when there is more than a single professional discipline providing patient care within the facility or type command under the cognizance of a single privileging authority?

Answer 10

QA Committee

Question 11

Who interprets DoD, SECNAV, and CNO policies as well as provides guidance for Navy-wide QA program implementation?

Answer 11

Chief, BUMED

Question 12

How often must the Chief, BUMED submit a QA program summary report?

Answer 12

Annually

Question 13

MTFs meeting the criteria for participation in the Joint Commission survey process must maintain accreditation per what reference?

Answer 13

BUMEDINST 6000.2D

Question 14

How many educational 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?

Answer 14

2

Question 15

By what date of each year must MTFs and DTFs (claimancy 18 only) forward an annual assessment of the preceding fiscal year’s QA program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO?

Answer 15

January 15th

Question 16

What personnel are required to be licensed but are not included in the definition of health care practitioners?

Answer 16

Clinical Support Staff

Question 17

What is a determination concerning a monitor outcome confirmed through the peer review process?

Answer 17

Validation

Question 18

A medical record is considered delinquent if all required record components are not completed within how many days of patient discharge?

Answer 18

30

Question 19

What state occurs when there is a variance from pre-established minimally acceptable standards of care?

Answer 19

Deficiency

Question 20

What type of infection is an inpatient acquired infection that was not present or incubated at the time of admission?

Answer 20

Nosocomial

Question 21

An infection is considered nosocomial if it first becomes apparent within how many hours or more after admission?

Answer 21

72

Question 22

What is the process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities?

Answer 22

Peer review

Question 23

What is an event or outcome during the process of 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?

Answer 23

PCE

Question 24

What is the formal and systematic exercise of monitoring and reviewing medical care and outcome called?

Answer 24

Quality Assurance