BUMEDINST 6010.13 Quality Assurance Flashcards
When was the QA program originally issued?
1984
What is the instruction for the Quality assurance program?
BUMEDINST 6010.13
Who does the QA program apply to?
Specifically, not ad
All health care personnel providing services in naval mtf and Dtf fixed and not fixed
Routine quality assurance program related documentation must be maintained in a secure location for how many years before disposal?
5
Quality assurance inquiries and medical records related to a potentially compensable event And a judge advocate general investigation must be maintained at a secure location at the local command for minimum of how many years ?
2 or as long as they are needed
What is utilization review?
MTFs and DTFs Will have utilization review programs to monitor resources use and to recommend ways to balance assigned Mission statements with existing healthcare resources
What are the 7 things that the QA and RM programs must review?
1) all malpractice claims
2) JAGMAN investigations
3) all potentially compensable event
4) management variances reports for non patient related events
5) results for all screenings
6) patient complaints or request
7) collecting, tracking, and trending patient satisfaction
Medical staff must monitor what 9 things for quality control?
1) quality and appropriateness of care
2) outcomes of monitors ie infection control
3) surgical case review
4) blood usage review
5) drug usage review
6) pharmacy and therapeutic review
7) medical record review
8) credentials review
9) practice volume data
What 5 things are dental staff required to monitor?
1) quality and appropriateness of care
2) outcomes of monitors ie infection control
3) dental record review
4) credentials review
5) practice volume data
What are nursing and administrative staff required to monitor?
1) quality and appropriateness of care
2) practice volume data
All inpatient fixed MTFs must have what 4 standing committees?
1) executive committee of medical staff
2) QA committee
3) safety committee
4) infection control committee
Who may perform the command QA committee functions as long as they meet at least monthly?
Executive management team
Who interprets DOD SECNAVINST, and CNO policies and provides guidance for navy wide QA program implementation?
BUMED
What three responsibilities to SMDRs, SDDRs, CO, and OIC have for the QA program?
1) implement an effective, flexible, integrated QA program with a plan.
2) if required maintain JACHO requirements
3) all PCE to military and civilian be maintained on site
Who/where will conduct two educational workshopped each year on QA?
Naval school of health sciences Bethesda md
