BUMEDINST 6010.13 - Quality Assurance (QA) Program Flashcards

0
Q

Who does Quality Assurance apply to?

A

All health care personnel providing services in naval MTFs and DTFs, fixed and non-fixed.

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1
Q

What is the instruction for Quality Assurance (QA) Program?

A

BUMEDINST 6010.13

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2
Q

Who must participate in ongoing monitoring and evaluation processes designed to assess the quality and appropriateness of the services they provide?

A

All active duty (ACDU), Reserve and civilian medical and dental personnel.

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3
Q

Who must fixed MTFs and DTFs gain and maintain accreditation from?

A

Joint Commission on Accreditation of Healthcare Organization (Joint Commission, JCAHO).

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4
Q

How many years does routine Quality Assurance program related documentation must be maintained in a secure location before disposal?

A

5 years.

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5
Q

How many years does Quality Assurance (QA) inquiries, 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

A minimum of 2 years or as needed.

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6
Q

Medical staff functions are under the direction of who?

A

Executive Committee of the Medical Staff (ECOMS)

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7
Q

Who are the Dental Staff functions under the direction of?

A

Executive Committee of Dental Staff (ECODS)

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8
Q

Nursing staff and administrative staff functions are under the direction of?

A

Command Quality Assurance (QA) Committee

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9
Q

Who’s responsibility is it to interpret Department of Defense (DoD), Secretary of the Navy (SECNAV) and CNO policies and provides guidance for Navy-wide Quality Assurance program implementation?

A

Chief, Bureau of Medical and Surgery (BUMED)

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10
Q

Who ensures that subordinate commanders comply with the Quality Assurance (QA) program?

A

Fleet Commanders in Chief (FLTCINCs)

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11
Q

Who may elect to have a fleet-wide medical and dental Quality Assurance (QA) program under the cognizance of the fleet medical and dental officer?

A

Type Commanders (TYCOM)

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12
Q

Who’s responsibility is it to implement an effective, flexible, integrated and comprehensive Quality Assurance (QA) program, guided by a written plan?

A

Commanding Officers, Officers in Charge and Senior Medical and Dental Department Representative of Treatment Facilities.

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13
Q

Who conducts two educational workshops each year in the principle, components, and management of Quality Assurance (QA) program for naval Medical Department personnel?

A

Naval School of Health Sciences, Bethesda, MD

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14
Q

What date must fixed MTFs and DTFs forward an annual assessment of the preceding fiscal year’s Quality Assurance (QA) program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO to reach BUMED by?

A

15 January of each year

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15
Q

Who does TYCOM forward a copy to reach BUMED of the annual assessment of the preceding QA program to by 15 January?

A

Submit original to MED-3C4 and copies to the cognizant FLTCINC and HLTHCARE SUPPO to reach BUMED

16
Q

Who submits case abstract for malpractice claim to MED-3C4 for each Potentially Compensable Event (PCE) review that is required or JAGMAN investigation initiated?

A

Commanding Officers, Officers in Charge and Senior Medical and Dental Representatives of Treatment Facilities

17
Q

What is the assigned report control symbol for risk management case review and malpractice information reports?

A

DD-HA (AR) 1782 (6010)

18
Q

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

A

30 days

19
Q

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

A

72 hours

20
Q

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 illness?

A

Potentially Compensable Event (PCE, Adverse Event)

21
Q

What is the formal and systematic exercise of monitoring and reviewing medical care delivery and outcome; designing activities to improve health care and overcome identified deficiencies in providers, facilities, or support systems?

A

Quality Assurance (QA)

22
Q

Who’s goal is to improve efficiency and effectiveness of such process by addressing and eliminating special cause variations, eliminating non-value added steps, identifying and solving process problems, and making other carefully planned and tested changes to reduce overall process variation?

A

Continuous Quality Improvement (CQI)

23
Q

What form is the case abstract for malpractice claims?

A

DD 2526

24
Q

How many days must cognizant treatment facilities forward the DD2526 to MED-3C4?

A

30 days of the event for all PCEs.

25
Q

Who are committed in providing the highest quality medical and dental care to DON beneficiaries?

A

Chief of Naval Operations (CNO) and the Commandant of the Marine Corps (CMC)

26
Q

What instruction and form is the BUMEDINST 6010.13 canceling?

A

NAVMEDCOMINST 6010.6 and NAVMED 6010/20

27
Q

The QA program was originally issued to standardize all medical treatment facilities. In what year was the QA program originally issued?

A

1984

28
Q

Naval medical policy, procedures and responsibilities for DTFs were issued in ____ (what year) and they were incorporated into the QA program in ______ (what year)?

A

1987 and 1989