BUMEDINST 6010.23 Quality Assurance Program

Question 0

Naval Medical Department policy, procedures and responsibilities for naval DTFsashire and afloat were issued in 1987 and incorporated into this instruction in what year?

Answer 0

1989

Question 1

The Quality Assurance program was originally issued in what year to standardize QA activities within Naval Medical command MTFs?

Answer 1

1984

Question 2

Fixed MTFs and DTFs meeting applicable criteria must gain and maintain what by joint commission accreditation of healthcare organization?

Answer 2

Accreditation

Question 3

Routine AA program related documentation must be maintained in a secure location for a period of how many years before disposal?

Answer 3

5 years

Question 4

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

Answer 4

2 years

Question 5

Identifying, assessing, and decreasing risk to patients and staff are objectives of the QA program to reduce exposure to what?

Answer 5

Liability

Question 6

A review of the QA program effectiveness must be completed with revision as necessary every how often?

Answer 6

Annually

Question 7

What data elements are not required for those cases closed through administrative denial of payment or where the health care incident occurred before January 1, 1985?

Answer 7

Provider-specific

Question 8

Who may elect to have a fleet wide medical and dental QA program under the cognizance of the fleet medical and dental officer?

Answer 8

TYCOMS

Question 9

The naval school of health sciences in Bethesda Maryland will conduct how many educational workshops each year in the principles, components and management of QA programs for naval medical department personnel?

Answer 9

Two

Question 10

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

Answer 10

15 January

Question 11

Documents and records created per this instruction are medical QA materials and are therefore exempt from the requirements of what act?

Answer 11

Freedom of Information Act

Question 12

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

Answer 12

Clinical support staff

Question 13

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

Answer 13

Validation

Question 14

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

Answer 14

30

Question 15

What is the state in which there is a variance from pre-established minimally acceptable standards or care?

Answer 15

Deficiency

Question 16

What is an inpatient acquired infection not present or incubating at the time of admission?

Answer 16

Nosocomial Infection

Question 17

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

Answer 17

72

Question 18

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

Answer 18

Peer review

Question 19

The clinical performance profile provides a format for compiling and summarizing individual-specific information per what instruction?

Answer 19

BUMEDINST 6230.66

Question 20

The clinical performance profile is what type of document?

Answer 20

Internal

Question 21

MTF’s and DTF’s with guidance from highter authority must develop what type of programs?

Answer 21

Clinical monitoring

Question 22

All treatment facilities must fully integrate into their QA program Risk management procedures requiring review of cases and events that represent liability or injury risk to patients and staff and must recommend methods of decreasing what?

Answer 22

Liability Risk

Question 23

MTF’s and DTF’s will have what type of programs to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources?

Answer 23

Utilization Review

Question 24

Which committee is multidisciplinary and provides a forum for discussion and oversight of all nonmedical staff QA functions?

Answer 24

The QA

Question 25

An executive management team may perform the command QA committee function if it meets at least how often?

Answer 25

Monthly

Question 26

Who interprets department of defense, secretary of the navy, and CNO policies and provides guidance for Navy-wide QA program implementation?

Answer 26

BUMED

Question 27

BUMED submits a QA program summary report required by DoD Directive 6025.13 how often?

Answer 27

Annually

Question 28

What is a structured approach which continuously analyzes clinical and administrative process within pre-established boundaries using various analytic tables?

Answer 28

Continuous Quality Improvement

Question 29

Quality Assurance (QA) Program

Answer 29

BUMEDINST 6010.13