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HM Advancement > BUMEDINST 6300.19 Primary Care Services In Navy Medicine > Flashcards

BUMEDINST 6300.19 Primary Care Services In Navy Medicine Flashcards

1
Q

What does Patient-Centered Medical Home (PCMH) known as in the Navy?

A

Medical Home Port

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2
Q

What is the abbreviation NCQA?

A

National Committee on Quality Assurance

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3
Q

What are some things included in primary care?

A

Readiness, prevention wellness, behavioral health and disease management

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4
Q

What are the hallmarks of Navy Medicine Primary Care?

A

Quality, Safety and Readiness

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5
Q

What are the measures of success in the primary care environment?

A

Quality of care
Continuity
Enhanced access
Satisfaction of patients and staff

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6
Q

What organization has established nationally recognized standards for Patient-Centered Medical Home(PCMH)?

A

National Committee on Quality Assurance (NCQA)

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7
Q

When a commander/CO/OIC determines there clinic is in compliance with NCQA Level II, who do they request a recognition visit from?

A

Navy Medicine Regional Commander

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8
Q

When a Navy Medicine Regional Commander receives a request for assessment of compliance with NCQA Level II from one of their primary clinics, who do they forward it to?

A

Bureau of Medicine and Surgery

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9
Q

How many bookable hours must a provider have to be defined as a full time equivalent of 1.0?

A

36 bookable hours

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10
Q

What organization determines the hours Faculty members of Family Medicine training programs must spend in resident teaching and oversight?

A

Accreditation Council for Graduate Medical Education (ACGME)

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11
Q

The Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committee (RCC) mandates how many hours a year per faculty full time equivalent be spent in resident teaching, oversight, or other faculty related activities?

A

1400 hours

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12
Q

What is the empanelment range for every full time equivalent provider on the medical home port team?

A

1,100 patients minimum

do not exceed 1,300

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13
Q

What is the only exception in which a Medical Home Port clinic will see patient that is not enrolled to them?

A

newborns of enrolled patients who are less than 60 days old as well as foreign nationals or dignitaries

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14
Q

Students cannot be enrolled into a Medical Home Port clinic if they are on station less than how m any days?

A

179 days

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15
Q

How many privileged providers should a Medical Home Port team have?

A

3-5

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16
Q

When a Medical Home Port team consists of three providers, at least how many must be a physician?

A

one

17
Q

What is the maximum administrative discounts a Medical Home Port team consisting of 3 providers have for the entire provider team?

A

.75 FTE

18
Q

When a Medical Home Port team consists of 4-5 providers, at least how many must be a physician?

A

two

19
Q

What is the maximum administrative discounts a Medical Home Port team consisting of 4 providers have for the entire provider team?

A

1.0 FTE

20
Q

What is the maximum administrative discounts a Medical Home Port team consisting of 5 providers have for the entire provider team?

A

1.25 FTE

21
Q

Commands should strive to ensure at least what percentage of the provider team is made of civilians?

A

50%

22
Q

Who are considered Ancillary Nursing Personnel?

A

Licensed Practical Nurse
Hospital Corpsman
Certified Nursing Assistant
Medical Assistant

23
Q

How many Ancillary Nursing Personnel are required for each 1.0 FTE Provider?

A

2.5

24
Q

Who many Team Clinic Nurses are required for 1.0 FTE Providers?

A

0.5

25
Q

How many clerical staff are required for each 1.0 FTE Provider?

A

.75

26
Q

What is the recommended ration of Behavioral Health Providers?

A

1 per 7,500 enrollees

27
Q

Who are considered behavioral health providers?

A

Psychiatrist
Clinical psychologist
Licensed clinical social workers
Licensed professional counselors

28
Q

What is the recommended ration of Nurse Educator/Health Educator in a home port clinic?

A

1 per 7,500 enrollees

29
Q

What course should be completed prior to becoming a clinic manager?

A

Navy Medicine Manpower, Personnel, Training and Education (NM MPT&E)

30
Q

What are the four appointment types used in Medical Home Port?

A 
Acute Appointment Type (ACUT) /Open Access Appointment (OPAC)
Established Appointment Type (EST)
Wellness Appointment Type (WELL)
Procedure Type (PROC) /Specialty Type (SPEC)
31
Q

Which type of appointment is a patient seen within 24 hours/

A

(ACUT) Acute Appointment Type

32
Q

Which type of appointment is a patient seen on the same calendar day?

A

OPAC - Open Access Appointment

33
Q

What type of an appointment is the patient seen within a week?

A

(EST) - Established Appointment Type and WELL - wellness apointments

34
Q

What type of appointment is used for things like colposcopies, treadmill testing, vasectomies and are usually scheduled on the same day?

A

PROC - Procedure Type Appointments

SPEC - Specialty Type Appointments

35
Q

In the home port model, how many exam rooms per provider should there be?

A

Two exam rooms per provider

HM Advancement (8 decks)

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