BUMEDINST 6300.19 Primary Care Services In Navy Medicine Flashcards
What does Patient-Centered Medical Home (PCMH) known as in the Navy?
Medical Home Port
What is the abbreviation NCQA?
National Committee on Quality Assurance
What are some things included in primary care?
Readiness, prevention wellness, behavioral health and disease management
What are the hallmarks of Navy Medicine Primary Care?
Quality, Safety and Readiness
What are the measures of success in the primary care environment?
Quality of care
Continuity
Enhanced access
Satisfaction of patients and staff
What organization has established nationally recognized standards for Patient-Centered Medical Home(PCMH)?
National Committee on Quality Assurance (NCQA)
When a commander/CO/OIC determines there clinic is in compliance with NCQA Level II, who do they request a recognition visit from?
Navy Medicine Regional Commander
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?
Bureau of Medicine and Surgery
How many bookable hours must a provider have to be defined as a full time equivalent of 1.0?
36 bookable hours
What organization determines the hours Faculty members of Family Medicine training programs must spend in resident teaching and oversight?
Accreditation Council for Graduate Medical Education (ACGME)
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?
1400 hours
What is the empanelment range for every full time equivalent provider on the medical home port team?
1,100 patients minimum
do not exceed 1,300
What is the only exception in which a Medical Home Port clinic will see patient that is not enrolled to them?
newborns of enrolled patients who are less than 60 days old as well as foreign nationals or dignitaries
Students cannot be enrolled into a Medical Home Port clinic if they are on station less than how m any days?
179 days
How many privileged providers should a Medical Home Port team have?
3-5
When a Medical Home Port team consists of three providers, at least how many must be a physician?
one
What is the maximum administrative discounts a Medical Home Port team consisting of 3 providers have for the entire provider team?
.75 FTE
When a Medical Home Port team consists of 4-5 providers, at least how many must be a physician?
two
What is the maximum administrative discounts a Medical Home Port team consisting of 4 providers have for the entire provider team?
1.0 FTE
What is the maximum administrative discounts a Medical Home Port team consisting of 5 providers have for the entire provider team?
1.25 FTE
Commands should strive to ensure at least what percentage of the provider team is made of civilians?
50%
Who are considered Ancillary Nursing Personnel?
Licensed Practical Nurse
Hospital Corpsman
Certified Nursing Assistant
Medical Assistant
How many Ancillary Nursing Personnel are required for each 1.0 FTE Provider?
2.5
Who many Team Clinic Nurses are required for 1.0 FTE Providers?
0.5
How many clerical staff are required for each 1.0 FTE Provider?
.75
What is the recommended ration of Behavioral Health Providers?
1 per 7,500 enrollees
Who are considered behavioral health providers?
Psychiatrist
Clinical psychologist
Licensed clinical social workers
Licensed professional counselors
What is the recommended ration of Nurse Educator/Health Educator in a home port clinic?
1 per 7,500 enrollees
What course should be completed prior to becoming a clinic manager?
Navy Medicine Manpower, Personnel, Training and Education (NM MPT&E)
What are the four appointment types used in Medical Home Port?
Acute Appointment Type (ACUT) /Open Access Appointment (OPAC) Established Appointment Type (EST) Wellness Appointment Type (WELL) Procedure Type (PROC) /Specialty Type (SPEC)
Which type of appointment is a patient seen within 24 hours/
(ACUT) Acute Appointment Type
Which type of appointment is a patient seen on the same calendar day?
OPAC - Open Access Appointment
What type of an appointment is the patient seen within a week?
(EST) - Established Appointment Type and WELL - wellness apointments
What type of appointment is used for things like colposcopies, treadmill testing, vasectomies and are usually scheduled on the same day?
PROC - Procedure Type Appointments
SPEC - Specialty Type Appointments
In the home port model, how many exam rooms per provider should there be?
Two exam rooms per provider
