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Corpsman Instructions > BUMEDINST 6300.19 - Primary Care Services in Navy Medicine Current > Flashcards

BUMEDINST 6300.19 - Primary Care Services in Navy Medicine Current Flashcards

1
Q

What has the mission of providing Force Health Protection and supporting the medical needs of the Navy and Marine Corps Team across the entire spectrum of operations?

A

Navy Medicine

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2
Q

What is the foundation on which Force Health Protection is built?

A

Primary Care services

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3
Q

What will PCMH be known as in Navy Medicine?

A

Medical Home Port

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4
Q

Oversight of this instruction will be provided by three Navy Medicine clinical Region Commanders, reporting implementation progress and subsequent performance to the Bureau of medicine and Surgery (BUMED) M3/5 on what basis?

A

Monthly

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5
Q

All primary care clinics in Navy Medicine will have transitioned to the Medical Home Port model by what date?

A

June 30th, 2011

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6
Q

Who will act as the resource sponsor for all resource requirements necessary to fully implement Medical Home Port?

A

Deputy Chief, BUMED, Resource Management (M8)

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7
Q

Who will lead a diverse, multidisciplinary team in the implementation, monitoring, and assessment of Medical Home Port?

A

MTF Clinical Champion

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8
Q

Who will identify board members to augment National Committee for Quality Assurance (NCQA) site surveyors to assist in site evaluation for recognition by NCQA and compliance with the standards in BUMEDINST 6300.19?

A

Chairman, Primary Care Advisory Board

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9
Q

What is an integrated, comprehensive, continuous way of meeting the health care needs of patients by the Navy Medicine Team?

A

Navy Medicine Primary Care

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10
Q

What is Navy Medicine’s new model of primary care services?

A

Medical Home Port

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11
Q

What has established nationally recognized standards for PCMH?

A

National Committee for Quality Assurance (NCQA)

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12
Q

It is expected that all Medical Home Port locations will attain recognition for Level I within how many months of establishing a Medical Home Port clinic?

A

Four

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13
Q

Once achieving National Committee for Quality Assurance (NCQA) Level I recognition through a self-assessment, Medical Home Port clinics have an additional how many months to achieve NCQA Level II recognition?

A

6

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14
Q

A clinician who is available for how many fully bookable hours each week shall be defined as a full time equivalent of 1.0?

A

36

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15
Q

Family Medicine Training Program Faculty members are required to comply with the requirements of the Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committee (RRC) mandate of how many hours per faculty full time equivalent per year spent in resident teaching, oversight, or other faculty-related activities, exclusive of other patient care responsibilities?

A

1400

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16
Q

New hiring actions to support Medical Home Port are not authorized unless specifically approved by whom?

A

Navy Medicine Region Commander

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17
Q

BUMED strongly recommends that providers should realize 1,100 patients is the minimum, but not to exceed how many patients, for every full time equivalent provider on the Medical Home Port Team for patient empanelment?

A

1,300

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18
Q

CNO guidance specifies that MTFs cannot enroll students who are assigned to that command for less than how many days?

A

179

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19
Q

Closed panel. Once NCQA recognition is attained, then that Medical Home Port clinic will serve a closed panel. They will only be responsible for meeting the needs of their enrolled patients. Medical Home Port clinics will not be responsible for the patients of other providers outside their clinic or non-enrolled patients. Who are the only exceptions?

A

Newborns of enrolled patients who are less than 60 days old and are awaiting TRICARE enrollment, as well as, foreign nationals or dignitaries

20
Q

Each Medical Home Port team will consist of how many privileged providers?

A

3-5

21
Q

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

A

One

22
Q

When a Medical Home Port provider team consists of five providers the team will have no more than what total of administrative discounts?

A

1.25

23
Q

What percentage of civilians should command strive to ensure that each Medical Home Port provider team consists of?

A

50%

24
Q

Each Medical Home Port team shall have one Behavioral Health Provider for every how many enrollee’s?

A

7,500

25
Q

Who serves as the care manager for assigned patients to coordinate care and other necessary services to meet the needs of the patient, as determined by the patient’s primary care provider?

A

RN

26
Q

As a general rule, commanders, COs, and OICs will make every effort to not rotate Medical Home Port Team Nurses for a minimum of how many years?

A

One

27
Q

Who is responsible for the care, career progression, and Sailorization of enlisted personnel in the primary care department of which the Medical Home Port clinic is a part?

A

SEL

28
Q

Who facilitate patient check-in, verification of DEERs eligibility and collection of other Health Insurance Information?

A

Clerical Staff

29
Q

What is the recommended ratio of behavioral health providers to enrolled patients?

A

1:7,500

30
Q

In general, one Nurse Educator can serve the needs of approximately how many patients?

A

7,500

31
Q

In general, one case manager can meet the needs of approximately how many patients?

A

7,200

32
Q

Who provide advice on diet, food , and nutrition?

A

Nutritional Supports

33
Q

How many types of appointments will be used in Medical Home Port clinics?

A

Four

34
Q

Acute Appointment Types (ACUT) appointment types are for patients to be seen within what time frame?

Open Access Appointment Type (OPAC) is the same as ACUT, but patients are seen when?

A

24 hours

Same Day

35
Q

Established Appointment Types (EST) appointments are for patient to be seen within what time frame?

A

One week

36
Q

All Wellness Appointments Types (WELL) are only used for patient wellness visits and provisions of preventative services. This type of appointment will be seen within what time frame?

A

One week

37
Q

Primary care providers that routinely perform minor outpatient procedures on their patients are booked under what type of appointment?

A

Procedure Type Appointment (PROC) or Specialty Type Appointments (SPEC)

38
Q

What two factors will be considered when deciding which appointment type to use?

A

Medical acuity and Patient desires

39
Q

Civilian experience suggests that what percent of patients requesting a primary care appointment will desire a same day appointment?

A

50%

40
Q

Medical Home Port clinics that attain what recognition will no longer be subject to traditional productivity-based PPS incentives, but will be judged on access, quality, outcome, and other related measures?

A

National Committee on Quality Assurance (NCQA) Level II

41
Q

What type of offices are used for providers, nurses, support staff, as well as associated rooms for treatment or private consultation?

A

Combined offices (PODS)

42
Q

How many exam rooms per provider is required?

A

2

43
Q

All primary care providers participating in a Medical Home port clinic shall be a member of the Medical Home Port clinic team of how many providers?

A

3-5

44
Q

BUMED strongly recommends that providers realize 1,100 patients is the minimum, but not to exceed how many patients for every provider or full time equivalent?

A

1,300

45
Q

Enrolled patients calling for an appointment and requesting to be seen the same day will be seen that same day by a member of the Medical Home Port team. All other patients will be seen within how many days unless they specifically request a later appointment or it would be medically inappropriate for them to wait that long?

A

7

46
Q

What is the process used to empower patients to make wiser health care decisions?

A

Demand management

47
Q

Quality care is realized when patients and providers partner together to set and attain health care goals. what is essential for this to succeed?

A

Continuity of care

Corpsman Instructions (41 decks)

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