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NAVEDTRA 14295B: HM Manual > Chapter 3 - Healthcare Administration Programs > Flashcards

Chapter 3 - Healthcare Administration Programs Flashcards

0
Q

What instruction is the Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities?

A

NAVMEDCOMINST 6320.3

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1
Q

What is the computer-based enrollment and eligibility verification system that was developed to improve distribution and control of military healthcare services including the projection and allocation of costs for healthcare programs and to minimize fraudulent healthcare claims?

A

Defense Enrollment Eligibility Reporting System (DEERS)

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2
Q

What form is the Uniformed Service Identification and Privilege Card Application?

A

DD 1172

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3
Q

Where do active duty personnels and their family members go, if there is any discrepancies with the database?

A

Referred sponsor’s Personnel Support Detachment

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4
Q

Patients who present for non-emergency treatment without a valid ID card but are in the Defense Enrollment Eligibility Reporting System (DEERS) database will not be provided medical care without first doing what? What can happen to the members who do not provide a valid ID after 30 days? And who can delay the punishment?

A
  • Signing a statement that they are eligible and giving the reason why a valid ID card is not in their possession.
  • Member can be billed as a civilian humanitarian non-indigent.
  • Commanding Officer.
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5
Q

Newborns will not be denied care for a period of how many days? What type of TRICARE will they be in? How can the newborn be part of TRICARE PRIME?

A
  • 60 Days
  • TRICARE STANDARDS
  • Newborn must be put on the Sponsor’s page 2 and enrolled into DEERS
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6
Q

Who’re are the “Defense Enrollment Eligibility Reporting Systems (DEERS) eligibility exceptions” that are authorized care but may not be authorized to be enrolled into DEERS?

A
  • Secretary of the Navy Designees
  • Foreign Military Personnel (NATO military personnel and family who are stationed in or passing USA, crews and passenger of visiting military aircraft and crews of ships of NATO nations that come into port)
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7
Q

What program is an enhancement of the Civilian Health and Medical Program of the Uniformed Service (CHAMPUS) and is a medical benefits program established to manage the care service in a military MTFs?

A

TRICARE

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8
Q

What are the different types of dental care?

A

Routine, emergency and elective

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9
Q

How many recalled days do personnel have to serve in order to be eligible for all dental services?

A

30 days

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10
Q

How many months remaining must service members serve in order for their family members to be eligible to enroll into TRICARE dental plan?

A

12 months

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11
Q

The rendering of emergency dental treatment to any person when such treatment is necessary affects the priority categorization and will supersede an active duty person awaiting a routine procedure. True or False?

A

True

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12
Q

Routine dental care is to assist who? And who assists the family members?

A

Routine - Active duty and reserves

TRICARE - Family members

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13
Q

Which type of dental care relieves pain, control bleeding, and manage acute septic conditions or injuries to the oral-facial structures?

A

Emergency Dental Care

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14
Q

Which type of dental care is authorized by an evaluation of a dental officer? (Malocclusion, orthodontics, replacing amalgam fillings)

A

Elective Dental Care

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15
Q

What program is used to evaluate the degree of excellence in care delivered ands its results for future improvement?

A

Quality Assurance

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16
Q

What program has the primary goal of helping resolve patient complaints and problems through patient intervention and negotiations?

A

Patient Relations Program

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17
Q

What program ensures an effective means of resolving issues before the patient departs the facility?

A

Patient Contact Point Program

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18
Q

Who are appointed in writing by the Commanding Officer and have their picture posted at the front desk or in the reception area visible to all the patients?

A

Patient Contact Representatives

19
Q

How many Patient Bill of Rights are there and what are they?

A
  1. Medical Care and Dental Care
  2. Pain Management
  3. Respectful Treatment
  4. Privacy and Confidentiality
  5. Identity (provider)
  6. Explanation of Care
  7. Informed Consent
  8. Research Projects
  9. Safe Environment
  10. MTF and DTF Rules and Regulations
20
Q

Where would you find more information for Medical Treatment Records?

A

MANMED Chapter 16

21
Q

What program has the purpose to identify and monitor spouse or child abuse/neglect and sexual abuse in military families?

A

Family Advocacy Program

SECNAVINST 1752.3

22
Q

Who is the command’s primary advisor for all alcohol and drug matters?

A

Drug and Alcohol Program Advisor (DAPA)

23
Q

Failure to obtain consent from individuals may result in the healthcare provider being responsible for?

A

Malpractice and/or assault and battery upon the individual.

24
Q

Who is obligated to provide the patient with all necessary information to make a knowledgeable decision on a proposed medical procedure?

A

Medical Provider

25
Q

What type of situations does not require consent before a procedure?

A

Emergency Situations

26
Q

What legal doctrine serves as a final authority and determines the control of substitute consent?

A

State Law

27
Q

What paperwork can indicate who can provide informed consent for the patient?

A

Advance Directive

28
Q

Who is recommended to act as a witness when the patient is consenting to a medical procedure?

A

A staff member of the hospital who is “not” not involved with procedure

29
Q

What reports are designed to promptly document all circumstances surrounding an event, to alert the Commanding Office, Command Risk Manager and other involved administrators and clinicians of a potential liability situation?

A

Quality Care Review (QCR)

30
Q

Quality Care Review (QCR) reports cannot be obtained by individuals to help in legal actions against the hospital. When can the QCRs lose their “protected” status?

A

If they are misused or mishandled.

31
Q

What two federal statutes are combined to establish the criteria for collecting, maintaining, and releasing medical treatment records?

A

Privacy Act and Freedom of Information Act

32
Q

Under the Freedom of Information Act (FOIA), the official responsible for the records has how many working days to respond to the requestor?

A

20

33
Q

What policy was established to provide a balance between the public and the privacy of the individual?

A

Privacy Act of 1974

34
Q

What Act has the overall goal of providing safeguards for Protected Health Information (PHI) to ensure patient privacy is maintained?

A

Health Information Portability and Accountability Act (HIPAA)

35
Q

What creates business processes to protect the use and disclosure of Protected Health Information (PHI)?

A

Health Information Portability and Accountability Act (HIPAA) Privacy Rule

36
Q

What is designed to provide protection for individually identifiable health information that is maintained, transmitted, or received in electronic form?

A

Health Information Portability and Accountability Act (HIPAA) Security Rule

37
Q

Under what act is it unlawful for the United States military to be used as an enforcer or to assist in the enforcement federal or state law?

A

Posse Comitatus Act

38
Q

Who is authorized to deliver an Active Duty member to federal law enforcement authorities and based upon what actions?

A

Commanding Officer with the presentation of a federal warrant

39
Q

Who is authorize to deliver an Active Duty member if he/she is requested by civil authorities, and the treatment facility is located within the requesting jurisdiction? Outside jurisdiction?

A
  • Commanding Officer with a warrant present

- General Court Martial

40
Q

What are the three categories of eligible beneficiaries for prisoner patients?

A
  • Enemy prisoners of war and other detained personnel
  • Non-military federal prisoners
  • Military prisoners
41
Q

Which type of prisoners are ONLY allowed emergency medical treatment?

A

Non-military federal prisoners

42
Q

Are all military prisoners with active sentences allowed to receive medical care?

A

Yes

43
Q

What instruction can HMs use as a guidance on care, evaluation, and medico-legal documentation for a victim alleged of rape or sexual assault?

A

NAVMEDCOMINST 6310.3

44
Q

What is the reason many legal battles are lost?

A

Failure to adhere to proper administrative procedures.

NAVEDTRA 14295B: HM Manual (25 decks)

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