HM Chapter 03 Healthcare Admin Programs Flashcards
AHLTA (Armed Forces Longitude Technology Application)
Clerk can’t deny eligibility for health care, can only be done by command designated supervisory personnel
What is DD 1172 used for
DD 1172 is the Uniformed Services Identification & Privilege Card application, which is used to accomplish family member enrollment for all services.
DEERS Ineligibility includes:
- Sponsor not enrolled in DEERS
- Family member not enrolled in DEERS
- Ineligible due to passed terminal eligibility date, ex. child turns 18
- Sponsor separated from active duty
- Spouse is divorced from sponsor and isn’t entitled to benefits as a former spouse
- Family member child is married
- Secretary of Navy Designee
What is the priority of care?
Category1A: Active Duty Category 1B: Reserve & Nat. Guard Category2: Active Duty Family Members Category3: Senior Reserve Officer Training Corps Category4: Retired members & dependents Category5: Civilian employees Category6: Others
What is informed consent?
Provider gives knowledge to make informative decision
What is lawful consent?
Patient made knowledgeable decision with awareness of consequences
What is a consent witness?
Preferable that witness is not a family member or participant in procedure
What is the quality assurance program?
A program that uses various sources of data to evaluate the degree of excellence and to make improvements as needed for quality care.
What is the Patient Relations Program?
A program that strives to enhance communication between hospital and patients
What is Family Advocacy Program (FAP)
A program to identify and monitor spouse or child abuse/neglect IAW SECNAVINST 1752.3
What is the responsibility of the DAPA?
To conduct administrative screenings, prepare required reports, provide preventive education and monitor aftercare IAW OPNAVINST 5250.4
What is HIPAA?
Enacted in 1996 with the goal to provide safeguards for protected health information
What is NAVMEDCOMINST 6310.3?
Alleged or suspected sexual assault and rape cases. It provides guidance for care, evaluation and medico-legal documentation of the alleged victim. Sexual assault investigation kits are provided by NCIS
What is the QCR?
- Quality Control Report (QCR)
- Notifies CO, Command Risk Manager