Quality assurance

Question 1

All treatment facilities must fully integrate into their QA program Risk Management procedures requiring review of cases and events that represent liability or injury risk to patients and staff, and must recommend methods of decreasing what?

Answer 1

Liability risk

Question 2

Who are personnel who required to be licensed but are not included in the definition of health care practitioners?

Answer 2

Clinical Support Staff

Question 3

Which committee is multidisciplinary and provides a forum for discussion and oversight of all nonmedical staff QA functions?

Answer 3

QA

Question 4

The Quality Assurance program was originally issued in what year to standardize QA activities within Naval Medical Command MTF’s?

Answer 4

1984

Question 5

What is a determination concerning a monitor outcome confirmed through the peer review process?

Answer 5

Validation

Question 6

Who interprets Department of Defense, Secretary of the Navy (SECNAV), and CNO policies and provides guidance for Navy-wide program implementation?

Answer 6

BUMED

Question 7

Documents and records created per this instruction are medical QA materials and are therefore exempt from the requirements of what act?

Answer 7

Freedom of Information Act

Question 8

MTF’s and DTF’s (claimancy 18 only) must forward an annual assessment of the preceding fiscal year’s QA program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO to reach BUMED by what date of each year?

Answer 8

15 January

Question 9

A medical record is considered delinquent if all required record components are not completed within how many days of patient discharge?

Answer 9

30

Question 10

The Clinical Performance Profile is what type of document?

Answer 10

Internal

Question 11

MTFs and DTFs will have what type of programs to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources?

Answer 11

Utilization review

Question 12

BUMED submits a QA program summary report required by DOD Directive 6025.13 how often?

Answer 12

Annualy

Question 13

A review of QA program effectiveness must be completed with revision as necessary every how often?

Answer 13

Annually

Question 14

The Clinical Performance Profile provides a format for compiling and summarizing individual-specific information per what instruction?

Answer 14

BUMEDINST 6320.66

Question 15

What is the process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities?

Answer 15

Peer review

Question 16

An infection is considered nosocomial if it first becomes apparent how many hours (or more) after admission?

Answer 16

72

Question 17

Routine QA program-related documentation must be maintained in a secure location for a period of how many years before disposal?

Answer 17

5

Question 18

What data elements are not required for those cases closed through administrative denial of payment or where the health care incident occurred before January 1, 1985?

Answer 18

Provider specific

Question 19

What is a structured approach which continuously analyzes clinical and administrative processes within pre-established boundaries using various analytic tables?

Answer 19

Continuous Quality Improvement

Question 20

An executive management team may perform the command QA committee function if it meets at least how often?

Answer 20

Monthly

Question 21

Naval Medical Department policy, procedures, and responsibilities for navl DTFs ashore and afloat were issued in 1987 and incorporated into this instruction in what year?

Answer 21

1989

Question 22

What is the state in which there is a variance from preestablished minimally acceptable standards of care?

Answer 22

Deficiency

Question 23

QA inquiries and medical records related to a potentially compensable event (PCE) and Judge Advocate General (JAGMAN) investigations must be maintained in a secure location at the local command for a minimum of how many years or as long as needed thereafter?

Answer 23

2

Question 24

Fixed MTFs and DTFs meeting applicable criteria must gain and maintain what by the Joint Commission on Accreditation of Healthcare Organizations?

Answer 24

Accreditation

Question 25

MTFs and DTFs, with guidance from a higher authority, must develop what type of programs?

Answer 25

Clinical monitoring

Question 26

The Naval School of Health Sciences in Bethesda Maryland will conduct how many educational workshops each year in the principles, components, and management of QA programs for naval Medical Department personnel?

Answer 26

2

Question 27

What is an inpatient acquired infection not present or incubating at the time of admission?

Answer 27

Nosocomial Infection

Question 28

Identifying, assessing, and decreasing risk to patients and staff are objectives of the QAprogram to reduce exposure to what?

Answer 28

liability

Question 29

Who may elect to have a fleet-wide medical and dental QA program under the cognizance of the fleet medical and dental officer?

Answer 29

TYCOMS