Quality Assurance Flashcards
Fixed MTFs and DTFs meeting applicable criteria must gain and maintain what by the joint commission on accreditation of healthcare organizations?
Accreditation
MTFs and DTFs, with guidance from higher authority, must develop what type of programs?
Clinical monitoring
What is a structured approach which continuously analyzes clinical and administrative processes within the pre-established boundaries using various analytic tables?
Continuous Quality Improvement
What is an inpatient acquired infection not present or incubating at the time of admission?
Nosocomial infection
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
Provider specific
Who may elect to have a fleet wide medical and dental QA program under the cognizance of the fleet medical and dental officer?
TYCOMS
A medical record is considered delinquent if all required record components are not completed within how many days of patient discharge?
30
Which committee is multidisciplinary and provides a forum forum for discussion and oversight of all non medical staff QA functions?
QA
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?
Liability risk
An infection is considered nosocomial if it first becomes apparent how many hours (or more) after admission?
72
Documents and records created per this instruction are medical QA materials and are therefore exempt from the requirements of what act?
Freedom of information act
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
Two
Naval medical department policy, procedures and responsibilities for naval DTFs ashore and afloat we’re issued in 1987 and incorporated into this instruction in what year?
1989
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 oh how many years or as long as needed thereafter?
2
Indentifying, assessing and decreasing risk to patients and staff are objectives of the QA program to reduce exposure to what?
Liability
