Quality Assurance Program BUMEDINST 6010.13 Flashcards
What is the instruction for the Quality Assurance Program?
BUMEDINST 6010.13
Who is held accountable for the implementation of the QA Program within Naval Medical and Dental Treatment Facilities?
All health care personnel providing services
All QA program related documentation must be maintained onboard in a secure location. How long QA related documents must be held onboard before they can be disposed of?
5 years
QA inquires and medical records related to a potentially compensable event (PCE) must be maintained in a secure location at the local command. How long must these QA inquires and medical records be held onboard?
2 years at least
Judge Advocate General (JAMAN) investigations must be maintained onboard in a secure location at the local command. How long must these investigation documents be held onboard?
2 years at least
The QA program was originally issued to standardize all medical treatment facilities. In what year was the QA program originally issued?
1984
Naval medical policy, procedures, and responsibilities, for Dental treatment facilities, were issued in 19___(what year) and they were incorporated into the QA instruction in 19___(what year)
1987 and 1989
MTFs and DTFs who implement a QA program must gain and maintain accreditation from what group/association?
Joint Commission
Name three main objectives of the QA program?
It exposes areas of the command and patient care that need improvement, it identifies areas of education and training needed by health care providers, and affords providers the opportunity to comply with Joint Commissions accreditation standards.
Name the key element that makes the QA program effective in MTFs and DTFs.
Continuous Monitoring of the quality and appropriateness of health care
What set of procedures must all treatment facilities fully integrate into their QA program?
Risk Management procedures
Name four examples of Potentially Compensable Events (PCE) for Medical and Dental treatment facilities.
Death including suicide Any complication of treatment resulting in: brain damage, sensory nerve damage, or loss of a limb Inadvertent blood transfusion with HIV or hepatitis virus contaminated blood Procedure performed on the wrong patient or body part including wrong tooth extracted.
Who monitors the implementation and coordination of medical and dental QA programs?
BUMED
Who interprets Department of Defense (DoD), Secretary of the Navy (SECNAV), & CNO policies and provides guidance for navy-wide QA program implementation?
BUMED
Who provides consultation, educational support, and QA-related information to Navy treatment facilities?
BUMED
The QA program summary report must be submitted annually. Who is responsible for its submission?
BUMED
Who reviews potentially compensable events (PCEs) and malpractice RM data reported centrally by MTF’s and DTF’s?
BUMED
Who is responsible for providing technical support and assistance for QA related issues and recommending corrective action to meet Joint Commission requirements?
Officer in Charge of Naval Healthcare Support Offices
True or False: TYCOMS may elect to have a fleet-wide medical/dental QA program ran by the fleet medical/dental officer.
True
True or False: Fleet Commanders implement and coordinate a TYCOM-wide QA program?
False ANS: Type Commanders (TYCOM) hold that responsibility
After BUMED reviews potentially compensable events (PCEs) and malpractice claims, data is abstracted and reported to what two places?
Assistant Secretary of Defense (Health Affairs) (ASD/HA) and to the National Practitioner Data Bank created by P.L. 99-660
What DD Form does MED-3C4 use to report closed malpracitce claims to the Assistant Secretary of Defense (health Affairs) (ASD/HA)?
DD 2526
This person serves as liaison with the Deputy Assistant Judge Advocate General (Claims and Tort Litigation) and ensures the completion and accuracy of DD 2526
BUMED
What is DD 2526? Who is responsible for maintaining a Risk Management Database (RMDB)?
Case Abstract for Malpractice Claims instruction sheet
BUMED
Who ensures that subordinate commanders comply with the Quality Assurance Program, BUMEDINST 6010.13?
Fleet Commanders in Chief (FLTCINCs)
True or False: Fleet Commanders implement and coordinate a TYCOM-wide QA program?
False ANS: Type Commanders (TYCOM) hold that responsibility
Who is responsible for maintaining a Risk Management Database (RMDB)?
BUMED
Who ensures that subordinate commanders comply with the Quality Assurance Program, BUMEDINST 6010.13?
Fleet Commanders in Chief (FLTCINCs)
True or False: TYCOMS may elect to have a fleet-wide medical/dental QA program ran by the fleet medical/dental officer.
True
True or False: MTF’s that meet the criteria for participation in the Joint Commission survey process must maintain accreditation
True
All PCE’s and all other cases involving serious injury or prolonged disability must be included in the MTF/DTF database for analysis and be reported to what using DD 2526?
MED-3C4
