BUMED 6010.13 Quality Assurance Program

Question 1

who interprets DoD, SECNAV and CNO policies as well as provides guidance for Navy-Wide QA program implementation

Answer 1

Chief, BUMED

Question 2

What is the formal and systematic exercise of monitoring and reviewing medical care and outcome called

Answer 2

Quality Assurance

Question 3

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

Answer 3

72

Question 4

What state occurs when there is a variance from pre-established minimally acceptable standards of care

Answer 4

Deficiency

Question 5

How often should the QA program be reviewed for effectiveness and be revised as necessary

Answer 5

Annually

Question 6

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

Answer 6

Peer Review

Question 7

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

Answer 7

Clinical Support Staff

Question 8

What program will MTF and DTFs have to monitor resource use and to recommend ways to balance assigned mission statements with existing health care resources

Answer 8

Utilization Review

Question 9

By what date of each year must and DTFs forward annual assessment of preceding fiscal year’s QS program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO

Answer 9

Jan 15

Question 10

may must routine QA program-related documentation be maintained in a secure location prior to disposal

Answer 10

5

Question 11

How often must QA program summary reports be submitted by the Chief, BUMED

Answer 11

Annually

Question 12

How many ECOMS are there per individual privileging authority

Answer 12

1

Question 13

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

Answer 13

30

Question 14

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

Answer 14

2

Question 15

What is an event or outcome during the process of a medical or dental care in which the patient suffers a lack of improvement, injury or illness of severity greater than ordinarily experienced by patients with similar procedures or illnesses

Answer 15

PCE

Question 16

What year was the QA program originally issued to standardize QA activities within Navy Medical Commmand MTF’s

Answer 16

1984

Question 17

MTF’s meeting the criteria for participation in the Joint Commission survey process must maintain accreditation per what reference

Answer 17

BUMEDINST 6000.2D

Question 18

What multidisciplinary committee is required when there is more than a single professional discipline providing patient care within the facility or type command under cognizance of a single privileging authority

Answer 18

QA Committee

Question 19

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

Answer 19

Validation

Question 20

How many education workshops are conducted by the Naval School of Health Sciences located in Bethesda, MD each year in the principles, components and management of QA programs for naval medical department personnel

Answer 20

2

Question 21

What type of infection is an inpatient acquired infection that was not present or incubated at the time of admission

Answer 21

Nosocomial

Question 22

Medial and Dental QA programs support credentials review and privileging activities per what reference

Answer 22

BUMEDINST 6320.66

Question 23

What must fixed MTF and DTF’s that meet the applicable criteria gain and maintain accreditation by

Answer 23

JCAHO