BUMEDINST 6300.19 Primary Care Services in Navy Medicine

Question 1

What is Navy Medicine’s new model of primary care services?

Answer 1

Medical Home Port

Question 2

What term describes the care that includes, but is not limited to, readiness, prevention wellness, behavioral health, and disease management?

Answer 2

Primary Care

Question 3

What civilian model does “medical home port” align with?

Answer 3

Patient Centered Medical Home (PCMH)

Question 4

Who has established nationally recognized standards for Patient Centered Medical Home (PCMH)?

Answer 4

National Committee for Quality Assurance (NCQA)

Question 5

Within how many months of being established as Medical Home Port Clinic, will a clinic Achieve NCQA Level 1 recognition?

Answer 5

4 months

Question 6

How many months does a clinic have to achieve Level 2 NCQA recognition after a medical home port clinic has achieved NCQA level 1 recognition?

Answer 6

6 months (after achieving level 1)

Question 7

When a Commander/CO/OIC determines that their clinic is in full compliance with NCQA, who will they request a recognition visit from?

Answer 7

The Navy Medical Region Comamander

Question 8

If a Regional Commander has a clinic that they have determined is in compliance with NCQA who will they request a recognition visit from?

Answer 8

Bureau of Medicine and Surgery

Question 9

What action will the Bureau of Medicine and Surgery take once they receive a request for a NCQA compliance recognition visit from a Regional Commander?

Answer 9

Arrange a site visit by a representative form NCQA as well as a member representing Navy Medicine

Question 10

What is the abbreviation FTE?

Answer 10

Full Time Equivalent

Question 11

How many bookable hours must a provider be available for to be be defined as a full time equivalent of 1.0?

Answer 11

36 hours

Question 12

What is the empanelment range for providers recommended by BUMED?

Answer 12

1,100 patients minimum

not to exceed 1,300

Question 13

What is the only exception to provider providing care to non-empaneled patents?

Answer 13

newborns who are less than 60 days old and are awaiting TRICARE enrollemnt, as well as foreign nationals/dignitaries

Question 14

Student assigned to a command less than how many days cannot be enrolled in Medical Home Port?

Answer 14

less than 179 days

Question 15

When a Medical Home Port provider team consists of three providers, how many of the providers must be a physician?

Answer 15

at least one

Question 16

When a Medical Home Port provider team consists of four to five providers, how many of the providers must be a physician?

Answer 16

at least two

Question 17

How many administrative discounts will a Medical Home Port Team made of three providers have?

Answer 17

.75 FTE for the entire team

Question 18

How many administrative discounts will a Medical Home Port Team made of four providers have?

Answer 18

1.0 FTE for the entire team

Question 19

How many administrative discounts will a Medical Home Port Team made of five providers have?

Answer 19

1.25 FTE for the entire team

Question 20

What percentage of the provider team should a command strive to have made up of civilians?

Answer 20

50%

Question 21

How many Ancillary Nursing Personnel should there be per 1.0 FTE providers?

Answer 21

2.5

Question 22

Who are considered Ancillary Nursing Personnel?

Answer 22

Licensed Practical Nurse (LPN)
Hospital Corpsman
Nursing Assistant (CNA)
Medical Assistant (MA)

Question 23

What are the four appointment types?

Answer 23

Acute or Open access
Established
Wellness
Procedure/Specialty

Question 24

What appointment type is for patients to be seen within 24 hours?

Answer 24

Acute (ACUT)

Question 25

What appointment types are for patients to be seen on the same calendar day?

Answer 25

Open Access (OPAC)

Question 26

What type of appointments will be seen within a week?

Answer 26

Established(EST) and Wellness (WELL)

Question 27

What type of appointment type is used to maximize clinic efficiency and are usually grouped and performed on the same day?

Answer 27

Procedure (PROC) or Specialty Type (SPEC)

Question 28

How many exam rooms should there be per provider in the Medical Home Port model?

Answer 28

two