MTFs and DTFs (claimancy 18 only) must forward an annual assesment of the preceding fiscal year's QA program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE AUPPO to reach BUMED by what date of each year?
What is the state in which there is variance from preestablished minimally acceptable standards of care?
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?
Who may elect to have a fleet-wide medical and dental QA program under the cognizance of the fleet medical and dental officer?
What is an impatient acquired infection not present or incubating at the time of admission?
The Clinical Performance Profiles provides a format for compiling and summarizing individual-specific per what instruction?
MTFs and DTFs will have what type of programs to monitor resource use and to recommed ways to balance assign mission statements with existing health care resources?
BUMED submits a QA program summary report required by DOD Directive 6025.13 how often?
The Quality Assurance program was originally issued in what year to standarize QA activities within Naval Medical Command MTF's?
What is a determination concerning a monitor outcome confirmed throught the peer review process?
MTF's and DTF's, with guidence from higher authority, must develop what type of programs?
Which committee is multidisciplinary and provides a forum for discussion and oversight of all nonmedical staff QA functions?
Routine QA program-related documentation must be maintained in a secure location for a period of how many years before disposal?
A medical record is consired delinquent if all required record components are not completed within how many days of patient discharge?
Who are personnel who are required to be licensed but are not included inthe definition of health care practitioners?
Clinical Support Staff
Identifying, assesing, and decreasing risk to patients and staff are objectives of the QA program to reduce exposure to what?
An executive management team may perform the command QA committee function if it meets at least how often?
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?
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?
What is a structured approach which continuosly analyzes clinical and administrative processes within pre-established bounderies using various analytic tables?
Continuous Quality Improvement
What is the process by which practioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activities?
Who interprets Department of Defense (DOD), Secretary of the Navy (SECNAV), and CNO policies and provides guidence for Navy-wide QA program implementation?
Fixed MTF's and DTF's meeting applicable criteria must gain and mantain what by the Joint Commission on Acreditation of Healthcare Organizations?
The clinical Performance Profile is what type of document?
Naval Medical Department policy, procedures, and responsabilities for naval DTFs ashore and float were issued in 1987 and incorporated into this instruction in what year?
QAinquiries and medical records related to a potentially compensable event (CPE) and Judge Advocate General (JAGMAN) investigations must be maintained in a secure location at the local command for a minimun of how many yeras or as long as needed therafter?
An infection is considred nosocomial if it first becomes apparent how many hours (or more) after admission
A review of the QA program effectiveness must be completed with revision as necessary every how often?
Documents and records created per this instruction are medical QA materials and are therefore exempt from requirements of what act?