AMEDD 70E PAD Final Exam#3

What is the purpose of the Community Care Units (CCU)?

- To transition soldiers to achieve a status of medical readiness or successfully transfer them to veterans status. - CCU's are part of the WTU - Allow soliders to heal at home with support from family and friends - Provided access to installation

What is the goal for transferring COMPO soldiers in the CCU?

- To transfer COMPO 2/3 soldiers to a CCU within the first 30 days of entry into a WTU

If copying the entire inpatient record is not feasible, the minimum documentation necessary includes:

- Trauma Record - Narrative Summary - Operative Reports - X-rays

5 principles functional areas of Information Management

- Visual Information - Records Management - Printing and publications - Telecommunications - Automation

The 4 components in patient movement

-Medical regulating - Medical evacuation - In-route Care - In-transit visibility

Contract

An agreement between two or more parties that is enforceable in court, oral or written

At what role level will trauma documents be scanned and uploaded into the trauma registry?

Role III

How should medical providers document for detainees?

Same as they do for ADSM

What is the recommended amount of meat?

The size of your palm

IRIS

The system by which MEDCOM and DHA justifies the cost incurred to the outcomes achieved

Intra-Theater

US Army directed mission, between levels/roles of care WITHIN THE THEATER of operations

Inter-Theater

USAF directed mission, from AO to or between CONUS and/or OCONUS facilitates

During the response phase of an Emergency incident, what is an immediate response?

Usually 0-2 hours from onset

Enhanced Medical Regulation

- To ensure MEDCOM Provides the best care possible and not overextend Service, facilitates - MEDCOM will asses and modify patient regulation policies and procedures to deliberately

Unscheduled Absence, how are they reported, and time frame?

- Always check the local CBA - Supervisors establish call in procedures in writing and follow them - Employee responsible for requesting leave with 2 hours of shift

What are the AMEDD battlefield rules?

- Be there - Maintain the health command - Save lives - clear battlefield casualties - Provide state-of-the-art medical care - Ensure early return to duty

Principles for health medical operations

- Clinical - Operational Management - Strategic Decision Support - Electronic Networking and e-health applications

Mission of MC4

- Develop, field and support a medical information management system for Army tactical medical forces - Enabling a comprehensive, life-long electronic medical record for all service members - Enhancing medical situational awareness for operational commanders

There 5 Health threats

- Diseases - Occupational and environmental - Poisonous or toxic flora and fauna - Medical effects of weapons - Physiological and psychological stressors

What is the theater evacuation policy and purpose?

- Established by SECDEF, with advise of Joint Chief of Staff, and recommendation of the theater CDR - Establishes the length in days of the maximum period of non-effectiveness that patients may be held within the theater of treatment

Army Health System (AHS) Principles

- Flexibility - Control - Mobility - Conformity - Continuity - Proximity

What are the 3 levels of rating a civilian?

- Level 5 (Outstanding) - Level 3 ( Fully Successful) - Level 1 ( unacceptable)

Benefits of EMR

- Medical Staff: • Quick and accurate access to patient care history • avoidance of duplicate tests • Reduced redundant procedures • Automated Patient tracking and reporting - Commanders: • Medical surveillance information • Theater-wide trend analysis capabilities • Enhanced Medical situational awareness

There are 4 phases of emergency management?

- Mitigation - Preparedness - Response - Recovery

What are the strategic and enabling pillars of IRIS?

- Performance Plan - Statement of Operations - Resource planning Tool - PC sub-capitation model - Fees-for-service/hybrid models - Quality/safety/Admin

Warrior Transition Unit (WTU) Triad

- Physician (PCM): provides primary oversight and continuity of health care ensuring the level of care provided is of the highest quality. - Case Manager (RN): that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet a soldier's health care needs - Squad Leader (NCO): Ensure solider is cared for during the IDES process. • maintains accountability • submits request for awards, ensuring the Soldier's records are transferred to the gaining unit • Inspects the Solider's billeting, clothing and equipment • Keeps the PSG/1SG/CDR informed on squads Medical status and requirements

Tell me about the Soldier Care Medical Home

- Solider Care Medical Home (SCMH) is the Brigade equivalent of Patient Centered Medical Home (PCMH) - Provides 90% of all soldiers care - Integrated Medical Staff - Augmented Behavior health & Physical therapy - Located within close proximity to the soldiers primary work area

AHLTA Mobile

- Stand-alone routine and emergent EMR recording application meant for the forward independent medic or provider - Provides digital version of Standard form SF 600 (Chronological medical record of care for sick call), MACE form, and DD1380( field medical card) - Enables recording, storage and transferring of digital documentation to the individual's EMR - Provides access to medical reference libraries

What are movement types?

- TDY to CONUS and Return To Soldier's PDS once C&P exams have been executed - PCS to CONUS MTF with an enduring WTU

What are the systems used to track patient movement?

- Theater Medical Data Store (TMDS) - Transportation Regulating Command and Control Evacuation System (TRAC2ES) - HELP - Solider Patient tracking module - Medical Communication for combat casualty care (MC4)

Why do we need position descriptions?

- To determine proper pay plan, title, series and grade - Assist management in recruitment, placement, training, and evaluating performance - Promote clarity and uniformity in the interpretation of duties by both the employee and management

How many roles of care are in Health Service Support System (HSS)

4

How many Pillars are in PCMH? Namely?

5 Pillars: - Comprehensive - Patient Centered - Coordinated - High Quality - Accessible

MC4 Hardware

7 Different hardware configuration - Approved configurations tailored to unit mission - MC4 adjusts equipping levels dependent upon Theater Mission - Hardware Includes: • Servers • Laptops • Handhelds • Printers • Peripherals

What is demobilization and recovery?

Demobilization and system recovery refers to the actions taken to shut down the incident response and return the organization to normal operations • Release of augmented Staff/borrowed manpower • Staff accountability • Tracking down patients treated and released • Absent sick patient reporting • Recovery of personnel and belongings • Coordination's with mortuary affairs • Claims and expenditures • Verify total number of casualties • After action reports and lessons learned

Project Manager

Manages a project from beginning to end. Phases include: - Initiating, - Planning, - Monitor/controlling the execution, closing

Can we take STR when we deploy?

NO

Does HIPPA apply to detainees?

No, but release of medical information is base on need to know only

SMART

Specific, Measurable, Achievable, Realistic/relevant, Timed

Who do medical records belong to?

The Government

Telemedicine

The application of digital communication technology to the transmission and delivery of medical information: voice or images (still/moving) or medical data.

Position

The duties and responsibilities which makeup the work performed by an employee.

What is the goal of information system migration?

To have few systems that will talk to each other

What is the Use of Contract,

To procure both supplies and or services for the direct benefit or use of the U.S Govt.

Does detain medical record fall under PASBA? True or False

True

Unauthorized Commitment

When a government representative, lacking the authority to enter into a contract on behalf of the government, enters into an agreement with a vendor for goods and/or services

Can we provide a copy of records to detainees?

Yes, a sanitized copy

Effects of sleep deprivation

irritability, reduced learning, reduced memory consolidation, reduced mental acuity, reduced reaction time, high cortisol levels, hallucinations

Performance Triad

sleep, activity, nutrition

Contract Types

• Fixed-price contracts • Cost-reimbursable contracts