(4) Use of supplemental care.
(5) Assessing the impacts of administrative actions (such as leave and
passes, subsisting elsewhere, scheduling medical boards or requests for assignment
(6) Review of the long-term patient roster to determine the appropriateness
of medical and administrative management.
(7) Quarterly review of priority list for procurement of high-cost equipment,
and annual assessment of high-cost equipment that is more than 10 years old.
d. Risk Management (RM) Committee . This will be a multidisciplinary
committee consisting of a majority of physicians, the risk manager, and the medical CJA.
The chairperson will be designated by the commander. In cases of medical materiel
problems, a medical logistics officer will be included. When considered appropriate by the
chairperson, the safety officer will also be included. The committee is responsible for
summarizing risk management activities to include problem trends, with recommendations
for resolution, and status of pending claims and adverse events.
e. Departmental QA Committees.
(1) The Department of Nursing QA committee will have representation from
each nursing element. Each nursing element will develop and implement a written QA plan
that provides for the overall integration of its nursing QA activities into the department QAP.
Nursing QA activities will be coordinated with other MTF organizational elements to
resolve problems and improve care at the most appropriate level.
(2) The Nutrition Care Division QA committee will consist of the chief, nutrition
care; chief, clinical dietetics; chief, production and service; the division noncommissioned
officer in charge, and the division QA officer. Any aspect of nutrition care services that
does not meet established criteria will be assigned to the action officer responsible for that
service until substandard performance meets the established criteria. Problems so
defined will be recorded on the division problem solving record during resolution and
(3) The chiefs of Occupational Therapy (OT) and Physical Therapy (PT) will
establish the QAP to assure quality patient care. The quality and appropriateness of
patient care services provided will be monitored and evaluated on an ongoing basis, using
established monitors and generic screens. Multidisciplinary audits are encouraged, that is,
combined audits with supervising services such as physical medicine and rehabilitation,
orthopedics, psychiatry where appropriate, or with other professionals associated with
patient treatment. QA data trend analysis, identified problems and actions, evidence of
resolution, and recommendations will be given to the MTF QA committee quarterly.