BUMEDINST 6224.12b Medical Surveillance And Notifiable Event Reporting

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Routine reports (non-urgent) must be submitted within how many days of diagnosis?

• 24 hours

• 48 hours

• 7 days

• 14 days

• 30 days

Routine reports (non-urgent) must be submitted within 7 days of diagnosis.

• True

• False

Most reportable medical events are routine and should be submitted as soon as practicable.  These events must be submitted within __________ days of diagnosis.

Routine reports (non-urgent) must be submitted within 30 days of diagnosis.

• True

• False

Which of the following events are considered "urgent" and are to be reported within 24 hours?

• Amebiasis

• Cholera

• Dengue Fever

• Q Fever

• Encephalitis

• All of the above are considered "urgent" and are to be reported within 24 hours

Which of the following events are considered "urgent" and are to be reported within 24 hours?

• Malaria

• Measles

• Yellow Fever

• Botulism

• All of the above are considered "urgent" and are to be reported within 24 hours

The following events are required to be reported within 24 hours:      - Amebiasis      - Anthrax      - Biological Warfare Agent Exposure      - Botulism      - Cholera      - Dengue Fever      - E. coli 0157:H7 infection      - Encephalitis Arboviral and Tick-borne      - Hantavirus Infection      - Hemorrhagic Fever (specify type)      - Legionellosis      - Malaria (All types)      - Measles      - Meningococcal Disease      - Pertussis      - Plague      - Q Fever      - Rabies, clinical human      - Smallpox      - Tuberculosis, pulmonary      - Tularemia      - Typhoid Fever      - Typhus Fever      - Yellow Fever      - Outbreaks

• True

• False

Your ship is based out of San Diego but is currently deployed to Europe.  To which NEPMU do you submit your Medical Event Report?

• The NEPMU to which you're assigned while in homeport

• The NEPMU responsible for the geographic area of deployment

• To the NEPMU that covers your homeport with a courtesy copy to the NEPMU responsible responsible for the geographic area of deployment

• To the NEPMU that covers the geographic area of deployment with a courtesy copy to the NEPMU responsible for the homeport

• None of the above

If a reporting ship or unit is home ported in the area of one NEPMU, but deploys into the region of another, the MER must be in enclosure (2), and addressed to the NEPMU responsible for the geographic area of deployment.

• True

• False

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The purpose of BUMEDINST 6220.12B is to provide policy concerning Navy medical surveillance practices, processes, and reporting requirements.  This includes monitoring of the Electronic Surveillance for the Early Notification of Community-based Epidemics (ESSENCE), and reporting of MER submission requirements.

• True

• False

According to section (b) of paragraph 5 of the instruction, whose responsibility is it to implement medical event reporting procedures and monitor ESSENCE?

• Military Treatment Facilities

• Navy Medicine Regional Commands

• Operational Units with Medical Representatives

• NEPMUs

Which of the following is NOT one of the primary objectives of medical surveillance and reporting?

• Timely and proficient public health response to medical events that ultimately reduce morbidity and mortality.

• Estimation of the distribution, trends, and risks associated with significant medical events.

• Development and assessment of policy and resource allocation for the prevention and control of communicable diseases.

• Administrative separation of servicemembers who acquire certain diseases, or are repeated patients for any sexually transmitted diseases.

• All of the above are the primary objectives of medical surveillance and reporting

The primary objectives of medical surveillance and reporting are:      (1)  Timely and proficient public health response to medical events that ultimately reduce morbidity and mortality.       (2)  Estimation of the distribution, trends, and risks associated with significant medical events.      (3)  Development and assessment of policy and resource allocation for the prevention and control of communicable diseases.

• True

• False

According to section (d) of paragraph 5 of the instruction, whose responsibility is it to provide regional technical oversight for ESSENCE monitoring, reportable medical event surveillance, and outbreak response and coordination.

• NEPMU

• NMCPHC

• Military Treatment Facilities

• Operational Units with Medical Representatives

According to section (d) of paragraph 5 of the instruction, who has the responsibility to monitor MERs within their area of responsibility and to monitor NDRSi to ensure events communicated via e-mail or telephone consultations are reported?

• NMCPHC

• NEPMU

• Military Treatment Facilities

• Navy Medicine Regional Commands

According to section (d) of paragraph 5 of the instruction, NEPMUs are responsible for assessing MER completeness and data validity.

• True

• False

According to section (d) of paragraph 5 of the instruction, the Navy and Marine Corps Public Health Center (NMCpHC) is responsible for assessing MER completeness and data validity.

• True

• False

According to section (e) of paragraph 5 of the instruction, who has the responsibility to perform global medical event surveillance and monitoring of reportable medical events?

• NEPMU

• Navy Medicine Regional Commands

• NMCPHC

• Operational Units With Medical Representatives

According to section (e) of paragraph 5 of the instruction, who has the responsiblity of developing methods to improve and facilitate medical surveillance, response, and communication?

• NMCPHC

• NEPMU

• Navy Medical Regional Commands

• Operational Units with Medical Representatives

As per BUMEDINST 6220.12B, Navy Environmental Protection Units shall develop methods to improve and facilitate medical surveillance, response, and communication.  This includes regular program evaluation to identify areas for process improvement.

• True

• False

As per BUMEDINST 6220.12B, Navy Regional Commands are tasked with which of the following?

• Ensure accuracy of patient encounter data entered into AHLTA.

• Ensuring subordinate MTFs maintain an effective command medical surveillance program. ESSENCE monitoring requires incorporation into routine medical surveillance activities to include subordinate health care facilities.

• Ensure providers report medical events to their chain of command's preventive medicine or public health representative.

• Assess MER completeness and data validity. ESSENCE may be used as an assessment tool for particular diseases.

• All of the above

As per BUMEDINST 6220.12B, Military Treatment Facilities are tasked with which of the following?

• Implementing medical event reporting and monitoring of ESSENCE alerts.

• Ensuring accuracy of patient encounter data into AHLTA

• Performing medical event surveillance and response activities including follow-up of suspect cases, as well as, case contacts, as appropriate.

• Ensure providers report medical events to their chain of command's preventive medicine or public health representatives.

• All of the above

As per BUMEDINST 6220.12B, Military Treatment Facilities are tasked with the following:      (1)  Implementing medical event reporting and monitoring of ESSENCE alerts.      (2)  Ensuring accuracy of patient encounter data into AHLTA      (3)  Ensure providers report medical events to their chain of command's preventive medicine or public health representatives.      (4)  Performing medical event surveillance and response activities including follow-up of suspect cases, as well as, case contacts, as appropriate.

• True

• False