Volume 2 Unit 2 Part 3

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Who makes the determination concerning an administrative LOD?

Provider

Airman

Medical officer (correct)

Nurses

An administrative LOD may be made under what conditions?

When neither an administrative nor an informal determination can be made

Injuries, or death of members leaving surviving family members, incurred while a passenger in a common commercial car military aircraft. Diseases, injuries, or death of members leaving surviving family membersif (a) the disease or death is of natural origin that does not involve misconduct, drug or alcohol abuse, (b) or the injury is a simple injury (sprain, contusion, or minor fracture) not likely to result in a permanent disability, and (c) the disease, injury, or death did not happen while the member was absent without authority and was clearly not caused by the member’s own misconduct or (d) disease or injury existed prior to service (correct)

the disease or death is of natural origin that does not involve misconduct, drug or alcohol abuse

The injury is a simple injury (sprain, contusion, or minor fracture) not likely to result in a permanent disability

What type of determination is normally made by the member’s unit commander?

Informal LOD (correct)

Diseases, injuries, or death of members leaving surviving family membersif (a) the disease or death is of natural origin that does not involve misconduct, drug or alcohol abuse, (b) or the injury is a simple injury (sprain, contusion, or minor fracture) not likely to result in a permanent disability, and (c) the disease, injury, or death did not happen while the member was absent without authority and was clearly not caused by the member’s own misconduct or (d) disease or injury existed prior to service.

When neither an administrative nor an informal determination can be made

Medical officer

When is a formal LOD determination required?

When neither an administrative nor an informal determination can be made Signup and view all the answers

What form is used to record a formal determination?

DD Form 261 Signup and view all the answers

An interim LOD applies to what category of individuals?

Reserve members Signup and view all the answers

When can an interim LOD be issued?

The appointing authority, at the request of the member’s commander may issue an interim LOD determination if an LOD determination cannot be finalized within seven days of notification and it is possible that the member may be entitled to incapacitation benefits. Signup and view all the answers

How long is an interim LOD valid?

The interim LOD is valid for no more than ninety days Signup and view all the answers

Who is responsible for completing the front side of the AF Form348?

Medical officer Signup and view all the answers

Who is responsible for the reverse side of the AF Form 348?

The patient’s immediate commander Signup and view all the answers

Who is responsible for identifying cases which require LOD misconduct determinations?

Medical treatment facility Signup and view all the answers

What organization is responsible for establishing suspenses and ensuring the responsible officials complete actions associated with informal LOD and misconduct determinations?

Military Personnel Flight Signup and view all the answers

If the SJA determines an administrative LOD is more appropriate, where will the AF Form 348 be sent?

The SJA returns the AF Form 348 with recommendations, through MPF/MSPPA, to the LOD-MFP, for further action. Signup and view all the answers

Where is the AF Form 348 sent if the SJA does not agree with the unit commander’s findings on an “LOD” determination?

If the SJA does not concur, he or she sends the AF Form 348 to the appointing authority for action. Signup and view all the answers

Establishing some form of RM allows each MTF to better position itself for successful operations under what program?

The TRICARE and MCSC. Signup and view all the answers

The financial incentive for the MTF is to retain what type of care within the MTF as capability and capacity will allow?

Each MTF will need to carefully analyze their enrollment capacity, and primary and specialty care capabilities to perform well under T-Nex and its “at risk” financing rules of engagement. The more these functions stay in-house, the better off financially the MTF will be. Signup and view all the answers

What key strategy is used to maximize the MTF’s specialty care capability while simultaneously recapturing specialty care being done in the private sector, for care which could be done in the MTF or Direct Care system?

Recapturing patient care from the private sector Signup and view all the answers

What is a “One-Stop Shop” where patients go to process specialty referrals requested by their PCM?

The RMC Signup and view all the answers

Legible specialty care results from the MTF and other direct care specialists are to be provided to the PCM or requesting provider within how many hours of the specialty care encounter?

72 hours Signup and view all the answers

Volume 2 Unit 2 Part 3

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