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Clinical chapter 1&2

Journey to professionalism

Hierarchy of medical field Highest MD -NP/CNM -PA -RN - MA /EKG/LPN/Phlebotomist-lowest HHA/CNA
NCCT National Center of Compency Testing (NCMA) national certified medical assistant
ASCP American society Clinical Pathologist (PBT) phlebotomy technician
AAMA American Association of Medical Assistants (CMA) (AAMA) certified
AMT American Medical Tecnologists (RMA) registered medical assistant
NHA (National) Healthcare Association (CPT) certified phlebotomy technician
4 factors of higher standards Visibility factor Proximity factor Time factor Nature of the work
Visibility factor They see the MA working with Pt. Whereas the administrative assistant spends less time with PT.
Proximity. Factor The MA has hands on with PT . Vitals ect
Time factor The MA spends more time with the Pt. taking vitals performing tests whereas the MOA does check-in check-out / phone The amount of distance between the MA and Pt.
Nature of the work The Pt. see the MA hands on work ( physical level )
ABHES Accrediting Bureau of Health Education Schools
ARMA Association of Records Managers and Administration Formally known as American Records Management Association
CMA (AAMA) Certified Medical Assistant
CAAHEP Commissions on Accreditation of Allied Health and Education Program formally known as American Records Management Association
RMA (AMT) American medical technologist ( registered )
The 5 keys Keys represent important character traits 1 professional communication 2 collaboration / performing as a team member 3 engagement 4 accountability 5 respect 6 problem- solving 7 mindfulness 8 adaptability
Key 6 problem- solving Process of working through the details do a problem to Reach a solution
Key 7 mindfulness To be aware , alert , and attentive Using your intelligence
Key 8 adaptability Defined as an effective change in response to an altered situation
Medical assistants may take the AAMA To be a CMA (AAMA)
Ethics The difference between right and wrong
Morals Come from personal place
(AOCs) referred to as medical communities ( Medicaid/Medicare )
National Commitee for Quality Assurance Non - profit organization strives to improve the quality of healthcare (ACCREDITATION )
Key 1 professional communication Perception Body language Facial expression Eye contact Gestures Distance Silence
Professional communication Can be a therapeutic touch Active listening Identify/adapt to communicate Strong verbal & written communication Confidentiality
Key 2 collaboration Performing as a team member the action of working with someone to accomplish a task Or a project or to produce or create something
Key 3 engagement Is the emotional commitment an employee has to organization and its goal engaged employees care about there work and company
Key 4 accountability Honest, self-confidence, integrity n dependability- taking responsibility for ones own actions
Key 5 respect Treat others with a positive feeling and appreciation to treat other the way you would want them to treat you
Active listening Listening to focus on the info at hand
Scope of practice Working under a physicians' said direct supervision
Standard of care Diagnostic and treatment process that is reasonable and prudent that a clinician should follow for a certain type of pt/illness/circumstance
Initiative Take the lead or to work independently
Tact/diplomacy Character trait that is essential to demonstrate in professional communication
Confidentially Keep something secret or private
Attitude Refers to the way you feel about someone or something. Helps mold your personality
Passive Typically to avoid situation
Passive aggressive Described as a tendency to express anger or frustration in a silent way rather than expressing it directly
Non verbal distance Comfort zones vary for different people and cultures (comfort zone 3/4ft)
Non verbal silence Open-ended questions you must set the tone demonstrate leadership n show confidence greet by name
Non verbal therapeutic touch Handshake,hug are meaning moments to convey feeling of warmth and affection, be sensitive to persons reaction/ boundaries when touching
Non verbal listening Repeating words/phrases nods,this shows pt that you care empathetic you must engage in active listening
Non verbal perception Being aware of ones own feelings and the feeling of others
Non verbal body language Involves unconscious use of posture / gestures/ professional appearance /confidence and skills
Non verbal facial expressions You want to convey a relaxed and pleasant facial expression Most common example (positive happy smile )
Non verbal eye contact Tells a person you care about them and are interested in them WARNING EHR now dominating charting process make effort to maintain Eye contact and personal touch with PT.
Non verbal gestures Body movements Hand and body Enhances what is being said
Professional communication means Foundation of every action taken Form of communication Verbal/ non-verbal
Professionalism Communicating effectively and appropriately and always finding, a way to be productive
Responsibility Duty or obligation integrity, accountability n excellence
Dignity Showing respect and assurance
Diplomacy Tact or tactfulness, the art or skill of handling negotiations or relations
DASH Dietary Approaches to Stop Hypertension , diet that can reduce hypertension by limiting sodium,sugar and red meats
Passive Behavior characteristic is to typically avoid situations
COLA Commission on Office Laboratory Acceditation 1988 as a private alternative to assist clinical laboratories in complying with the CLIA 88' standard
Passive aggressive Tendency to express anger or frustration in a silent way then rather expressing directly
Communication Exchange of thoughts messages or info speech signals writing or behavior
Clinician Health practioner such as a physician physician assistant or nurse practitioner
Empathy Show concern for another individual
Appearance Outward or visible portion of a person
Aggressive Behavior that means to stand up for your rights but in a way that violates the rights of others
Visibility factor 1st factor Clinical MA is more visible then the MOA working in administrative capacity
Proximity factor 2nd factor The amount of distance between the MA and Pt , the MOA normally sits a few ft away from the PT where as the MA is face to face with PT
Time factor 3rd factor Amount of face to face time the MA assistant spends with the PT compared to MOA
Nature of the work 4th factor Being performed by the clinical medical assistant Works with the PT on a physical level Whereas the administrative medical assistant usually preform tasks related to check-in / check - outs Billings and insurance
CDC - centers for disease Control and prevention Responsible for the development of Standard of Precautions and Universal Precaution This is responsible for major operating components of the (Department of Health and Human Services )
CCHIT - Certification Commission for Healthcare Information Technology Commissions appointed by the U.S Department of Health Services (HHS) to develop and evaluate the certification criteria and inspection process for the EHR's
Licensing Refers to a legal document that permits or authorizes a person to preform a specific task
Certification Is a term that signifies that one has fulfilled the necessary requirements Of a specific organization to preform a specific task
Registration Is a term that means to enroll ones own name in a register , based on successful completion of a specific program or ability to pass an examination Designed specifically for that specialty
AAMA/CMA MA who has passed the medical exam through the (American Association of Medical Assistants
Triple Aim Initiative Hope to improve the Pt. s experience of care , improve the health population and reduce the per- capita cost of health care
IHI Institute for Healthcare Improvements Started ( Triple Aim Initiative
NCQA National Committee for Quality Assurance A non profit organization that strives to improve the quality of Healthcare One of 4 agencies that accredits the PCMH
Needed for NCQA In order to be accredited through the NCQA the PCMH must meet certain Standards. 3 levels of recognition Level 1 / 35-59 points Level 2/ 60-84 points Level 3 / 85-100 points
All 3 levels of NCQA Must meet all 6 must pass elements Each reflect the degree to which the practice meets the standard and provides a range of capabilities
Fee for service delivery model Providers are reimbursed according to the type and service performed WITH NO EMPHASIS ON PT. OUTCOMES
Pay for performance The provider is reimbursed thought care processes and measurable goals Related to outcomes and overall Pt. satisfaction REWARDED/REIMBURSED/MEASURABLE GOAL
Accountable care organization Is a type of pay for proformance in a pay for coordination delivery model Provides pay for specific care coordination services Model is offen used in Medical Home Enviorment
PCMH Designed to foster partnerships between the Pt. and their physician
Service To extend help to others
Voulantary cert Certification/ Voulantary State to state
Licensing cert Licensing / mandatory State to state
Pt bill of rights under the affordable care act (ACA) Federal law helps with pre existing conditions
Pt bill of rights A way to communicate the legal rights Pts have
Pay for coordination Payment for specified care coordination services The provider takes the lead
PCMH 1: Pt centered access
PCMH 2: Team based care
PCMH 3: Population health management
PCMH 4: Care management and support
PCMH 5: Care coordination and care transitions
PCMH 6: Performance measurement
Created by: Tbella



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