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Clinical chapter 1&2
Journey to professionalism
| Question | Answer |
|---|---|
| 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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