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Chapter 1: Chapter XX: Chapter Title Medicine and Medical Assisting Chapter 1: Chapter XX: Chapter Title Medicine and Medical Assisting

Learning Outcomes v Cognitive Domain Note: AAMA/CAAHEP 2015 Standards are italicized. Ø Ø Ø Learning Outcomes v Cognitive Domain Note: AAMA/CAAHEP 2015 Standards are italicized. Ø Ø Ø Ø 1. Spell and define the key terms 2. Summarize a brief history of modern medicine 3. Explain the system of health care in the United States 4. Discuss the typical medical office 5. List medical specialties a medical assistant may encounter 6. List settings in which medical assistants may be employed 7. List the duties of a medical assistant Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) Ø 8. Describe the desired characteristics of a medical assistant Learning Outcomes (cont'd. ) Ø 8. Describe the desired characteristics of a medical assistant Ø 9. Differentiate between scope of practice and standards of Ø Ø Ø Ø care for medical assistants 10. Compare and contrast provider and medical assistant roles in terms of standard of care 11. Recognize the role of patient advocacy in the practice of medical assisting 12. Define a patient-centered medical home 13. Define the principles of self-boundaries 14. Differentiate between adaptive and nonadaptive coping mechanisms 15. Identify members of the health care team 16. Explain the pathways of education for medical assistants Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) Ø 17. Discuss the importance of program accreditation Ø 18. Learning Outcomes (cont'd. ) Ø 17. Discuss the importance of program accreditation Ø 18. Name and describe the two nationally recognized Ø Ø accrediting agencies for medical assisting education programs 19. Explain the benefits and avenues of certification for the medical assistant 20. Discuss licensure and certification as it applies to health care providers 21. List the benefits of membership in a professional organization 22. Identify the effect personal ethics may have on professional performance Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) v Psychomotor Domain Note: AAMA/CAAHEP 2015 Standards are italicized. Ø Learning Outcomes (cont'd. ) v Psychomotor Domain Note: AAMA/CAAHEP 2015 Standards are italicized. Ø Ø Ø 1. Locate a state’s legal scope of practice for medical assistants 2. Perform within scope of practice 3. Practice within the standard of care for a medical assistant 4. Develop a plan for separation of personal and professional ethics 5. Respond to issues of confidentiality Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) Ø Affective Domain Ø Note: AAMA/CAAHEP 2015 Standards are italicized. Learning Outcomes (cont'd. ) Ø Affective Domain Ø Note: AAMA/CAAHEP 2015 Standards are italicized. Ø Ø Ø 1. Demonstrate awareness of the consequences of not working within the legal scope of practice 2. Apply ethical behaviors, including honesty and integrity in performance of medical assisting practice 3. Recognize the impact personal ethics and morals may have on the delivery of health care 4. Demonstrate the principles of self-boundaries Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) v ABHES Competencies Ø Ø Ø 1. Comprehend the current Learning Outcomes (cont'd. ) v ABHES Competencies Ø Ø Ø 1. Comprehend the current employment outlook for the medical assistant 2. Compare and contrast the allied health professions and understand their relation to medical assisting 3. Understand medical assistant credentialing requirements and the process to obtain the credential. Comprehend the importance of credentialing 4. Have knowledge of the general responsibilities of the medical assistant 5. Define scope of practice for the medical assistant, and comprehend the conditions for practice within the state that the medical assistant is employed Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) Ø 6. Demonstrate professionalism by: a. Exhibiting dependability, punctuality, and Learning Outcomes (cont'd. ) Ø 6. Demonstrate professionalism by: a. Exhibiting dependability, punctuality, and a positive work ethic b. Exhibiting a positive attitude and a sense of responsibility c. Maintaining confidentiality at all times d. Being cognizant of ethical boundaries e. Exhibiting initiative f. Adapting to change g. Expressing a responsible attitude h. Being courteous and diplomatic i. Conducting work within scope of education, training, and ability Copyright © 2016 Wolters Kluwer • All Rights Reserved

Learning Outcomes (cont'd. ) Ø Ø 7. Comply with federal, state, and local health Learning Outcomes (cont'd. ) Ø Ø 7. Comply with federal, state, and local health laws and regulations 8. Analyze the effect of hereditary, cultural, and environmental influences Copyright © 2016 Wolters Kluwer • All Rights Reserved

Introduction The need for the multiskilled health professional will continue to grow within the Introduction The need for the multiskilled health professional will continue to grow within the foreseeable future, and you are now a part of this exciting career direction. multiskilled health professional: an individual with versatile training in the health care field You have selected a fascinating and challenging career, one of the fastest growing specialties in the medical field. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

History of Medicine § § § Greatest advances in 20 th century in general History of Medicine § § § Greatest advances in 20 th century in general health, comfort, and well-being of patients In 21 st century, continued advancement in cancer research, human genome project, and eradication of many diseases Chances are good that the next great medical discovery will result from stem cell and cord blood research Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Modern Medical History § Begins with Renaissance — about 1400 AD § Runs through Modern Medical History § Begins with Renaissance — about 1400 AD § Runs through first half of 20 th century § Notable contributors o o o Andreas Vesalius, 1500 s: “Father of Modern Anatomy” Anton von Leeuwenhoek, 1660 s: invented microscope Rene Laennec, 1816: invented stethoscope John Hunter, 1700 s: “Father of scientific surgery” Edward Jenner, late 1700 s: smallpox vaccine Benjamin Rush, 1800 s: founder of modern psychiatry Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Modern Medical History (cont’d. ) v Strides in the Prevention of Disease Transmission Louis Modern Medical History (cont’d. ) v Strides in the Prevention of Disease Transmission Louis Pasteur, mid 1880 s: “Father of Bacteriology and Preventive Medicine”; pasteurization began § Ignaz Semmelweis, mid 1880 s: encouraged handwashing to prevent childbed fever § Joseph Lister, mid 1880 s: infection prevention § Sir Alexander Fleming, 1928: discovered penicillin v Possibilities in Surgery § Crawford Long, 1842: anesthesia invented § C. Walton Lillehei, 1952: first successful open-heart surgery § John Gibbon, 1953: invented first heart-lung machine § Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Modern Medical History (cont’d. ) v Women in Medicine Florence Nightingale, 1800 s: founds Modern Medical History (cont’d. ) v Women in Medicine Florence Nightingale, 1800 s: founds nursing § Elizabeth Blackwell, 1800 s: first woman to graduate medical school in the United States § Clara Barton, 1869: establishes American Red Cross § Marie Curie, ~1903: discovers polonium and radium v Important Discoveries § Wilhelm Roentgen, 1895: discovers x-rays § Jonas Edward Salk and Albert Sabin, 1950 s: discover vaccines for polio § Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question How was penicillin discovered? Copyright © 2016 Wolters Kluwer • All Rights Checkpoint Question How was penicillin discovered? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer Sir Alexander Fleming saw areas clear of microorganism growth surrounding the mold Checkpoint Answer Sir Alexander Fleming saw areas clear of microorganism growth surrounding the mold gathering on the unwashed Petri dishes in his lab. He was able to extract the prototype for the first antibiotic. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Recent Medical History § 1980 s — advances in radiology Computed tomography (CT) o Recent Medical History § 1980 s — advances in radiology Computed tomography (CT) o Magnetic resonance imaging (MRI) o Positron emission tomography (PET) § Cloning § Human genome o Throughout the next three decades, public health protection improved and advancements continued. New discoveries will continue to expand the parameters of medicine as further research in recombinant DNA, transplantation, immunizations, diagnostic procedures, and so forth push back the boundaries of health care and make today’s therapies seem as primitive as those we have just covered. You will be present during this fascinating evolution of health care. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Recent Medical History (cont’d. ) § Regenerative medicine o o Restores damaged tissues and Recent Medical History (cont’d. ) § Regenerative medicine o o Restores damaged tissues and organs Goal is to one day maintain the body so that there will be no need to replace whole organs Stem cell procedures have restored sight to the blind Patients have received urinary bladders grown from their own cells Scientists at Wake Forest Institute for Regenerative Medicine are using a specialized printer to print skin cells directly onto burns. Various types of skin cells are placed in vials, rather than cartridges, and then “printed” directly on the wound. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Recent Medical History (cont’d. ) Dr. Anthony Atala of Wake Forest University Institute for Recent Medical History (cont’d. ) Dr. Anthony Atala of Wake Forest University Institute for Regenerative Medicine and other scientists can now make a human bladder from the patient’s own cells. medical assistant: a multiskilled health professional who performs a variety of clinical and administrative tasks in a medical setting Within the next decade, expect to see immunization against or cures for many of the illnesses that continue to plague us. And when we need a new kidney, we can make one in the laboratory! Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The American Health Care System § Complex and changing Patient Protection and Affordable Care The American Health Care System § Complex and changing Patient Protection and Affordable Care Act (PPACA) § Also called the Affordable Care Act (ACA) Medical insurance versus managed care o Managed care is attempt to control costs o HMOs Insurance companies and government now have much control over doctor-patient relationship Population is aging, so insurance and care will change in future o Medicare and Medicaid cover older people Government monitors Medicare and Medicaid systems through Centers for Medicare & Medicaid Services (CMS) § § § Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The American Health Care System (cont’d. ) § Health Insurance Portability and Accountability Act The American Health Care System (cont’d. ) § Health Insurance Portability and Accountability Act of 1996 (HIPAA) simplifies administrative processes: o Transmitting insurance claims o Receiving payments o Sharing private health information § New professions have developed, including medical assisting o Allied health care fields o Outpatient facilities need management to adhere to government rules and regulations administrative: pertaining to administration (e. g. , office procedures and nonclinical tasks that a medical assistant will perform) outpatient: a medical setting in which patients receive care but are not admitted The allied health care arena has grown quickly. New professions have been added to the health care team, and each one is an important part of a patient’s total care. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Office § Has changed over the years Now often owned by corporations The Medical Office § Has changed over the years Now often owned by corporations o Computerized patient records and billing o Insurance and legal aspects important o New technologies § Staff of medical office o Health care providers • One or more physicians • Physicians are assisted by physician assistants or nurse practitioners o Support staff o The patient’s health care encounter can be pleasant or unpleasant, depending on the skills and the attitude of the team. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Office (cont’d. ) § Administrative § Clinical Depends on office specialty § The Medical Office (cont’d. ) § Administrative § Clinical Depends on office specialty § Concierge medicine § Annual fee or retainer § Insurance may not cover § Physician provides enhanced care § concierge medicine: relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What governmental agency monitors medical care finances? Copyright © 2016 Wolters Kluwer Checkpoint Question What governmental agency monitors medical care finances? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer CMS monitors medical financing. Copyright © 2016 Wolters Kluwer • All Rights Checkpoint Answer CMS monitors medical financing. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Specialties § Specialty is choice of physician after completing education Family medicine or Medical Specialties § Specialty is choice of physician after completing education Family medicine or internal medicine practitioners provide primary care to many patients o Specialists provide care in specific areas § Surgery — further divided into subspecialties o Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Specialties (cont’d. ) Copyright © 2016 Wolters Kluwer • All Rights Reserved Back Medical Specialties (cont’d. ) Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What is the specialty that treats newborn babies? Copyright © 2016 Wolters Checkpoint Question What is the specialty that treats newborn babies? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer The specialty that treats newborn babies is neonatology. Copyright © 2016 Wolters Checkpoint Answer The specialty that treats newborn babies is neonatology. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Assisting Profession v What is a Medical Assistant? Ø Ø § Multiskilled The Medical Assisting Profession v What is a Medical Assistant? Ø Ø § Multiskilled allied helath professional Work in ambulatory settings Scope of practice depends on your physician-employer’s delegation of duties according to state law regarding patient care clinical: pertaining to direct patient care (e. g. , nonadministrative tasks that a medical assistant will perform) scope of practice: the procedures, actions, and processes that are permitted for a particular health care profession The practice of medical assisting directly influences the public’s health and well-being, and requires mastery of a complex body of knowledge and specialized skills requiring both formal education and practical experience that serve as standards for entry into the profession. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Assisting Profession (cont’d. ) v Duties of a Medical Assistant? § Administrative The Medical Assisting Profession (cont’d. ) v Duties of a Medical Assistant? § Administrative tasks § Clinical tasks § Laboratory tasks Copyright © 2016 Wolters Kluwer • All Rights Reserved laboratory: a place where research, investigation, or scientific testing takes place Back to learning outcomes

The Medical Assisting Profession (cont’d. ) Ø Administrative Duties § § § § Managing The Medical Assisting Profession (cont’d. ) Ø Administrative Duties § § § § Managing and maintaining the waiting room, office, and examining rooms Handling telephone calls Using written and oral communication Preparing and maintaining medical records Bookkeeping Scheduling appointments Ensuring good public relations Maintaining office supplies Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Assisting Profession (cont’d. ) § Screening sales representatives § Filing insurance forms The Medical Assisting Profession (cont’d. ) § Screening sales representatives § Filing insurance forms § Processing the payroll § Arranging patient hospitalizations § Sorting and filing mail § Instructing new patients regarding office hours and procedures § Applying computer concepts to office practices § Implementing diagnostic and procedural coding for insurance claims § Completing medical reports Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Assisting Profession (cont’d. ) Ø Clinical Duties § § § § Preparing The Medical Assisting Profession (cont’d. ) Ø Clinical Duties § § § § Preparing patients for examinations and treatments Assisting other health care providers with procedures Preparing and sterilizing instruments Completing electrocardiograms Applying Holter monitors Obtaining medical histories Administering medications and immunizations Obtaining vital signs (blood pressure, pulse, temperature, respirations) Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Medical Assisting Profession (cont’d. ) § § § Obtaining height and weight measurements The Medical Assisting Profession (cont’d. ) § § § Obtaining height and weight measurements Documenting in the medical record Performing eye and ear irrigations Recognizing and treating medical emergencies Initiating and implementing patient education Ø Laboratory Duties § § Low-complexity laboratory tests as determined by the Clinical Laboratory Improvement Amendments (CLIA) of 1988 Collecting and processing laboratory specimens Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What are five administrative duties and five clinical or laboratory duties performed Checkpoint Question What are five administrative duties and five clinical or laboratory duties performed by a medical assistant? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer ü ü ü Administrative Managing and maintaining rooms Handling telephone calls Using Checkpoint Answer ü ü ü Administrative Managing and maintaining rooms Handling telephone calls Using written and oral communication Maintaining medical records Bookkeeping Scheduling appointments Ensuring good public relations Maintaining office supplies Screening sales representatives Filing insurance forms Processing payroll Arranging hospitalizations Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer ü ü ü Sorting and filing mail Instructing new patients regarding office Checkpoint Answer ü ü ü Sorting and filing mail Instructing new patients regarding office hours and procedures Applying computer concepts to office practices Implementing diagnostic and procedural coding for insurance claims Completing medical reports Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer ü ü ü Clinical duties Preparing patients for examinations Assisting other health Checkpoint Answer ü ü ü Clinical duties Preparing patients for examinations Assisting other health care providers with procedures Preparing and sterilizing equipment Completing ECGs Applying Holter monitors Obtaining medical histories Administrating medications and immunizations Obtaining vital signs, height and weight Documenting in the medical record Performing ear and eye irrigations Recognizing and treating medical emergencies Initiating and implementing patient education Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to Learning Outcomes

Checkpoint Answer Laboratory duties ü ü Low-complexity laboratory CLIA tests Collecting and processing laboratory Checkpoint Answer Laboratory duties ü ü Low-complexity laboratory CLIA tests Collecting and processing laboratory specimens Back to Learning Outcomes Copyright © 2016 Wolters Kluwer • All Rights Reserved

The Professional Medical Assistant § Strong work ethic § Membership in professional organization § The Professional Medical Assistant § Strong work ethic § Membership in professional organization § Professional appearance § Neat, well groomed § Professional behavior § Dependability, punctuality § Flexibility Medical assistants play a key role in creating and maintaining a professional image for their employers. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) Copyright © 2016 Wolters Kluwer • All Rights The Professional Medical Assistant (cont’d. ) Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) § Characteristics vital to the profession: o o The Professional Medical Assistant (cont’d. ) § Characteristics vital to the profession: o o o Excellent written and oral communication skills Maturity and calm demeanor Accuracy Honesty Discretion Empathy Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) o Courtesy o Good interpersonal skills o Confidence The Professional Medical Assistant (cont’d. ) o Courtesy o Good interpersonal skills o Confidence o Team player o Initiative and responsibility o Tactful and diplomatic o High moral and ethical standards o Adaptive coping mechanism Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What are eight characteristics that a professional medical assistant should have? Copyright Checkpoint Question What are eight characteristics that a professional medical assistant should have? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer Professional characteristics include punctuality, dependability, honesty, respect for patient confidentiality, courtesy, diplomacy, Checkpoint Answer Professional characteristics include punctuality, dependability, honesty, respect for patient confidentiality, courtesy, diplomacy, having high ethical and moral standards, excellent communication skills, maturity, accuracy, empathy, interpersonal skills, team player, initiative, responsibility, tact, and adaptive coping mechanisms. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) v Scope of Practice and Standards of Care The Professional Medical Assistant (cont’d. ) v Scope of Practice and Standards of Care § § Scope of practice: the specific activities allowed by state licensing boards and laws or by the practice itself A medical assistant’s scope of practice is based on his or her education Medical professional who oversees you is held personally responsible for your actions Standards of care: generally accepted guidelines and principles that health care practitioners follow in the practice of medicine Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) Figure 1 -4 Scope of Practice Decision-Making Tree. The Professional Medical Assistant (cont’d. ) Figure 1 -4 Scope of Practice Decision-Making Tree. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) Figure 1 -5 Sample flow sheet representing established The Professional Medical Assistant (cont’d. ) Figure 1 -5 Sample flow sheet representing established protocol set by physician. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) v Self Boundaries § § Self boundaries delineate The Professional Medical Assistant (cont’d. ) v Self Boundaries § § Self boundaries delineate personal from professional Enable medical assistant to avoid inappropriate behavior with patients or even being perceived as displaying such inappropriate behavior self boundaries: the limits set on the relationships between health care professionals and their patients Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) § Boundary violations include: o o Not respecting The Professional Medical Assistant (cont’d. ) § Boundary violations include: o o Not respecting the patient’s religious, cultural, and social beliefs and values Neglecting the patient Abusing the patient financially, verbally, emotionally, or physically Crossing the sexual line Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question Why is it important to set self boundaries? Copyright © 2016 Wolters Checkpoint Question Why is it important to set self boundaries? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer It is important to set self boundaries in order to help delineate Checkpoint Answer It is important to set self boundaries in order to help delineate the personal from the professional and enable you to avoid inappropriate behavior with patients. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The Professional Medical Assistant (cont’d. ) v Adaptive and Maladaptive Coping Mechanisms § § The Professional Medical Assistant (cont’d. ) v Adaptive and Maladaptive Coping Mechanisms § § § Health care setting is stressful Adaptive: o Identifying ways to modify the stressor o Reframing the situation o Creating boundaries Maladaptive: o Complaining o Doing bare minimum o Turning to food, drugs, or alcohol Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Members of the Health Care Team § Team may be broken into three groups: Members of the Health Care Team § Team may be broken into three groups: o Health care providers o Nurses o Allied health care professionals multidisciplinary: involving many disciplines; a group of health care professionals from various specialties brought together to meet the patient’s needs A multidisciplinary team is a group of specialized professionals who are brought together to meet the needs of the patient. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Members of the Health Care Team (cont’d. ) v Health Care Providers § § Members of the Health Care Team (cont’d. ) v Health Care Providers § § § Physicians (MD or DO) o Team leaders Physician assistants (PA) o May perform some procedures traditionally done by physician Nurse Practitioners (NP) o Practice medicine independently o In some states can write prescriptions, operate own offices, admit patients to hospital o In other states, NP works closely with physician Copyright © 2016 Wolters Kluwer • All Rights Reserved Recertification: certification renewed either by taking the examination again or by completing a specified number of continuing education units in a 5 -year period Back to learning outcomes

Members of the Health Care Team (cont’d. ) v The Nursing Profession § § Members of the Health Care Team (cont’d. ) v The Nursing Profession § § Registered nurse (BS; AAS) Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Certified nursing assistant (CNA) Copyright © 2016 Wolters Kluwer • All Rights Reserved Inpatient: a medical setting in which patients are admitted for diagnostic, radiographic, or treatment purposes Back to learning outcomes

Members of the Health Care Team (cont’d. ) v Allied Health Professionals § § Members of the Health Care Team (cont’d. ) v Allied Health Professionals § § Educational requirements and responsibilities vary greatly among these professionals but all have a related professional organization Examples: medical assistant, emergency medical technician, occupational therapist, physical therapist, dental assistant, health information technologist, laboratory technician, pharmacist, respiratory therapist Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

The History of Medical Assisting § Need formal training led to opening of school The History of Medical Assisting § Need formal training led to opening of school 1934 § 1955: American Association of Medical Assistants § 1963: certification exam for CMA § 1991: definition of medical assistant o Allied health professional o Member of health care delivery team o Performs administrative and clinical procedures The need for a highly trained professional with a background in administrative and clinical skills led to the formation of an alternative field of allied health care. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What prompted the establishment of a school for medical assistants? Copyright © Checkpoint Question What prompted the establishment of a school for medical assistants? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer The first school for medical assistants was established because of the need Checkpoint Answer The first school for medical assistants was established because of the need for a highly trained professional with administrative and clinical skills. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Education § Programs in private business § § schools, technical colleges, community Medical Assisting Education § Programs in private business § § schools, technical colleges, community colleges, and 2 -year colleges Programs vary in length Accredited program includes practicum (hands-on experience) Education continues after graduation through ongoing education, conferences, etc. Continuing education units are required to maintain membership in professional organization Figure 1 -6 Students practice competencies taught in their medical assisting classes. Their scope of practice is determined by their training. Practicum: an educational course that allows the student to obtain hands-on experience; also referred to as externship After you finish school, your education should not stop. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Education (cont’d. ) v Medical Assisting Program Accreditation § Based on school’s Medical Assisting Education (cont’d. ) v Medical Assisting Program Accreditation § Based on school’s adherence to essentials of sound education and service to students § Skills taught and documented in competency-based format § Entry-level competency is acquired § Specific skill to be mastered § Includes equipment and supplies accreditation: a nongovernmental professional peer review process that provides technical assistance and evaluates educational programs for quality based on preestablished academic and administrative standards After you finish school, your education should not stop. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Education (cont’d. ) Ø The Commission on Accreditation of Allied Health Education Medical Assisting Education (cont’d. ) Ø The Commission on Accreditation of Allied Health Education Programs (CAAHEP) § Accredits medical assisting programs in both public and private postsecondary institutions in U. S. § Mission: assure quality health profession education to serve the public interest Ø Accrediting Bureau of Health Education Schools (ABHES) § Accredits private postsecondary medical assistant programs § Mission: assure quality of the programs it accredits and assist in the improvement of the programs Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What are the two accrediting agencies for medical assisting education programs? Copyright Checkpoint Question What are the two accrediting agencies for medical assisting education programs? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer The two accrediting agencies are: 1. Council on Accreditation of Allied Health Checkpoint Answer The two accrediting agencies are: 1. Council on Accreditation of Allied Health Education Programs (CAAHEP) 2. Accrediting Bureau of Health Education Schools (ABHES). Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Credentials v Certified Medical Assistant (CMA) § § Sponsored by American Association Medical Assisting Credentials v Certified Medical Assistant (CMA) § § Sponsored by American Association of Medical Assistants (AAMA) CMA certification exam Can take upon graduation from a CAAHEP- or ABHESaccredited program To maintain credential, 60 continuing educational units (CEU) must be obtained every 5 years in three categories Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Credentials (cont’d. ) v Registered Medical Assistant (RMA) § § § Sponsored Medical Assisting Credentials (cont’d. ) v Registered Medical Assistant (RMA) § § § Sponsored by American Medical Technologist (AMT) RMA exam can be taken by: § Graduates of CAAHEP- or ABHES-accredited program § Anyone who completes program in postsecondary school or college that is regionally or nationally accredited § Anyone who completes a formal training program as part of U. S. Armed Forces § Individual who has worked in field for 5 years § Anyone who has passed a certification exam offered by another certification agency Ongoing education not required if certified prior to January 1, 2006, but otherwise need 30 point every 3 years through a Certification Continuation Program (CCP) Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Credentials (cont’d. ) v Certified Clinical Medical Assistant § § § Sponsored Medical Assisting Credentials (cont’d. ) v Certified Clinical Medical Assistant § § § Sponsored by National Healthcareer Association (HNA) CCMA certification exam Applicant must be at least 18 years of age, have high school diploma or equivalent, successfully completed allied health training program in past year or have 1 year experience as medical assistant Must recertify every 2 years 10 CE hours required every 2 years If certification expires, 10 CE credits, payment of the 2 -year recertification fee, and a reinstatement fee are required Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting Credentials (cont’d. ) v National Certified Medical Assistant § § § Sponsored Medical Assisting Credentials (cont’d. ) v National Certified Medical Assistant § § § Sponsored by National Center for Competency Testing (NCCT) NCMA certification exam can be taken by graduates of NCCTapproved medical assisting program within last 10 years or 2 qualifying years (4, 160 hours) of full-time employment (or equivalent part-time employment) within the last 10 years as a medical assistant Also need high school diploma or equivalent Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question What is required to maintain current status as a certified medical assistant? Checkpoint Question What is required to maintain current status as a certified medical assistant? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer To remain current, a CMA who takes the AAMA examination must obtain Checkpoint Answer To remain current, a CMA who takes the AAMA examination must obtain 60 CEUs every 5 years in three categories. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting and Related Allied Health Associations v Association Membership § Professional membership not Medical Assisting and Related Allied Health Associations v Association Membership § Professional membership not required, but offers: o Seminars o Continuing education units o Professional journals o Conventions o Group insurance o Networking opportunities Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting and Related Allied Health Associations (cont’d. ) Ø American Association of Medical Medical Assisting and Related Allied Health Associations (cont’d. ) Ø American Association of Medical Assistants The purpose of the AAMA is to promote the professional identity and stature of its members and the medical assisting profession through education and credentialing. Figure 1 -7 Logo for the American Association of Medical Assistants–sponsored Medical Assisting Recognition Week. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting and Related Allied Health Associations (cont’d. ) Ø American Medical Technologists Figure Medical Assisting and Related Allied Health Associations (cont’d. ) Ø American Medical Technologists Figure 1 -8 Insignia of American Medical Technologists. . Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Medical Assisting and Related Allied Health Associations (cont’d. ) Ø Professional Coder Associations American Medical Assisting and Related Allied Health Associations (cont’d. ) Ø Professional Coder Associations American Academy of Professional Coders (AAPC) provides education and professional certification to physician-based medical coders and elevates the standards of medical coding by providing student training, certification, ongoing education, and networking and job opportunities Ø American Health Information Management Association (AHIMA) § National professional organization dedicated to supporting the medical records or health information specialists § Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question List six benefits of membership in a professional organization. Copyright © 2016 Checkpoint Question List six benefits of membership in a professional organization. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer The benefits include: 1. Access to educational seminars 2. Access to continuing Checkpoint Answer The benefits include: 1. Access to educational seminars 2. Access to continuing education units 3. Subscription to the professional journals that alert you to new procedures and trends in medicine 4. Access to the annual conventions 5. Group insurance plans 6. Networking opportunities Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Employment Opportunities § Medical assistant employment ambulatory settings: o Physicians’ offices o Chiropractors’ offices Employment Opportunities § Medical assistant employment ambulatory settings: o Physicians’ offices o Chiropractors’ offices o Podiatrists’ offices o Physical therapy facilities o Laboratories o Imaging centers o Research facilities o Walk-in clinics o Ambulatory surgical centers o Insurance companies Because of the flexible, multiskilled nature of their education, medical assistants can work in a variety of health care settings. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Question Why is it important that medical assistants are multiskilled? Copyright © 2016 Checkpoint Question Why is it important that medical assistants are multiskilled? Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes

Checkpoint Answer Medical assistants are the most cost-effective employees because they can perform so Checkpoint Answer Medical assistants are the most cost-effective employees because they can perform so many different skills. Copyright © 2016 Wolters Kluwer • All Rights Reserved Back to learning outcomes