A.A.S. Medical Assisting Educational Effectiveness Assessment Plan Version 3.6 Adopted by The Medical Assisting faculty: June 15, 2010 Submitted to The Dean of the Community and Technical College: June 15, 2010 The Office of Academic Affairs: June 15, 2010 106746336 Submitted June 15, 2010 Page 1 of 39 TABLE OF CONTENTS Mission Statement __________________________________________________________________ 3 Program Introduction _______________________________________________________________ 3 Assessment Process Introduction ______________________________________________________ 3 Program Outcomes _________________________________________________________________ 4 Assessment Measures _______________________________________________________________ 6 Table 2: Program Outcomes Assessment Measures and Administration_______________________ 6 Assessment Implementation & Analysis for Program Improvement __________________________ 8 Appendix A: Employer Survey ______________________________________________________ 12 Appendix B: Graduate Survey _______________________________________________________ 15 Appendix C: AAMA Membership Roster ______________________________________________ 18 Appendix D: CMA (AAMA) Exam ___________________________________________________ 19 Appendix E: Externship performance evaluation _______________________________________ 20 Appendix F: Job placement________________________________________________________ 216 Appendix G: Example of skill competency evaulation ___________________________________ 279 Appendix H: Medical Assisting Administrative Competencies _____________________________ 31 Appendix I: Medical Assisting Clinical Competencies ___________________________________ 33 Appendix J: Medical Assisting General Competencies ___________________________________ 37 106746336 Submitted June 15, 2010 Page 2 of 39 MISSION STATEMENT The mission of the UAA Medical Assisting program is to provide quality training to individuals desiring to work in the fast-paced, highly technical, ever-changing field of medical assisting. PROGRAM INTRODUCTION The UAA Medical Assisting Program is accredited by the Commission for Accreditation of Allied Health Education Programs (CAAHEP) upon the recommendation of the Medical Assisting Education Review Board (MAERB). The outcomes identified for the Medical Assisting Program are based on Standards and Guidelines for an Accredited Medical Assistant Educational Program which was adopted by the American Association of Medical Assistants (AAMA) in 2008. These standards and guidelines have been specifically established for CAAHEP accreditation of medical assisting programs. The 2003 Standards applied to the UAA Medical Assisting Program when it submitted selfstudy and underwent site visit for program CAAHEP accreditation in 2005-2006. In September 2006, the Medical Assisting Program received notification from CAAHEP that full 10-year continuing accreditation was granted. During AY 09-10, the 2008 Standards were reviewed, and the student learning outcomes within individual courses were updated to align with the CAAHEP requirements. Assessment strategies have been chosen to align with identified program outcomes. The Medical Assisting Education Review Board (MAERB) has established specific outcomes which must be met by the program in order to maintain CAAHEP accreditation. Several assessment tools developed by MAERB, including graduate and employer surveys, are required by CAAHEP for continuing program accreditation. Although some UAA reviewers may feel that surveys should not be included as assessment tools, the UAA Medical Assisting Program is required to include them in the assessment process, and therefore chooses to include them in program assessment. ASSESSMENT PROCESS INTRODUCTION This document defines the expected outcomes for the Medical Assisting Program and outlines a plan for assessing the achievement of the stated outcomes. As mentioned above, the outcomes are based on the Standards and Guidelines for an Accredited Medical Assistant Educational Program which was adopted by the American Association of Medical Assistants (AAMA) in 2008. This plan was reviewed and adopted by full-time faculty in the department in September 2003; revised in June 2004, June 2005, October 2006, June 2007, October 2007, May 2008, and June 2010. The Medical Assisting Department formulated its first formal assessment plan in December 1990 when the department completed and submitted a programatic self-study document as it applied for initial program accreditation to the Commission on Allied Health Education and Accreditation (CAHEA). Full seven-year accreditation was awarded by CAHEA in October 1991, with no deficiencies noted in the area of assessment and outcomes. The Medical Assisting Program Assessment Plan established in 1990 included three major outcomes which are still a part of the present departmental assessment plan. The Medical Assisting Department underwent program self-study and site visit again in 1997-1998 and was notified in October 1998 that the Program was granted full seven-year accreditation by the 106746336 Submitted June 15, 2010 Page 3 of 39 Commission for Accreditation of Allied Health Education Program (CAAHEP), with no deficiencies noted. The Medical Assisting Program has actively been involved in continuous improvement activities since 1990. In preparation for UAA's 2000 self-study for the Northwest Commission's accreditation process, Robin Wahto, Medical Assisting faculty, worked on a summer assignment during the summers of 1998 and 1999 and developed a detailed assessment plan which included learning outcomes, assessment strategies, and sample assessment tools. This plan was reviewed and approved by the other full-time faculty, Pam Ventgen, and the Executive Assistant to the Provost for Accreditation, Assessment and Program Review at that time, Roberta Morgan, as well as Will Jacobs, who was involved with assessment efforts. PROGRAM OUTCOMES At the completion of this program, students are able to: demonstrate entry-level knowledge, skills, and behaviors in the Administrative curriculum content areas of medical assisting (listed on pages 31 and 32 of this document). demonstrate entry-level knowledge, skills, and behaviors in the Clinical curriculum content areas of medical assisting (listed on pages 33 – 36 of this document). demonstrate entry-level knowledge, skills and behaviors in the General curriculum content areas of medical assisting (listed on pages 37 - 39 of this document). demonstrate professional and ethical behavior in the healthcare setting. demonstrate commitment to the medical assisting profession by sitting for the CMA exam, maintaining the CMA credential, and becoming a member of the professional association, the American Association of Medical Assistants. when seeking employment as a medical assistant, find gainful employment in the field of medical assisting or a health-related field. 106746336 Submitted June 15, 2010 Page 4 of 39 106746336 Submitted June 15, 2010 Page 5 of 39 AAMA Roster demonstrate entry-level knowledge, skills and behaviors in the 1 1 1 1 1 Administrative curriculum content areas of medical assisting. demonstrate entry-level knowledge, skills, and behaviors in the Clinical 1 1 1 1 1 curriculum content areas of medical assisting. demonstrate entry-level knowledge, skills and behaviors in the General 1 1 1 1 1 curriculum content areas of medical assisting. demonstrate professional and ethical behavior in the 0 1 1 1 1 healthcare setting. demonstrate commitment to the medical assisting profession by sitting for the CMA exam, maintaining the CMA credential, and 1 0 0 0 0 becoming a member of the professional association, the American Association of Medical Assistants. when seeking employment as a medical assistant, find gainful employment in the field of 0 0 0 0 0 medical assisting or a healthrelated field. 0 = Measure is not used to measure the associated outcome. 1 = Measure is used to measure the associated outcome. Job Placement Graduate Survey Employer Survey Competency Check off Outcomes Externship Evaluation of student CMA exam Table 1: Association of Assessment Measures to Program Outcomes 0 0 0 0 0 0 0 0 0 1 1 0 ASSESSMENT MEASURES A description of the tools used in the assessment of the program outcomes and their implementation are summarized in Table 2 below. The measures and their relationships to the program outcomes are listed in Table 1, above. TABLE 2: PROGRAM OUTCOMES ASSESSMENT MEASURES AND ADMINISTRATION Measure CMA (AAMA) Exam Externship Student Performance Evaluation Employer Survey Competency Check Sheets Graduate Survey Membership Roster Job Placement Rate Frequency/ Start Date Description Certified Medical Assisting exam administered by the National Board of Medical Examiners Performance evaluation completed by externship supervisors and/or physicians Survey sent to employers of MA graduates Tri-annually/ June 1991 During MA 295, Externship course/June 1991 Send annually in June/ 1997 Collection Method CMA exam results Evaluation form prepared and required by AAMA Administered by AAMA Faculty for MA 295 Survey Program Director Competency check sheets for each of the required skills Weekly within individual courses/2003 Competency check sheets completed in MA classes Individual instructors Survey mailed to graduates Send annually in March/1997 Survey Program Director Annually in April/1998 Query Program Director Annually in April/1998 Survey Program Director Roster of members of the Alaska Medical Assistants Society List of graduates and place of employment The MAERB has developed a graduate survey, employer survey, and an externship (practicum) site evaluation as tools for assessment purposes. MAERB requires that all questions on their surveys be included in program assessment; therefore the Medical Assisting Program has adopted the surveys provided by MAERB. Several other assessment tools have been provided by MAERB (http://maerb.org/). MAERB has also established outcome assessments thresholds. The following document has been copied from the MAERB website. Outcome Assessment Thresholds CAAHEP Accredited Medical Assisting Educational Programs The Medical Assisting Education Review Board (MAERB) has established the following thresholds for outcome assessment in medical assisting programs accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). These outcomes are mandated as part of the 2008 Standards and Guidelines for the Accreditation of Educational Programs in Medical Assisting, Section IV.B. They are monitored annually through the MAERB Annual Report. 106746336 Submitted June 15, 2010 Page 6 of 39 Outcome National Credentialing Success Rate (CMA (AAMA), RMA (AMT) Threshold >70% Effective 2009 Grads Programmatic Retention/Attrition Rate <70% Graduate Satisfaction Success Rate (Survey – MAERB Instrument) >80% Graduate Survey Participation Rate >30% Employer Satisfaction Success Rate (Survey – MAERB Instrument) >80% Employer Survey Participation Rate >30% Positive Job Placement (includes work in medical assisting or a related field, continuing in school or being in the military) Programmatic Summative Measures Psychomotor and Affective Domain Objectives Success Rate >70% Threshold 100% Psychomotor and Affective Domain Objectives Participation Rate 100% 106746336 Submitted June 15, 2010 Example If a program has 100 graduates within the 5-year reporting period, at least 70 of those 100 would need to become credentialed as a CMA (AAMA) or RMA (AMT). If 100 students enter the program during the 5-year period, the attrition can be no more than 30. If 100 graduates return surveys during the 5-year period, at least 80 of these would need to give a satisfactory rating on the program. If the program had 100 graduates in the 5-year period, at least 30 would need to return the survey. If a program received 100 employer satisfaction surveys in the 5-year period, at least 80 would need to report satisfaction with the graduates of the program. If 100 employer surveys were sent to employers within the 5-year period, at least 30 would need to be returned. If a program had 100 graduates in the 5-year period, at least 70 would need to have a position in medical assisting or a related field, be continuing their education and/or be in the military. Example If a program had 100 graduates in the ARF reporting year, all 100 graduates would need to have successfully completed all of the psychomotor and affective domain objectives, meeting the cut (passing) score established by the program as a minimum standard to be met. If a program had 100 graduates in the ARF reporting year, a program would need to have an evaluation completed for each of the 100 graduates on all psychomotor and Page 7 of 39 Practicum Evaluation of Students Success Rate Cognitive Psychomotor Affective 100% Practicum Evaluation of Students Participation Rate 100% affective domain objectives. If the program had 100 graduates in the ARF reporting year, all 100 graduates would need to have successfully completed cognitive, psychomotor, and affective skills performed during the practicum. If a program had 100 graduates in the ARF reporting year, an practicum evaluation would need to be completed for each of the 100 graduates. The MAERB collects a total of five years of data each year (i.e., a moving 5-year window). These data will be averaged to determine where a program falls with regard to each of the established thresholds. If a program fails to meet one or more of the thresholds, the MAERB initiates a dialogue to assist the program in its determination of the reason(s) for the noncompliance and in its development and implementation of an effective action plan to achieve compliance. This dialogue is initiated in the ARF when a threshold is not met. The MAERB is committed to assisting programs in their efforts to achieve and maintain the outcomes assessment thresholds. Examples of the types of dialogue between the program and the MAERB include, but are not limited to the following: A list of questions prepared by the MAERB that the program would answer to communicate its analysis and action plan for improving the outcome(s). (These are part of the ARF) A progress report. A focused on-site survey. A comprehensive review (i.e., a full self-study, self-study report, and on-site survey). Ultimately, if one or more outcomes are not corrected within the designated time frame, the MAERB could forward an adverse accreditation recommendation to the Commission on Accreditation of Allied Health Education Programs (CAAHEP). ASSESSMENT IMPLEMENTATION & ANALYSIS FOR PROGRAM IMPROVEMENT General Implementation Strategy The Medical Assisting Program implemented this assessment plan in 1998-1999, although the current template for assessment plans was not used at that time. The department has been utilizing most of the assessment tools described in this document for collecting data since 1992 years and the faculty have been making changes to improve the program based on that data, although the data have not been incorporated into an excel spreadsheet, as is now provided as a report. The following plan was originally developed in the Summer 1999 and has been revised when it was incorporated into this format. Assessment tools are implemented as follows. 106746336 Submitted June 15, 2010 Page 8 of 39 1. CMA (AAMA) exam (CMA exam results have been reviewed annually since September 1991) June 15, Program Director a. reviews scores of certified medical assistant exams taken within the past 12 months . b. compares UAA average scores with national average scores in following areas: general, administrative, and clinical medical assisting. c. calculates percentage of UAA graduates sitting for and passing CMA exam. d. reviews exam results with faculty; Program Director and faculty make recommendations for improvement as indicated by scores. e. compares list of students who sat for June exam with list of UAA graduates who are eligible to sit for the exam. f. gives applications to students 4 months prior to anticipated completion of the program. Beginning of each semester and ongoing, Program Faculty: a. include in all publications that UAA graduates are eligible to sit for exam. b. include cost of exam on department estimated cost sheet. c. encourage all eligible students to sit for the CMA exam. 2. Alaska Medical Assistant Society membership roster September 15: a. Faculty give information and membership applications regarding professional association to students during orientation, in medical office procedures course, MA 120, and again at time of registration for the CMA exam. b. Faculty may include on syllabi that extra credit may be earned for attending local chapter and state society meetings of AAMA. May 1: a. Program Director reviews Alaska Medical Assistant Society membership roster to determine percentage of graduates who are members of the professional association (AAMA). b. MA 295, Medical Office Externship, faculty give membership applications to students who are enrolled in the medical office externship class, as students may join at a reduced rate after May 1. 3. Graduate Surveys March 1: a. Program Director mails out graduate survey to graduates who completed CMA preparation program within the past 6 months. June 1: a. Program Director reviews graduate surveys and shares analysis with faculty; recommendations for improvements made by faculty and program director based on findings. b. Program Director compiles list of graduates who are employed and place of employment 106746336 Submitted June 15, 2010 Page 9 of 39 4. Employer Surveys March 31: a. Program Director mails employer survey. June 1: a. Program Director reviews employer surveys. b. Program Director reports to faculty; recommendations made by faculty based on findings. 5. Externship Performance Evaluations August 15: a. Program Director reviews externship evaluations completed for MA A295. b. Program Director reports to faculty, recommendations made by faculty based on findings. Method of Data Analysis and Formulation of Recommendations for Program Improvement The faculty of the program meet as outlined above to review the data collected using the assessment tools. The faculty makes recommendations for program changes that are designed to enhance performance relative to the program’s outcomes. The results of the data collection, an interpretation of the results, and the recommended programmatic changes are forwarded to the CTC Dean’s office and the Office of Academic Affairs (in the required format) during the month of June each year. The plan and report will be reviewed in September of each year; the plan and report will be changed and updated in October and forwarded to the CTC’s dean office and the Office of Academic Affairs on October 15 of each year. Proposed programmatic changes may be any action or change in policy that the faculty deems as being necessary to improve performance relative to programs outcomes. Recommended changes should also consider resources, such as workload (faculty, staff, and students), budgetary, facilities, and other relevant constraints. A few examples of changes made by programs at UAA include: o changes in course content, scheduling, sequencing, prerequisites, delivery methods, etc. o changes in faculty/staff assignments o changes in advising methods and requirements o addition and/or replacement of equipment or facilities The specific timeline which has been outlined by the Medical Assisting Program is included in the section above. Modification of the Assessment Plan The faculty, after reviewing the collected data and the processes used to collect it, may decide to alter the assessment plan. Changes may be made to any component of the plan, including the objectives, outcomes, assessment tools, or any other aspect of the plan. The changes are to be approved by the faculty of the program. The modified assessment plan is to be forwarded to the CTC Dean’s office and the Office of Academic Affairs. Annual Reporting to the American Association of Medical Assistants (AAMA) The American Association of Medical Assistants (AAMA) requires that the UAA Medical Assisting Program submit an annual report which is due in March of each year. The information required by AAMA includes the number of entering students; number of returning/continuing students; number of 106746336 Submitted June 15, 2010 Page 10 of 39 graduates; number of graduates sitting for the CMA exam; number of graduates passing the CMA exam; number of graduates employed in the field; percentage of graduates satisfied with the program; percentage of employer satisfied with graduate performance; as well as additional information regarding evaluation of resources. The annual report has been required since 2005. Thresholds established by AAMA, and outlined on page 7 and 8 of this document, have been consistently met by the UAA Medical Assisting program. The appendices include assessment tools that have been approved by AAMA and are utilized by the UAA Medical Assisting Program. Additionally a list of the required competencies are included as Appendix H, Appendix I, and Appendix J. 106746336 Submitted June 15, 2010 Page 11 of 39 APPENDIX A: EMPLOYER SURVEY Tool Description: An employer survey which has been developed by the American Association of Medical Assistants is sent to all employers on an annual basis. The employer survey will ask employers to evaluate their employees who have graduated from UAA for performance and professional capabilities. Factors that affect the collected data: Factors that need to be taken into consideration when analyzing the data include: Response rate Sample size Personal bias when asking narrative questions Sample Survey: A survey has been recently developed by AAMA and was used for the first time during 2005. This survey is attached on pages 13 and 14. A similar survey has been administered in the past and has been found to be a useful tool. It is mailed by the Program Director. The Program Director reviews the results and tabulates them for use for faculty outcomes review. 106746336 Submitted June 15, 2010 Page 12 of 39 EMPLOYER SURVEY University of Alaska Anchorage Medical Assisting Program CAAHEP Accredited Program Accred #201 The primary goal of a Medical Assisting Education program is to prepare each graduate to function as a competent Medical Assistant. This survey is designed to help program faculty determine their program’s strengths and those areas that need improvement. All data will be kept confidential and will be used for program evaluation purposes only. We request that this survey be completed by the graduate’s immediate supervisor. BACKGROUND INFORMATION: Name of Graduate (Optional): Certification Status (check all that apply): Length of employment at time of survey: years and months Place of employment: Name of evaluator completing this form: INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. 5 = Strongly Agree 4 = Generally Agree 3 = Neutral (acceptable) 2 = Generally Disagree 1 = Strongly Disagree I. KNOWLEDGE BASE (Cognitive Domain) THE GRADUATE: A. Has medical assisting knowledge appropriate to his/her level of training. 5 4 3 2 1 B. Has general medical knowledge appropriate to his/her level of training. 5 4 3 2 1 C. Is able to collect pertinent data accurately from charts and patients. 5 4 3 2 1 D. Is able to perform appropriate diagnostic and medical E. procedures as directed. 5 4 3 2 1 Uses good judgment while functioning in the ambulatory healthcare setting. 5 4 3 2 1 Comments: II. PROCEDURAL PROFICIENCY (Psychomotor Domain) THE PROGRAM: A. Prepared the graduate to perform all clinical skills appropriate to entry level medical assisting B. 5 4 3 2 1 Prepared the graduate to perform all administrative skills appropriate to entry level medical assisting. 5 4 3 2 1 Comments: 106746336 Submitted June 15, 2010 Page 13 of 39 BEHAVIORAL SKILLS (Affective Domain) THE GRADUATE: A. B. C. D. E. F. Communicates effectively in the healthcare setting. Conducts himself/herself in an ethical and professional manner. Functions effectively as a member of the healthcare team. Accepts supervision and works effectively with supervisory personnel. Is self-directed and responsible for his/her actions. Arrives to work prepared and on time. G. Contributes to a positive environment in the department. 5 5 5 5 5 5 4 4 4 4 4 4 3 3 3 3 3 3 2 2 2 2 2 2 1 1 1 1 1 1 5 4 3 2 1 Comments: IV. GENERAL INFORMATION (Affective Domain) (Circle yes or no) A. Do you encourage/motivate employees to take and pass the CMA Certification exam? B. Do you encourage/motivate employees to take and pass the RMA Registry exams? C. If you answered NO to any of the above questions, please explain why: Comments: V. ADDITIONAL COMMENTS OVERALL RATING: Please rate and comment on the OVERALL quality of this graduate: 5 = Excellent 4 = Very Good 3 = Good 2 = Fair Comments: 1 = Poor What qualities or skills did you expect of the graduate upon employment that he/she did not possess? Please provide comments and suggestions that would help this program to better prepare future graduates. What are strengths of the graduate(s) of this program? Name and Title of Evaluator: (Please Print) Signature: Date: Thank you in advance 106746336 Submitted June 15, 2010 Page 14 of 39 Yes Yes No No APPENDIX B: GRADUATE SURVEY Tool Description: A graduate survey is sent to graduates who have completed the Medical Assisting Program within the past 6 months each year. The graduate survey includes questions on the current employment status of the graduate and whether or not their education has been adequately prepared them to work as an entry-level medical assistant. It also asks questions about continuing education to determine participation and support. Factors that affect the collected data: Factors that need to be taken into consideration when analyzing the data include: Response rate Sample size Graduates may move from Alaska Sample Survey: A survey has been developed by the American Association of Medical Assistants and was used for the first time in 2005. A similar survey been administered in the past and has been found to be a useful tool. The sample survey is attached on pages 16 and 17. It is mailed to graduates by the Program Director. The Program Director reviews the results and tabulates them for use for faculty outcomes review. 106746336 Submitted June 15, 2010 Page 15 of 39 GRADUATE SURVEY UNIVERSITY OF ALASKA ANCHORAGE MEDICAL ASSISTING PROGRAM CAAHEP Program Accreditation #201 The primary goal of a Medical Assisting Education program is to prepare its graduates to function as competent Medical Assistants. This survey is designed to help your program faculty determine the strengths of your program as well as those areas that need improvement. All data will be kept confidential and will be used for program evaluation purposes only. BACKGROUND INFORMATION: Job Title: If not working, what are you doing? Current Salary (optional): Place of employment: Length of employment at time of survey: years and/or months. Name of graduate (Optional): I finished the medical office externship course in ___________________________ (month, year). I sat for the CMA exam in _____________________________________ (month, year). INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. 5 = Strongly Agree 4 = Generally Agree 3 = Neutral (acceptable) 2 = Generally Disagree 1 = Strongly Disagree I. KNOWLEDGE BASE (Cognitive Domain) THE PROGRAM: A. Helped me acquire the medical assisting knowledge appropriate to my level of training. 5 4 3 2 1 Helped me acquire the general medical knowledge base appropriate to my level of training 5 4 3 2 1 C. Prepared me to collect patient data effectively. 5 4 3 2 1 D. Prepared me to perform appropriate diagnostic and medical procedures. 5 4 3 2 1 Trained me to use sound judgment while functioning in the healthcare setting. 5 4 3 2 1 B. E. Comments: ________ II. PROCEDURAL PROFICIENCY (Psychomotor Domain) THE PROGRAM: A. Prepared me to perform all clinical skills appropriate to entry-level medical assisting B. Prepared me to perform all administrative skills appropriate to entry-level medical assisting. 106746336 Submitted June 15, 2010 5 4 3 2 1 5 4 3 2 1 Page 16 of 39 Comments: III. BEHAVIORAL SKILLS (Affective Domain) THE PROGRAM: A. Prepared me to communicate effectively in the healthcare setting. B. C. D. 5 4 3 2 1 Prepared me to conduct myself in an ethical and professional manner. 5 4 3 2 1 Taught me to manage my time efficiently while functioning in the healthcare setting. 5 4 3 2 1 Strongly encouraged me to apply for and pass my CMA exam 5 4 3 2 1 Comments: IV. GENERAL INFORMATION (Affective Domain) (Check yes or no) A. I have attained CMA certification. B. I am a member of the American Association of Medical Assistants C. I actively participate in continuing education activities. If you answered NO to any of the above questions, please explain why: V. ADDITIONAL COMMENTS OVERALL RATING: Please rate and comment on the OVERALL quality of your preparation as a medical assistant: 5 = Excellent 4 = Very Good 3 = Good 2 = Fair Comments: 1 = Poor Please identify two or three strengths of the program. Please make two or three suggestions to further strengthen the program. What qualities/skills were expected of you upon employment that were not included in the program? Please provide comments and suggestions that would help to better prepare future graduates. Other comments. _________________________________________________________________________________________________ Thank you. Today’s Date: _______________ 106746336 Submitted June 15, 2010 Page 17 of 39 APPENDIX C: AAMA MEMBERSHIP ROSTER Tool Description: This query comes from the professional organization AAMA annually. This tool is used to determine the number of graduates who demonstrate a commitment to the medical assisting profession through membership in the American Association of Medical Assistants. Factors that affect the collected data: Membership roster information is only available for the state of Alaska. If a graduate has moved to another state, then that data is not available. How to interpret the data: A listing of UAA graduates is compared to a roster of AAMA members who reside in Alaska. The query is tabulated by the Program Director. Results are calculated on a percentage basis: percentage of graduates who are members of the professional association. 106746336 Submitted June 15, 2010 Page 18 of 39 APPENDIX D: CMA (AAMA) EXAM Tool Description: Graduates of the Medical Assisting Program are eligible to sit for the CMA (AAMA) exam. The test has been administered in June and January in the past, and now is also offered in October of each year. It is administered by the American Association of Medical Assistants, in conjunction with the National Board of Medical Examiners. Over the past 18 years, 99% of all eligible UAA students have sat for this exam. Factors that affect the collected data: None known. How to interpret the data: The data interpreted and tabulated by the American Association of Medical Assistants. Number of students sitting for the exam is provided, along with number of students passing the exam. The average score for all UAA candidates in the three knowledge areas is provided, as well as the overall average percentile where UAA students are compared to all students in the US sitting for the same exam. Scores for individual students, without identifying information, is provided in three main categories of medical assisting knowledge areas. Total number of candidates sitting for the exam nationwide is provided, with percentage of overall candidates passing, as well as percentage of UAA students passing. Average scores for the three knowledge areas are given for all candidates and UAA candidates. The Medical Assisting faculty utilized this information to determine if particular content areas need to be strengthened within the medical assisting curriculum. The percentage of total students sitting for exam and the percentage of students passing the exam must be reported on an annual base to the program accreditation agency, CAAHEP. Outcome thresholds have been established in these two areas, and if programs fall below the threshold, the program may be audited by the accrediting agency. 106746336 Submitted June 15, 2010 Page 19 of 39 APPENDIX E: EXTERNSHIP PERFORMANCE EVALUATION Tool Description: Each Medical Assisting graduate completes MA A295, Medical Office Externship. This course places the student in a medical office or physician's office for a total of 240 hours. The students are required to demonstrate competency in administrative, clinical and general skills required of an entry-level medical assistant. The department utilizes an evaluation form which is completed by the student's onsite supervisor. The Externship Performance Evaluation form has been prepared by AAMA and CAAHEP accreditation requires that the specific questions on the form be utilized for evaluation of medical assisting externs. Therefore the AAMA Externship Evaluation form has been adopted by the UAA Medical Assisting program. Factors that affect the collected data: The tool, although designed with an objective rating scale, is extremely subjective. How to interpret the data: Results must be interpreted with caution. The faculty looks at trends. 106746336 Submitted June 15, 2010 Page 20 of 39 PRACTICUM EVALUATION 0F STUDENT University of Alaska Anchorage Medical Assisting Program Name of Practicum Student Being Evaluated: INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any item. 5 = Strongly Agree 4 = Agree 3 = Neutral (acceptable) 2 = Disagree 1 = Strongly Disagree N/A = Not available at this site Student extern was able to perform the following tasks to a satisfactory level of competence: Anatomy & Physiology Psychomotor Domain 1. Obtain vital signs 5 4 3 2 1 2. Perform venipuncture 5 4 3 2 1 3. Perform capillary puncture 5 4 3 2 1 4. Perform pulmonary function testing 5 4 3 2 1 5. Perform electrocardiography 5 4 3 2 1 6. Perform patient screening using established protocols 5 4 3 2 1 7. Select proper sites for administering parenteral medication 5 4 3 2 1 8. Administer oral medications 5 4 3 2 1 9. Administer parenteral (excluding IV) medications 5 4 3 2 1 10. Assist physician with patient care 5 4 3 2 1 11. Perform quality control measures 5 4 3 2 1 12. Perform CLIA waived hematology testing 5 4 3 2 1 13. Perform CLIA waived chemistry testing 5 4 3 2 1 14. Perform CLIA waived urinalysis 5 4 3 2 1 15. Perform immunology testing 5 4 3 2 1 16. Screen test results 5 4 3 2 1 Affective Domain 1. Apply critical thinking skills in performing patient assessment 5 4 3 2 1 and care 2. Use language/verbal skills that enable patients’ understanding 5 4 3 2 1 3. Demonstrate respect for diversity in approaching patients and 5 4 3 2 1 families Applied Mathematics Psychomotor Domain 1. Prepare proper dosages of medication for administration 5 4 3 2 1 2. Maintain laboratory test results using flow sheets 5 4 3 2 1 3. Maintain growth charts 5 4 3 2 1 Affective Domain 1. Verify ordered doses/dosages prior to administration 5 4 3 2 1 2. Distinguish between normal and abnormal test results 5 4 3 2 1 Applied Microbiology/Infection Control 106746336 Submitted June 15, 2010 Page 21 of 39 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Psychomotor Domain 1. Participate in training on Standard Precautions 2. Practice Standard Precautions 3. Select appropriate barrier/personal protective equipment (PPE) for potentially infectious situations 4. Perform handwashing 5. Prepare items for autoclaving 6. Perform sterilization procedures 7. Obtain specimens for microbiological testing 8. Perform CLIA waived microbiology testing Affective Domain 1. Display sensitivity to patient rights and feelings in collecting specimens 2. Explain the rationale for performance of a procedure to the patient 3. Show awareness of patients’ concerns regarding their perceptions related to the procedure being performed Applied Communications Psychomotor Domain 1. Use reflection, restatement and clarification techniques to obtain a patient history 2. Report relevant information to others succinctly and accurately 3. Use medical terminology, pronouncing medical terms correctly, to communicate information, patient history, data and observations 4. Explain general office policies 5. Instruct patients according to their needs to promote health maintenance and disease prevention 6. Prepare a patient for procedures and/or treatments 7. Demonstrate telephone techniques 8. Document patient care 9. Document patient education 10. Compose professional/business letters 11. Respond to nonverbal communication 12. Develop and maintain a current list of community resources related to patients’ healthcare needs 13. Advocate on behalf of patients Affective Domain 1. Demonstrate empathy in communicating with patients, family and staff 2. Apply active listening skills 3. Use appropriate body language and other nonverbal skills in communicating with patients, family and staff 4. Demonstrate awareness of the territorial boundaries of the person with whom communicating 5. Demonstrate sensitivity appropriate to the message being delivered 6. Demonstrate awareness of how an individual’s personal 106746336 Submitted June 15, 2010 5 5 4 4 3 3 2 2 1 1 N/A N/A 5 4 3 2 1 N/A 5 5 5 5 5 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 1 1 1 1 1 N/A N/A N/A N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 5 5 5 5 5 4 4 4 4 4 4 3 3 3 3 3 3 2 2 2 2 2 2 1 1 1 1 1 1 N/A N/A N/A N/A N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A Page 22 of 39 appearance affects anticipated responses 7. Demonstrate recognition of the patient’s level of understanding in communications 8. Analyze communications in providing appropriate responses/ feedback 9. Recognize and protect personal boundaries in communicating with others 10. Demonstrate respect for individual diversity, incorporating awareness of one’s own biases in areas including gender, race, religion, age and economic status Administrative Functions Psychomotor Domain 1. Manage appointment schedule, using established priorities 2. Schedule patient admissions and/or procedures 3. Organize a patient’s medical record 4. File medical records 5. Execute data management using electronic healthcare records such as the EMR 6. Use office hardware and software to maintain office systems 7. Use internet to access information related to the medical office 8. Maintain organization by filing 9. Perform routine maintenance of office equipment with documentation 10. Perform an office inventory Affective Domain 1. Consider staff needs and limitations in establishment of a filing system 2. Implement time management principles to maintain effective office function Basic Practice Finance Psychomotor Domain 1. Prepare a bank deposit 2. Perform accounts receivable procedures, including: a. Post entries on a daysheet b. Perform billing procedures c. Perform collection procedures d. Post adjustments e. Process a credit balance f. Process refunds g. Post non-sufficient fund (NSF) checks h. Post collection agency payments 3. Utilize computerized office billing systems Affective Domain 1. Demonstrate sensitivity and professionalism in handling accounts receivable activities with clients Managed Care/Insurance Psychomotor Domain 1. Apply both managed care policies and procedures 106746336 Submitted June 15, 2010 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 N/A N/A N/A N/A 5 4 3 2 1 N/A 5 5 5 4 4 4 3 3 3 2 2 2 1 1 1 N/A N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A Page 23 of 39 2. Apply third party guidelines 3. Complete insurance claim form 4. Obtain precertification, including documentation 5. Obtain preauthorization, including documentation 6. Verify eligibility for managed care services Affective Domain 1. Demonstrate assertive communication with managed care and/or insurance providers 2. Demonstrate sensitivity in communicating with both providers and patients 3. Communicate in language the patient can understand regarding managed care and insurance plans Procedural and Diagnostic Coding Psychomotor Domain 1. Perform procedural coding 2. Perform diagnostic coding Affective Domain 1. Work with physician to achieve the maximum reimbursement Medical Law and Ethics Legal Implications Psychomotor Domain 1. Respond to issues of confidentiality 2. Perform within scope of practice 3. Apply HIPAA rules in regard to privacy/release of information 4. Practice within the standard of care for a medical assistant 5. Incorporate the Patient’s Bill of Rights into personal practice and medical office policies and procedures 6. Complete an incident report 7. Document accurately in the patient record 8. Apply local, state and federal health care legislation and regulation appropriate to the medical assisting practice setting Affective Domain 1. Demonstrate sensitivity to patient rights 2. Demonstrate awareness of the consequences of not working within the legal scope of practice 3. Recognize the importance of local, state and federal legislation and regulations in the practice setting Ethical Considerations Psychomotor Domain 1. Report illegal and/or unsafe activities and behaviors that affect health, safety and welfare of others to proper authorities 2. Develop a plan for separation of personal and professional ethics Affective Domain 1. Apply ethical behaviors, including honesty/integrity in performance of medical assisting practice 106746336 Submitted June 15, 2010 5 5 5 5 5 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 1 1 1 1 1 N/A N/A N/A N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 5 4 4 3 3 2 2 1 1 N/A N/A 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 N/A N/A N/A N/A 5 4 3 2 1 N/A 5 5 4 4 3 3 2 2 1 1 N/A N/A 5 4 3 2 1 N/A 5 5 4 4 3 3 2 2 1 1 N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A Page 24 of 39 2. Examine the impact personal ethics and morals may have on the individual’s practice 3. Demonstrate awareness of diversity in providing patient care Safety and Emergency Practices Protective Practices Psychomotor Domain 1. Comply with safety signs, symbols and labels 2. Evaluate the work environment to identify safe vs. unsafe working conditions 3. Develop a personal (patient and employee) safety plan 4. Develop an environmental safety plan 5. Demonstrate proper use of the following equipment: a. Eyewash b. Fire extinguishers c. Sharps disposal containers 6. Participate in a mock environmental exposure event with documentation of steps taken 7. Explain an evacuation plan for a physician’s office 8. Demonstrate methods of fire prevention in the healthcare setting 9. Maintain provider/professional level CPR certification 10. Perform first aid procedures 11. Use proper body mechanics 12. Maintain a current list of community resources for emergency preparedness Affective Domain 1. Recognize the effects of stress on all persons involved in emergency situations 2. Demonstrate self awareness in responding to emergency situations 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 5 4 4 3 3 2 2 1 1 N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 5 5 4 4 4 3 3 3 2 2 2 1 1 1 N/A N/A N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A 5 4 3 2 1 N/A Comments: Signature of individual completing this evaluation Credentials &Title Date 106746336 Submitted June 15, 2010 Page 25 of 39 APPENDIX F: JOB PLACEMENT Tool Description: Graduates are surveyed annually and asked if they are employed. Names of students and employers are recorded on an annual basis. This tool is used to determine the number of graduates who are continuing with their education, are serving in the military, or are employed in a health or healthrelated field. Factors that affect the collected data: The return rate of the graduate surveys can affect the data collected, but traditionally the program has an excellent reply rate regarding employment of graduates. How to interpret the data: A list of UAA graduates and corresponding employers is compiled by the program director. Results are calculated on a percentage basis: percentage of graduates who are employed in a health care or health-related field, continuing with their education, or serving in the military. 106746336 Submitted June 15, 2010 Page 26 of 39 APPENDIX G: EXAMPLE OF SKILL COMPETENCY EVAULATION Tool Description: Competency evaluation tools for specific skills are utilized by the department in individual courses. These evaluation tools are utilized to assessment specific learning objectives that are embedded throughout the entire program. The American Association of Medical Assistants requires that students demonstrate competency in 61 areas, with specific work products being produced in some cases. The example provided in this document is the competency evaluation tool used to assess competency in the Measuring of Blood Pressure. In order for a student to successfully complete the Medical Assisting Program, he or she must complete all 61 competencies with an 85% or higher. Factors that affect the collected data: None known. How to interpret the data: Records are compiled for each student for each competency and kept on file in the department. Students do not receive a passing grade for a course with required competencies unless the student demonstrates successful completion of all required competencies. Samples of completed evaluation forms, such as the attached example, must be kept on file for one year in the department for program accreditation. 106746336 Submitted June 15, 2010 Page 27 of 39 106746336 Submitted June 15, 2010 Page 28 of 39 106746336 Submitted June 15, 2010 Page 29 of 39 106746336 Submitted June 15, 2010 Page 30 of 39 APPENDIX H: MEDICAL ASSISTING ADMINISTRATIVE COMPETENCIES Administrative Functions Basic Practice Finances Managed Care/Insurance Procedural and Diagnostic Coding 106746336 Submitted June 15, 2010 Page 31 of 39 106746336 Submitted June 15, 2010 Page 32 of 39 APPENDIX I: MEDICAL ASSISTING CLINICAL COMPETENCIES Clinical Competencies include the following: Anatomy and Physiology Applied Mathematics Applied Microbiology/Infection Control Protective Practices 106746336 Submitted June 15, 2010 Page 33 of 39 106746336 Submitted June 15, 2010 Page 34 of 39 106746336 Submitted June 15, 2010 Page 35 of 39 106746336 Submitted June 15, 2010 Page 36 of 39 APPENDIX J: MEDICAL ASSISTING GENERAL COMPETENCIES General Competencies include the following: Concepts of Effective Communication Medical Law and Ethics Ethical Considerations 106746336 Submitted June 15, 2010 Page 37 of 39 106746336 Submitted June 15, 2010 Page 38 of 39 106746336 Submitted June 15, 2010 Page 39 of 39