Medical Assistants: The Profession MA100 Instructor: Mayra M Howells LEARNING OBJECTIVES To Discuss: The history of medical assisting as a profession. Current accrediting agencies for medical assisting programs. Medical assistants role in Healthcare. Administrative duties and clinical skills. List qualities of a good medical assistant. The professional organizations that certify medical assistants. Career opportunities available to medical assistants. Critical Thinking Questions 1. How long has the medical assisting field been in existence? 2. What has caused the field to grow? The History and Training of Medical Assistants Originally an on the job training Increase responsibility meant increase liability, led to the need for formal training Prior to the formal training nurses were in higher demand to assist physicians American Association of Medical Assistants Acronym: AAMA Founded by Maxine Williams First president of the AAMA. Adopted as a national professional organization in 1957 Emphasize educational objectives To learn more about the AAMA visit http://www.aama-ntl.org Source: American Association of Medical Assistants, Chicago, IL Critical Thinking Questions 1. Why is it important for medical assistants to be formally trained? 2. Does the existence of organizations such as the AAMA help the profession? If so, how? AAMA Definition of a Medical Assistant As a multiskilled health professional educated to primarily work in ambulatory settings. Performs both administrative and clinical procedures. Formal training for the medical assistant Certificate training varies from six weeks to a year. Focus is typically on clinical skills. Diploma programs is similar to certificate programs. Focus is on clinical and limited administrative skills. Degree programs are approximately two years in length. Courses include clinical and administrative, professional development and general education courses. Accrediting Agencies for Medical Assistant Programs Commission on Accreditation of Allied Health Education Programs (CAAHEP) Accrediting Bureau of Health Education Schools (ABHES) For more information on these accrediting bodies go to website below • CAAHEP - http://www.caahep.org • ABHES - http://www.abhes.org Accreditation A voluntary process to determine if a school meets or exceeds standards set by an accrediting body Ensures that a school meets an established criteria Ensures that a program in a school meets or exceeds standards Learning outcomes for programs are competency-based Curriculum Typically Found in MA Programs Anatomy and physiology Medical terminology Medical law and ethics Psychology Human rights Communication (oral and written) Patient education Medical assistant administrative procedures Medical assistant clinical procedures Professional components Externship The Medical Assistant Externship Is a required component of the program Externships take place in physician’s offices clinics hospital settings Lesson 2: Role and Responsibilities of the Medical Assistant Critical Thinking Question 1. Why would an MA choose to work in one type of employment setting versus another? Role and Responsibilities Medical Assistant Primary role is to assist the physician Duties typically vary from office to office. Size and type of setting determine the types of duties the medical assistant will perform. Scope of practice (duties) vary due to federal and state regulations and guidelines. Administrative Duties Clerical; telephone, reports, data entry and filing Processing insurance forms, handling referrals and coordinating managed care coverage Handling financial agreements with patients Providing Managing the office during the physician’s absence Ensuring compliance with HIPAA guidelines For an overview on HIPAA go to http://www.cms.hhs.gov/hipaaGenInfo. Good communication and social skills are required in each of them. Helping maintain accurate patient records is a critical part of the medical assistant's work. Good computer skills are now required to be a successful member of an office staff. Clinical Responsibilities Obtaining a medical history and assisting patients in preparation for physical exams and procedures Vital signs, educating and instructing Assisting the physicians with procedures Performing routine clinical and Laboratory procedures Venipunctures,electrocardiograms and collecting specimens Inventory control Medical assistants perform many functions in a physician's office or a clinic. Medical assistants are often involved in confidential conversations between the physician and the patient. Critical Thinking Question 1. Are MAs always expected to have both administrative and clinical skills? The Occupational Analysis The AAMA utilized a document called the DACUM (Developing a Curriculum) Defines specific areas of instruction and competences for medical assisting Identifies three major categories of competences for entry-level Medical Assistants Administrative Clinical General or interdisciplinary Study was revised in 2003 and again in 2007– 2008 Qualities of a Good Allied Healthcare Professional Competent to perform clinical and administrative skills. Ability to communicate and collaborate with others. Demonstrates: Empathy Integrity Discretion Confidentiality Thoroughness Congeniality Proactivity Punctuality Appearance Critical Thinking Question 1. How does an MA present a professional image? How to Present a Professional Image Develop a basic understanding of human behavior. Exhibit good daily personal hygiene and grooming habits. Provide quality care. Lesson 3: Certification and Career Opportunities for the Medical Assistant Certification and Career Opportunities Certifying organizations American American National National Association of Medical Assistants (AAMA) Medical Technologists (AMT) Center for Competency Testing (NCCT) Healthcareer Association (NHA) Places of employment Physician’s offices Ambulatory care clinics Government agencies Urgent care facilities Free-standing facilities Critical Thinking Question 1. Should medical assistants become certified, and if so why? 1. What qualifies an individual to sit for the CMA exam? The American Association of Medical Assistants Key association in the field of medical assisting. Offers national certification for medical assistant credential. AAMA Certification Exam Offered to graduates of programs accredited by CAAHEP or ABHES. Computerized exams available throughout the year. Certification indicates that the candidate has met the standards of the AAMA for being an MA. American Medical Technologists Provides a Registered Medical Assistant (RMA) a national certification. RMA is awarded to candidates who pass the AMT certification exam. RMA certification exam focuses on three areas: General medical assisting knowledge Administrative medical assisting Clinical medical assisting Also provides certification for Medical Laboratory Technicians Critical Thinking Question 1. What would qualify an individual to take the AMT certification exam? Qualifications of RMA Certification AMT Certification Requirements Be of good moral character. Must have graduated from an accredited program/organization. Applicant must have completed a minimum of 720 clock-hours or equivalent of training. Registered Medical Assistants With additional experience, RMAs can apply for the Certified Medical Administrative Specialist credential (CMAS) For more information on the AMT RMA certification exam and the CMAS AMT credential visit the following website: http://www.amt1.com National Center for Competency Testing Issues the National Certified Medical Assistant (NCMA) credential. Must be a high school graduate Must have completed an MA program or provide documentation of two years MA experience. Continuation of certification requires 14 hours per year of continuing education. National Certified Medical Office Assistant Offered by the National Center for Competency Testing. Must have a high school diploma Must have completed a medical assisting program. Available to nongraduates of a MA program but are able to provide documentation of two years working experience as an MA. For more information on the NCCT visit the following website:http://www.ncctinc.com National Healthcareer Association A. Founded in 1989. Grants the following two credentials: Certified Clinical Medical Assistant (CCMA), Certified Medical Administrative Assistant (CMAA). Qualified applicants must pass a professional examination. To learn more about this organization visit http://www.nhanow.com Critical Thinking Questions What do you think the job outlook in the future for MAs might be? What factors might impact the growth of the field of medical assisting? Career Opportunities Data Processing Clerk Billing & Collections Assistant Insurance Claims Processor Clinic Aide Clinical Assistant Patient Technician Patient Care Technician Unit Clerk Insurance Claim Coder Medical Records Clerk Medical Receptionist Multifunctional Technician Job Opportunities Inpatient and Ambulatory Care Settings Job Opportunities Health Care Departments and Specialties Statistics on Jobs in Medical Assisting According to the U.S. Department of Labor MAs held about 417,000 jobs in 2006 62% were employed by physician offices 12% held positions in public and private hospitals About 11% worked in the offices of other health care practitioners 15% were employed in other health care industries Projections: the field of medical assisting from 2002-2012 will be a fast-growing occupation For more information on these statistics visit http://www.bls.gov/oco Medical Laboratory Technician Career Description Analyze body fluids and tissues using microscopes or complex automated instrumentation Perform chemical, biological, hematological, immunologic, microscopic, and bacteriologic testing The above testing may be used to match blood types for a transfusion or determine a patient’s glucose, cholesterol, drug level, etc. Data entry of results Troubleshoot unexpected results Relay critical test results to other medical professionals including doctors and nurses Qualifications Good eye-hand coordination and manual dexterity Communication and inter-personal skills, Color blind, NO! Close attention to detail Must have good analytical judgment Ability to work under stress and adapt to a fast paced environment Current on all required vaccinations Understanding that the nature of the work may put the individual at risk of coming into contact with infectious diseases National Accrediting Agencies And Certifying Organizations The Commission on Accreditation of Allied Health Education Programs (CAAHEP) The Accrediting Bureau of Health Education Schools (ABHES) The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) Certifying Organizations American Society of Clinical Pathology Board of Certification (ASCP) American Medical Technologists (AMT) American Association of Bioanalysts (AAB) Differences between CLS/MT and CLT/MLT Many employers do not differentiate between CLS/MT and CLT/MLT for entry-level generalist positions* The main difference is a bachelor’s degree will allow you to enter management positions *Source= www.naacls.org Employment Employment of clinical laboratory workers is expected to grow by 14 percent between 2008 and 2018, faster than the average for all occupations. The volume of laboratory tests continues to increase with both population growth and the development of new types of tests. Source-http://www.bls.gov/oco/ocos096.htm#outlook Places of Employment Most graduates will find employment in the following: Hospitals Clinical reference labs Blood banks Other places of employment with further education and experience include: Public health organizations Food science labs Pharmaceutical companies Career Opportunities Medical Laboratory Technician=MLT Clinical Laboratory Technician=CLT Above terms are interchangeable and require a two year program MLT=CLT Medical Laboratory Technologist=MT Clinical Laboratory Scientist=CLS MT and CLS are interchangeable and requires a Bachelor’s degree MLT=CLT Phlebotomy The ancient art of blood letting Dates back to ancient Egyptian and Greek societies The practice was to eradicate spirits and sickness In the 5th century BC, barbers where the common practitioners of blood letting Modern Day Phlebotomy: Phlebotomists follow a set of safety protocols. They are trained, tested and certified in Qualifications Ability to insert needles quickly and accurately, Venipuncture Ability to adhere to safety standards Ability to deal with various difficult patient situations and emergencies Able to acquire a sterile sample Ability to maintain accurate records and follow exacting procedures for the proper care of specimens National Accrediting Agencies And Certifying Organizations The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) Certifying Organizations American Society of Clinical Pathology Board of Certification (ASCP) American Medical Technologists (AMT) The National Center for Competency Testing (NCCT) National Credentialing Agency for Laboratory Personnel(NCALP) National Phlebotomy Association Employment Outlook Employment opportunities for certified phlebotomy technicians, are expected to grow by 14% between 2008 and 2018 Source-http://www.bls.gov/oco/ocos096.htm#outlook Places of Employment Hospitals Blood banks Commercial laboratories Medical Office and clinics Home health care agencies Visiting nurse organizations Pharmaceutical Research labs Prison hospitals Military base hospitals Certification and Career Opportunities Certifying organizations American American National National Association of Medical Assistants (AAMA) Medical Technologists (AMT) Center for Competency Testing (NCCT) Healthcareer Association (NHA) Places of employment Physician’s offices Ambulatory care clinics Government agencies Urgent care facilities Free-standing facilities Thank You for Listening ?