Medical Assistant For Modern Healthcare Delivery Curriculum Overview

Medical Assistant for Modern Healthcare Delivery- Curriculum Overview Page 8thyroid panel, and gonadal tests8/9 – The Nervous System Understand and describe the anatomy and functions of the nervous systemBe familiar with pathologies associated with this systemDescribe common tests used in the evaluation of this system, including: CT Scan, MRI and EEGUnderstand neuropsychological concepts and conditionsBe familiar with factors such as pain, emotional trauma, grief and bereavement, and disordersincluding Depression, Anxiety, Bipolar Disorder, PTSD, Bulimia, and Anorexia Nervosa10 – Cardiovascular System Understand and describe the basic anatomy and functions of the cardiovascular systemBe familiar with common tests in this system, including ECG, Holter, and Stress testingBe familiar with common pathologies, including, ischemia, infarction, and hypertension11 – Respiratory System Understand and describe the basic anatomy and functions of the respiratory systemDescribe common tests used in the evaluation of this system, including: Chest X-ray, CT scan,Ultrasound, Blood gases, pulse oximetry, peak flow and spirometryBe familiar with pathologies associated with this system, including, pneumonia, asthma, COPD, andallergies

Medical Assistant for Modern Healthcare Delivery- Curriculum Overview Page 9Course Overview – Today’s Clinical Medical Assistant (Aligns to NYACH Core Competencies)ModuleLearning Objectives (upon completion of this lesson students will )1 – Introduction to CCMA; HealthcareDelivery in the US Understand the basics and context of healthcare delivery in the U.S., including the shift from hospitalbased care to community based care and the healthcare delivery teamKnow the scope of practice and professional and certification standards for MAs in NYS2 – Communication and CulturalCompetency Understand the concept of patient-centered careUnderstand verbal and non-verbal communication and factors that hinder effective communicationUnderstand the importance of cultural awareness and competency in healthcare3 – The Medical Assistant as HealthCoach and Quality Improvement Understand general health coaching techniques and the principles of patient education and selfmanagementUnderstand the concept and practice of quality improvement in the health care context on anintroductory level4 – Working on InterdisciplinaryTeams and Care Coordination Know how to participate in a team huddle, and be a participatory member of the full care teamKnow techniques for de-escalation and conflict resolutionUnderstand and describe the role of the medical assistant in care coordination5 – Patient Characteristics ImpactingCommunication; Health literacy andLaymen’s Terms Describe the effects of illness and culture on human behaviorUnderstand health literacy and the use of layman’s terms in the medical fieldUnderstand the basic of teach-back and motivational interviewing techniques and their application ina medical office6 – HIPAA and the Patient’s Bill ofRights Know appropriate provisions of the Health Insurance Portability and Accountability Act (HIPAA),including patients’ rights in healthcareUnderstand how to incorporate the Patient’s Bill of Rights into personal practice 7 – Introduction to Medical Ethics Describe and give examples of: autonomy, beneficence, confidentiality, do no harm, equality andfairnessDescribe consent, focusing on teenagers, pregnancy, emancipation, and the developmentally disabled

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 108 – Social Determinants of Health andQI; Teenagers’ Rights in NYS Understand the concept of a mandated reporter, focusing on NYS Explain key social determinants of health including access to health care, education, the physicalenvironment, and employmentAnalyze neighborhoods based on publicly available data, including rates of: asthma, heart disease,COPD, depression, obesity, and infant mortalityIdentify community resources associated with various patient needsUnderstand, describe, and give examples of consent, including teenagers, pregnancy, emancipation,and MR/DD.Plan for continued professional development over time Sample Activity – Today’s Medical AssistantActivity 4.3: Interdisciplinary Teams and Care Coordination - De-escalationLearning Objectives: To learn techniques to de-escalate situations in a healthcare settingMaterialsArticle: tingConflictInTheHealthcareSetting.pdfInstructor provided cues1. Patient is upset they have been waiting for an hour past their appointment2. Patient is upset they received a bill for over 1,000 not covered by insurance3. Patient’s father wants to know if his 16 year-old daughter is taking contraception4. Co-worker complains that she is always the one asked to do the venipunctures on patients who are difficult blood draws5. Co-worker is upset that you are the newer employee but your shift is better than his6. Patient doesn’t want to come in for a visit they just need a doctor’s note for missed work7. RN claims that medications are missing from the locked drug cabinet8. Co-worker is upset that someone is always stealing her lunch from the breakroomProcedures1. Ask students to divide into pairs.

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 112. Instructor will assign one of the above cues to a pair of students3. The other student will role-play as a medical assistant who is communicating with the patient in an effective manner.4. Each student will, in turn, play the MA and the patient5. Instructors and students will critique and positively reinforce roleplay looking for: ensuring safety, empathetic listening (givingundivided attention), validation of feelings, toleration of silence, being accepting and nonjudgmental, reflecting communication, andappropriate resolution

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 12Course Overview – Medical Office AssistantModuleLearning Objectives (upon completion of this lesson students will )1 – Professionalism and Success Understand professional boundaries and appropriate workplace behavior, including: comprehension,persistence, self-confidence, critical thinking, problem solving, organization, integrity, growth,acceptance of criticism, and teamworkKnow strategies for success, including: professional dress, punctuality, attendance, communication,work ethics and work quality, time management, multitasking, and remaining calm under pressure2 – Customer Service and PatientSatisfaction Explain what patient satisfaction looks like, it’s importance, and barriers to good customer serviceUnderstand the link between effective communication and quality careUnderstand the value of diversity in healthcare and the challenges and opportunities it poses3 – Telephone Techniques Understand the MA’s role in taking phone calls, the importance of careful documentation, telephoneprofessionalism, the importance of good listening skills and effective communication and etiquette4 – Schedule Management andRegistering Patients Know types of schedules, common scheduling challenges, length of appointments, how to create anappointment matrix, confirmation calls, registering patients and collecting patient information, theimportance of obtaining medical records prior to visit and pre- and post-appointment preparation5 – An Introduction to the ElectronicHealth Record Understand the importance of documentation, meaningful use of electronic health records, electronicpatient portals, the MA’s role in helping patients sign up for and navigate portals and how thisimproves the facilitation of daily office tasksStudents have the opportunity to work with Practice Fusion – free online EMR. 6 – Insurance and Billing Know insurance and billing terminology, various insurance carriers, and how to prepare healthcareclaims, verify insurance and prior authorization and make referrals7 – Diagnostic Coding and ProceduralCoding Review key terms and concepts related to diagnostic and procedural codingUnderstand the impact of incorrect coding and fraudulent claims on the organizationDiscuss the MA’s role in relation to coding

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 138 – Basic Bookkeeping andAccounting Elements Know bookkeeping terms, including: credit, debit, balance, asset, liability, collections and petty cashBe familiar with financial forms, including: bank deposit, bank statement, and receiptUnderstand the distinction between different payment methodsSample Activity – Medical Office AssistantActivity 6.3: Insurance and Billing - Referrals and Patient AuthorizationsLearning Objectives: Introduce and explore fundamental concepts that govern the healthcare industry and some of the most commonsources of healthcare coverageMaterials: Video link: https://www.youtube.com/watch?v mqExWvoOqIQ; Worksheet: Prior Authorization Request Form BlankVersionProcedure:1. Review the difference between getting a medical procedure or drug prior authorization from your doctor vs. getting a referrala. Divide the class into small groups and watch the YouTube videob. Students write key points regarding the preauthorization process and its importance2. Ask the class: “why is prior authorization required?”a. Survey the class and then explain that prior authorization is the requirement that physicians obtain approval from yourhealthcare provider before prescribing a specific medication or perform a procedure. Without prior approval, healthinsurance providers may not provide coverage, or pay for, the medication or procedure, leaving you to cover some or all ofthe costs out of pocket.3. Handout the Prior Authorization Request Form Blank Version and have the students review the below scenariosa. Students input patient information into the forms for each patient in the scenariosb. After students complete the forms, review the correct answers with the studentsScenario 1: Mr. Dobbs is a 50-year-old Asian man who fell and hurt his right knee a month ago. After being examined by his doctoran MRI was ordered, however, the doctor has to obtain a pre-authorization form. The doctor filled out his part and gave the form tothe medical assistant to complete.- Mr. Dobbs belongs to Allied health care group.- Member ID number is 555332, Policy # 456780,

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 14-Mr. Dobbs Address 603 cedar street NY. 10034DOB 5-6-50.Diagnosis is R/O fractured knee.Allergies noneMedication Tylenol 2 tabs twice a dayDate of incident 4-5-16Doctors name Albert Wise, Orthopedic Surgeon 222 empire Street NY 1003Hospital- Was not hospitalizedPrescribed a knee mobilizer and crutchesAfter reviewing Mr. Dobbs’ medical records, the MRI is approved by the healthcare plan. Later on the healthcare plan finds out thathe was not actually on crutches and was not wearing a knee mobilizer. Patient now has to pay out of pocket for the MRI.Scenario 2: A patient has been approved for three months of physical therapy, for a sprained left hand and is asking for another threemonths before going back to work as a truck driver. The patient is healing and making slow measurable progress and follows throughon what he is instructed to do at home by the therapist. Do you think he will get the pre-authorization? Why or why not?Scenario 3: Mrs. Lewis is a 28-year-old female who is scheduled for surgery and needs specific medication a week prior to hersurgery. There are two medications available, Drug C and Drug E, which are both comparable to each other. Drug C is a muchcheaper. Which medication would you enter on the pre-authorization form? The patient only has a week for her surgery.

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 15Course Overview – ElectrocardiogramModuleLearning Objectives (upon completion of this lesson students will )1 – Introduction, Circulation,Handwashing, Consent, and Safety Explain bloodflow through the heart and the role of the electrocardiogram in patient assessmentDemonstrate proficiency in washing hands and obtaining consent2 – Cardiac Cycle and 3 Lead ECG Understand and describe the electrical cardiac cycle, including terms such as p-wave, qrs complex,and t-waveBegin to demonstrate competence in administering a 3 lead ECG3 – Introduction to 5- and 12 Lead ECG Be able to obtain consent and have preliminary familiarity with 5- and 12- lead ECG machines4 – Rhythm Recognition Describe and be able to identify nine common cardiac rhythms/rhythm disorders and their clinicalrelevance5 – Cardiac Pathology Understand and describe common cardiac pathologies encountered in the healthcare setting6 – Exam Preparation and SpecialSituations Understand and feel comfortable with special situations facing the MA performing ECGs includinginfants, obesity, pregnancy, skin conditions etc7 – Holter Monitoring and Telemetry Understand the concept and application of Holter monitoring8 – Stress Test Understand the concept and application of cardiac stress testing9 – Office Emergencies Understand the presentation of office medical emergencies and the appropriate response10 – Cardioactive Agents Understand the uses of common cardioactive agents by cardiac patients or in cardiac medicalsituations11-16 – Skills practice and exams Practice skills, mock exams, and final exams

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 16Course Overview – PhlebotomyModuleLearning Objectives (upon completion of this lesson students will )1 – Circulatory System Review Understand and describe the cardiovascular system, with a special focus on phlebotomy concerns,such the anatomy of commonly used veinsDemonstrate proficiency in washing hands and obtaining consent2 – What Tests Can Be Done Understand common blood tests, including: CLIA-waived vs. non-waived tests, and capillary vs.venous tests, with a focus on glucometry3 – Introduction to Phlebotomy Understand the reasoning for blood as a medical test, general guidelines for venipuncture, and thecommon equipment used in phlebotomy4 – Blood Collection Practices Practice safe needle/catheter insetion into a phlebotomy arm5 – Order of Draw and Tests Explained Explain the “order of draw” for venous blood tests and the common tests performed from each vial6 – Clinical Laboratory Understand CLIA-waived tests commonly done in healthcare facilities, including: urine dipstick,cholesterol, spun microhematocrit, BNP, glucose, rapid strep, fecal occult blood, and drug screening7 – Urinalysis Understand components of urinalysis and how to perform CLIA-waived tests8 – Pediatrics, Geriatrics, Obesity andSpecial Situations Understand special situations that the phlebotomist may encounter and how to appropriately respond,including taking blood from: pediatric patients, geriatric patients, morbidly obese patients, patientswith bleeding disorders, patients with arteriovenous shunts (dialysis) and patients with chronicmedical conditions or IV drug abuse10 – Peripheral Blood Smears Be able to prepare a peripheral blood smear11 – Blood Cultures Understand when blood cultures may be indicated, materials used, and blood culture procedures12 – Drugs of Importance inPhlebotomy Be familiar with drugs that interfere with phlebotomy procedures, including: anti-coagulants, aspirinand platelet-modifiers

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 1713-20 – Skills practice and exams Practice skills, mock exams, and final exams

M e d i c a l A s s i s t a n t f o r M o d e r n H e a l t h c a r e D e l i v e r y - C u r r i c u l u m O v e r v i e w P a g e 18Course Overview – Clinical ProceduresModuleLearning Objectives (upon completion of this lesson students will )1 – Workplace Safety & OSHAStandards Explain medical asepsis, OSHA standards, workplace hazardsUnderstand the proper: use of PPE, disposal of regulated medical waste, handwashing techniques andthe application and removal of disposable glovesKnow diseases spread through bloodborne and airborne transmission, their prevention andprophylactic treatment after exposure2 – The Medical Intake and PhysicalExam Understand how to conduct medical intakes, the components of and procedures used in physicalexams, including: draping, taking height and weight measurements, and taking medical histories3 – Vital Signs Know how to take vital signs, their significance and normal values for patients of different agesExplain and demonstrate the pulse oximetry measurement4 – Eye and Ear Understand how to perform a basic visual acuity test and demonstrate irrigation of the eyes and ears.Students will also demonstrate a basic understanding of common eye and ear disorders.5 – First Aid and EmergencyProcedures Identify symptoms and describe appropriate care for each of the following types of emergencies: Medical, including: respiratory distress, heart attack, diabetic emergencies, and poisoning Neurological, including: stroke and seizures Trauma, including: shock, bleeding, wounds, musculoskeletal injuries and burns Environmental, including: heat and cold exposure6 – Pediatrics, Applications of heat andcold, Ambulatory aids Explain the requirements for the treatment of children and infants, the proper use of heat and cold inpatient treatment, and how and when to use ambulatory aids7 – Equipment and Sterilization Identify and explain equipment, sanitization, and preparing for procedures in minor surgery8 – Special Procedures and

The Medical Assistant Curriculum consists of the following courses: Medical Terminology CPR and First Aid Anatomy and Physiology Today's Medical Assistant Medical Office Electrocardiogram Phlebotomy Clinical Procedures 32 hours 12 hours 48 hours 36 hours 50 hours 58 hours 84 hours 48 hours Total Classroom Total Internship 368 hours