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The Development of a Medical Assistant Training … › wsuimages › Nursing › CurrentFilesMSN...
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ABSTRACT The primary care office, or medical home, is vital for providing safe, high quality care for patients with diabetes. As part of the primary care office team, medical assistants (MAs) comprise a large population of employed clinical workers. As a result, MAs often require additional training on diabetes care to support the healthcare provider in offering evidence- based patient education and care within a safe scope of practice. This project reviews the MA role in primary care and establishes a detailed training program to move an MA from the novice level to the competent level of performance in the outpatient setting. The MA training program provides education on the aspects of diabetes management, including key tests and measures to monitor health status. Upon completion of the training program, the MA will have increased knowledge to begin to perform in an expanded role within team-based care models. PICO QUESTION For certified medical assistants who work in primary care settings, does annual focused skill training, compared with standard skill training, increase clinical skills competency within 1 year? LITERATURE REVIEW MAs are the largest group of allied healthcare workers in outpatient primary care offices ( 1 ). Studies have demonstrated that with further training, MAs can reduce the burden of tasks on the primary care provider and provide quality support particularly regarding the delivery of diabetes care to patients in the primary care setting ( 2 ). With further competency training and assessments an MA can: • Function in an expanded role ( 1 ). • Serve as a diabetes health coach ( 4 ) • Support team-based care models ( 1 ) • Support diabetes care at a reasonable cost ( 3 ) • Support the provider to deliver quality diabetes care during an office visit ( 2 ) The Development of a Medical Assistant Training Program on Diabetes Care for Adults in the Primary Care Setting JoAnn Tolman, RN, BSN, MSN Student PROGRAM • Diabetes Care Evaluation Pretest/Posttest • Learning presentations “Diabetes Care in the Outpatient Setting” “Clinical Pathway; The Diabetes Office Visit” • Skills Lab Learning Session • Skills Competency Assessment EVALUATION The Clinical Pathway Tool • The correct approach to a diabetes office visit • A guide for consistent care • A resource for the MA and nurse educator to measure progress toward proficiency in the care of an adult patient during a diabetes office visit. THEORETICAL FRAMEWORK Benner’s ( 5 ) model of skill acquisition in nursing is applied to this training program in the development of the education, skills lab, and competency assessments so an MA can progress from the novice to the competent level. • Newly hired MAs are novices to diabetes care. • The acquisition of knowledge in diabetes care prepares the MA to become competent. • Knowledge increases with experience to become proficient in MA tasks and responsibilities related to a diabetes care of adults in the outpatient setting. CONCLUSIONS For MAs who work in primary care settings, project provides a focused training program on diabetes care to increase clinical skill competency to perform safety in an expanded role within team-based care models. Using MAs to support the delivery of diabetes care can: • Support the management of large patient populations with diabetes ( 4 ) • Reduce staffing costs ( 6 ) • Potentially increase patient satisfaction as they interact with an MA who is knowledgeable of diabetes. REFERENCES 1. Bodenheimer, T., Willard-Grace, R., & Ghorob, A. (2014). Expanding the roles of medical assistants: Who does what in primary care? JAMA Internal Medicine, 174(7), 1025 -1026. 2. Marynuik, M.D., Mensing, C., Imershein, S., Gregory, A., & Jackson, R. (2013). Enhancing role of medical office staff in diabetes care and education. Clinical Diabetes, 31(3), 116 – 122. 3. Liu , N., Finkelstein, S. R., & Poghosyan, L. (2014). A new model for nurse practitioner utilization in primary care: Increased efficiency and implications. Health Care Management Review, 39(1), 10-20. doi:10.1097/HMR.0b013e318276fadf 4. Ruggiero, L., Moadsiri, A., Butler, P., Oros, S., Berbaum, M., Whitman, S., & Cintron, D. (2010). Supporting diabetes self-care in underserved populations: a randomized pilot study using medical assistant coaches. Diabetes Educator, 36(1), 127-131. doi:10.1177/0145721709355487 5. Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82(3), 402-407, doi:10.2307/3462928 6. Richardson, G. C., Derouin, A. L., Vorderstrasse, A. A., Hipkens, J., & Thompson, J. A. (2014). Nurse practitioner management of type 2 diabetes. The Permanente Journal, 18(2), 134-140. doi:org/10.7812/TPP/13-108 PROJECT METHODOLOGY The training program provides education for MAs on common diabetes medications, self-management tools, and key tests and measures for monitoring a patient’s diabetes health. A skills lab educates MAs on obtaining an accurate blood pressure and performing the hemoglobin A1C test. A clinical pathway provides the MA with standard procedures and tasks that will guide the MA to meet the outcomes of their role within a diabetes office visit. Additionally, the clinical pathway serves as an evaluation tool for the nurse educator to assess the MA’s progress from a novice level to a proficient level. • Targeted for primary care clinics that are striving to improve diabetes quality measures, patient experience, and population health management. • Designed to be facilitated by nurse educators in any primary care clinic location. IMPLEMENTATION OF THE TRAINING PROGRAM University of Toledo (2018) ARcare (2018)
Transcript of The Development of a Medical Assistant Training … › wsuimages › Nursing › CurrentFilesMSN...
ABSTRACTThe primary care office, or medical home, is vital for providing safe, high quality care for patients with diabetes. As part of the primary care office team, medical assistants (MAs) comprise a large population of employed clinical workers. As a result, MAs often require additional training on diabetes care to support the healthcare provider in offering evidence-based patient education and care within a safe scope of practice. This project reviews the MA role in primary care and establishes a detailed training program to move an MA from the novice level to the competent level of performance in the outpatient setting. The MA training program provides education on the aspects of diabetes management, including key tests and measures to monitor health status. Upon completion of the training program, the MA will have increased knowledge to begin to perform in an expanded role within team-based care models.
PICO QUESTIONFor certified medical assistants who work in primary care settings, does annual focused skill training, compared with standard skill training, increase clinical skills competency within 1 year?
LITERATURE REVIEWMAs are the largest group of allied healthcare workers in outpatient primary care offices (1). Studies have demonstrated that with further training, MAs can reduce the burden of tasks on the primary care provider and provide quality support particularly regarding the delivery of diabetes care to patients in the primary care setting (2 ). With further competency training and assessments an MA can:• Function in an expanded role (1). • Serve as a diabetes health coach (4)• Support team-based care models (1)• Support diabetes care at a reasonable cost (3)• Support the provider to deliver quality
diabetes care during an office visit (2)
The Development of a Medical Assistant Training Program on Diabetes Care for Adults in the
Primary Care SettingJoAnn Tolman, RN, BSN, MSN Student
PROGRAM
• Diabetes Care Evaluation Pretest/Posttest• Learning presentations“Diabetes Care in the Outpatient Setting”“Clinical Pathway; The Diabetes Office Visit”
• Skills Lab Learning Session• Skills Competency Assessment
EVALUATION
The Clinical Pathway Tool• The correct approach to a diabetes
office visit• A guide for consistent care • A resource for the MA and nurse
educator to measure progress toward proficiency in the care of an adult patient during a diabetes office visit.
THEORETICAL FRAMEWORKBenner’s (5) model of skill acquisition in nursing is applied to this training program in the development of the education, skills lab, and competency assessments so an MA can progress from the novice to the competent level. • Newly hired MAs are novices to diabetes
care.• The acquisition of knowledge in diabetes
care prepares the MA to become competent.
• Knowledge increases with experience to become proficient in MA tasks and responsibilities related to a diabetes care of adults in the outpatient setting.
CONCLUSIONSFor MAs who work in primary care settings, project provides a focused training program on diabetes care to increase clinical skill competency to perform safety in an expanded role within team-based care models. Using MAs to support the delivery of diabetes care can:• Support the management of large patient
populations with diabetes (4)• Reduce staffing costs (6)• Potentially increase patient satisfaction as
they interact with an MA who is knowledgeable of diabetes.
REFERENCES1. Bodenheimer, T., Willard-Grace, R., & Ghorob, A. (2014). Expanding the roles of medical assistants: Who does what in primary care? JAMA Internal Medicine, 174(7), 1025 -1026.
2. Marynuik, M.D., Mensing, C., Imershein, S., Gregory, A., & Jackson, R. (2013). Enhancing role of medical office staff in diabetes care and education. Clinical Diabetes, 31(3), 116 – 122.
3. Liu , N., Finkelstein, S. R., & Poghosyan, L. (2014). A new model for nurse practitioner utilization in primary care: Increased efficiency and implications. Health Care Management Review, 39(1), 10-20. doi:10.1097/HMR.0b013e318276fadf
4. Ruggiero, L., Moadsiri, A., Butler, P., Oros, S., Berbaum, M., Whitman, S., & Cintron, D. (2010). Supporting diabetes self-care in underserved populations: a randomized pilot study using medical assistant coaches. Diabetes Educator, 36(1), 127-131. doi:10.1177/0145721709355487
5. Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82(3), 402-407, doi:10.2307/3462928
6. Richardson, G. C., Derouin, A. L., Vorderstrasse, A. A., Hipkens, J., & Thompson, J. A. (2014). Nurse practitioner management of type 2 diabetes. The Permanente Journal, 18(2), 134-140. doi:org/10.7812/TPP/13-108
PROJECT METHODOLOGYThe training program provides education for MAs on common diabetes medications, self-management tools, and key tests and measures for monitoring a patient’s diabetes health. A skills lab educates MAs on obtaining an accurate blood pressure and performing the hemoglobin A1C test. A clinical pathway provides the MA with standard procedures and tasks that will guide the MA to meet the outcomes of their role within a diabetes office visit. Additionally, the clinical pathway serves as an evaluation tool for the nurse educator to assess the MA’s progress from a novice level to a proficient level.
• Targeted for primary care clinics that are striving to improve diabetes quality measures, patient experience, and population health management.
• Designed to be facilitated by nurse educators in any primary care clinic location.
IMPLEMENTATION OF THE TRAINING PROGRAM
University of Toledo (2018) ARcare (2018)
