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Training the Next Generation of Medical Assistants: Becoming a Host Clinic

February 27, 2017

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Welcome

Mark MasselliPresident and CEOCommunity Health Center, Inc.Connecticut

Board Chair, NIMAA

A quick recap of the January 30 webinar Overview of NIMAA offerings Key characteristics and responsibilities of NIMAA

host clinics Role of the host clinic manager Preceptor selection and preparation Student recruitment, characteristics and

selection process Timeline, application and preparation

What We Will Cover

As we learned from Drs. Wagner and Bodenheimer: Medical Assistants are a vital part of the primary care team and most

practices will need to expand the MA role in patient care Patients prefer receiving care from a team who knows them within the

stable structure of a clinician and MA teamlet The teamlet takes a large practice and divides it into small,

comfortable units Well trained MAs are capable of much more than the usual patient

flow activities

The MA in the teamlet takes responsibility for the patient, and can play an expanded role through panel management and health coaching

A Quick Recap: The Essential Role of MAs

Patients do better with a health coach Patients with MA health coaches had a significant drop in A1c

and LDL cholesterol An estimated 25-30% of chronic care activities could be

performed by MA health coaches Clinicians working with the same MA each day tend to have

lower levels of burnout than clinicians working with different people on different days

Teams with well trained MAs report improved patient health and patient experience, a reduction in total health care costs, and improved providerand staff experience

A Quick Recap: The Essential Role of MAs

NIMAA OfferingsFull MA Program

7 months2 Sessions per year

Preceptor Training NIMAA Specialty PCMH Competencies

Upskilling the MA Team-based, Patient-Centered Care

Stand Alone Course Offerings

High Performance Primary Care for Existing Staff

Tillman Farley, MDChief Medical Officer Salud Family Health Center

Host Clinics

On the journey to PCMH with data driven, team-based care

Strong support from leadership

Commitment to NIMAA’s goals Providing better patient care Providing affordable educational opportunities Providing pathways to healthcare careers to local

high school graduates

Key Characteristics of Host Clinics

Provide a program manager (part-time)

Provide the learning environment

Recruit and select students

Communicate with NIMAA

Help students find jobs

Key Expectations of Host Clinics

Provide detailed “Playbook” to guide the host clinic Provide all academics, on-line instruction: live and

recorded Manage enrollments, grading, transcripts Provide a medical skills training guide & schedule Provide training and support for preceptors Provide technical assistance for host clinic manager

What the Host Clinic can expect from NIMAA

Productive

Effective

Limited

Graduation

Orientation

NIMAA Additive Skills ModelWhat to expect on your return

Teri Brogdon, M.Ed.Education and Training Design DirectorSalud Family Health Center

The Role of the Host Clinic Manager

The Role of the Host Clinic Manager

The link between NIMAA and the Host Clinic.Maintain a close working relationshipwith NIMAA – 10-15 hours per month

Clinic site

Preceptors

NIMAA Students

The Role of the Host Clinic Manager

The link begins with the Clinic orientations and agreements.

Coordinate NIMAA & Host Clinic Meetings Manage agreement documents Fully understand the NIMAA delivery model Communicate Host Clinic responsibilities Communicate with NIMAA Lead Clinic NIMAA briefings to all site staff

The Role of the Host Clinic Manager

The success begins with the preceptor engagement.

Selection and commitment of onsite preceptors Serve as the preceptor point of contact Coordinate preceptor trainings Ongoing preceptor communications

The Role of the Host Clinic Manager

NIMAA success through the clinic manager & student supports.

Student enrollment and orientation process Serve as point of contact for site students Lead weekly meeting for students Assure student attendance/hours NIMAA student activities coordinator

Mary Blankson DNP, APRN, FNPChief Nursing OfficerCommunity Health Center, Inc.

Preceptor Selection and Preparation

Senior or higher level MAs

High achievers in quality metrics

Experience in orienting new staff

Involvement in agency initiatives

Preceptor Selection

Initial training prior to program start Ongoing training throughout Course on PCMH teaching principles Ongoing support and troubleshooting Linkage of preceptor training with overall process

improvement

Preceptor Preparation

Mark Splaine, MD, MSEducation DirectorWeitzman Institute

Student Recruitment, Characteristics and Process

Host clinic recruits to NIMAA website Website explains program and MA careerStudents apply; take skill and profile testsSuccessful ones visit Host Clinic; interviewHost clinic selects candidatesNIMAA enrolls

Student Recruitment, Characteristics and Process

David AylwardNIMAA Project Lead

What’s Next?

Early March: detailed survey for potential host clinics March: individual conversations; virtual workshop During April and May: selection of Phase II partners;

sign agreement; provide Playbook Starting in June: recruit and qualify students July: host clinic selects clinic manager and preceptors;

NIMAA trains them; HC selects students August: students sign enrollment agreements; NIMAA

conducts preceptor 2 day training workshop September: student training begins

NIMAA Phase II Timeline

Any Questions?

Contact us:nimaa@chc1.comwww.nimaa1.org

Thank you for attending!

7 months Half-time school and opportunity to hold a job

28 weeks Online coursework with externship Parallel Practice with Onsite Preceptor

2 week break During typical holiday sessions (Dec & July)

4 days/week4 hours/day

Onsite attendance in Host Clinic 4 hour shift morning or afternoon

Mondays Skills training and face-to-face learning

Wednesdays Required Synchronous Session with all students and faculty – 1 hour

The Program

Characteristics of a NIMAA Host Clinic: Strong support and involvement of top leadership Share NIMAA’s dual goals: better care through trained workforce;

better student careers Implementing model of care where MAs are becoming key members of the

PCMH team

NIMAA Provides to Host Clinics: Experienced faculty and Instructional staff: regular live, taped lectures and discussions Complete online curriculum and program with textbooks, supporting IT systems Preceptor training program, with guidance for teaching and measuring specific traditional and

PCMH skills; available to all staff during Phase II Support for host clinic leader and preceptors Manage all enrollment, grading, certification and

grievance issues

Phase II “Get”

Responsibilities of a NIMAA Host Clinic: Interview, help select, host MA candidates for the 7 month

training session Appoint a NIMAA program leader Select qualified preceptor for each medical assistant candidate Host candidates 4 hours daily as they assist a care team and learn from

preceptors Organize weekly coordination and feedback meeting for candidates Support NIMAA in obtaining state teaching licensure Provide feedback Pay tuition

Phase II “Give”