Slides from the 2/27 NIMAA webinar.

1. PLEASE STAND BY
The webinar will begin shortly
Training the Next Generation
of Medical Assistants:
Becoming a Host Clinic
February 27, 2017

2. Get the Most Out of Your
Zoom Experience
 Send in your questions using the Q&A function
in Zoom
 Presentation video
and slides will be
available after on
our website:
nimaa1.org
 Answers to all
questions will be
posted to the
NIMAA website

3. Welcome
Mark Masselli
President and CEO
Community Health Center, Inc.
Connecticut
Board Chair, NIMAA

4.  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

5.  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

6.  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 provider
and staff experience
A Quick Recap:
The Essential Role of MAs

7. NIMAA Offerings
Full MA Program
7 months
2 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

8. Tillman Farley, MD
Chief Medical Officer
Salud Family Health Center
Host Clinics

9.  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

10. 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

11.  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

12. Productive
Effective
Limited
Graduation
Orientation
NIMAA Additive Skills Model
What to expect on your return

13. Teri Brogdon, M.Ed.
Education and
Training Design Director
Salud Family Health Center
The Role of the
Host Clinic Manager

14. The Role of the Host Clinic Manager
The link between NIMAA and the Host Clinic.
Maintain a close working relationship
with NIMAA – 10-15 hours per month
 Clinic site
 Preceptors
 NIMAA Students

15. 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

16. 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

17. 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

18. Mary Blankson
DNP, APRN, FNP
Chief Nursing Officer
Community Health Center, Inc.
Preceptor Selection and Preparation

19.  Senior or higher level
MAs
 High achievers in
quality metrics
 Experience in orienting
new staff
 Involvement in agency
initiatives
Preceptor Selection

20.  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

21. Mark Splaine, MD, MS
Education Director
Weitzman Institute
Student Recruitment,
Characteristics and Process

22. Host clinic recruits to NIMAA website
Website explains program and MA career
Students apply; take skill and profile tests
Successful ones visit Host Clinic; interview
Host clinic selects candidates
NIMAA enrolls
Student Recruitment,
Characteristics and Process

23. David Aylward
NIMAA Project Lead
What’s Next?

24.  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

25. Any Questions?

26. Contact us:
nimaa@chc1.com
www.nimaa1.org
Thank you for attending!

27. 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/week
4 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

28. 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”

29. 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”