American Medical Association



Supplemental flashcardsShare these flashcards with session attendees to supplement the training you are providing. They cover basic medical terminology and information to help MAs reach their full potential. Highlighting indicates topics or process instructions that you may want to revise to fit your practice’s workflows and training needs. Four blank pages are provided if you’d like to create your own flashcards that are specific to your team or curriculum. Instruct the session attendees to print the page of cards, cut along the dotted horizontal lines, and then fold vertically on the solid lines to create flashcards that they can use to quiz themselves.WHAT DOES PCMH STAND FOR?Patient-Centered Medical HomeNAME THE CHARACTERISTICS OF A PCMHPatient engagement in self-management of chronic diseasesOn-site care coordinatorExtended office hoursSame-day appointmentsFocus on patient educationTeam-based careAll team members work to the top of their licenseCollaboration with other providers in medical neighborhoodMeasuring metrics to improve care and decrease costWHAT CAN THE CARE COORDINATOR DO TO ASSIST PATIENTS IN THE OFFICE?Coordinate care between the primary care provider and other specialists.Work with the patient and family to access community resources.Contact the patient after inpatient discharge or emergency department visits to schedule appointments and review medications.Deliver patient education about medical issues and chronic disease management.Work with insurance companies to find resources or obtain out-of-network municate with staff at other facilities regarding the patient plan of care.Assist in dealing with upset or difficult patients.HOW MANY LEADS ARE ON AN EKG?There are 10 leads.WHERE DO LEADS V1-V6 ATTACH?V1 on the right chest, V2 on the left chest and V3-V6 below the left breast, starting below the nipple (V3) continuing to outer rib cage (V6).WHY IS IT IMPORTANT TO HELP THE TEAM PREVENT HOSPITAL ADMISSIONS (OR READMISSIONS) FOR OUR PATIENTS? HOW CAN WE PREVENT READMISSIONS?Unnecessary admissions are expensive and potentially harmful for patients. Many admissions can be prevented through consistent follow-up care with the provider and correct medication management.WHAT IS THE PROPER SEQUENCE FOR ROOMING A PATIENT?1.Introduce yourself to the patient when bringing them in from the waiting area.2.Ask the patient to get on the scale to measure weight.3.Upon entering the exam room, explain what will happen next.4.Review medications. Start at the top of the list.5.Obtain vital signs.plete questions regarding the purpose of the visit.7.On exiting the exam room, explain that “your provider will be in shortly.”WHAT ARE THE PREVENTIVE SCREENINGS THAT NEED TO BE REVIEWED WHILE ROOMING PATIENTS?Patient Health Questionnaire 2 (PHQ2) and if positive, PHQ9Fall screening (if your site participates)Smoking cessationRecent mammogram, if applicableRecent colorectal cancer screeningPAP, if applicablePneumonia vaccineFlu vaccineWHY IS IT BETTER TO REVIEW PATIENT INFORMATION AND ENTER DATA INTO THE EHR BEFORE OBTAINING VITAL SIGNS WHEN ROOMING THE PATIENT?Allows patient to come to resting heart rate and blood pressureDecreases anxiety (reduces “white coat” syndrome)WHEN WORKING TO THE TOP OF YOUR LICENSE, WHO SHOULD INITIATE ACTION PLANNING?The MA can initiate any action plan they feel would benefit the patient.WHAT ACTION PLANS ARE AVAILABLE FOR YOU TO GIVE TO A PATIENT?Tobacco cessationDiabetes managementHeart failure (CHF) managementHypertension (HTN) managementWeight managementHOW FREQUENTLY SHOULD ACTION PLANS BE UPDATED?Yearly: Tobacco cessation, weight managementEvery 6 months: Heart failure, diabetes and HTN managementWHAT IS MEDICATION REVIEW?Medication review covers a patient’s current and expired prescriptions. Confirm the correct name, dose and frequency for all medications.Medication review is done at every visit during rooming. When all medications have been reviewed, click the “review” button on the bottom left of the patient’s chart in the EHR. HOW DO YOU PERFORM A MEDICATION RECONCILIATION AFTER DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT HOSPITAL CARE?Scan the discharge medication list into the EHR.Click on medication reconciliation button above current medication list.Select file/import from Docman/select medication pare the discharge list to the current medication list in the EHR.Close the medication reconciliation screen.WHAT INFORMATION SHOULD YOU VERIFY BEFORE GIVING AN INJECTION?Right patientRight drugRight doseRight routeRight expiration dateCOMMON MEDICAL ABBREVIATIONSPO: by mouth BID: twice a dayTID:: three times a day PRN: as neededQD:: every day ID:: intradermalIM: intramuscularSub-q:: subcutaneously h.s.: at bedtimea.c.:: before mealsCC:: chief complaint of patient AMA:: against medical advice COMMON LABORATORY ABBREVIATIONSCBC: Complete blood count CMP: Complete metabolic panel BMP: Basic metabolic panel LFT: Liver function testsABG: Arterial blood gas U/A: UrinalysisHbA1c: Hemoglobin A1c (diabetes blood test)FBS: Fasting blood sugarWHAT TESTS ARE IN A CBC?Red blood cell count (RBC)White blood cell count (WBC)Platelet countHemoglobin (Hb)/hematocrit (HCT)WHAT TESTS ARE IN A THYROID PANEL?Thyroid-stimulating hormone (TSH) Free thyroxine (free T4)COMMON DISEASE ABBREVIATIONSA-fib: atrial fibrillation DM: diabetes mellitusCHF: congestive heart failure CKD: chronic kidney diseaseCOPD: chronic obstructive pulmonary diseaseCVA: cerebral vascular accident or stroke HTN: hypertensionHOW OFTEN DO STABLE PATIENTS NEED TO BE SEEN BEFORE MEDICATION REFILLS ARE COMPLETED?Stable DM: every 3 months Stable HTN: every 6 monthsStable hyperlipidemia: every 6 monthsStable thyroid disease: every 6 months(or as stated in the provider’s note for all of the above)HOW OFTEN DO PATIENTS NEED TO BE SEEN IF NEW MEDICATIONS OR DOSE TITRATION IS NEEDED?Every 4-6 weeks unless otherwise noted in the clinician’s planHOW OFTEN ARE BEHAVIORAL HEALTH MEDICATIONS REFILLED?Patients need to be seen every 3 months until patient is deemed “stable” on their medicationsOnce stabilized, every 6 monthsAdapted with permission from Vanguard Medical Group medical assistant professional development training materials.Source: AMA. Practice transformation series: medical assistant professional development. 2016. ................
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