Oral Defense of Dissertation Proposal

Vincent BridgesDoctoral CandidateGraduate School of Business and ManagementArgosy University - Online

A QUALITATIVE STUDY OF CURRICULUM OUTCOMES OF MEDICAL ASSISTING PROGRAMS AT THREE MIDWESTERN

UNITED STATES SCHOOLS (1)

John Opinski, Ph.D, Committee ChairGraduate School of Business & Management

David Blake, Ph.D, Committee MemberGraduate School of Business & Management

Dale Mancini, Ph.D, Department ChairGraduate School of Business & Management

DISSERTATION COMMITTEE MEMBERS (2)

Proposal Defense Agenda (3) Problem Background Purpose and Importance of the Study Problem Statements Themes and Concepts Research Questions Review of Literature Assumptions & Limitations Methodology and Study Design Population and Sample Data Collection and Analysis Process Summary References

Background to the Problem (4) Increasing number of jobs and

future projection. (U.S. Bureau of Labor Statistics, 2012)

Education and Preparedness Training of Medical Assistants

Changing role of the Medical Assistant

Shortage of Primary Care Physicians and Nurse Practitioners

(Bodenheimer, Willard-Grace & Ghorob, 2014) Medical Assistant Expanded

Responsibilities (American Association of Medical Assistants, 2015)

Ascertain the effectiveness of the medical assistant program outcomes for three Midwestern United States schools.

Ensuring Quality Patient Care through quality education and training.

Allow educational institutions to align educational delivery with stakeholder needs.

Continuous effort to ensure competent and confident graduates

Purpose and Importance of Study (5)

Problem Statements (6) Medical assistant graduates are encountering job responsibilities that

are traditionally not a part of their formal didactic education and training, due to the changing medical environment and the requirements of the medical assistants to perform expanded job duties to help ensure quality patient care.

Some medical assistant graduates are not considered strong enough candidates as those who have had additional skill set training as it relates to the expanded job duties and functions.

Patient Centered Medical Home Teams vs Traditional Disease Management

Health Coaching vs Traditional Patient Motivation and Education

Panel Management vs Traditional Quality of Care and Patient Care Outcome Management

Medical Scribing vs Traditional Documentation Process and Patient Interaction

Themes and Concepts (7)

How do the program outcome for the medical assisting program at three Midwestern United States schools meet the needs of its stakeholders?

What program decisions or changes can be made by educational leaders of three Midwestern United States schools, as a result of these study results, to enhance or better meet stakeholder needs that may be identified?

Research Questions (8)

The Role of the Medical Assistant Traditional Expanded

Medical Assistants and Healthcare Quality Diabetes Study – UNITE Health Center Hypertension, Hyperlipidemia & Uncontrolled Type 2 Diabetes Study Colon Rectal Cancer (CRC) Screening Study

Review of Literature (9)

Scope of Practice Varies by State Not addressed by some states Delegation of Duties

Delegation of Duties Exclusions Definition of the M.A’s Scope of Practice (McCarty, 2012) As of 2012 , 11 states passed laws recognizing clinical scope of practice

(McCarty, 2012)

Review of Literature – Continued(10)

Medical Assistants and Meaningful Use of Electronic Medical Records Centers for Medicare and Medicaid Services Initiative Electronic Health Records and Computerized Physician Order Entry

Review of Literature – Continued (11)

Educational Institutions want to know about current and future changes in the Medical Assisting Profession.

Stakeholders are interested in assisting these organizations, with quality feedback, to help produce a better quality and work-ready graduate.

Participants of the study will answer all questions truthfully. Sample is representative of the general population of organizations that hire

medical assistants within their organization. The qualitative analysis method was the best approach for this study.

Assumptions (12)

The study required the use of the non-probability sampling method.

The study only focuses on three institutions within the Midwestern United States, so the results are only applicable to those schools or others that fall within that specific geographical location.

Budget

Time Constraints

Survey Response Rate

Limitations (13)

Study Methodology: Qualitative Study Study Design: Descriptive Design Data Collection Tool & Design Method: A two page survey with seventeen

open and closed-ended questions. Data Collection Method: Online - Preferred, Email, and Mail Sampling Method: Purposive Sampling to identify appropriate professionals

that have experience hiring medical assistants and understand their job responsibilities, and/or managing their day-to-day administrative and clinical responsibilities.

Methodology and Study Design (14)

The study participants must meet the following criteria to participate: Work(ed) for a medical organization, physician practice, healthcare institution or urgent care;

and, Hire(d) Medical Assistants and understand their job duties and requirements; or,

Manage(d) day-to-day clinical and administrative responsibilities of medical assistants (Present or Recent Past); and, Reside in one of the Midwestern United States, including Oklahoma; and, At least 18 years of age.

The study will seek 20-25 healthcare professionals that meet the study participation requirements to complete the online survey.

Population/Sample (15)

Informed Consent and ConfidentialityConsent Documentation and ProcessInformation and Participant Confidentiality and Security

Population/Sample – Continued (16)

Organization Affiliation EMR/EHR Usage/Type EHR Modules (CPOE) PCMH Team Models Medical Scribing Practices Administrative Functions Clinical Function

Data Collection and Analysis ProcessData To Be Collected (17)

Simulation Training Laboratory Analysis Skills Microbiology Proficiency Survey Participants Demographics

Survey Instrument Two Page – Seventeen Question Survey Form

Eleven (11) Open-Ended Questions Six (6) Closed-Ended Questions

Approximately 20 min to 30 minutes to complete.

Will be accessible online; through email and mail.

Data Collection Instrument (18)

Coding Manual for Qualitative Researchers, 3rd Edition (2015), written by Johnny Saldana

Analysis is fluidized (continuous examination, comparing, contrasting and interpreting data and the various patterns or themes it may present) to identify common themes and/or patterns through an open coding process using memo-ing as a guide.

Axial Coding: Regrouping of data into main coding themes. Selective Coding: Identify the central code in the study, the one to which all other

codes are related – re-coding for meaning as the final stage of data analysis.

Data Collection Process (19)

What will I research?This research is looking at how various medical assistant program outcomes at three Midwestern United States schools meet the needs of its stakeholders, those that hire medical assistants in their organization to meet patient care needs each and every day. It will be able to provide some quality feedback to educational institutions regarding their curriculum and may indicate the need for re-visitation or it may support their current educational direction for their program.

Why research this topicWith the expected increase in medical assistant positions over the next five years, as well as being the fastest growing profession of all professions (Bureau of Labor Statistics, 2012), it is important that those providing the education, as well as those receiving it keep up with the changes and needs of the medical community. It will also help the schools participating in this study to meet credentialing requirements from the various accrediting agencies in their effort of due diligence.

Summary of Proposal (20)

How will I perform my research?Conduct a survey designed research methodology to obtain feedback from healthcare professional and institutions regarding administrative and clinical job duties currently being assigned to medical assistants within their operation or organization. Using Qualitative Analysis theory and principals, data will be analyzed and presented in a final format which may produce various interventions that can be employed by the schools, within this study, to better meet the needs of stakeholders they serve.

Summary of Proposal – Continued (21)

American Association of Medical Assistants. (2015). What is a medical assistant. Retrieved 06 17, 215, from American Association of Medical Assistants: http://www.aama-ntl.org/medical-assisting/what-is-a-medical-assistant

Bodenheimer, T., Willard-Grace, R., & Ghorob, A. (2014, 07). Expanding the roles of medical assistants: Who does what in primary care? Journal of the American Medical Association, 174(7), 1025-1026.doi:10.1001/jamaintemmed.2014.1319

McCarty, M. (2012). The lawful scope of practice of medical assistants: 2012 update. Retrieved from American MedTech: http://www.americanmedtech.org/portals/0/pdf/news/scopeofpracticearticle_june%202012.pdf

References (22)

U.S. Bureau of Labor Statistics. (2012). Occupational outlook handbook: Medical assistants. Retrieved 06 17, 2015, from U.S. Bureau of Labor Statistics: http://www.bls.gov/ooh/healthcare/medical-assistants.htm

References – Continued (23)

Questions?

Q & A (24)