Introduction Purpose

Transcription

1 Introduction In an effort to ascertain skills sets health care employers are looking for in employees and forecast needs for particular skill sets, the Rural Hawaii Grant in collaboration with the UH Maui College Nursing and Business Technology programs executed a survey targeted at health care employers. Purpose The purpose of this survey is to identify and define positions open and skills required for those positions. Once these skills are defined as a requirement for the position, those skills may then be incorporated into the Business Technology, Business Careers, or Nursing program. Alternatively, skills can also be incorporated into courses offered to incumbent workers through the UHMC Outreach and Continuing Education and Training (OCET) EdVenture program. The purpose is to also assure that curriculum being delivered at UH Maui College for the Business Technology Medical Assisting program is current and relevant.

2 Methodology Program evaluation is essential to a well-performing medical assisting program. It can allow program coordinators to understand the depth and extend of the curriculum, whether there is a clear use or need for the curriculum, and whether the program is academically sufficiently to meet the unmet needs of the community. Good evaluation is inclusive: Diverse viewpoints are taken into account to assure that the results are as unbiased as possible. Input was sought out from employer stakeholders. Good evaluation is honest: Evaluation results can demonstrate program strengths and limitations. Though the evaluation may point out limitations of the program, it can also help the program coordinator learn where to best allocate limited resources or how to re-adjust to address the changing professional and community needs.

3 Limitation of the Existing Program 1. Misunderstanding of Medical Assistant program (by faculty, students, and advisory committee). From Program Report 2013: Two of the advisory board members have commented on what they are hearing in the community, What is a medical assistant?, what do they do? This is great dialogue because we need to market the program or maybe change the title. It was also mentioned that the program should offer medical billing. The next step for BTEC faculty is to have conversations with Nursing faculty. We need to constantly dialogue with our colleagues and community partners. 2. Students looking for a Medical Assisting degree but are unable to get certified. Curriculum is not designed for students to sit for the Certified Medical Assistant Certification exam (Medical or Clinical) 3. Does not fit US DOL definition of Medical Assistant A Medical Assistant, as described by the U.S. Department of Labor, Employment and Training Administration, has the ability to perform administrative and certain clinical duties under the direction of a physician. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician.

4 Addressing the Limitations through Employer Engagement To address these limitations, formal strategies were undertaken to collect information from employers in the local community. Through collaboration with the UHMC Nursing program advisory committee, we can identify and evaluate community needs and knowledge. According to the advisory committee handbook: As advisors, the committee assesses specific areas of the educational program and provides recommendations for improvement. These suggestions should be presented formally to the college administration. Therefore the engagement of the advisory committee was appropriate to address the Business Technology Medical Assisting needs and goals as well as employer needs. Evidence- Based Practice In addition, evidence-based practices (such as collaborations between the college and industry representatives advisory committee members) are implemented to gather data across the industry rather than just identifying a single employer s needs. Through these processes, useful data can be collected to strengthen and/or improve programs. First, we can do an informal assessment on the number of openings in the industry. Next we can engage advisory committees and industry employers.

5 (Real) Job Availabilities Doing an informal job search can give the program an idea of how many positions are open in the community. Related job openings can be found though the local college career center, in the newspaper, and online.

6 Online Job Search According to the University of Hawaii Center, Maui, students/graduates can search job websites to find what kinds of jobs are available. Those listed include Craigslist, Hirenet Hawaii, and Indeed. Source: Job and Career Resources. University of Hawaii Center, Maui.

7 Job Search Results An online job search (as of 8/28/2015) for positions in Medical Assisting or any positions in the Medical or Healthcare field resulted in a total of 24 openings. Online job searches were conductedon the following websites: craigslist.com HirenetHawaii.com Indeed.com

8 Employer / Industry Survey Another strategy to collect information and data from employers is going to the employers directly through intentional employer and/or industry engagement. To learn more about Medical Assisting careers in the community, a survey was conducted by taking a bird s-eye view of medical and health industry needs so as to not create leading questions or leave out the needs of the community. The intention was to address the Business Technology Medical Assisting program and employer needs. In an effort to ascertain skills sets health care employers are looking for in employees and forecast needs for particular skill sets, we executed a survey targeted at health care employers. The intention of the survey was to identify and define positions open and skills required for those positions; and to assure that curriculum being delivered at UH Maui College is current and relevant.

9 Survey Process A survey was created in June 2015 and approved by the Nursing and Business Technology program coordinators. It was executed through the website SurveyMonkey.com, and via phone and in-person interviews. Included in the survey were questions regarding job positions and job openings, anticipated job openings, skills gaps in workforce, and workforce needs. There was also a section for employer comments and feedback.

10 Survey Completed No Response Total Percentage Completed Nursing Advisory Committee % The survey was sent to 18 advisory committee members. The members of these advisory committees are representative of a large segment of Maui County s healthcare labor market. Due diligence included three s (initial survey request and two follow up reminder s) and two phone calls. Survey participants either completed the survey through SurveyMonkey.com, over the phone, or by in-person interviews. There was an 83% response rate to the survey. Completed Surveys Of the 15 responses: 3 responded online and 12 responded over the phone or in-person. Five of the phone responses came from advisory committee members working at the Maui Memorial Medical Center who collaborated on one response due to the fact they all worked in the same department, therefore their workforce needs were all the same. Employers completing the survey include: Hale Mahaolu, Hui No Ke Ola Pono, Kaiser Permanente, Kula Hospital, Maui Hospice, Maui Medical Group, Maui Memorial Medical Center, Office on Aging, Pukalani Family Practice, and State of Hawaii Department of Health. No Responses Three advisory committee members did not respond: two from Hale Makua, and one from Malama I Ke Ola.

11 Employers Reporting Current Openings Of the fifteen (15) respondents, thirteen (representing 8 employers) reported job positions that were opened and needed to be filled. See Appendix A for a table of the open positions, listed in alphabetical order by organization.

12 Reported Current Openings The eight employers are: Hale Mahaolu, Hui No Ke Ola Pono, Kula Hospital, Maui Hospice, Maui Medical Group, Maui Memorial Medical Center, Office on Aging, and State of Hawaii Department of Health. See Appendix A for a table of the open positions, listed in alphabetical order by organization.

13 Two employers reported hiring Medical Assistants: Kaiser Permanente and Maui Medical Group Kaiser Permanente Kaiser hires UHMC Medical Assisting graduates, but requires them to do both an internship and an externship with the organization. Medical Assistants at Kaiser are not desk employees, they work mostly with patients and thus need extensive Medical Assisting training beyond the requirements of the (current) Business Technology Medical Assisting degree. Maui Medical Group Maui Medical Group hires Administrative Medical Assistants, and although certification is not required, candidates are required to have training utilizing accredited curriculum and be qualified to sit for AAMA or AMT certification exams.

14 Reported Anticipated Job Openings To estimate future need and the types of curricula that UHMC could offer to address potential gaps, employers were asked to determine what job positions (and the skills and certifications required) they anticipate may open in their organization within the next two (2) to five (5) years. Employers (8 employers): Hale Mahaolu, Kaiser Permanente, Kula Hospital, Maui Hospice, Maui Medical Group, Maui Memorial Medical Center, Office on Aging, and Pukalani Family Practice. Positions # Employers Reporting Employers Disability Services 1 Office On Aging CNAs 3 Kula Hospital, Maui Hospice, Maui Memorial Medical Center LPNs 2 Kaiser Permanente, Kula Hospital Nurse Aides 2 Hale Mahaolu, Maui Hospice Nurse Manager 1 Maui Memorial Medical Center Nurse Practitioner 1 Pukalani Family Practice Personal Care Attendants 1 Hale Mahaolu RNs 3 Kula Hospital, Maui Hospice, Maui Memorial Medical Center Clinical Medical Assistants 1 Maui Medical Group Medical Assistants 1 Kaiser Permanente Administrative Medical Assistants 1 Maui Medical Group Medical Office Assistants 1 Maui Medical Group Accountant 1 Office On Aging Administrative Clerk 1 Kula Hospital See Appendix B for a table of reported anticipated job openings, listed in alphabetical order by organization.

15 Medical Assistant Requirements To estimate future need and the types of curricula that UHMC could offer to address potential gaps, employers were asked to determine what job positions (and the skills and certifications required) they anticipate may open in their organization within the next two (2) to five (5) years.

16 Current Workforce In an effort to identify any skills gaps in the current workforce, the survey included questions asking employers of their experiences whether it be with incumbent workers or those applying for positions within their organization. Through the identification of these gaps, UHMC can strategize how to address these gaps through credit and/or noncredit curriculum. When asked what employers identified as potential workforce skills and training needs, responses included needs for professional development and other training courses, continuing education credits, a bachelor degree or higher, a certificate or degree that could be earned through UHMC, and/or industry recognized certifications. Employers were asked what classes, courses, or certifications would they like to see at UHMC. Responses included additional nursing courses, continuous education units, specialization courses for grad nurses, industry recognized medical assisting program, office technology courses, professional development courses. Respondents also had the opportunity to comment on issues not addressed in the survey, but still important to their organization. Six respondents reported that although they do not employ medical assistants, they do hire for other positions including office or unit clerks, personal care assistants, nursing assistants, or aides. See Appendix C for complete survey responses regarding current workforce gaps.

17 Professional Development Courses Forty-three percent (43%) of survey respondents reported a need for professional development courses. Common types of professional development are listed below: An awareness of or experience in public health issues and policies (including Obamacare), identifying and learning how to address new patient demographics, and current issues in homelessness, mental health, and drug abuse. Patient care and Industry Skills: being able to multitask, learning beside presence and empathy, and having specific skills such as suturing and lesion removal. Industry skills also include medical terminology, transcription, use of medications, and an understanding of treatment plans. Staff need critical thinking skills to be prepared for alarms and emergencies, and be able to anticipate patient needs. Being able to communicate face-to-face and having interpersonal communication skills is important. Learning basic office skills and work ethic to function in the workplace. Learning new technology and being able to adapt to the changing world of technology. And to foster a feeling of work priority, the importance of showing up to work on time, and understanding work ethics (such as the ethics of accepting gifts). See Appendix D for complete survey responses regarding professional development courses.

18 Continuing Education Nineteen percent (19%) of survey respondents reported a need for continuing education units (CEUs) or other types of certifications. CEUs are needed to maintain a professional license or certificate.

19 Bachelor Degree or Higher Ten percent (10%) of survey respondents reported a need for bachelor degrees or higher. There is also a need for staff to get advanced degrees (BSN or MSN) while still working on island.

20 Associate Degree or Certifications Twenty eight percent (28%) of survey respondents reported a need for an associate degree or a certification. Respondents have requested associate degree programs where graduates would be eligible to sit for a Certified Medical Assisting exam, or a program with curriculum acknowledged by the American Association of Medical Assistants or the American Medical Technologists.

21 Labor and Market Information for Medical Assistants in Maui County As of August 2015, labor market trends for Medical Assistants retrieved from the State of Hawaii Department of Labor and Industrial Relations HireNet Hawaii website indicate an annual average percentage increase of 1.9% in Maui County. Information from Labor Market Statistics is based on historical data. Medical Assistant Definition (DOL) A Medical Assistant, as described by the U.S. Department of Labor, Employment and Training Administration, has the ability to perform administrative and certain clinical duties under the direction of a physician. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician.

22 Labor and Market Information for Registered Nurses in Maui County As of August 2015, labor market trends for Registered Nurses retrieved from the State of Hawaii Department of Labor and Industrial Relations HireNet Hawaii website indicate an annual average percentage increase of 1.4% in Maui County. Information from Labor Market Statistics is based on historical data. Registered Nurse Definition (DOL) A Registered Nurse, as described by the U.S. Department of Labor, Employment and Training Administration, has the ability to assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required.

23 Findings According to the evidence collected, we are not adequately addressing the professional and intellectual needs of the community with the Medical Assisting I & II program. Evidence finds limited opportunities for Medical Assisting I and II graduates in the Medical Assisting field, and opportunities that do exist require certifications currently not available through the existing program structure (AAMA or AMT accreditation, BLS certification, etc.). However, there are a few small businesses that will employ graduates with the existing office training.

24 Findings Employers need opportunities for their staff to engage in professional development and earn continuing education credits.

25 Insights There are three steps that can be taken to address the issues brought up as a result of the survey: 1. Rename the Medical Assisting Program: Renaming the program will minimize confusion among students, staff, advisory committee members, and employers. The name would provide some clarity regarding the current curriculum. 2. Redesign the Medical Assisting Program: Engage advisory committees to become a more active collaborator on education and workforce initiatives, including design of new curricula and possible program pathways. The redesign would include the accreditation of the Medical Assisting program with industry recognized certificates through the AAMA and/or the AMT. 3. Reevaluate the Medical Assisting Program Curriculum: Work alongside employers to review and evaluate current curricula to meet state and industry standards to support local job market needs. An added benefit is that employers can then contextualize content in courses to reflect current workplace knowledge and competencies. Summary While it is important to understand the needs of employers, it is equally important to understand the needs of students. In evaluating the results of this survey, program coordinators should reconcile shorter-term workforce needs of employers with longer-term university program goals. Employers do need workers with specific competencies and delivery frameworks. Long-term frameworks can be embedded into UHMC program goals, and short-term can be addressed by the UHMC OCET EdVenture program. It is up to the program coordinators to use this information to decide on directions for the future.

26 Appendix A: Reported Current Job Positions Opened (as of 08/2015) Of the 15 respondents, 13 respondents (representing 8 employers) reported job positions that were opened and needed to be filled. Below is a table of the open positions, listed in alphabetical order by organization. Organization Hale Mahaolu Position(s) with Need to Fill Personal Care Attendants (Nurse Aide, CNA) Skills / Certifications Training from UHMC Nurse Aide 16 course, plus practical experience, communication CPR and First Aid Hale Mahaolu Housekeeper Experience in housekeeping (any including hotel) CPR and First Aid Hui No Ke Ola Pono RN RN License Kula Hospital Director of Nursing, RN, CNA, LPN RN (2 temp positions): LT care unit, acute swing unit, float. FT, 6 months 1 year work experience. RNIII level - no grad nurses, long term care knowledge, med surg. If cannot get applications, may downgrade position to RN II temp: then grad nurses can apply. RN License, BLS certification. CNA (5 positons): depends on experience and full performance. Permanent FT, float pool, no experience necessary, entry level. LPN (1 position): prefer someone whose career goal is LPN. Work in coordinating central supply. CSR. Managing of material and dental and podiatry clinic. Long term care, swing unit rehab, med surg, team leading with larger numbers of field style, volume of patients to take care of, communication skills LPN: FT permanent Kula Hospital Health Unit Clerk Clerical skills, medical terminology, transcription, basic office skills, writing, communication, computer Maui Hospice On-call RN: night and weekends Home health experience Long term home health care experience triage phone calls flexible night and weekends RN License Medical Assisting Report: Appendix UH Maui College pg. 1/13

27 Organization Maui Hospice Maui Medical Group Position(s) with Need to Fill Non-clinical Community Liaison Clinical Medical Assistant Skills / Certifications Non clinical community liaison: visit doctors offices, hospitals, agencies and provide information about Hospice Maui. Communication and people skills, computer literacy, extensive contacts in the community, keep physicians referring to Hospice Maui, understand community diversity. HS Diploma and experience * Take medical histories and record vital signs * Explain treatment procedures to patients * Prepare patients for examination * Assist the physician during the examination * Collect and prepare laboratory specimens * Dispose of contaminated supplies and sterilize medical instruments * Instruct patients about medication and special diets * Prepare and administer medications as directed by a physician * Authorize drug refills as directed and telephone prescriptions to a pharmacy * Draw blood * Prepare patients for x-rays and take electrocardiograms * Remove sutures and change dressings * Arrange examining room instruments and equipment * Purchase and maintain supplies and equipment * Keep waiting and examining rooms neat and clean Not required but recommended that training following curriculum requirements for Medical Assistant to sit for AAMA or AMT certification exams. Medical Assisting Report: Appendix UH Maui College pg. 2/13

28 Organization Maui Medical Group Maui Memorial Medical Center Maui Memorial Medical Center Office on Aging Office on Aging Office on Aging Position(s) with Need to Fill Administrative Medical Assistance RN Intensive Care/Critical Care Registered Nurse Aging and Disability Services Specialist Wellness Coordinator Operations Assistant Skills / Certifications * Answer telephones * Greet patients * Update and file patient medical records * Fill out insurance forms * Handle correspondence * Schedule appointments * Arrange for hospital admission and laboratory services * Handle billing and bookkeeping Not required but recommended to have had training utilizing accredited curriculum to sit for certification exams with AAMA or AMT Acute Care experience Bachelor s degree Preferred RN with a minimal one year experience in an acute hospital care setting Bachelor degree preferred CPR/AED ACLS Minimal 2 year experience in a critical care hospital CPR/AED ACLS Bachelor Degree Preferred Bachelor's degree in human services or related Certified Information and Referral Specialist in Aging and Disabilities (be able to obtain this certification during employment). First Aid and CPR Wellness Coordinator (right below Director). Professional with Bachelor s degree in human services or related with three years of prior experience. Or RN (with no BA) and 5 years progressive responsible work experience. Nursing degree or license is preferred. Deal with CMS and Direct billing. Bachelor s degree in human services or related (plus work experience). Or RN plus work experience. CPR and First Aid Operations Assistant. GED or HS education. Entry level Full time. Pass typing test and county clerical qualifications test. General clerical abilities and customer service. Currently hiring for this position. Medical Assisting Report: Appendix UH Maui College pg. 3/13

29 Organization State of Hawaii Department of Health State of Hawaii Department of Health Position(s) with Need to Fill Early Intervention Social Worker / Human Services Professional IV Public Health Nutritionist IV Skills / Certifications Minimum Bachelor degree level, experience with children with special health care needs (age 0-3 population) MSW preferred Master in Public Health or Nutrition preferred, 2.5 years of experience in a community or clinical setting Hawaii License to practice nutrition. RD. Medical Assisting Report: Appendix UH Maui College pg. 4/13

30 Appendix B: Reported Anticipated Job Openings (as of 08/2015) To estimate future need and the types of curricula that UHMC could offer to address potential gaps, employers were asked to determine what job positions (and the skills and certifications required) they anticipate may open in their organization within the next two (2) to five (5) years. Organization Hale Mahaolu Kaiser Permanente Kula Hospital Kula Hospital Maui Hospice Position(s) with Need to Fill Same: Personal Care Attendants, Nurse Aides LPNs and Medical Assistants RN, CNA, LPN (ongoing hiring) Administrative Clerk in Administration department - opening soon (in the next few months) Opening a new facility in 1.5 years. Will be hiring RNs and Aides (CNAs and NAs) Skills / Certifications Training from UHMC Nurse Aide 16 course, plus practical experience, communication CPR and First Aid Medical Assistants - degree from UHMC (Associate degree or higher only) plus internship and externship with Kaiser. Plus additional training in rooming patients, injections, and medication. LPNs - usually hire internally form call-in list. RN: swing, float. RNIII level - no grad nurses, long term care knowledge, med surg, at least 1 year experience CNA: depends on experience and full performance LPN: prefer someone whose career goal is LPN. Work in coordinating central supply. CSR. Managing of material and dental and podiatry clinic. Long term care, swing unit rehab, med surg, team leading with larger numbers of field style, volume of patients to take care of, communication skills LPN: FT permanent <none specified> RNs - RN Aides - CNAs and NAs Medical Assisting Report: Appendix UH Maui College pg. 5/13

31 Organization Maui Medical Group Maui Memorial Medical Center Office on Aging Pukalani Family Practice Position(s) with Need to Fill Clinical Medical Assistants Administrative Medical Assistants Medical Office Assistants Registered Nurses, especially in specialized areas Certified Nurse Aides Nurse Managers May have 3-5 positions open in Aging and Disabilities Services category and Account. Nurse Practitioner Skills / Certifications <none specified> Minimal one year acute care experience as a RN Minimal two year Critical Care experience as a RN Nurse Manager back ground Bachelor Degree and Master Degree preferred Aging and Disabilities services same as previously documented. Accounting - 4year degree - Bachelor's in accounting. Nurse Practitioner skills. Master's degree. Being able to start IVs and suturing. Current RN and APRN license with prescriptive authority. Medical Assisting Report: Appendix UH Maui College pg. 6/13

32 Appendix C: Survey Responses Regarding the Current Workforce (as of 08/2015) In an effort to identify any skills gaps in the current workforce, the survey included questions asking employers of their experiences whether it be with incumbent workers or those applying for positions within their organization. Through the identification of these gaps, UHMC can strategize how to address these gaps through credit and/or non-credit curriculum. Eight employers surveyed responded that they noted skills gaps within the current workforce. The following quotes are in response to the question Do you see any persistent skills gap in the workforce? What are the gaps and for what position?. Medical Assistants are not highly trained. Ideally UHMC program would look like Kapiolani CC program. Need training in medication and injections (training currently provided by Kaiser). Medical assistants should be medical/clinical and need more hands-on experiences. Need to work with patients. Communication skills. HUC- medical terminology skills, transcription skills. Clinical Medical Assistants need more training in general medical knowledge, including terminology, anatomy, physiology, behavioral science, and medical law and ethics; clinical knowledge, including examination room techniques, medication preparation and administration, pharmacology and laboratory procedures RN with experience in acute care setting The ability for RNs to get an advanced degree (BSN or MSN). Have quite a few nurses who are interested and could provide the space needed to hold the classes. Office etiquette and ethics (spend time on the ethics of accepting gifts). Ability to adapt to changing world of technology. Training in basics like office suite, excel, publisher, visio, or other foundational software More focus on skills at college. Other colleges add experience in suturing and lesion removal. UHMC should provide a course on these topics. Students need more practice in: use of medications, and treatment plans. Medical Assisting Report: Appendix UH Maui College pg. 7/13

33 Public health awareness (for professionals). Don't have a lot of experience in Public Health or Community Health. Need to have clinical experience, but also need public health or community health experience. Awareness of stressors including: poverty, homelessness, single parenting, chronic disease. People skills - written and oral communication. Need face-to-face and interpersonal skills, not just social media skills. Importance of college setting to have community service learning - expand the classroom settings into the community - internship in a community based setting. Get students exposure. Awareness of community - volunteer in the community. Community awareness through resource mapping. What are the resources in the community. Who are the partners in the community. Agency awareness: nursing/medical/medicine/hospital/health/public health, social services, education, criminal justice. When asked what employers identified as potential workforce skills and training needs, two (2) identified a need for professional development courses, two (2) identified a need for industry recognized certifications, one (1) identified a need for a certificate or degree that could possibly be earned through UHMC, one (1) saw a need for a bachelor degree or higher, three (3) identified a need for continuing education credits for their staff, and two (2) listed other reasons. Other reasons listed are: Gaps are addressed in Hospice Maui training such as: learning bedside presence, empathy Communication skills, community health skills, resource awareness In addition, employers were asked what classes, courses, or certifications would they like to see at UHMC. Responses included additional nursing courses, continuous education units, specialization courses for grad nurses, industry recognized medical assisting program, office technology courses, professional development courses. UHMC used to provide a course for Personal Care Attendants. Though prefers the Nurse Aide 16 course. CEU for medical staff. MA program look like Kapiolani Community College. Medical Assisting Report: Appendix UH Maui College pg. 8/13

34 Grad nurses - become more proficient with hands on experiences (follies, hanging IV medication, etc). Outreach- Geriatric focused courses: how to make environmental factors in geriatric care, behavior management with dementia patients with behaviors, geriatric physical assessment and review Contact in-service coordinator (Jennifer LeVal, ) for full training needs of staff. Interested applicants should contact Kula Hospital HR Jennifer Igami at Medical Assistant Program that Kapiolani Community College currently offers. (This program has accredited curriculum acknowledge by American Association for Medical Assistants and allows graduates to sit for the CMA exam. Leadership classes. Bachelor degree in Nursing Offer tech classes for employees who are older. And address the re-employment of the older worker and keeping them up to date with skills. Medical Assisting - those trained to give shots and take vitals. Currently RNs supervise Medical Assistants. If UHMC is able to provide a Medical Assistant that can do a little more, they'll be able to get hired faster than an RN. Only need one RN to supervise a number of MAs. And MAs aren't as expensive. Upon completion of the survey, respondents had the opportunity to make comments to address issues not noted within the survey, but still important to their organization. Seven (7) people responded with comments. Organization does not use Medical Assistants. They have office clerks and use personal care assistants. Medical Assistants at Kaiser do not work phones. The bulk of the work is with patients. MAs do occupational health services (working in the back with patients). MAs usually do internship (thru UHMC) and externship. Then are offered call-in positions (if available). MA Program at UHMC could look more like KCC's program. Previously discussed with UHMC Nursing program and KCC to create an MA program at UHMC. Even had Kaiser staff teaching an MA program. Almost all MAs are thru UHMC (current 16 in central, 2-3 Kihei and Lahaina) - but with additional and heavy training thru Kaiser. Never hire grad nurses. Hire LPNs. Have RNs working as LPNs. RNs need acute experience since almost all RNs work as advice nurses (so need critical thinking skills, resource skills, communication skills, etc). Do internal hiring first (union). Hire off call-in list first. Organization does not use Medical Assistants. Employ unit clerks. Medical Assisting Report: Appendix UH Maui College pg. 9/13

35 Organization does not use Medical Assistants. Medical Assistants - do not have medical assistants (closest thing would be Techs such as "ER Tech" and "Psych Aides"). They have only a few MAs (maybe only 1) and work in the office. There is no clinic therefore no wide clinical use for MAs. It is not a skillset that is needed in the hospital. Organization does not use Medical Assistants. They do have office clerks. They get interns through Co-op. They have hired UHMC graduates in the past. These office clerks do not need to have a medical knowledge background. Organization does not use Medical Assistants. Currently employ Nutrition Aides and Nutrition Assistants. Previously called "Para Medical Assistants". Nutrition Aide: HS Diploma with some experience working with women and children. Nutrition Assistants: University of Alaska in Anchorage certificate in basic nutrition counseling. Medical Assisting Report: Appendix UH Maui College pg. 10/13

36 Appendix D: Survey Responses Regarding Professional Development Courses (as of 08/2015) Forty-three percent (43%) of survey respondents reported a need for professional development courses. Themes that have emerged regarding types of professional development are: An awareness of or experience in public health issues and policies (including Obamacare), identifying and learning how to address new patient demographics, and current issues in homelessness, mental health, and drug abuse. Patient care and industry skills: being able to multitask, learning beside presence and empathy, and having specific skills such as suturing and lesion removal. Industry skills also include medical terminology, transcription, use of medications, and an understanding of treatment plans. Staff need critical thinking skills to be prepared for alarms and emergencies, and be able to anticipate patient needs. Being able to communicate face-to-face and having interpersonal communication skills is important. Learning basic office skills and work ethic to function in the workplace. Learning new technology and being able to adapt to the changing world of technology. And to foster a feeling of work priority, the importance of showing up to work on time, and understanding work ethics (such as the ethics of accepting gifts). Below are the complete survey responses regarding professional development. Communication skills HUC- medical terminology skills, transcription skills Society has changed where work is not the priority. Need to address work ethic, responsibility to the company. There's been apathy in the work environment. Task orientation: some people have a difficult time multitasking. Critical thinking skills: Employees are relying a lot on waiting for alarms, rather than anticipating patient needs. Identifying and learning how to address new demographics: homeless, mental health, drug abuse, mental disorders. Learning how to care for current patient population. Understanding Obamacare - aging in place, - home care, - utilizing community resources. Gaps are addressed in Hospice Maui training such as: learning bedside presence, empathy Medical Assisting Report: Appendix UH Maui College pg. 11/13

37 -Office etiquette and ethics (spend time on the ethics of accepting gifts). -Ability to adapt to changing world of technology -Training in basics like office suite, excel, publisher, visio, or other foundational software More focus on skills at college. Other colleges add experience in suturing and lesion removal. UHMC should provide a course on these topics. students need more practice in: use of medications, and treatment plans. 1. Public health awareness (for professionals). Don't have a lot of experience in Public Health or Community Health. Need to have clinical experience, but also need public health or community health experience. Awareness of stressors including: poverty, homelessness, single parenting, chronic disease. 2. People skills - written and oral communication. Need face-to-face and interpersonal skills, not just social media skills. 3. Importance of college setting to have community service learning - expand the classroom settings into the community - internship in a community based setting. Get students exposure. Awareness of community - volunteer in the community. 4. Community awareness through resource mapping. What are the resources in the community. Who are the partners in the community. Agency awareness: nursing/medical/medicine/hospital/health/public health, social services, education, criminal justice. Medical Assisting Report: Appendix UH Maui College pg. 12/13

38 This program was funded by a grant awarded by the US Department of Labor. This product was created by the grantee and does not necessarily reflect the official position of the US Department of Labor. The Department of Labor makes no guarantees, warranties or assurances of any kind express or implied, with respect to such information including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability or ownership. Funding does not pay for student costs to participate. UHMC does not discriminate on the basis of age, race, sex, color, national origin, or disability in its programs and activities. For more information or inquiries regarding these policies, please contact: Title IX Coordinator and Section 504 Coordinator for Students, Vice Chancellor for Student Affairs, Phone: debran@hawaii.edu Medical Assisting Report: Appendix UH Maui College pg. 13/13