Component 1: Introduction to Health Care and Public Health in the U.S. Unit 3: Delivering Healthcare (Part 2) Organization Of Primary Care Clinics
Organization of Primary Care Clinics Organization of primary care clinics usually revolves around two axes The provider ◦ physician, nurse practitioner, or physician assistant The patient Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20102
The Patient Experience The Front Office ◦ Receptionist – often the first point of contact for the patient ◦ Scheduler – makes appointments for patients ◦ Greeter – some larger clinics have personnel who can help patients find the appropriate areas for their care Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20103
The Patient Experience The Front Office ◦ Patient Navigator – helps patients navigate the complex maze of medical care ◦ Clinic Manager – administrator for the office, responsible for clinic activities. May have additional personnel to help administer the clinic Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20104
The Patient Experience The Clinical Team ◦ Medical Assistant – certified healthcare assistants who performs minor clinical or clerical work usually the first clinical point of contact for patients in outpatient offices rooms patients, obtains the vital statistics and chief complaint (in some offices may obtain additional information) Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20105
The Patient Experience The Clinical Team ◦ Provider - physicians, nurses, physician assistants, or nurse practitioners, who address the patient’s clinical issues Providers typically have a predetermined schedule of appointments for their day However, they don’t spend all their time in direct patient care One study suggested face-to-face time for family practice physicians with patients is typically around 55% Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20106
The Patient Experience What do physicians do when they are not seeing patients? ◦ Reviewing charts ◦ Fielding telephone calls ◦ Reviewing test results, correspondence ◦ Answering questions from staff about patient care ◦ Consulting with other physicians about patients ◦ Completing forms ◦ Other work Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20107
The Patient Experience The patient may also visit with other members of the clinical team ◦ Care management coordinator – helps with referrals, tests, insurance pre-approvals ◦ Pharmacist – acts as a pharmacological resource for patients In some clinics manages medications for chronic illnesses or dosing protocols for blood thinners such as warfarin Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20108
The Patient Experience The Clinical Team ◦ Dietician / Diabetes educator – helps patients with specific dietary interventions ◦ Social Worker – assists with social issues ◦ Counselor – usually for mental health issues, also assists with patients’ psychosocial issues In many communities there is an acute shortage of mental health services, counselors may coordinate with the primary care provider for mental health care Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall 20109
The Patient Experience The Back Office ◦ Triage Nurse – takes phone calls, problem-solves issues for patients, and refers complex issues to the physician ◦ Back-office Medical Assistants – in some offices Medical Assistants take on multiple roles (telephone triage, referral coordination, point-of-care procedures) Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall
The Patient Experience The Back Office ◦ Coders and billers – codes to delineate diagnoses and levels of care are interpreted by billers/coders ◦ Insurance Specialists / Referral Coordinators – simplify the referrals process for patients ◦ Housekeeping Services (including disposal of sensitive patient-related information and medical wastes) Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall
The Patient Experience Laboratory And Diagnostic Testing ◦ Patient may meet specialized ancillary staff such as radiology and laboratory technicians nuclear medicine technicians sonographers Other ancillary service providers physical and occupational therapists speech therapists emergency medical technicians and paramedics Component 1 / Unit 3 Health IT Workforce Curriculum Version 1.0/Fall
End of Component 1, Unit 3