Transcript Handout 1 - National Consortium for Health Science Education

October
12,2016
2016 National
Conference
Health
Science
Curriculum
Building Bridges Within the Health
Science Pathways
Jessica Langley, MS, B.S.R.T. (R) (CT)
Executive Director of Education
National Healthcareer Association (NHA)
Confidential
Certification Validates Competency
Confidential
3
Demand for Healthcare Certification
Is Increasing
Hiring and Retention
Practice Evolution
•
Career Laddering
•
Care Coordination
•
Professional Growth and
•
PCMH
Development
•
Team-based Care
•
Fee for Service vs. Fee for
Performance
State and Federal Regulations
Accreditation and Compliance
•
ACA
•
NCQA
•
CMS
•
JCAHO
•
Meaningful Use/MACRA
•
HCAHPS
4
New Training Needs Are Emerging
Care Demand
New Skills
Efficiency
>
> Demand for
individuals to work
“top of credential”
> Validation of
30 million new
consumers covered by
ACA by 2022
>
17 million more
individuals over 65 by
2025
>
As of 2012, about half
of all adults—117
million people—had
one or more chronic
health conditions.
> Expansion of
coordinated/value
based care
> Lack of “soft skills” –
professionalism,
communication,
active listening,
critical thinking,
patient education
and coaching
competencies
> Streamlined
approach for care
management
> Role evolution –
multiskilling
> Expansion and
pervasiveness of
technology
5
A focus on CTE
How has certification been impactful in your state?
>
Twenty-eight states passed legislation and approved policies designed to accelerate
employer engagement with CTE to help align programs with labor market demands and
offer work-based learning opportunities for students.
>
19 states approved measures or funds to accelerate credential attainment (Kansas and
Tennessee), inform parents about the return on investment (ROI) for certain credentials
(Florida), and establish grant programs that would provide training for critical industries
like manufacturing (Illinois and Delaware).
>
This continued spike in CTE-related policies indicates a growing awareness and interest
in using CTE as a means to increase postsecondary credential attainment, provide
students with real-world experience and prepare a workforce with the knowledge and
skills necessary to maintain the nation’s competitive edge.
6
Building Bridges:
Certified
Nurses Aid
Patient
Care
Technician
Medical
Assistant
Confidential
Clinical Credentialing Opportunities
Recommended
Pathway
Stand Alone Clinical
Credentials
Anatomy and
Physiology
Exploring
Health
Professions
Pharmacy
Technician
(Min. of 2
semesters)
Regulatory &
Pharmacy Duties
CEHRS
Phlebotomy
Software
Applications
and Equipment
Patient Prep
EKG
EKG Monitoring
Insurance &
Billing
Foundations of
Medicine 1
Collection
Techniques
Drugs and Drug
Therapy
Foundations of
Medicine 2
CNA
Charting
Processing
Regulatory
Compliance
Patient Care
Dispensing
Process
Reporting
Safety and
Compliance
Considerations
Note: Individual certifications options for open semester(s).
Confidential
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Stackable Clinical Credentials
Recommended
Pathway
Anatomy and
Physiology
Phlebotomy
Exploring
Health
Professions
Foundations of
Medicine 1
EKG
Patient
Care Tech
Patient
Care
Patient
Prep
EKG
Monitoring
Collection
Techniques
Safety
Professionali
sm
Infection
Control
Foundations of
Medicine 2
CNA
Processing
Safety and
Compliance
Consideratio
ns
Phlebotomy
Patient
Care
EKG
Monitoring
Phlebotomy
Confidential
11
Comparing the Professions
12
Patient Care Technician Defined
Source: study.com
> Patient care technicians tend to ill and injured
individuals under the supervision of doctors, nurses
and medical professionals. Their duties include
taking vital signs, collecting specimens, performing
catheterization and assisting patients with eating,
personal hygiene and grooming. They also take
notes and make assessments on their care. Patient
care technicians often work in hospitals, clinics or
rehabilitation facilities. They may use their training
and experience to pursue more advanced health
care careers.
13
Summary of CPCT Profession
>
The posted wages for PCTs were 35% higher than
NAs ($41,800 versus $30,950 for the median
salary).
>
This is driven up primarily by hemodialysis centers
that have specialized training and a dialysis
certification.
>
However, the type of employer hiring for these
professions is quite different.
>
Many of the PCT job postings are for medical
centers and hospitals and are centered around
renal failure.
>
Both professions have been growing significantly
since 2012
>
The average number of Job Postings for PCTs has
doubled since 2012.
>
In 2015, new job postings rose 15% year-over-year.
Source: Gray Associates & Wanted Analytics
14
Challenges and Hurdles
Educational institutions are challenged
It is a challenge to track professional
on how to market and place PCT’s
data because there is not a CIP/SOC
code for Patient Care Technicians
The role of the Medical Assistant,
Patient Care Tech and Nursing
Assistant are often used
interchangeably based on the state,
institution, and role.
15
Expanding CNA to Patient Care Tech
(CPCT)
CPCT expands on the
CNA skill set to
include phlebotomy
and EKG.
Certified Nurses
Aid
• Aging Population
• Communication &
Professionalism
• Infection
Control
• Safety &
Emergency
Procedures
• Promoting
Residence
Independence
• Residents Rights
• Basic Nursing
Skills
• Personal Care
Needs
Patient Care
Technician
• Patient Care
• Safety
• Professional
Responsibilities
• Infection
Control
• Phlebotomy
• EKG Monitoring
(requires
documented
training/work
experience)
Having multiple
credentials
allows for
greater
interaction and
exposure to other
healthcare
professionals.
Employment of PCTs
is expected to grow
faster than the
avg. for all
occupations as a
result of increased
demand for home
healthcare services
and an aging
Some
states
require
CNA
licensing
prior to
becoming a
Pt. Care
Tech.
CNA + CPCT
professional
s are
available to
work in both
long-term
care
facilities
and hospital
settings.
population.
Confidential
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CNA to CPCT Content Mapping
CNAcore - Ohio
CNAcore - Kansas
NHA CPCT
AGING POPULATION
COMMUNICATION AND INTERPERSONAL SKILLS
x
Communication
x
x
Interpersonal Skills
x
x
Roles and Responsibilities
x
x
Care Plans
x
Legal Responsibilities
x
Medical Records/Record Keeping
x
What’s Missing?
• Aging Population
• Care Plans
• Medical Records/Record
Keeping
• Common Disease Functions
• Nutrition/Digestion
x
INFECTION CONTROL
Infection Control
x
x
Safety Practices and Procedures
x
x
Oxygen Administration
x
x
Fire Prevention
x
x
Body Mechanics/Patient Transfers
x
x
Use of Restraints/Equipment Usage
x
x
PROMOTING RESIDENTS INDEPENDENCE
x
RESIDENTS RIGHTS
x
SAFETY AND EMERGENCY PROCEDURES
x
BASIC NURSING SKILLS
Common Disease Functions
x
Bed Making
x
x
Admission and Discharge
x
x
Nutrition/Digestion
x
Vital Signs
x
PERSONAL CARE SKILLS
x
Oral Hygiene
x
Bathing
x
x
Skin Care
x
x
Catheters
x
Toileting
x
x
Intake and Output
x
x
Basic Needs (physical and emotional)
x
x
Sexuality in Aging
x
Special Needs
x
x
BASIC RESTORATIVE SERVICES
x
Memory and Aging
x
x
Basic Human Needs/Psychology
x
Long Term Care Options
x
End of life care
x
IV care
x
x
MENTAL HEATLH AND SOCIAL SERVICE NEEDS
Dementia and Problem Behaviors
Speciman Collection
x
First Aid/CPR
x
Medication Administration
Phlebotomy
EKG
Medical Terminology
Confidential
New Additions
• Medication Administration
• Phlebotomy
• EKG
• Medical Terminology
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Top Skills:
Four of the top 10 skills are the same across all three professions.
Several others are similar across two out of the three.
Nursing Assistant
Patient Care Tech
Medical Assistant
Geriatrics
Hemodialysis
Pediatrics
Medicaid
Pediatrics
Medical-…
Pediatrics
Geriatrics
Emergenc…
Geriatrics
Bilingual
Patient…
Medical-…
Behavioral…
Water…
Critical care
Quality…
Medical…
Patient…
Quality…
Sterilization
Bilingual
Quality…
Point-of-…
Bilingual…
Critical Care
Bilingual
Hemodialiysis
Patient…
0
2,000
Medicaid
0
2,000
Analysis of WANTED Analytics job postings, February 2016.
0
2,000 4,000
MEDICAL ASSISTANT VS. PCT
Similarities
MA Skills Not Usually
1. Both Perform Vital
Signs
Performed by the PCT
1. Administrative Skills
2. Both Perform
Phlebotomy and POC
Testing
2. Administration of
Medications
3. Both Perform Wound
Care/Bandaging Duties
3. Assisting with
4. Both are used as
Dialysis Technicians
4. Health Coaching
5. Both Perform Infection
Control Duties
6. Both Perform EKGs
Confidential
Surgical Procedures
LPN OR LVN VS. PCT
Similarities
LPN Skills Not Usually
1. Both Perform Vital
Signs
Performed by the PCT
2. Both Perform Wound
Care/Bandaging Duties
3. Both are used as
Dialysis Technicians
1. Patient Assessment
2. Administration of
Medications
4. Both Perform Infection
Control Duties
5. Both Perform Telemetry
Procedures/ECGS
6. Both Perform
Phlebotomy and POC
Testing
Confidential
3. Health Coaching
4. Managing other HCPs
CPCT JOB TITLES
Wanted Analytics Date Accessed 08-17-2016)
1 Dialysis Patient Care Technician
2 Certified Dialysis Technician (CDT)
3 Dialysis Technician
4 Acute Dialysis Patient Care Technician
5 Patient Care Technician
6 Clinical Technician Dialysis
7. Hemo Dialysis Technician
8. Renal Dialysis Technician
9. Hemodialysis Technician
New Job Posting Trends:
Nursing Assistants
Patient Care Technicians
Medical Assistants
Analysis of WANTED Analytics job postings, February 2016.
CPCT TOP EMPLOYERS:
Wanted Analytics Date Accessed 08-17-2016
1 DaVita Inc.
557 Jobs
2 Fresenius Medical Care
87 Jobs
3 US Renal
38 Jobs
4 Henry Ford Health
8 Jobs
5 American Renal Associates
6 Jobs
6 University Health Systems
5 Jobs
7. Mayo Clinic
5 Jobs
8. Banner Health
4 Jobs
Comparing Top Employers
Patient Care Technicians
Nursing Assistants
Medical Assistants
Analysis of WANTED Analytics job postings, February 2016.
State Specific Data
Texas
Tennessee
New York
> In Texas, CPCT job
> In Tennessee CPCT
>
postings reached
job postings have
volumes that are
been hitting new
almost 200% larger
highs in terms of new
2015 compared to the
than in 2012.
job posting volume
same months in 2012.
month by month.
In New York, postings for
CPCT have grown
significantly with volumes
more than 200% higher in
Patient Care Tech - Dialysis
Dialysis Technician
Skills
Certification
Salary Data for Dialysis Technician
WANTED data shows much higher salaries for Patient Care Technicians. The median salary for PCTs is
more than $11,000 higher than the median salary for Nursing Assistants and more than $9,000 higher than
the median salary for Medical Assistants.
Market Salaries
Patient Care Technician
Nursing Assistant
Medical Assistant
$80,000
$60,000
$40,000
$20,000
$0
10th
25th
Median
75th
Analysis of WANTED Analytics job postings, February 2016.
90th
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Case Study: A.R. Johnson Health Science
Magnet
>
Traditional Nurse Aid program evolved into a multiskilled health career preparation course.
>
Students challenge their state CNA license at the
end of their first semester.
>
Course content focuses on EKG, Phlebotomy, and
hospital-oriented patient care techniques 2nd
semester
>
Students graduate a Certified Nursing Assistant,
Certified Phlebotomy Technician, Certified EKG
Technician, and Certified Patient Care Technician.
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Confidential
30
Confidential
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Thank You!
Confidential