1. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1 Medical Office Administration 2nd edition Brenda A. Potter, CPC

2. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 2 Chapter 2 The Health Care Team

3. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 3 A Professional Focus  Patients are the reason for our work in health care  Exceptional service to patients is a top priority!

4. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 4 Who Is a Provider?  Individual responsible for coordinating and delivering healthcare service(s)  Examples:  Physician  Nurse Practitioner  Physician’s Assistant  Certified Nurse Midwife

5. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 5 Physician  Provides preventive care  Provides or coordinates treatment for patient’s disease or injury  Responsible for supervising other providers such as nurse practitioners and physician assistants

6. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 6 Physician Education  Undergraduate degree (usually in a science- related field)  Medical school  Graduate is MD (Doctor of Medicine) or DO (Doctor of Osteopathy)  Licensure – required to practice medicine  Residency – additional education in a specialty  Board certified – physician has passed board examination

7. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 7 Physician Licensure  Licensure is required to practice medicine  Each state has its own licensing board

8. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 8 Residency  Residency will vary in length depending on the specialty

9. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 9 Board Certification  After completing residency, physician takes a Board examination  Specialty Boards listed in Box 2-1  Physicians passing an examination are known as Board certified in their chosen field

10. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 10 Physicians Today  Primary care physicians – “gatekeepers” for managed care plans  Primary care specialties  Family practice  General practice  Internal medicine  Obstetrics and gynecology  Pediatrics

11. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 11 Physician Assistant (PA)  Provides routine well care and care for illness  Has prescription privileges depending on state laws  Orders testing for patients  Many PAs choose specialties

12. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 12 Certified Nurse Practitioner (CNP)  Is a registered nurse with advanced training  Diagnoses and treats patients in a chosen field  Has prescription privileges depending on state laws  Orders testing for patients  Must pass an examination in order to practice

13. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 13 Certified Nurse Midwife (CNM)  Is a registered nurse with advanced practice in obstetrics and gynecology  Primarily treats problems related to the female reproductive system  Certification requirements vary from state to state

14. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 14 Doctor Of Podiatric Medicine - DPM (Podiatrist)  Treats disorders of the foot and lower leg  Allowed to prescribe medications, perform surgery, treat fractures  Must be licensed in state where podiatrist practices

15. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 15 Psychologist  Clinical psychologist (Psy.D.)  Provides treatment for patients with mental disorders  Most states do not give psychologists prescription privileges

16. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 16 Doctor Of Chiropractic – DC (chiropractor)  Treats disorders of musculoskeletal system  Is NOT licensed to prescribe drugs or perform surgery  Manipulates and adjust spine  Treats patients with ultrasound and massage  Must be licensed in state where chiropractor practices

17. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 17 Doctor Of Optometry – OD (Optometrist)  Performs eye examination and prescribes corrective lenses to correct vision problems  Optometrists are permitted by many states to prescribe medications  Does not perform surgery; ophthalmologist (MD) does  Must be licensed in state where optometrist practices

18. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 18 Nurse Anesthetist  Advance practice nurses who administer anesthetic for surgical procedures  Nurse anesthetists work under the supervision of an anesthesiologist

19. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 19 Nursing Professionals  Chief focus of nursing professional is caring for patients recovering from illness or injury, or providing health education  Educational requirements may vary from state to state for RNs and LPNs

20. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 20 Registered Nurse (RN)  May be employed to provide direct patient care or may be involved in management  Must pass national examination

21. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 21 Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN)  May also be known as Licensed Vocational Nurse (LVN)  Provides basic patient care  Takes vital signs  Administers medications  Reports patient progress

22. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 22 Certified Nursing Assistant - CNA  Often employed to provide personal hygiene care for patients in hospitals and nursing homes  Profession is particularly prone to work- related injury

23. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 23 Allied Health Professionals

24. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 24 Medical Assistant  Performs administrative and clinical duties in medical office  Some states require successful completion of national certification examination in order to perform clinical duties  CMA – Certified Medical Assistant  RMA – Registered Medical Assistant

25. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 25 Medical Transcriptionist  Prepares medical reports from physician dictation  CMT – Certified Medical Transcriptionist  RMT – Registered Medical Transcriptionist  Certification or registration not required to perform transcription

26. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 26 Health Information Professionals  RHIT Registered Health Information Technician  Responsible for day-to-day maintenance of medical record and coding for healthcare services  RHIA Registered Health Information Administrator  Usually employed as directors of health information departments  Cancer Registrar  Compiles and tracks information regarding the treatment and progress of cancer patients

27. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 27 Physical Therapist (PT)  Plans and provides treatments to improve or restore patient’s ability to move  Uses ultrasound, exercise, heat, or cold treatments.  Must be licensed to practice

28. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 28 Physical Therapy Assistant (PTA)  Provides treatments for patients as planned by physical therapist

29. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 29 Occupational Therapist (OT)  Helps patients regain daily living skills  May help patients learn to adapt after debilitating illnesses or injuries  Must be licensed to practice

30. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 30 Occupational Therapy Assistant (OTA)  Carries out activities for patients as planned by an occupational therapist

31. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 31 Respiratory Therapist  Treats patients with respiratory dysfunction  CRTT – Certified Respiratory Therapist Technician  RRT – Registered Respiratory Therapist

32. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 32 Radiology Technologist (RT)  Radiology Technologist – (Radiographer) – takes x-ray images of the body  Sonographer – performs ultrasound examinations of the body

33. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 33 Medical Laboratory Technologist and Technician  Technicians usually perform routine laboratory tests  Technologists have more education than technicians and are responsible for conducting more sophisticated tests; may be in supervisory roles in a lab

34. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 34 Pharmacist  Dispenses medication as prescribed by a healthcare provider to a patient  Provides counseling on proper usage of medication

35. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 35 Continuing Education  Usually required in order for healthcare professional to maintain licensure, certification, or registration  Important for healthcare professional to remain aware of changes in medicine

36. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 36 Professional Organizations  Most professions have an associated professional organization  Organizations help establish profession standards

37. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 37 Healthcare Facilities  Clinic – provides outpatient (ambulatory) care; group of physicians and other providers  Private practice – medical practice consisting of one physician  Hospital – provides inpatient care (patient stays longer than 24 hours); may provide only certain services  Emergency room – department that provides emergency health care (located within a hospital)  Urgent Care Center – provides care for patients needing immediate physician attention (on an as- needed basis); found in clinic and hospital settings

38. Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 38  Home Health – provides services for patients in patients’ homes  Nursing Home – provides round-the-clock care for residents  Assisted living – level of care far less than nursing home, patients given some assistance with meals and/or medications  Public Health – government agency providing healthcare service