Job Description
Under general supervision, responsible for the administration and maintenance of registries, including but not limited to the American College of Cardiology NCDR, Get with the Guidelines -Society of Thoracic Surgeons, and American College of Surgeons. Responsible for clinical screening and abstracting, data compilation, documentation and entry into the databases of all eligible cases. Monitors and analyzes all relevant data and provides communication link among the interdisciplinary team on site and with our affiliate hospitals. Supports quality assessment and improvement efforts related to registry data with the appropriate clinical teams. Ensure compliance with all legal and regulatory standards, including but not limited, MHCC, MIEMSS, and the Joint Commission.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Responsible for reviewing and abstracting the documentation of patient care provided to the registry patient population, including
- Identifies patients for inclusion in the program registries through the application of strict program inclusion/exclusion criteria.
- Abstracts pre, intra, and post procedure data components for the program through the effective utilization of the hospital medical record system.
- Responsible for meeting any applicable caseload accrual requirements through accurate application of randomization protocols.
- Demonstrates applicability of the methodology and the reliability of definitions utilized in the registry program through inter-rater reliability testing.
- Identifies areas for streamlining and process improvement in the data collection process.
- Applies appropriate utilization of resources necessary to obtain valid, reliable data for entry into the program, including but not limited to UMMC information systems such as radiology and finance and CRISP.
- Works with appropriate team members to provide stakeholders with data upon request.
- Complies with HIPAA and IRB regulations.
- Participates in appropriate quality improvement committee meetings at both the organization and the state-level if appropriate.
- Documents and maintains clinical registry participation by ensuring adherence to registry requirements, guidelines, and timelines.
- Utilizes software applications available at the registry site for data collection and analysis.
- Assures the accurate and timely entry of data into the program's website and assures the transmission of completed data.
- Responsible for ensuring that data submissions are complete and submitted on time.
- Responsible for managing inquiries from the clinical registry including but not limited to audits and requests for information.
- Works Effectively with Patients, Families, and Staff
- Establishes effective working relationships with appropriate members of the UMMC community, including but not limited to staff in the emergency department, medicine, cardiology, surgery, peri-op, pediatrics, nursing, medical records, departments, Maryland Access Center, and the Information Systems Department.
- When appropriate, establishes effective working relationships with members external to UMMC, including but not limited to, the Emergency Medical Services (EMS), MHCC, and other UMMS affiliate institutions.
- Contacts various departments and outside facilities in order to obtain the necessary information to be in compliance with State and Federal regulations.
- Serves as an educational resource for internal and external audiences
- Provides basic level education about the registry for stakeholders, including but not limited to purpose, definitions, data reporting, etc.
- Communicates registry updates and changes to stakeholders.
- Participates in Quality Improvement activities
- Actively participates in Department of Quality & Safety team meetings.
- Attends appropriate quality improvement committee meetings at the organizational, system and state-level if appropriate.
- Works with hospital based quality improvement team to identify service line specific quality issues and opportunities.
- Training and Registry Participation
- Participates in training activities as appropriate, such as webinars and conferences specific to the registry program.
- Attends registry specific national conferences in person or via virtual learning platforms if able.
Company Description
Renowned as the academic flagship of the University of Maryland Medical System, our Magnet(r)-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work!
Qualifications
- Licensure as a registered nurse in the state of Maryland, or eligibility for licensure in the state is required.
- A bachelor's degree in Nursing, Biology, Physiology or related field is required.
- One of the following is required
- Three (3) years' experience in clinical care; clinical care of the registry patient population preferred.
- OR
- Three (3) years' experience working as a data abstractor for a clinical registry.
- OR
- Three (3) years' experience of the prior 2 combined.
Experience may be substituted for the educational requirement on a year-for-year basis for up to four (4) years.
Knowledge, Skills and Abilities
- Computer and Internet skills and experience required - familiarity and comfort with MS Office products is essential for success in this position (Word, Excel, PowerPoint and Access).
- Clinical chart review and abstraction experience strongly preferred.
- Database data entry and/or management experience preferred.
- Quality improvement or patient safety knowledge and experience preferred.
- Effective verbal and written communication skills are required to work successfully with a diverse group of staff at various levels within the organization.
Patient Safety
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
- Takes action to correct observed risks to patient safety.
- Reports adverse events and near misses to appropriate management authority.
- Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
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