Management Analyst (Data Abstractor)

Tohono O•Sells, AZ

2d•Onsite

About The Position

The Management Analyst (Data Abstractor) provides data abstraction for the Tohono O'odham Nation Health Care (TONHC) Quality Management Program and assists with performance improvement projects throughout the facilities. The role is based at TONHC Sells Hospital and aims to collect accurate ongoing, concurrent, and retroactive data to identify opportunities, processes, and systems that improve patient outcomes. The position works under the general supervision of the Director of Quality Management and may require temporary relocation to other TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. The position conducts quality monitoring and performance improvement data collection and analysis for clinical and support services, including chart reviews and abstraction of patient data from medical records and other sources. It supports core-measure benchmarking and multiple departments, including Safety/Emergency Management, Infection Prevention, Employee Health, Utilization Review, Discharge Planning, Case Management, Risk Management, and Compliance. The role also coordinates reviews, supports committees and performance improvement activities, maintains quality management records and minutes, and assists with the TONHC risk management and Quality Management programs. The incumbent may act on behalf of the Director of Quality Management as delegated and performs other job-related duties as assigned.

Requirements

Degree from a professional nursing program approved by the legally designated State-accrediting agency when the applicant completed the program.
Three years of experience in health care.
One year of experience in data abstraction or quality monitoring and performance improvement data collection and analysis for clinical and support services, objective assessment of patient records, data management and abstraction support, or compilation and presentation of statistical data.
Active, current, unrestricted professional nurse license in a U.S. state.
Current Cardio Pulmonary Resuscitation (CPR) certification.
Knowledge of Tohono O'odham traditions, language, history, geography, and culture.
Knowledge of applicable federal, state, and tribal laws, regulations, and requirements.
Knowledge of health-related issues, medical terminology, and health and child care education.
Knowledge of comprehensive health programs and quality management.
Knowledge of risk management and health care safety principles and regulations enforced by TJC, CMS, OSHA, HCFA, APIC, and other applicable hospital departments.
Knowledge of disease-specific processes and therapeutic interventions used to determine the severity of deficiencies.
Knowledge and skill with electronic health records and the Resource Patient Management System database.
Knowledge of current research methods, including statistical compilation and interpretation.
Computer and data abstraction skills, including advanced skills with Microsoft Office and data abstraction software.
Ability to comprehend and apply statistical theory; define problems, collect data, establish facts, and draw valid conclusions; and interpret abstract and concrete variables.
Ability to teach, communicate effectively, and work with groups to initiate performance improvement projects.
Ability to present information effectively and respond to inquiries or complaints.
Ability to maintain privileged and confidential information.
Ability to work independently, meet strict timelines, and work extended hours and varied schedules.
Ability to operate company vehicles.
Upon recommendation for hire, complete a criminal background check and National FBI fingerprint check, including a 39-month driving record.
May be required to possess and maintain a valid driver's license with no DUIs or major traffic citations within the last three years. If required to operate program vehicles, meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit.
Depending on department needs, may be required to demonstrate fluency in both Tohono O'odham and English as a condition of employment.

Responsibilities

Conduct quality monitoring and performance improvement data collection and analysis for clinical and support services.
Review medical charts and other patient data sources and abstract data using criteria developed by regulatory and other agencies, including the Joint Commission and CMS.
Coordinate core-measure benchmarking and data collection projects.
Provide data management and abstraction support to Safety/Emergency Management, Infection Prevention, Employee Health, Utilization Review, Discharge Planning, Case Management, Risk Management, Compliance, and other departments.
Assess patient records objectively against established criteria, determine the severity of deficiencies, and refer matters to appropriate subject matter experts.
Assess the validity, reliability, and accuracy of collected data and interpret complex data.
Assist with education for clinical staff regarding applicable standards and regulations.
Coordinate core-measure reviews, abstract CMS-required criteria, review accuracy, and upload files to Quality Net, including accessing screenshots and confirmation emails.
Facilitate groups and committees to promote interdepartmental and intradepartmental performance improvement activities and resolve issues.
Maintain and organize quality management and other records and committee minutes.
Submit bi-annual Governing Body reports on hospital activities and assignments.
Serve as TONHC's contact for employees regarding quality improvement data abstraction and assist employees and supervisors with filing reports and forms for quality data reporting.
Coordinate aspects of the TONHC risk management program.
Assist with management and coordination of the TONHC Quality Management program and development of policies, goals, and objectives as needed.
Contribute to a team effort and perform other job-related duties as assigned.