Management Analyst (Data Abstractor)

Tohono O'odham Nation Healthcare•Sells, AZ

3d•Onsite

About The Position

This position provides data abstraction for the Tohono O'odham Nation Health Care (TONHC) Quality Management Program and assists with performance improvement projects throughout its facilities. Based at Sells Hospital, the role supports accurate ongoing, concurrent, and retrospective data collection 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 Sells Hospital, Santa Rosa Health Center, San Simon Health Center, or San Xavier Health Center. The analyst collects, abstracts, analyzes, validates, and reports clinical and support-services data, including information from medical records and other patient data sources. The role coordinates core-measure and benchmarking activities; supports quality, safety, infection prevention, employee health, utilization review, discharge planning, case management, risk management, compliance, and other departments; and helps facilitate performance improvement activities, maintain quality records and committee minutes, prepare Governing Body reports, and coordinate aspects of the risk management program. The position may act on behalf of the Director of Quality Management when delegated and assists with coordinating the Quality Management Program and developing related policies, goals, and objectives. The role requires a degree from an approved professional nursing program, at least three years of health care experience, and one year of relevant data abstraction or quality monitoring and performance improvement experience. An active, current, unrestricted U.S. state nursing license and current CPR certification are required. A background check, FBI fingerprint check, and driving record check are required upon recommendation for hire. A driver's license and a tribal driver's permit may be required. Depending on department needs, fluency in Tohono O'odham and English may be an employment condition.

Requirements

Degree from a professional nursing program approved by the legally designated state-accrediting agency at the time the applicant completed the program.
Three years of health care experience.
One year of experience in data abstraction or in quality-monitoring and performance-improvement data collection and analysis for clinical and support services, objective patient-record assessment, departmental data-management and abstraction support, or compilation and presentation of statistical data.
Active, current, and unrestricted professional nursing license in a U.S. state.
Current 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 practices, skills, and training.
Ability to teach and communicate effectively with TONHC departments to set standards and implement change.
Knowledge of health-care risk-management and safety principles and regulations enforced by TJC, CMS, OSHA, HCFA, APIC, and applicable hospital departments.
Knowledge of disease-specific processes and therapeutic interventions for determining the severity of deficiencies.
Knowledge and ability to use electronic health records and the Resource Patient Management System database.
Knowledge of current research methods, including statistical compilation and interpretation, for epidemiological surveys, field investigations, and research.
Computer and data-abstraction skills, including advanced Microsoft Office and data-abstraction software skills.
Ability to comprehend and apply principles of statistical theory; define problems, collect data, establish facts, and draw valid conclusions; and interpret abstract and concrete variables.
Ability to work with groups to teach and assist with initiating performance-improvement projects.
Ability to present information effectively and respond to inquiries or complaints.
Ability to maintain privileged and confidential information.
Ability to work extended hours and varied work schedules, work independently, and meet strict timelines.
Ability to operate company vehicles.
Criminal background and National FBI fingerprint checks, including a 39-month driving record, are required upon recommendation for hire.
May be required to possess and maintain a valid driver's license, with no DUIs or major traffic citations in the preceding three years.
If required to operate program vehicles, must meet the Tohono O'odham Nation tribal employer's insurance requirements for 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

Collect, analyze, and report quality-monitoring and performance-improvement data for clinical and support services.
Review medical records and other patient data sources to abstract information using criteria established by regulatory and other agencies, including The Joint Commission and CMS.
Coordinate data collection for core measures and benchmarking 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.
Objectively assess patient records against predetermined criteria, determine the severity of deficiencies, and refer matters to appropriate subject-matter experts.
Assess the validity, reliability, and accuracy of collected data; interpret complex data; and help educate clinical staff about applicable standards and regulations.
Coordinate core-measure reviews, abstract CMS-required criteria, review accuracy, and upload files to QualityNet with screenshots and confirmation emails.
Facilitate groups and committees to promote interdepartmental and intradepartmental performance improvement and issue resolution.
Assist with maintaining and organizing quality-management records and other records, including committee minutes.
Submit biannual Governing Body reports on hospital activities and assignments.
Serve as the TONHC contact for employees regarding quality-improvement data abstraction.
Assist employees, supervisors, and others with filing reports and forms for quality-data reporting.
Coordinate aspects of the TONHC risk-management program.
Act on behalf of the Director of Quality Management when delegated.
Assist with managing and coordinating the TONHC Quality Management Program and developing policies, goals, and objectives as needed.
Contribute to a team effort and perform other job-related duties as assigned.