Trauma PGM Registrar & PI Coordinator-MSM-FT Days

Mount Sinai Health System•New York, NY

5d•$58,661 - $0•Onsite

About The Position

Works in collaboration with trauma program leadership to improve the quality of trauma care encompassing all areas and disciplines of the hospital that participate in the management of the injured patient. Responsible for coordination and facilitation of the division performance improvement program; including data collection, analysis, trending and benchmarking of data and outcomes. Has primary responsibility for trauma registry data collection; core elements include data entry, database management, data validation, injury coding and scoring, statistical data analysis; report design; supporting administrative, outreach, injury prevention and research initiatives. Collaborates closely with trauma program leadership to ensure compliance with the State of New York trauma regulations, American College of Surgeons standards, facility standards related to Performance Improvement.

Requirements

AS/AD required; BS or BSN preferred. Degree in health-related discipline preferred
ICD-10-CM/PCS coding certification, AIS 2015 coding certification
Certified Abbreviated Injury Scale Specialist (CAISS) or required within 12 months of employment
Certification in Trauma Registry or required within 24 months of employment.
3-5 years of position related experience defined as Medical Records, coding experience, trauma Outreach experience, Trauma Program experience, performance improvement experience.

Responsibilities

Implement and sustain integrated Division Performance Improvement plan that meets all regulatory requirements.
Facilitates identification, validation, and documentation of department- based, Hospital-based, State of New York and selected American College of Surgeons Performance improvement variances and complications.
Performs comprehensive, concurrent chart review to identify quality, timeliness and system issues in the care of patients, in order to meet facility needs, State of New York needs, and American College of Surgeon’s standards.
Assures collection/inclusion of data in relevant databases to allow ongoing evaluation of program performance improvement initiatives.
Assists the Trauma Program in the development of both clinical and operational performance indicators, supports an integrated program for trauma peer review morbidity and mortality review, outcomes analysis and reporting.
Attends trauma related meetings and prepares peer review cases for appropriate venue.
Effectively facilitates and/or leads team in divisional/hospital approved continuous quality improvement methodology.
Maintains knowledge of and participates on hospital committees and initiatives related to quality.
Maintains secure and confidential documentation of all PI activities, including patient performance improvement files, minutes of peer review and process improvement meetings using standard format.
Maintains case review summaries and a tracking system for trends/follow-up and updates concurrently.
Accurately abstracts comprehensive trauma patient information from multiple sources and maintains registry, with data abstracted and entered into the registry in as close to concurrently as possible as and no later than 60 days post-discharge.
Facilitates optimal data abstraction by maintaining knowledge of data sources, especially in the developing electronic medical record.
Customizes/creates data fields to optimize efficiency and utilization of registry.
Oversees the appropriate and standardized performance improvement data fields used to meet the needs of the program and to maintain compliance with any regulatory agency or benchmark organization identified by the program.
Demonstrates/verifies proficient use of the current ICD coding and the AIS and ISS injury scoring systems.
Creates/upholds administrative procedures for the Trauma Registry.
Serves as a resource/mentor to others in the area of trauma registry/performance improvement.
Proficient in data analysis of trauma program studies, including clinical, quality, Administrative, epidemiologic, research, and prevention.
Designs reports that accurately represent information in the context provided.
Through the use of trauma registry, peer review information, and other relevant databases, provides a standardized set of analytical, statistical and reporting strategies for a variety of patients or provider outcomes, to be reviewed by internal and external review committees.
Facilitate the development of and/or creation of clinical management guideline surveillance, variance, and reporting in conjunction with trauma program leadership.
Establish channels of communication and reporting which encourage interdisciplinary cooperation, respect, and support among members of the trauma service and the personnel with which they come in contact.
Participates in local, regional, state, and national organizations to expand knowledge and program development.
Assists with maintaining trauma policies and procedures.
Assists with preparation for regulatory agency surveys.
Demonstrates advanced computer skills in database management, spreadsheet and word processing applications.
Demonstrates good judgment, problem solving abilities, and effective communication skills using a multidisciplinary approach.
Able to organize and prioritize multiple tasks and projects.
Able to maintain confidentiality of patient, provider, and organization information.
Assist trauma staff in other assigned duties as requested.