Trauma Registrar

0
Alameda Health System
Published
August 7, 2019
Location
Oakland, CA
Category
Job Type

Description

SUMMARY:  The Trauma Registrar is responsible for the Trauma Registry, including data collection on defined trauma patients, entry of data into the registry, assuring accuracy of data, correcting deficiency in data, updating registry, and abstracting data from registry for reporting and trend analysis in accordance with the regulatory requirements that support the Trauma Departments Performance Improvement and Patient Safety (PIPS) program. The
Trauma Registry contains patient care data from the following phases of care: Pre-hospital, trauma room and hospital course. The incumbent evidences confidentiality in the handling of all trauma registry matters, and is concerned with the improvement of Trauma Services within AHS. Performs related duties as required.

Job Responsibilities

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees

in this classification. However, employees may perform other related duties at an equivalent level.

Not all duties listed are necessarily performed by each individual in the classification.

1. Has primary responsibility for maintaining the trauma registry database; identifies patients to be entered into the
Trauma Registry Database.

  1. Participates in concurrent and retrospective chart abstracting and data entry of Trauma patients into Trauma
    Registry Database.
  2. Assigns and scores all injuries with appropriate coding; completes final retrospective injury coding to include ICD-
    9 and AIS scoring.
  3. Responsibility for obtaining, abstracting, correcting, and entering appropriate patient data both concurrently and
    retrospectively along with assigning Injury Severity Scores to all trauma patients at AHS in order to maintain an
    accurate and concurrent trauma patient data base for the trauma program.
  4. In addition, responsibility for compiling statistics, preparing reports, generating reports on trauma populations,
    and performing data searches for trauma related research projects.
  5. Collects additional data as requested by Trauma Services; updates and provides missing data elements as
    information becomes available
  6. Utilizes other data bases including Quality Department data to supplement and complement data collected from
    the medical record.
  7. Assist in compiling data for research project and with the design of Trauma One queries for Trauma Program
    Manager, Trauma Medical Director that support that the PIPs program as well as outside data requests.
  8. Prepares audited charts for review in a timely manner and support the Performance Improvement and Patient
    Safety process (PIPs) committee meetings with any needed data or reports or focused audits.
  9. Reviews all data sources for accuracy. Collaborates with the Trauma Data Analyst and Trauma Program Manager
    to audit registry data for accuracy. Overseas the collection of data by the Trauma Clerk and assures its accuracy.
    Collaborates with Trauma Data Analyst and Trauma Program Manger to assure that the results of the PIPs
    process are recorded in the Trauma One data base.

    MINIMUM QUALIFICATIONS:  • Has primary responsibility for maintaining the trauma registry database; identifies patients to be entered into the
    Trauma Registry Database.

  • Participates in concurrent and retrospective chart abstracting and data entry of Trauma patients into Trauma
    Registry Database.

  • Assigns and scores all injuries with appropriate coding; completes final retrospective injury coding to include ICD-
    9 and AIS scoring.

  • Responsibility for obtaining, abstracting, correcting, and entering appropriate patient data both concurrently and
    retrospectively along with assigning Injury Severity Scores to all trauma patients at AHS in order to maintain an
    accurate and concurrent trauma patient data base for the trauma program.

  • In addition, responsibility for compiling statistics, preparing reports, generating reports on trauma populations,
    and performing data searches for trauma related research projects.

  • Collects additional data as requested by Trauma Services; updates and provides missing data elements as
    information becomes available

  • Utilizes other data bases including Quality Department data to supplement and complement data collected from
    the medical record.

  • Assist in compiling data for research project and with the design of Trauma One queries for Trauma Program
    Manager, Trauma Medical Director that support that the PIPs program as well as outside data requests.

  • Prepares audited charts for review in a timely manner and support the Performance Improvement and Patient
    Safety process (PIPs) committee meetings with any needed data or reports or focused audits.

  • Reviews all data sources for accuracy. Collaborates with the Trauma Data Analyst and Trauma Program Manager
    to audit registry data for accuracy. Overseas the collection of data by the Trauma Clerk and assures its accuracy.
    Collaborates with Trauma Data Analyst and Trauma Program Manger to assure that the results of the PIPs
    process are recorded in the Trauma One data base.

Job Requirements

MINIMUM QUALIFICATIONS:  Education: Associate's Degree; Bachelor's degree or equivalent experience preferred.
Minimum Experience: Two- three years experience abstracting data from medical records required. Must include
one year of collecting and entering data into a registry.

REQUIRED CERTIFICATION/LICENSES: Current incumbents must possess at least one of the following certifications:
Certified Registrar by American Trauma Society, RHIT (Registered Health Information Technician), RHIA
(Registered Health Information Administrator) or CSTR (Certified Specialist in Trauma Registry). If new hire
does not possess a Certified Specialist in Trauma Registry (CSTR) by American Trauma Society, it must be obtained
within one year of the start date.

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