Responsible for the trauma registry, a data base unique to trauma patients which includes identification, collection, coding, scoring and entering of data into a designated registry data base. Assures the accuracy of the data that is collected and collaborates with performance improvement and administrative planning. Also ensures that trauma data is retrieved, entered, analyzed and verified in accordance with State and national mandated regulations to ensure American College of Surgeons verification and State designation for Trauma Center status. Assists with quality control activities, information requests and studies as requested. Identifies and maintains data base for trauma cases to meet State requirements and minimal standards of the American College of Surgeons. In addition responsible for hospital wide quality initiatives and Inter-rater reliability and validation.
- Abstracts data from medical records for inclusion into the Trauma Registry database.
- Performs data analysis and data validation on Trauma Registry Data on a routine basis for data quality and errors and omissions to maintain registry integrity. Links information to the hospital wide quality initiatives.
- Performs inter-rater reliability and validation to ensure consistent language and definitions.
- Participates in performance improvement monitoring by gathering data on performance metrics, identifying and reporting complications, and performing analysis of registry data in support of clinical process improvement initiatives.
- Works with other hospitals within HHC as needed for trauma registry data abstraction, accuracy, validity, completeness of data entry and inter-rater reliability. Assists those facilities with annual download to State and national trauma registries such as National Trauma Data Bank (NTDB) and Trauma Quality Improvement (TQIP).
- Maintains professional developments such as maintenance of certification Certified Specialist in Trauma Registry.
- Identifies cases for inclusion into the Trauma Registry Database.
- Associates degree in related field such as Health Information Management, etc.
- Must complete a minimum of 8 hours of registry-specific continuing education per year
- Minimum 2 years’ experience of fulltime of equivalent in Trauma Registry Practice.
- CSTR (Certified Specialist in Trauma Registry)
- Ability to read, write and speak English