MedStar Southern Maryland Hospital Center

Clinical Data Specialist Heart & Vascular Institute

Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in nursing, clinical research, or a relevant field required.
  • 3-4 years of progressively responsible job-related experience required.
  • 1-2 years of experience in abstracting information from charts efficiently.
  • Completion of IHI Open School within 1 year required.
  • RN - Registered Nurse State Licensure or Compact State Licensure preferred.

Responsibilities

  • Abstracts clinical data from patient records per regulatory guidelines.
  • Ensures data accuracy and complies with quality standards during collection.
  • Participates in data validation, ensuring documentation is complete and compliant.
  • Screens medical record charts for mortality and morbidity complications.
  • Assists in data abstraction for quality control projects.
  • Prepares and presents data to facilitate performance improvement initiatives.
  • Identifies trends for clinical performance improvement.

Benefits

  • Support for continuous education and professional development.
  • Opportunity to contribute to impactful quality and performance improvement initiatives.
  • Collaboration with medical and surgical teams.
  • Access to a robust database and technology resources.
  • Opportunity to work with regional healthcare initiatives.
Full Job Description
General Summary of Position

Reporting to the Director Clinical Quality Registries and Outcomes for MedStar Heart and Vascular Institute (MHVI) the Clinical Data Specialist is responsible for data collection data management accuracy and integrity of hospital outcomes data. Supports MHVI system level quality & registry initiatives.

Primary Duties and Responsibilities

  • Abstracts administrative and clinical data from patient records in accordance with regulatory and database abstraction guidelines. Provides required information in a format that is compliant with internal quality standards and those of the registries and / or databases.
  • Maintains current knowledge of abstraction rules and ensures data accuracy. Collects synthesizes and enters appropriate clinical data into designated repository (paper and/or computer format) to support database repository. Completes data entry in a timely way.
  • Participates in data validation and reporting. Interfaces with members of the medical and surgical teams and others as required obtaining required data and ensuring documentation is accurate complete timely and compliant with medical record and regulatory / database requirements.
  • Screens medical record charts for specific complications related to mortality and morbidity within MHVI.
  • Assists in the data abstraction for specific projects related to quality control.
  • Assists in the design of data collection strategies.
  • Maintains current clinical expertise in assigned populations.
  • Identifies trends and opportunities for improvement in clinical performance.
  • Prepares and presents data to administrative and clinical groups to facilitate performance improvement and implementation of evidence based practice. Generates weekly QA and ad hoc reports as assigned. Reviews reports for accuracy and reliability.
  • Participates in performance improvement initiatives as the expert in data abstraction and documentation guidelines. Participates in quality and performance improvement efforts as required.
  • Develops/maintains familiarity with hardware and software and reporting tools
  • Maintains routine trouble shooting skills with standard computer applications and database software. Works with vendor technical staff as needed.
  • Supports and upholds institutional policy on release of data patient confidentiality and database security standards. Ensures integrity of database through maintaining compliance with established standards on a daily basis.
  • Maintains effective communication channels between administrative clinical and professional staff.
  • Attends clinical quality and data meetings appropriate to area of clinical expertise.
  • Supports regional MHVI efforts as assigned.
  • Participates in Regulatory Readiness and Patient Safety activities as assigned.

Minimal Qualifications
Education
  • Bachelor's degree in nursing clinical research or another relevant field required

Experience
  • 3-4 years of progressively more responsible job related experience required
  • 1-2 years Experience in abstracting information from charts in an efficient manner and proven writing skills required

Licenses and Certifications
  • Completion of Institute for Healthcare Improvement (IHI) Open School within 1 Year required
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia for holders of Bachelor's degree in Nursing preferred

Knowledge Skills and Abilities
  • Familiarity with general data standards database management and computer technology.

This position has a hiring range of

USD $71,843.00 - USD $135,907.00 /Yr.

About MedStar Southern Maryland Hospital Center

MedStar Southern Maryland Hospital Center is a medical facility located in Clinton, Maryland. It is a 192-bed acute care hospital that provides a range of services including emergency care, cardiology, cancer care, orthopedics, and women's health. The hospital is part of the MedStar Health system, which is the largest healthcare provider in Maryland and the Washington, D.C. region. MedStar Southern Maryland Hospital Center is committed to providing high-quality, compassionate care to its patients and improving the health of the communities it serves.
Learn more about MedStar Southern Maryland Hospital Center
Size
1,200 employees
Industry

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