Bachelor's degree in nursing, clinical research, or a relevant field required.
5-7 years of related experience in quality or process improvement.
5-7 years of experience in the healthcare field, preferably in a hospital setting.
5 years of experience in facilitating clinical information systems and applications preferred.
Valid RN License in the State of Maryland required.
Responsibilities
Contribute to department goals and adhere to policies and quality standards.
Abstract administrative and clinical data from patient records per guidelines.
Maintain knowledge of abstraction rules and ensure data accuracy.
Participate in data validation and reporting, ensuring documentation compliance.
Screen medical records for complications related to mortality and morbidity.
Assist in data abstraction for quality control projects and design data collection strategies.
Prepare and present data to support performance improvement initiatives.
Benefits
Supports and upholds institutional policy on data confidentiality and security.
Participates in community outreach efforts and multi-disciplinary teams.
Maintains effective communication with administrative and clinical staff.
Full Job Description
General Summary of Position Responsible for data collection data management accuracy and integrity of hospital outcomes data. Supports MedStar Health Vascular Institute system level quality and registry initiatives.
Primary Duties and Responsibilities
Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
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 fashion.
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.
Demonstrates the ability to competently care for an assigned group of patients serving as a role model for team collaboration and quality patient care as needed.
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 daily.
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.
Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams.
Performs other duties as assigned.
Minimal Qualifications Education
Bachelor's degree in nursing clinical research or another relevant field required
Experience
5-7 years Related experience; quality or process improvement experience required and
5-7 years Experience in healthcare field preferably in a hospital setting; and 5 years of experience in facilitating clinical information systems and applications preferred
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN License in State of Maryland required
Knowledge Skills and Abilities
Verbal and written communication skills.
Working knowledge of database software applications.
This position has a hiring range of
USD $89,065.00 - USD $162,801.00 /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.
