Description
Description
POSITION SUMMARY
The Trauma Registrar provides superior quality, competitive value and outstanding service by establishing and maintaining the efficient operation of the trauma registry, including accessing trauma cases, reporting trauma cases to state/national agencies and following patients with codable trauma injury. Abstracts, inputs and analyzes registry data, including ICD?10 coding of injuries and coding of Injury Severity Scale, and disseminates data in accordance with national and state trauma mandates. Maintains the Trauma Registry in compliance with the National Trauma Database (NTDB) and American College of Surgeons Trauma Quality Improvement Program (TQIP) as required under Florida Department of Health Mandates as a designated Trauma Center.
PRIMARY ACCOUNTABILITES
1. Initiates appropriate case finding techniques to capture reportable cases of patients with codable injuries that were admitted, transferred, or died, for the creation and maintenance of complete and valid databases.
2. Accurately completes 80% of analytic abstracts within 60 days from the date of discharge through case review, as demonstrated by random abstract review, State of Florida Department of Health (FL DOH) tracking and reports to American College of Surgeons Trauma Quality Improvement Program (TQIP).
3. Maintains the National and State of Florida Data Systems standards in collecting and analyzing data on all reportable injuries. Attends and participates in the Trauma Performance Improvement Committee, Trauma Quality Meeting, State of Florida meetings, and at least one scheduled trauma department community outreach activity annually.
4. Interprets clinical documentation to ensure ICD?10 codes and Injury Severity Score coding are clearly reported and consistently supported by the health record. Upholds regulatory compliance by consulting validated coding references for accurate code assignment and sequencing rules, and validates accuracy of codes assigned by the ITDX Trauma Validation Tool within the trauma registry.
5. Performs case list reviews identifying and abstracting reportable cases by accurately maintaining current database for annual reporting to TQIP as required by American College of Surgeons and the Florida Committee on Trauma as well as quarterly reporting to TQIP, the National Trauma Database, and the State of Florida per Florida Department of Health Trauma Designation mandates.
6. Assists the Trauma Medical Director, Trauma Program Manager and Trauma Performance Improvement Coordinator with submission control and data validation for both the State of Florida and the national TQIP. Reviews medical record QAs, monthly Trauma Quality Data metrics, and quarterly reports to TQIP to ensure compliance with the National Trauma Data Base and th...
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