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 the State of Florida annual updates.

7. Coordinates obtaining/abstracting various external information to complete case reviews for the trauma injured population, inclusive of Medical Examiner, Emergency Medical Services and referring facilities reports.

8. Provides trauma specific data to staff, physicians, and administrators. Compares appropriate hospital trauma registry data with national and state data.

MINIMUM QUALIFICATIONS

· Education: Within 12 months of hire/transfer must complete

o Trauma Data Registry Course through the American Trauma Society and o Complete and pass the Abbreviated Injury Scale (AIS) course through the Association for the Advancement of the Automotive Medicine (AAAM AIS) and o ICD-10 Trauma Injury Coding course and every 5 years thereafter o Must complete eight (8) trauma-related Continuing Education Credits annually

· Work Experience/Certification: o Minimum of eight (8) years of trauma registry experience, OR o Achieve the following certifications within 36 months of hire/transfer and maintain: § Certified Specialist in Trauma Registries (CSTR) § Certified Abbreviated Injury Scale Certification (CAISS)

· Knowledge/Skills/Abilities:

o Proficient with MS Excel, Word, and PowerPoint o Strong keyboarding skills for accurate data entry o Ability to use or learn Digital Innovation V5 Registry Database and run reports o Critical thinking skills to abstract, analyze, and utilize pertinent data. o Strong attention to detail with ability to manage multiple projects with interruptions to meet the needs of the trauma program o Adaptable to flex job duties to accomplish team objectives and special projects

PHYSICAL REQUIREMENTS–Sedentary

• Majority of time involves sitting or standing; occasional walking, bending, and stooping.
• Long periods of computer time or at workstation.
• Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
• May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined, onsite, or remote.
• May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

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Job: *Clinical Professional

Organization: *Holmes Regional Medical Center

Title: Trauma Registrar - Trauma Unit

Location: Florida - Brevard County-Melbourne

Requisition ID: 072814