Trauma PGM Registrar & PI Coordinator-MSM-FT Days

Job Title:Trauma Registry Performance Improvement Coordinator

Works in collaboration with trauma program leadership to improve the quality of trauma care encompassing all areas and disciplines of the hospital that participate in themanagement of the injured patient. Responsible for coordination and facilitation of the division performance improvement program; including data collection analysis trending and benchmarking of data and outcomes. Has primary responsibility for trauma registry data collection; core elements include data entry database management data validation injury coding and scoring statistical data analysis; report design; supporting administrative outreach injury prevention and research initiatives. Collaborates closely with trauma program leadership to ensure compliance with the State of New York trauma regulationsAmerican College of Surgeons standards facility standards related to PerformanceImprovement.

Trauma Program Leadership:

• Implement and sustain integrated Division Performance Improvement plan that meets all regulatory requirements.
• Facilitates identification validation and documentation of department- based
• Hospital-based State of New York and selected American College of SurgeonsPerformance improvement variances and complications.
• Performs comprehensive concurrent chart review to identify quality timelinessand system issues in the care of patients in order to meet facility needs State of New York needs and American College of Surgeons standards.
• Assures collection/inclusion of data in relevant databases to allow ongoing evaluation of program performance improvement initiatives.
• Assists the Trauma Program in the development of both clinical and operational performance indicatorssupports an integrated program for trauma peer review morbidity and mortality review outcomes analysis and reporting.
• Attends trauma related meetings and prepares peer review cases for appropriate venue.
• Effectively facilitates and/or leads team in divisional/hospital approved continuous quality improvement methodology.
• Maintains knowledge of and participates on hospital committees and initiativesrelated to quality.
• Maintains secure and confidential documentation of all PI activities includingpatient performance improvement files minutes of peer review and processimprovement meetings using standard format.
• Maintains case review summaries and a tracking system for trends/follow-up andupdates concurrently.

RegistryMaintenance:

• Accurately abstracts comprehensive trauma patient information from multiple sources and maintains registry with data abstracted and entered into the registry in as close to concurrently as possible as and no later than 60 days post-discharge.
• Facilitates optimal data abstraction by maintaining knowledge of data sources especially in the developing electronic medical record.
• Customizes/creates data fields to optimize efficiency and utilization of registry.
• Oversees the appropriate and standardized performance improvement data fields used to meet the needs of the program and to maintain compliance with any regulatory agency or benchmark organization identified by the program.
• Demonstrates/verifies proficient use of the current ICD coding and the AIS andISS injury scoring systems.
• Creates/upholds administrative procedures for the Trauma Registry.
• Serves as a resource/mentor to others in the area of trauma registry/performance improvement.

Data Reporting:

• Proficient in data analysis of trauma program studies including clinical quality
• Administrative epidemiologic research and prevention.
• Designs reports that accurately represent information in the context provided.
• Through the use of trauma registry peer review information and other relevant databases provides a standardized set of analytical statistical and reporting strategies for a variety of patients or provider outcomes to be reviewed by internal and external review committees.

Other Assigned Duties:

• Facilitate the development of and/or creation of clinical management guideline surveillance variance and reporting in conjunction with trauma program leadership.
• Establish channels of communication and reporting which encourage interdisciplinary cooperation respect and support among members of the trauma service and the personnel with which they come in contact.
• Participates in local regional state and national organizations to expand knowledge and program development.
• Assists with maintaining trauma policies and procedures.
• Assists with preparation for regulatory agency surveys.
• Demonstrates advanced computer skills in database management spreadsheet and word processing applications.
• Demonstrates good judgment problem solving abilities and effective communication skills using a multidisciplinary approach.
• Able to organize and prioritize multiple tasks and projects.
• Able to maintain confidentiality of patient provider and organization information.
• Assist trauma staff in other assigned duties as requested.

Requirements:

• AS/AD required; BS or BSN in health-related discipline preferred
• ICD-10-CM/PCS coding certification AIS 2015 coding certification
• Certified Abbreviated Injury Scale Specialist (CAISS) or required within 12 months of employment
• Certification in Trauma Registry or required within 24 months of employment.
• 3-5 years of position related experience defined as Medical Records coding experience trauma Outreach experience Trauma Program experience performance improvement experience.

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58661.00 - $.00 Annually. Actual salaries depend on a variety of factors including experience education and operational need. The salary range or contractual rate listed does not include bonuses/incentive differential pay or other forms of compensation or benefits.

Non-Bargaining Unit BPL - Surgery Trauma Program - STL Mount Sinai St. Lukes