Trauma Registrar

Job Summary:

The Registrar Intermediate maintains the trauma registry in a timely fashion. The Registrar Intermediate is responsible for daily data entry of all ICD-10, injury severity and procedure coding entered into the data registry. He/She also provides reports to all Trauma Committees and on a per request basis. In addition, the registrar intermediate provides data from the registry to the State Trauma Program, NTDB and TQIP. He/She assures all QI data elements are captured.

The Registrar Intermediate must master four basic skill sets:

1. Data Management - data integrity, reports and data presentation

2. Anatomy and Conditions of Injury

3. Coding and Scoring Concepts

4. Registry Oversight and Maintenance - NTDB, state(s), TQIP, and Erlanger Health System

In addition, the Registrar Intermediate must:

Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest in field of expertise. Demonstrates an ongoing commitment to learn.

Ability to proficiently create and utilize databases, word-processing, spreadsheets, presentation programs and other software relevant to the job. Requires technical knowledge of hospital applications data query software spreadsheets and report generating software. Internet, Microsoft Office Word, Excel, PowerPoint and Access required.

Possess basic understanding of math and statistics.

Demonstrates excellent written and verbal interpersonal skills, relating to physicians and other healthcare professionals and a positive customer relations philosophy.

Possess strong organizational, time management and communication skills and attention to detail required.

Demonstrates knowledge and practice of confidentiality as it pertains to HIPPA and the handling of information sensitive to Erlanger Health Systems.

Regularly communicates both orally and in writing with physicians, management and health care professionals to make presentations, discuss findings, answer questions, and obtain or exchange information pertinent to their information requirement.

Self-directed; able to work effectively and efficiently with multiple interruptions and changing work priorities. Strong organizational and time management skills required. Demonstrates initiative and creativity in assigned work. Highly detailed and team oriented.

Education:

Required:

Proficient in anatomy and physiology and medical terminology.

Completed the Association for the Advancement of Automotive Medicine AAAM/AIS Scoring Class; must have completed the Trauma Registrar Course through the American Trauma Society.

Preferred:

Completion of a minimum of a License Practical Nurse program, Paramedic program or Associate degree [including or in addition to two semesters of Human Anatomy and/or Physiology college level coursework].

Experience:

Required:

Minimum of one year in trauma registry experience and computer skills should include experience with Excel and Word. Completion of the educational requirements listed above.

Knowledge of anatomy & physiology, medical terminology, experience with medical records.

Preferred:

N/A

Position Requirement(s): License/Certification/Registration

Required:

N/A

Preferred:

N/A

Department Position Summary:

The Registrar Intermediate is responsible for all aspects of the Trauma Registry. He/She is accountable to the Trauma Program for accuracy of data entered into the Trauma Registry. The Registrar Intermediate is responsible for collection/abstraction of data points and entry into the NTRACS Trauma Registry database on all adult trauma patients admitted to the Erlanger Health System, a Level I Trauma Center. At a minimum, 80 percent of cases must be entered within 60 days of discharge. Quality of data is monitored and maintained (errors/edits should not exceed 7%). He/She reviews all updates and remains current on all coding guidelines. Standards, requirements and guidelines are followed in strict accordance with the American College of Surgeons and the Tennessee Trauma Registry. *Other duties as assigned.

Supports the mission statement of Erlanger Health Systems: To deliver excellence in medical care to improve the health status of our region, while providing vital services to those in need, and training to health professionals through affiliation with academic partners.

Embraces and supports the Quality Improvement (QI) initiatives.

Uses effective customer service/interpersonal skills at all times.

Self-directed, organized professional who is able to function autonomously.

Abstraction and interpretation of patient medical records with in-depth chart reviews regarding Trauma and Non-Trauma patient populations ICD-10-CM code assignment ISS scoring, comorbidities, treatments, complications, medications, and TQIP process measures.

Works in collaboration with National Trauma Quality Improvement Program (TQIP), and the State of Tennessee as a Statewide Trauma System.

Performs quarterly uploads from V5 trauma registry to TQIP, and the State of Tennessee Trauma data banks.

Manages data collection to meet the requirements of a Level I Sate designated Trauma Center and in preparation for verification by the American College of Surgeons (ACS).

Attends TCAC and Tennessee Trauma Registrar group quarterly meetings, TQIP yearly meeting, and State of Tennessee Trauma meetings as assigned.

Works with Trauma Medical Director and Trauma Program Director to develop audit filters, tracking and trending of practice issues, or other system or outcome process related issues.

Responsible for all upgrades, maintenance and software updates for Trauma Registry in collaboration with Trauma Registry technical support company.

Performs data validation reports weekly, with constant monitoring and oversight of all data entry fields in the Trauma Registry. Supervises additional Trauma Registrars and validates 5-10% of data entry, tracks inconsistencies, provides feedback and education as appropriate.

Prepares monthly data statistics for Performance Improvement and Patient Safety (PIPS) meeting and he/she will attend PIPS and Trauma Service Committee meetings on a rotational basis.

Acts as resource/trainer/mentor to Erlanger Health Systems employees, Erlanger affiliates and Regional State institutions

Prepares and gathers data to complete American College of Surgeons (ACS) Pre-Review Questionnaire (PRQ), assists in planning, preparation and on-site review process.

Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and work within those guidelines. Performs job duties safely at all times, utilizing learned body mechanics and ergonomics. Plans actions to promote safety. Reports any unsafe situation/equipment according to hospital procedure.

Assists the Erlanger Trauma Network registries as needed.

Performs other duties and responsibilities as assigned.

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