Data Manager Clinical Registries and Core Measures
2 weeks ago
**Company Description**
Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work
Responsible for fulfilling organizational needs related to Core Measure management and subspecialty data registry management. Oversee day to day activities of data coordinators related to data abstraction, data entry and submission. Ensures compliance with policies, quality standards, Joint Commission standards, CMS Conditions of Participation, and State regulations and codes. Ensures organizational compliance with core measures and other performance indicators required by regulatory and accrediting entities. Provides input into establishing goals, objectives and performance standards for the department. Coordinates performance improvement initiatives with physicians and quality improvement teams and leverages data captured in registries and by Core Measures to measure process and outcomes. Possesses leadership and knowledge to manage multiple individuals, systems, responsibilities and activities with close attention to detail.
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Principal Responsibilities and Tasks**
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Supervises and serves as a clinical resource for registry team members, throughout the various abstraction and implementation support phases to ensure effective and efficient departmental functions. Registry and Core Measure team members include, but are not limited to, the following:
- Clinical Registry Coordinators
- Core Measure Coordinators
- Data Coordinators
- Health Care Analysts
- Provides leadership for activities related to Joint Commission, CMS and MHCC chart-abstracted core measures and e-measures
- Assures the staff appropriately applies the abstraction guidelines for the Core Measures, e-measures and other externally reported quality measures
- Assures data quality, reliability, validity and timely submission of the data to TJC and CMS
- Analyzes data to identify opportunities for improving organizations’ performance and improving staff abstraction capabilities
- Provides oversight for staff education with on-going changes in documentation requirements as it relates to core measures and e-measures
- Utilize performance management systems and databases, including
- Use of performance management system database (CMC) to validate data, produce reports.
- Navigation of QNET to retrieve and/or input data, information and reports as it relates to Core Measures
- Navigation of external databases that publicly report core measures data
- In collaboration with Hospital Leadership, hires and trains new staff members, conducts performance evaluations and manages disciplinary issues. Provides input on staffing issues and developmental needs for the departments.
- Conducts new employee orientation and training as needed.
- Monitor Kronos time records of direct reports and initiates corrective action as required.
- Reviews work of staff to ensure work is completed accurately and resolves complex issues as required.
- Reviews various forms of medical records for clinical data abstraction, abstracts pertinent clinical information via data entry and/or document scanning, into the electronic medical record, effectively using a variety of software packages and hardware devices.
- Communicates with leadership, either verbally or through written methodology, to validate observations and identify strategies for sustained work process changes that facilitate complete, accurate clinical data abstraction and subsequent plans for optimization.
- Conducts audits of abstracted information on a regular basis for quality assurance purposes and reports findings to leadership and physician champions as necessary; addresses individual needs for improvement with staff by implementing necessary performance improvement measures.
- Participates in data collection as needed and coordinates and verifies data collected by other members of the registry team, including but not limited to:
- Performs data checks to assess quality of data submitted.
- Initiates and maintains required clinical and regulatory files.
- Collaborates with multidisciplinary teams to achieve quality care delivery by providing outcome reports and other data as requested
- Manage registry contracts and annual fees, including but not limited to:
- Ensuring contracts, data use agreements and business associate agreements (BAA) are reviewed and signed ac
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