Summary

Responsible for all components of Trauma Registry operations including data collection, data entry and retrieval, data quality and integrity, data analysis, display and statistical conversion. Interact with state and regional regulatory agencies providing required data to ensure the accreditation of the hospital’s designation as a Virginia State Trauma Center.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed daily; other tasks may be assigned.

Trauma registry:

• Collect/gather available patient data; review collected data with supervising RN
• Manages the Trauma Registry database:
• Identifies all trauma admissions, transfers, and deaths, using clinical identifiers and strict inclusion/exclusion criteria defined by the American College of Surgeons.
• Retrieves trauma data through
• Data download from trauma data sources, including system-wide databases and patient logs;
• Direct abstraction of clinical information based on guidelines from the American College of Surgeons (ACS), including the identification of all injuries, procedures, complications, and outcomes.
• May train other members of trauma team on use of Trauma Registry software and ongoing system enhancements.
• Maintains a system for data cleaning to ensure the reliability, accuracy, and completeness of the database.
• Networks with the Virginia state trauma office, the National Trauma Data Bank (NTDB), internal and external application administrators, and statewide trauma agencies and organizations. 
• Collaborates with trauma software vendors in ongoing evaluation of clinical and trauma registry products, recommendations for system enhancements, and resolution of problems.
• Reviews trauma patients’ clinical records across the continuum of care, including EMS reports, police reports (if available), the Emergency Department, Surgery, and inpatient records
• Applies appropriate Abbreviated Injury Scale (AIS-90) scores
• Validates ICD10 diagnostic codes, operative codes, and E-codes.
• Analyzes trauma data to provide both routine and ad hoc reports of trauma statistics and QI filters, used for:
• Monthly performance improvement meeting (Trauma Peer Review)
• Routine volume reporting
• Apprises the Trauma Program Director and Medical Director of all relevant trauma audit filter inconsistencies for Medical Audit Committee (Trauma Peer Review) review and other internal review. Works closely with Trauma Program Manager to identify opportunities for clinical quality improvement and other special projects.
• Oversees the conversion, upload, and transfer of trauma registry data to other designated database systems, including local, state, and national systems.
• Prepares reports in preparation for the Virginia State Level III Trauma Center Re-Verification survey, and participates in the survey, as required by the State office.
• Supports trauma research by providing data to investigators in compliance with the IRB and HIPAA regulations, as approved by the Trauma Medical Director and Trauma Program Director.
• Represents the Trauma Program at meetings of the Virginia trauma registrars.
• Is responsible for continued learning. Maintains knowledge of current trauma trends and developments by reading appropriate literature, attending related seminars, and any internal educational offerings.
• Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.
• Maintains confidentiality of information acquired pertaining to patients, physicians, employees, and visitors. Discusses patient and hospital information only among appropriate personnel in appropriately private places.
• Behaves in accordance with the Mission, Vision, and Values of .
• Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.

Supervisory Responsibilities

Reports to: Trauma Program Director

Supervises: Not applicable

Responsibilities: Not applicable

Education and Experience

Minimum Required Education: Bachelor’s degree

Preferred Education: none

Experience: One (1) or more years’ previous Trauma registry experience

Certificates, Licenses, Registrations

Abbreviated Injury Scale (AIS), Trauma registrar course completion