Description: The RN Outcomes Coordinator is responsible for current and/or retrospective review of medical records and abstracting clinical elements to ensure compliance with established nationally recognized quality patient outcomes as required by CMS, TJC, and QIOs as well as other state or federal agencies. This job coordinates all aspects of targeted clinical indicators from abstraction, analysis of documentation, format, and dissemination.
Typical Duties:
- Performs concurrent and/or retrospective focused chart reviews and clinical data extraction as required by the Joint Commission, Centers for Medicare and Medicaid Services and other regulatory agencies.
- Adheres to standard quality measure definitions and specifications as outlined by regulatory agencies and submits data in a timely manner to meet the submission due dates.
- Performs concurrent and/or retrospective focused chart reviews and clinical data abstraction as required for specific patient safety and quality measures as directed by Quality Leadership.
- Translates clinical documentation into meaningful data elements for the purposes of analysis and driving quality improvement in all areas of clinical care. Assists front line clinical staff in the data collection, analysis and implementation of performance improvement activities.
- For concurrent review: reviews all identified charts before discharge to identify documentation gaps and communicates with physicians and other care providers to ensure the required documentation to support the patient’s actual conditions.
- Communicates outliers and improvement opportunities to the medical staff, nursing staff, or other staff members in real time and retrospectively to ensure that deficiencies are corrected in real time and improvement action plans are implemented.
- Responsible for meeting all job-specific educational and other required specifications for regulatory reporting and registry reporting.
- Collects data for on-going and ad-hoc studies as directed by Quality Leadership.
- Completes monthly Abstractions Meeting, required concurrent and retrospective deadlines and submitting data to vendor. Conducts monthly data validation as required.
- Assists in the implementation of data collection, analysis, performance improvement projects and action plans related to areas of responsibility.
- Anticipates customer needs and manages the provision of services to all customers, including patients, physicians, hospital departments, and staff.
- Identifies deficiencies in documentation based on clinical profile of patients, communicates deficiencies to medical staff, nursing staff, or other staff members and ensures that deficiencies are corrected in real time.
- Initiates improvement efforts and works with multidisciplinary teams to improve patient safety and quality outcomes.
- Performs other job related duties as assigned.
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