Trauma Registrar

Trauma Registrar

Quality Management - Acute Full Time Day Shift 8-430

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary: Applies comprehensive knowledge of anatomy, physiology, and medical terminology to identify and collect complex data on the diagnoses, treatment, and quality metrics related to trauma patients receiving care at a Level III Trauma Center. The Trauma Registrar is responsible and accountable for maintaining the Trauma Registry. The Trauma Registrar reviews records (EMS, ED & Inpatient) of all trauma patients receiving treatment and enters each into the registry database. Enters survival data for the purpose of monitoring/studying trauma incidence, treatment, outcomes, performance improvement. Data collection will include admissions, observations, transfers, complications and deaths as defined by the American College of Surgeons (ACS) resource manual, injury scoring (AIS) and coding. Maintains the strictest standards of patient confidentiality

Minimum Qualifications

Minimum Education: Associate's degree

Minimum Years of Experience: Two years healthcare experience

Substitutable Education & Experience (Optional): Associate's Degree may be substituted for High School Diploma or GED and two additional years of healthcare experience in emergency or trauma patient care or related setting.

Required Certifications/Licensure: Certification in Trauma Registry and successful completion of AAAM AIS within 1 year of hire. CSTR must be obtained within 36 months of hire

Working knowledge of current trauma standards/registry requirements; Completion of The American Trauma Society's Trauma Registrar Course and the Association of the Advancement of Automotive Medicine's Injury Scale Course through American College of Surgeons (ACS) or completion of both courses within 1 year of hire; Working knowledge of NTDS and ICD 10 coding.

Essential Functions

Identifies all qualifying trauma cases brought into the hospital for inclusion into the registry, in accordance with the ACS standards.

Identifies and abstracts data from the patient's medical records, including demographics, location of injury(s), and pre-hospital data for the purposes of statistical reporting, analysis, and inclusion into the trauma registry; collects data and researches mission patient care documentation as needed from multiple sources, including other facilities or agencies.

Maintains electronic registry that adheres to reporting requirements and complies with the prescribed standards and regulations needed for trauma center accreditation by the ACS Committee and DHEC.

Utilizes Abbreviated Injury Scale/Injury Severity Scores (AIS/ISS) and International Classification of Diseases (ICD-10) codes to compile indicators and statistic for use by the Trauma Medical Director and Hospital Leadership Team.

Responsible for entering data into a risk adjusted benchmarking databank, Trauma Quality Improvement Program (TQIP).

Prepares reports on trauma populations, performs data searches for trauma-related projects, performance improvement activities, education, and system improvements.

Maintains trauma and ambulance logs to resolve omissions and duplications.

Prepares data reports of trauma cases and information for the Trauma Outcomes Coordinator, Trauma Committees, Trauma Peer Review and other committees as requested.

Maintains confidentiality and security of all patient information in compliance with LMC, State and Federal Regulations.

Prepares monthly summaries of all trauma-related admissions, observations, transfers and deaths.

Duties & Responsibilities: Prepares data summaries for review by the Trauma Outcomes Coordinator and submission to the SC Department of Health and Environmental Control (DHEC) and the National Trauma Database (NTDB). Participates in trauma activities to include Process Improvement and Patient Safety, Injury Prevention, Trauma Multidisciplinary Committee and outreach education. Participates in the Trauma Association of SC group meetings and periodic training. Provides statistical data as requested by members of the trauma team. Maintains current knowledge of and complies with National Standards published by the ACS, State Standards published by DHEC and State Trauma Regulations Complete 8 hours of registry-specific training yearly Other duties as assigned

We are committed to offering quality, cost-effective benefits choices for our employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.