Alameda Health Sytem
Trauma Registrar Internal Only
Available to current Alameda Health System employees only Oakland, CA Highland General Hospital Trauma Full Time - Day Business Professional & IT Req #: 41469-30687 FTE: 1 Posted: March 13, 2025 Summary The Trauma Registrar is a member of the trauma program responsible for the collection and analysis of data including, but not limited to: Trauma Registry, NTDB, TQIP, and hospital quality data. This includes data collection on defined trauma patients, entry of data into the registry, assuring accuracy, correcting deficiencies, updating the registry, and abstracting data for reporting and trend analysis in accordance with regulatory requirements that support the Trauma Department's Performance Improvement and Patient Safety (PIPS) program. The data abstraction and analysis aids in performance improvement, public health, injury prevention, outcomes measurement, and research. This position enhances trauma performance improvement, patient safety initiatives, and research, reporting to the Trauma Program Manager of Trauma Services. The Trauma Registry contains patient care data from the following phases of care: Pre-hospital, trauma room, and hospital course. The incumbent evidences confidentiality in handling all trauma registry matters and is concerned with the improvement of Trauma Services within AHS. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS:
NOTE:
The following are the duties performed by employees in this classification. Employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Assigns and scores all injuries with appropriate coding; completes final retrospective injury coding to include ICD-10 CM and Association for the Advancement of Automotive Medicine (AAAM)-Abbreviated Injury Scoring to calculate Injury Severity Scores and probability of survival; and external cause injury-coding to track and report mechanisms of injury. Compliance with NTDB inclusion criteria and data element definitions. Demonstrates knowledge of Alameda County EMS-A trauma center designation criteria and ACS Verification requirements. Assists in compiling data for research projects and with the design of Trauma One Queries, validation, analysis, and participates in other scholarly activities (i.e., ATLS) as directed by the Trauma Program Manager and Trauma Medical Director. Writes reports using the trauma registry to support trauma research, performance improvement, best practices, and injury prevention. Utilizes registry software to perform validation of performance improvement filters that are captured and submitted to the Trauma Quality Improvement (TQIP). Participates in bi-annual benchmarks. Validates 10% of cases by participating in departmental inter-rater reliability activities monthly, running monthly departmental validation reports, and monthly National Databank validation reports. Has primary responsibility for maintaining the trauma registry database; identifies patients to be entered into the Trauma Registry Database. Attends departmental, local, regional, and state trauma meetings and committees as required by Alameda County and the American College of Surgeons. Participates in concurrent and retrospective chart abstracting and data entry of Trauma patients into the Trauma Registry Database. Prepares audited charts for review in a timely manner and supports the Performance Improvement and Patient Safety process (PIPs) committee meetings with any needed data or reports or focused audits. Responsible for obtaining, abstracting, correcting, and entering appropriate patient data both concurrently and retrospectively along with assigning Injury Severity Scores to all trauma patients at AHS to maintain an accurate and concurrent trauma patient database for the trauma program. County and State downloads, Update/download all EMS reports, assist with the American College of Surgeons Trauma Survey process, including assisting with the completion of the pre-review questionnaire, planning/coordination of the site visit, chart preparation, and assisting as needed through the survey process recorded in the Trauma One database. Utilizes other databases including Quality Department data to supplement and complement data collected from the medical record. MINIMUM QUALIFICATIONS: Education:
Associate's Degree; Bachelor's degree or equivalent experience preferred. Minimum Experience:
Two to three years experience abstracting data from medical records required. Must include one year of collecting and entering data into a registry. Required Certification/Licenses:
Current incumbents must possess at least one of the following certifications: Trauma Registry Course by American Trauma Society must be obtained within one year of start date, Certified Registrar by American Trauma Society, RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), or CSTR (Certified Specialist in Trauma Registry) and CAISS Certification for Abbreviated Injury Scale (AIS) specialists. If new hire does not possess a Certified Specialist in Trauma Registry (CSTR) by American Trauma Society, it must be obtained within one year of the start date and 32 contact hours of continuing education (CE) related to Trauma Registry practice must be obtained for re-certification every 4 years. If new hire does not possess a CAISS Certification for Abbreviated Injury Scale Specialist by AAAM, it must be obtained within one year of the start date and renew every 5 years. Complete basic Anatomy Course of new hire within one year of hire. ACS Requirement: each Trauma Registrar must accrue at least 24 hours of trauma-related CE during the verification cycle every 3 years.
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Available to current Alameda Health System employees only Oakland, CA Highland General Hospital Trauma Full Time - Day Business Professional & IT Req #: 41469-30687 FTE: 1 Posted: March 13, 2025 Summary The Trauma Registrar is a member of the trauma program responsible for the collection and analysis of data including, but not limited to: Trauma Registry, NTDB, TQIP, and hospital quality data. This includes data collection on defined trauma patients, entry of data into the registry, assuring accuracy, correcting deficiencies, updating the registry, and abstracting data for reporting and trend analysis in accordance with regulatory requirements that support the Trauma Department's Performance Improvement and Patient Safety (PIPS) program. The data abstraction and analysis aids in performance improvement, public health, injury prevention, outcomes measurement, and research. This position enhances trauma performance improvement, patient safety initiatives, and research, reporting to the Trauma Program Manager of Trauma Services. The Trauma Registry contains patient care data from the following phases of care: Pre-hospital, trauma room, and hospital course. The incumbent evidences confidentiality in handling all trauma registry matters and is concerned with the improvement of Trauma Services within AHS. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS:
NOTE:
The following are the duties performed by employees in this classification. Employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Assigns and scores all injuries with appropriate coding; completes final retrospective injury coding to include ICD-10 CM and Association for the Advancement of Automotive Medicine (AAAM)-Abbreviated Injury Scoring to calculate Injury Severity Scores and probability of survival; and external cause injury-coding to track and report mechanisms of injury. Compliance with NTDB inclusion criteria and data element definitions. Demonstrates knowledge of Alameda County EMS-A trauma center designation criteria and ACS Verification requirements. Assists in compiling data for research projects and with the design of Trauma One Queries, validation, analysis, and participates in other scholarly activities (i.e., ATLS) as directed by the Trauma Program Manager and Trauma Medical Director. Writes reports using the trauma registry to support trauma research, performance improvement, best practices, and injury prevention. Utilizes registry software to perform validation of performance improvement filters that are captured and submitted to the Trauma Quality Improvement (TQIP). Participates in bi-annual benchmarks. Validates 10% of cases by participating in departmental inter-rater reliability activities monthly, running monthly departmental validation reports, and monthly National Databank validation reports. Has primary responsibility for maintaining the trauma registry database; identifies patients to be entered into the Trauma Registry Database. Attends departmental, local, regional, and state trauma meetings and committees as required by Alameda County and the American College of Surgeons. Participates in concurrent and retrospective chart abstracting and data entry of Trauma patients into the Trauma Registry Database. Prepares audited charts for review in a timely manner and supports the Performance Improvement and Patient Safety process (PIPs) committee meetings with any needed data or reports or focused audits. Responsible for obtaining, abstracting, correcting, and entering appropriate patient data both concurrently and retrospectively along with assigning Injury Severity Scores to all trauma patients at AHS to maintain an accurate and concurrent trauma patient database for the trauma program. County and State downloads, Update/download all EMS reports, assist with the American College of Surgeons Trauma Survey process, including assisting with the completion of the pre-review questionnaire, planning/coordination of the site visit, chart preparation, and assisting as needed through the survey process recorded in the Trauma One database. Utilizes other databases including Quality Department data to supplement and complement data collected from the medical record. MINIMUM QUALIFICATIONS: Education:
Associate's Degree; Bachelor's degree or equivalent experience preferred. Minimum Experience:
Two to three years experience abstracting data from medical records required. Must include one year of collecting and entering data into a registry. Required Certification/Licenses:
Current incumbents must possess at least one of the following certifications: Trauma Registry Course by American Trauma Society must be obtained within one year of start date, Certified Registrar by American Trauma Society, RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), or CSTR (Certified Specialist in Trauma Registry) and CAISS Certification for Abbreviated Injury Scale (AIS) specialists. If new hire does not possess a Certified Specialist in Trauma Registry (CSTR) by American Trauma Society, it must be obtained within one year of the start date and 32 contact hours of continuing education (CE) related to Trauma Registry practice must be obtained for re-certification every 4 years. If new hire does not possess a CAISS Certification for Abbreviated Injury Scale Specialist by AAAM, it must be obtained within one year of the start date and renew every 5 years. Complete basic Anatomy Course of new hire within one year of hire. ACS Requirement: each Trauma Registrar must accrue at least 24 hours of trauma-related CE during the verification cycle every 3 years.
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