Trauma Registrar

Quality Management - Acute 
Full Time 
[[schedule]] 
Day Shift 
days

Rated as one of the Top 25 Best Hospitals to Work for in the U.S., the heart of LMC is our 557-bed modern state-of-the-art facility. Winning the prestigious, "Summit Award" from Press Ganey for outstanding patient satisfaction, "Consumer Choice Award" from the National Research Corporation, all contributing to our reputation for giving our patients the highest quality care.  Lexington Medical Center was voted one of South Carolina’s “Best Places to Work” for 2019!

We are located in heart of the Midlands, right outside of Columbia, SC, and one of the most successful integrated healthcare systems in the Southeast. As the third largest employer in the Midlands, we invite you to be a part of our ongoing success and join our LMC Family.

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. 
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