Cardiovascular Services Clinical Reviewer

Department Overview

The Cardiovascular Services Clinical Reviewer is the primary clinical reviewer for the NCDR LAAO / Watchman Registry as well as the NCDR Cath PCI registry and the Get With the Guidelines Heart Failure Registry. Primary site abstraction is for OHSU but this position is also responsible for supporting abstraction for Hillsboro Medical Center, particularly for the heart failure registry. Duties include collecting concurrent and retrospective data, assuring integrity of the data collection and data entry for data submittal and data repository, reporting clinical outcomes and descriptive data, and integrating findings into quality improvement activities. The incumbent is responsible for accurate and timely collection and transmission of data in accordance with the guidelines established and performing data queries of that database as requested. The clinical reviewer will stay pro-actively appraised of any definitional, specification, or reporting changes and will actively collaborate with the registry and associated vendors. This position collaborates with the cardiovascular faculty and staff, quality management staff, and other cardiovascular clinical reviewers. They will also participate as a member in applicable best practice and quality committee meetings.

Function/Duties of Position

Data Collection and abstraction

• Identifies patients for inclusion in applicable registries
• Navigates the electronic medical record system, Epic, to abstract concurrent and retrospective data on all patients meeting national registry guidelines 
• Finds, reads, and comprehends H&Ps, discharge summaries, progress notes, procedure notes, labs, medications, and outside medical records within Epic orders records from outside facilities when necessary in order to complete all the data collection fields
• Collaborates with physicians and patient care teams to determine data needs and evaluate clinical outcomes - monitors accuracy of data via automated and auditing means
• Updates data collection tool as appropriate and in accordance with registry definitions, specifications, and guidelines - enters accurate and complete data in a timely manner, using the approved software
• Updates database software and data fields as necessary
• Ensures timely data entry and submittal, integrity of data, and implementation of quality control measure to assure accuracy and validity
• Develops and updates standard work tools
• Exports data to registries per guidelines and in accordance with data security and integrity standards
• Develops efficiencies to improve data collection processes 
• Works collaboratively to develop processes and ensure timely and complete collection and entry of data 
• Identifies issues related to documentation and works with appropriate clinicians and informatics staff to make appropriate improvements
• Identifies issues potentially related to clinical practice and guideline adherence and brings those to the attention of the quality director, service line director, and appropriate medical director.

Data Reporting and Analysis

• Distributes national benchmarking reports to customers as appropriate and as requested by medical directors, service line directors, and clinical staff
• Develops and provides descriptive, statistical, and comparative analysis and reports of data as requested (analysis and reporting would include narrative, tabular, and graphical documentation and presentation)
• Works closely with physician champion, other clinical staff, supervisor, quality management staff, and hospital staff to identify opportunities for improvement
• Develops and reports standardized queries, reports, and dashboards on a quarterly basis and additional queries as requested
• Prepares and presents comprehensive reports to appropriate committees, management, and other audiences within defined timeframes
• Establishes effective working relationships with medical and service line leadership for reliable and meaningful data interpretation and analysis
• Coordinates data inquiries to promote research activities as requested 
• Actively participates in accreditation visits and preparation, and provides clinical outcome and performance improvement data as required
• Prepares presentations / documentation and helps present during survey visits
• Presents data to DNV during onsite and intracycle visits

Required Qualifications

• A Bachelor’s degree in finance, business management or related field; AND

• Two years of industry related experience that includes project management, financial accounting, management reporting and analysis of specialized work processes standards, regulations; statistics or quantitativ