Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.

Abstracts administrative and clinical data from patient records in accordance with regulatory and database abstraction guidelines. Provides required information in a format that is compliant with internal quality standards and those of the registries and/or databases.

Maintains current knowledge of abstraction rules and ensures data accuracy. Collects, synthesizes and enters appropriate clinical data into designated repository (paper and/or computer format) to support database repository. Completes data entry in a timely fashion.

Participates in data validation and reporting. Interfaces with members of the medical and surgical teams and others as required obtaining required data and ensuring documentation is accurate, complete, timely, and compliant with medical record and regulatory/database requirements.

Screens medical record charts for specific complications related to mortality and morbidity within MHVI.

Assists in the data abstraction for specific projects related to quality control. Assists in the design of data collection strategies.

Demonstrates the ability to competently care for an assigned group of patients, serving as a role model for team collaboration and quality patient care as needed.

Maintains current clinical expertise in assigned populations.

Identifies trends and opportunities for improvement in clinical performance.

Prepares and presents data to administrative and clinical groups to facilitate performance improvement and implementation of evidence-based practice. Generates weekly QA and ad hoc reports as assigned. Reviews reports for accuracy and reliability.

Participates in performance improvement initiatives as the expert in data abstraction and documentation guidelines. Participates in quality and performance improvement efforts, as required.

Develops/maintains familiarity with hardware and software and reporting tools.

Maintains routine trouble shooting skills with standard computer applications and database software. Works with vendor technical staff as needed.

Supports and upholds institutional policy on release of data, patient confidentiality and database security standards. Ensures integrity of database through maintaining compliance with established standards daily.

Maintains effective communication channels between administrative, clinical, and professional staff.

Attends clinical quality and data meetings appropriate to area of clinical expertise. Supports regional MHVI efforts as assigned.

Participates in Regulatory Readiness and Patient Safety activities as assigned.

Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams.

Performs other duties as assigned.

• Bachelor's degree in nursing, clinical research or another relevant field required

• 5-7 years Related experience; quality or process improvement experience required and
• 5-7 years Experience in healthcare field, preferably in a hospital setting; and 5 years of experience in facilitating clinical information systems and applications preferred

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN License in State of Maryland required

• Verbal and written communication skills.
• Working knowledge of database software applications.

At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package - including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.