Surgical Registry Coordinator-Performance Improvement
Department: University Hospitals
Full/Part Time/PRN: Full-Time
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
Experience and Education
Bachelor's degree in related field. BSN degree preferred. Minimum 3 years experience in a hospital surgical department. Three (3) years experience as an RN in surgical services preferred. NSQIP certified or Registered Nurse in the state of Texas
Review and abstract the American College of Surgeons National Surgical quality Improvement Program (ACS NSQIP) data from patient electronic medical records utilizing regulatory measures and criteria. Enter all eligible cases into appropriate data base accurately and in a timely manner. Serves as a clinical subject matter expert for the registry data elements.
Work closely with physician champions from Department of General Surgery on reports and trends in surgical outcomes, discusses complex cases and assists with special projects or studies for the registry.
Obtains and/or maintains Surgical Clinical Registry (SCR) certification.
Develop data base queries, track and trend data results, prepare reports and presentations for Medical Departments and benchmark against other facilities to assist in quality improvement activities.
Assists with other data analysis or abstraction duties as directed.
Ability to formalize education programs targeted for clinical providers, aimed at understanding NSQIP results and strategies for improving performance.
Actively participate in quality and performance improvement-based Committees.
Keeps up with knowledge of accreditation survey and/or governing agency recommendations.
**Other Duties: Performs other duties as assigned.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.