Clinical Data Registrar-Operations Management

Job Description

The Clinical Data Registrar is responsible for the collection/abstraction of required data bank elements into the clinical program registry database on all patients meeting defined inclusion criteria. The Registrar maintains the confidentiality of the registry data and provides registry data as appropriate for performance monitoring and improvement and research.

Responsibilities

• Performs basic data collection of demographics and coding of clinical and follow-up data from all sources into clinical program registry database.
• Interacts with physicians, nurses, and other members of the assigned clinical program team and patients to perform registry functions.
• Determines appropriateness of patient entry into the Clinical Program Registry based on the applicable clinical program guidelines and data standards/dictionary.
• Provides high quality data entry by abstraction of required data elements from the patient chart in real time and retrospectively.
• Participates in quality assurance, data validation (5-10% case files), and improvement activities to ensure accuracy of data collection and timely submission of data according to required standards within and/or across clinical programs as applicable to remain compliant with validation requirements.
• Understands mapping concepts and validates mapping of registry software for reporting requirements.
• Resolves routine coding issues/problems and appropriately seeks assistance from assigned Clinical Program leadership and/or Registry vendor when appropriate.
• Recognizes patterns of mechanism of injury during case abstraction in order to contribute to opportunities for injury prevention and community safety.
• Reports data in formats such as Excel and/or PowerPoint for both internal and external consumption (includes statistical, clinical, and research data).
• Assists with performance improvement projects under the direction of the Operations/Program Manager/Director as indicated.
• Maintains confidentiality of the registry and follows guidelines re: Data Request Management.
  
  
  

Accountabilities

Keeps registry current as per the Standards Set by the Regulatory Bodies, which is currently 80% complete within 60 days of patient discharge.

Ensures data validation (5-10% case files) with a validity rate of not

Completes required reporting in required timeframes.

Responsible for the Trauma and/or Burn Program Data Registry

Qualifications

Required: Bachelor degree in health related field

Required

Specialist Certifications:

Within one year of hire the following are required, if not already certified:

Recognized Registrar Certification or program

Injury Scaling Certification

ICD Coding Certification (current and maintain currency within 5 years)

Desired

Certified Abbreviated Injury Scale Specialist (CAISS)

OR

Certified Specialist in Trauma Registries (CSTR)

Required Experience

Work experience of at least two years and knowledge of medical terminology is essential

Proficiency in utilizing computer applications (Word, Excel, etc ) and data management

Desired

Work experience of at least two years with strong emphasis on data integrity and analysis

Trauma/burn care experience

Previous Registry/Report Writing experience

About Us

At SSMC, we firmly believe that the human touch is a fundamental part of care. We understand that health care is both an art and a science, running deeper than simply diagnosing and treating those who rely on us. Our SSMC Model of Care puts our patients at the forefront of our purpose and at the heart of everything we do, ensuring that the needs of our patients come first. Every one of our patients receives individualized attention from a multidisciplinary team of experts who collaborate closely to deliver trusted and compassionate care. From the very first point of contact with SSMC, to the moment patients are back home, we ensure speciality-specific care at every stage and in every interaction. As one of the largest tertiary hospitals in the UAE, SSMC provides access to specialist medical treatments and advanced diagnostics, with a commitment to becoming a Destination Medical Center in the UAE and wider region.

About The Team

About Sheikh Shakhbout Medical City (SSMC)

SSMC is the largest tertiary hospital in the UAE and serves to elevate the provision of health care services in the nation under the mandate of the Abu Dhabi Economic Vision 2030.

Supported by the latest diagnostic and treatment modalities available, SSMC offers care in 44 specialties. A team of locally and internationally trained medical, clinical and admin professionals work seamlessly together, which promotes comprehensive interdisciplinary learning, allowing SSMC to become a leading hub for integrated patient-centric medical services in the region.

As the region’s leading tertiary facility, SSMC has 742 patient beds, 18 operating theatres, and includes a hybrid operating room, 26-bed neonatal intensive care unit, and the UAE’s largest pathology lab.