Facilitates, in collaboration with the Director of Quality & Risk Management accurate, timely and consistent clinical data to public reporting databases and agencies, including JCAHO (Oryx), and CMS. Reviewing paper and electronic medical records, interpreting, analyzing medical record documentation, and extrapolating pertinent health information needed for determining clinical quality and core measures required by The Joint Commission, CMS and other clinical reporting programs. Accurately entering the data directly into our electronic data collection database which is Quantros.
- Researching all available resources on missing, conflicting or ambiguous information in the medical record.
- Applying skilled judgment in determining that deviations from these guidelines may indicate an omission or inaccuracy within the patient’s medical records.
- Collects and trends physician compliance, sends out notifications when discrepancies are identified.
- Assists Infection Control with reviewing microbiology reports by interpreting and analyzing medical record documentation to determine if infection is community acquired or hospital acquired using CDC/NHSN surveillance definition.