The Quality Clinical Abstraction will be responsible for the abstraction and assessment, measurement and reporting of The Joint Commission (TJC) Core Measures, CHART and other assigned clinical data abstraction reported internally or to external agencies. The Program Manager for Clinical Abstraction will utilize, understand, and apply specific clinical data definitions and abstraction rules associated with the management of the external benchmarking projects. He/She will act as the primary resource to the Quality Services Department and Clinical Focus Group Performance Improvement leaders and teams for any data abstraction guideline interpretation questions and/or issues related to CMS/TJC projects. He/she will insure the accuracy, integrity and validity of all data reported for internal and external benchmarking, including data transmitted and reported publicly on Qualitycheck.org (TJC), Calhospitalcompare.org (CHART), and Hospitalcompare.gov (CMS). He/she will serve as the Quality Department lead for CDAC Validation to ensure the hospital’s validation scores remain within the CDAC validation thresholds, and that requested charts are reviewed and sent in a timely manner to CDAC. He/she further insures that timely appeal of any cases which do not pass review. The Program Manager for Clinical Abstraction will also insure the integrity and validity of all related information that is used for analyzing services, practice patterns, and protocols of AHMC SGVMC. He/She will work collaboratively with others to promote the strategic goals and mission, vision and values of AHMC SGVMC.Qualifications:Graduate from an accredited school of nursing; Bachelor's Degree preferred.Current CA RN license.Minimum of five (5) years in performance improvement or case management.Knowledge of current CMS/Joint Commission definitions, abstraction rules and regulations.Ability to perform technical abstraction of patient records by abstracting pertinent information and preparing/presenting clinical information in such a manner as to highlight discrepancies in data. Ability to address multiple tasks that frequently have short timelines.Ability to maintain current and accurate databases and files.
San Gabriel Valley Medical Center
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