Job Description

Definition:

This position’s primary role will be to support the activities directed by the Cardiovascular Services and Accreditation Director with guidance by the Director of Quality/Patient Safety for the successful maintenance of Stroke Accreditation and quality clinical data abstraction for Georgetown Community Hospital. This position’s role includes clinical data abstraction of stroke patients for stroke accreditation; chest pain accreditation; and Heart Failure accreditation for Georgetown Community Hospital, as well as clinical data abstraction in various quality databases and platforms. This will include gathering, analyzing and trending data, reporting Quality Data for the facility. This will also include education of hospital staff members and physicians regarding the goals set and established for compliance and results of data being collected. Performs under the direction of the Cardiovascular Services Program Director and Chief Nursing Officer. This position may also float and assist with patient care in other cardiovascular services departments as needed (such as the CardioPulmonary Rehabilitation department, or the ED/ICU/Med-surg during Stroke alerts, Code STEMI’s)

Position Requirements:

1. Complete initial CPC data abstraction webinar

2. Maintain evidence of training and competencies related to the CPC Accreditation data requirements.

3. 
   Collaborate with the Director to coordinate the activities to successfully
   obtain/maintain Stroke accreditation and assist with CPC Accreditation.
4. 
   Assists and provides leadership with the development and implementation of staff development that provide care to the stroke and cardiovascular patients. Provides access to programs for the continued enrichment of the staff throughout the hospital in order to obtain and maintain accreditation.
5. 
   Develop policies, protocols, and order sets as required by the accrediting body.
6. 
   Participates in continuing education programs and seminars to maintain knowledge of current standards of practice for stroke care.
7. 
   Performs the essential duties, responsibilities and primary functions of implementing and monitoring processes to improve the care for complex, stable, and unstable stroke patients.
8. 
   Operates a PC to view, edit, format, revise, print, and process a variety of written materials such as forms, correspondence, manuals, charts, matrices, reports, records, schedules, templates, etc

9. Aids in data collection, analysis, and submission from the medical record to applicable platform(s).

1. Assists with staff and physician education with input on recommendations for improvement.

1. 
   Assists the Chest Pain Center (CPC) Accreditation Coordinator with the implementation and monitoring of processes to improve the care of the complex, stable, and unstable cardiovascular patients.
2. 
   Assists the CPC Accreditation Coordinator with meeting established cardiovascular indicators and standards of clinical practice.
3. 
   Assists in promoting interdisciplinary teamwork and internal dependents as well as physicians.
4. 
   Implements educational offerings to patients and families regarding the stroke care process.
5. 
   Communicates regularly with providers and staff on metrics of data collected.
6. 
   Assists with the development and implementation of the fiscal budget and
   marketing plan.

7. Frequent interactive, interpretive and consultative associations are inherent to this position.

8. Possesses the ability to retrieve, communicate, and present data and information verbally and in written form is required.

1. Strong interpersonal skills and the ability to communicate effectively with patients, families, nursing staff, physicians, associations, and community resource liaisons are inherent to this position.

1. Works well within a comprehensive health care team

2. Develops, updates and retrieves data from new/existing spreadsheets for the Quality Resources department.

1. Performs other job duties as needed.