QUALITY DATA ABSTRACTOR RN | Quality Improvement

Salina Regional Health Center

QUALITY DATA ABSTRACTOR RN

POSITION SUMMARY
The Quality Data Abstractor, RN supports the health center's quality improvement efforts by conducting real-time and retrospective review of medical records for patients included in CMS core measures, and other health center-identified quality metrics and registries.  Working as a professional registered nurse, this role evaluates appropriate inclusion and exclusion of cases using defined data dictionaries and measure specifications, and accurately abstracts and enters data into approved software systems.  The Quality Data Abstractor RN collaborates with members of the multidisciplinary team to clarify documentation, strengthen compliance with measure requirements, and provide data and interpretation that inform performance improvement activities.  The position also reviews medical records against predetermined regulatory criteria, routing identified variances to Quality leadership as appropriate.  As part of the health center's quality infrastructure, the Quality Data Abstractor, RN participates in CMS and other performance improvement teams to help identify, prioritize, and support opportunities for improved clinical outcomes and patient care.

POPULATION SERVED: n/a
OSHA CATEGORY III

ESSENTIAL JOB FUNCTIONS

QUALITY
Performs accurate and timely chart review and data abstraction for CMS and other health center identified quality metrics following registry specifications and hospital policies.
Collaborates with quality, clinical, and leadership teams to interpret abstracted data and identify trends, gaps, and priority areas for performance improvement.
Ensures data integrity through consistent application of abstraction rules and participation.

ACCESS
Enters and maintains trended events and abstraction data in medical management software, Excel worksheets, and other approved data systems.
Ensures CMS measure submission deadlines as required.
Organizes and maintains abstraction logs and tracking tools to support transparent reporting and audit readiness.

STEWARDSHIP
Actively participates in training and education opportunities, including monthly webinars and other learning activities for inpatient and outpatient measures, to remain current on regulatory and registry requirements.
Uses resources efficiently by prioritizing abstraction workload, coordinating with colleagues to balance assignments.

ORGANIZATIONAL VALUES

PATIENT CENTERED
Keeps the welfare of the patient at the center of all decisions and actions by maintaining a customer-centered focus at all times.
Advocates for patients and their families by practicing behaviors that create a culture of patient focused activity.

QUALITY
Expects excellence of self and others.
Questions the status quo; uses creativity and innovation to engage in performance and process improvement.
Identifies and mitigates risk.

TRUST
Safeguards the privacy, security, and confidentiality of protected health information at all times.
Treats all people with dignity; supports diversity; and understands related issues.
Is flexible and adaptable to change; demonstrates a positive and supportive attitude; and willingly accepts changes.

SUSTAINABILITY
Holds self and others accountable in the use of SRHC supplies, and completion of tasks in a timely, efficient, and productive manner.
Volunteers for or accepts new or additional duties/responsibilities for the greater good of the department, organization, and/or patient.

POSITION QUALIFICATIONS

MINIMUM EDUCATION
Associate, Diploma, or Bachelor Degree in Nursing from an accredited school of nursing

MINIMUM EXPERIENCE
2 Years hospital nursing experience

REQUIRED REGISTRATION/LICENSE/CERTIFICATION
Current Kansas Registered Nurse license

PHYSICAL DEMANDS
Lifts, positions, pushes, and/or transfers up to 15 pounds
Prolonged, extensive, or considerable sitting/standing/walking
Manual dexterity and mobility
Near acuity; ability to see clearly at 20 inches or less

WORKING CONDITIONS
Office environment
Subject to many interruptions; pressure due to multiple calls, inquiries, and/or deadlines

EMPLOYEE ACKNOWLEDGEMENTIn signing this job description, I attest that I will adhere to Salina Regional Health Center's policies, procedures, and regulatory standards, including but not limited to complying fully with the Corporate Compliance Program and Code of Ethical Conduct; and participating actively in the Quality Assessment and Performance Improvement Plan, including identifying and mitigating risk to patients.

I acknowledge that I have read, understand, and accept the qualifications, responsibilities, and performance expectations outlined in the job description.  I recognize that these duties form the basis for my performance evaluations, and that management reserves the right to assign additional tasks or change existing essential job functions as operational needs dictate.  I confirm that I am able to perform the essential functions of this position with or without reasonable accommodation.