Northern Arizona Healthcare
Ambulatory Quality Improvement Abstractor
Northern Arizona Healthcare, Flagstaff, Arizona, us, 86002
Overview
The Database Analyst provides direct local service area support to the assigned areas.
Responsibilities
Data Integrity* Gains clear understanding of criteria for compliance with clinical quality measures (numerator and denominator).
* Enters patient demographics into collection tools.* Gathers data from patient charts and record results via data collection tools.* Ensures a high degree of accuracy of information entered.* Pulls charts according to the protocol and arranges for all necessary tools to conduct abstractions.* Demonstrates knowledge and understanding of an EHR system and software functions.* Ability to understand and navigate through an electronic health record or patient medical record to abstract assigned metrics accurately and identify opportunities for process improvement.
Analysis* From measures identified in data collection tool, reviews chart for applicable documentation to support quality measures selected for each specialty.
* Data extraction of patients' medical history from paper chart/Electronic Health Record consisting of but not limited to, past medical histories, medications, allergies, social history, immunizations, and clinical indicators into appropriate data collection tool.* Responsible for locating specified clinical data for abstraction from various forms of medical records through intensive medical record review.* Responsible for coordinating data collection with various departments regarding managed care data collection, including Northern Arizona Healthcare and its Physicians Organization Administration, Ambulatory Services Administration and IT Department.* Responsible for report composition and data validation.
Communication/Application Support* Works with Practice physicians and clinical staff to set abstraction appointments to provide training and education to clinical staff on how to abstract data from clinical records and report for value-based agreements.
* Keeps management and other key members informed of results.* Works collaboratively with the management team for the Clinic(s) as a resource for quality outcomes.* Works collaboratively with the ACO Quality team and care coordinator to assist in closing identified performance improvement activities and gaps in quality care.* Abstracts clinical information from paper or electronic medical record and populates data collection tool to support compliance with quality measures for our Medicare Shared Savings Program, commercial and/or other pay-for-performance initiatives.
Compliance/Safety* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame.
Qualifications
EducationHigh School Diploma or GED- Required
Completion of course and/or knowledge of Medical Terminology- Required
Associate's Degree- Preferred
Strong knowledge of HEDIS and other quality measures- Preferred
Certification & Licensures
ExperienceExperience navigating through patient information in a paper and electronic medical application in an ambulatory clinical office setting- Required
Medical assistant or other clinically equivalent experience- Required
Minimum 3 years ambulatory clinical back office experience- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
The Database Analyst provides direct local service area support to the assigned areas.
Responsibilities
Data Integrity* Gains clear understanding of criteria for compliance with clinical quality measures (numerator and denominator).
* Enters patient demographics into collection tools.* Gathers data from patient charts and record results via data collection tools.* Ensures a high degree of accuracy of information entered.* Pulls charts according to the protocol and arranges for all necessary tools to conduct abstractions.* Demonstrates knowledge and understanding of an EHR system and software functions.* Ability to understand and navigate through an electronic health record or patient medical record to abstract assigned metrics accurately and identify opportunities for process improvement.
Analysis* From measures identified in data collection tool, reviews chart for applicable documentation to support quality measures selected for each specialty.
* Data extraction of patients' medical history from paper chart/Electronic Health Record consisting of but not limited to, past medical histories, medications, allergies, social history, immunizations, and clinical indicators into appropriate data collection tool.* Responsible for locating specified clinical data for abstraction from various forms of medical records through intensive medical record review.* Responsible for coordinating data collection with various departments regarding managed care data collection, including Northern Arizona Healthcare and its Physicians Organization Administration, Ambulatory Services Administration and IT Department.* Responsible for report composition and data validation.
Communication/Application Support* Works with Practice physicians and clinical staff to set abstraction appointments to provide training and education to clinical staff on how to abstract data from clinical records and report for value-based agreements.
* Keeps management and other key members informed of results.* Works collaboratively with the management team for the Clinic(s) as a resource for quality outcomes.* Works collaboratively with the ACO Quality team and care coordinator to assist in closing identified performance improvement activities and gaps in quality care.* Abstracts clinical information from paper or electronic medical record and populates data collection tool to support compliance with quality measures for our Medicare Shared Savings Program, commercial and/or other pay-for-performance initiatives.
Compliance/Safety* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame.
Qualifications
EducationHigh School Diploma or GED- Required
Completion of course and/or knowledge of Medical Terminology- Required
Associate's Degree- Preferred
Strong knowledge of HEDIS and other quality measures- Preferred
Certification & Licensures
ExperienceExperience navigating through patient information in a paper and electronic medical application in an ambulatory clinical office setting- Required
Medical assistant or other clinically equivalent experience- Required
Minimum 3 years ambulatory clinical back office experience- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.