The CVQAC also serves as an integral part of the CV Leadership’s team in ensuring that accreditation data is submitted appropriately and timely to various credentialing organizations thereby supporting the mission of Augusta Health. These include Heart Failure Accreditation, Chest Pain Center Accreditation, Echocardiography Accreditation, Cardiac Cath Lab Accreditation, and any additional registries or accreditations the organization may participate with in the future.

The CVQAC supports CV Leadership by assisting with the compilation of vital statistics to include volume data, STEMI data, interfacing with the EMS community, presenting QA data to senior executives at AH, and serving as the subject matter expert for CV Quality Data. CVRA also performs other duties as assigned.

• Reviews 100 percent of NCDR CathPCI and/or Chest Pain/MI patients for inclusion in the applicable Data Registries as identified by the facility, as well as any additional registries the organization may join in the future.
• Collects pre-procedure, intra-procedure, and 30-day post-procedure follow-up data components for the program through the effective utilization of the hospital medical record systems.
• Identifies streamlining and process improvement opportunities in the data collection process.
• Responsible for the accurate, complete, and timely entry of data into the program’s database.
• Maintain abstraction accuracy threshold of greater than or equal to 95 percent when audited by third parties.
• Serves as an educational resource on the NCDR Registry for internal and external audiences.
• Clearly communicates any data documentation needs to support accurate and high reliable data collection and reporting.
• Participates in NCDR educational opportunities as they related to their assigned position.
• Apply specialized, clinical knowledge of hospital partners: categorize, code, summarize, interpret, and calculate registry/case information from nuanced, patient medical records.
• Ensure quality submission of all data in specified registries or measure data repositories, maintaining a high accuracy threshold.
• Prioritize, organize, and meet tight deadlines for multiple concurrent tasks and team requests; use tact and judgment to manage expectations, flag obstacles, and propose solutions in a timely manner.
• Navigate new technical systems: electronic medical records (EMR) and registry/case entry tools; use team resources to troubleshoot technical issues and applications with a focus on solutions.
• Contribute to team best practices, data dictionaries, abstraction guidelines, and other business rule documents; identify process improvement opportunities to help streamline tasks and processes.
• Keeps up to date on mandated regulatory/publicly reported data requirements as specified by federal, state, payer, and other agencies.
• Supports CV Leadership by assisting with the maintenance and submission of various accreditation packets to multiple professional agencies in the advancement of organizational mission to include the Chest Pain Center Accreditation, Heart Failure Accreditation, Echocardiography Accreditation, Cardiac Cath Lab Accreditation, and any additional CV accreditation that the organization may pursue in the future.
• Supports CV Leadership in the monitoring, maintenance, and creation of various reports outlining productivity, quality, and other metrics to support the fiscal health of the service line.
• Presents key data elements to organizational leadership and outside agencies as required during quarterly quality meetings.
• Support CV Leadership by assessing training needs of staff related to procedural documentation and mentoring team members on process improvement opportunities.
• Performs all other functions as related to this job and assigned.
• In addition:
  • Supports the mission, vision, values and strategic goals of Augusta Health.
  • Complies with the Augusta Health Care Code of Conduct and all policies, procedures, and regulations.
  • Performs a variety of related duties as assigned
  • Demonstrates regular, reliable, and dependable attendance.
  • As needed, may be required to work: on weekdays, weekends, evenings and/or night shifts.
  • on holidays or additional shifts.
  • during disaster situations, i.e., before, during or after a disaster or inclement weather (hurricane, flood, snowstorm, etc.). additional hours after scheduled work day or shift based on operational needs.

• Education:
  • Bachelor's degree required
  • Masters degree preferred
• License/certification:
  • Current BLS certification
  • ACLS within 6 months of employment
  • RN license required
  • RN with RCIS/RCES or CPHQ certification preferred
• Experience:
  • 2 year of Cath Lab experience
  • 1 year of NCDR Data Abstraction preferred

Company Information

Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia’s scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.

Equal Opportunity

Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

Skills

Preferred

Preferred

Required

Preferred

Preferred

Preferred