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2016-1 Trauma Registry

Trauma Registrars/Data Analysts have traditionally been the data backbone of any successful trauma program. Trauma Registrars provide the trauma data necessary to support daily functions of the trauma program, accreditation/verification, performance improvement and research activities.

 

The Trauma Registrar/Data Analyst is responsible for the collection, entry, maintenance, and reporting of data for a Trauma Center (and in many cases other local and state regulatory agencies). Utilizing analytical and cognitive skills, the Trauma Registrar/Data Analyst collects trauma data that is used for injury research, epidemiology, prevention initiatives and performance improvement. The data is typically obtained from electronic and paper medical records. The registry professional codes and enters data into the computerized trauma registry, maintaining confidentiality at all times High-quality data begins with high-quality data entry, and it is the trauma registrar who is responsible to perform this task.

 

The Trauma Registrar/Data Analysts come from varied backgrounds, such as nursing, health information management, information systems, etc., but have basic skills in medical terminology, anatomy and physiology, coding, data analysis and data management. These professionals, at all levels of care, need to be thorough, detail oriented, analytical and committed to the role. Data capture in the trauma registry has a direct impact on accurately characterizing patient care and patient outcomes.

 

Since the trauma program and its research are based on the trauma registry data, it is imperative that the registrars/analysts are high performers and incorporated into the daily activities of the trauma team, such as rounding, attending Morbidity and Mortality conferences, providing education, quality assurance of the data, clinical informatics, and performance improvement initiatives. Trauma Registrar/Analysts also play a vital role in providing trauma registry data for facility funding for state trauma systems and injury prevention.

 

The American Trauma Society believes Trauma Registrars/Data Analysts:

  • Must be an integral member of the trauma team and report to the trauma program organizationally
  • Should be an extension of the core performance improvement team in data acquisition for the PI activities
  • Should attend multidisciplinary meetings, morbidity and mortality conference and other trauma program meetings to assist in education on scoring, data acquisition methods and definitions
  • Should formally provide education to the clinical team on documentation, scoring optimization, data quality, data validation
  • Should have the tools to optimize their performance, e.g. coding manuals, training, certification, dual screen monitors, high-speed internet access, etc.
  • Should serve as a resource to and contributor for the clinical informatics group that is developing and building the data fields in the Emergency Department (ED) Electronic Health Record (EHR) or registry specific software
  • Optimizes data entry to produce graphical Performance Improvement (PI) reports to both analyze and drive improved clinical documentation improvement at the Point of Care (POC)
  • Provide statistical and graphical reports, data and information that support the full range of functions of the trauma program and research initiatives, internally and externally
  • Should have hospital support for continued in-house or external training and education to improve their knowledge of anatomy, physiology, diagnosis and treatment of traumatic injuries as well as other diseases that affect the injured patient. 

 

References

  1. Resources for Optimal Care of the Injured Patient. Chicago, Ill: American College of Surgeons, Committee on Trauma, 1990. Print.
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